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What kind of care provider are you using this pregnancy?

Poll Results: What kind of care provider are you using for prenatal care and delivery?

 
  • 0% (0)
    None, we're having an unassisted pregnancy/birth
  • 58% (20)
    Certified Professional Midwife/Traditional Midwife
  • 23% (8)
    Certified Nurse Midwife
  • 0% (0)
    Family Practitioner (M.D.)
  • 2% (1)
    Obstetrician
  • 0% (0)
    High Risk Pregnancy Specialist
  • 14% (5)
    A combination of the above (explain)
34 Total Votes  
post #1 of 28
Thread Starter 

Just curious!

post #2 of 28
Thread Starter 

All of my other babies have been delivered by CNMs, but we're going with a CPM this pregnancy. :)

post #3 of 28

The professional practice I go to has 2 CNM and 2 Ob/Gyn.

post #4 of 28
Thread Starter 
Quote:
Originally Posted by lbkw View Post

The professional practice I go to has 2 CNM and 2 Ob/Gyn.


Do you get a choice of who you see? Or do you just rotate among all of them and get who is on call when you go into labor?

 

post #5 of 28
Quote:
Originally Posted by LindyGirl View Post


Do you get a choice of who you see? Or do you just rotate among all of them and get who is on call when you go into labor?

 


I rotate among all of them and get who is on call. I am ok with that. The four of them are all "on the same page" as far as care goes. They just have different personalities and 2 are m.d.'s. We'll see. When I had my first there were 9 docs in the practice and I never met the one who was on call when I delivered but she was AMAZING. I'm so relieved I didn't have the others (which is why I didn't go back there).
 

 

post #6 of 28
Thread Starter 

That's good that you like all of them. In one of the larger CNM practices I went to previously, there were two midwives that I didn't really love. I was disappointed to find that she was on call when I went into labor. As it turned out, she went off call and didn't deliver my baby, and I liked the other person much more.

post #7 of 28

My midwife has been in practice since the 70s and has been a CNM since 93... I'm extremely extremely comfortable going to her, especially with how low her complication numbers are since it seems fairly easy to risk out of a homebirth with her (understandably so, if you have something that would cause a complication at delivery, homebirth's not likely going to be the best choice)

 

If I go into labor at the same time as another lady and I'm not the first call, I get one of two other midwives in the area who are both CNMs. If they're all busy, I go to the Naval hospital here where my midwife used to practice and she will let them know I am her patient, which basically means leave me alone for the most part. At the hospital I seem to have just as much chance having another midwife or an OB but my midwife said the OBs do respect natural birth wishes there.

post #8 of 28

The practice we use has a combination of OB's and one midwife.  I will also have a doula with me during labor :)

post #9 of 28

I answered a combination because I'm using a Naturopath/Certified Professional Midwife.  :)


Edited by DecemberSun - 12/7/11 at 1:26pm
post #10 of 28

Im going with a CPM at the practice I work for :) www.riversidemidwifery.com  I will have a CPM, CNM and a CPM student at the birth

post #11 of 28

sigh. I have no idea yet. My previous midwife got a cease and desist. I tried contacting another but no response. I still have had no appointments etc yet. I'm getting a bit antsy about it now. 

post #12 of 28

BigMamaBear, what state are you in? MD?

post #13 of 28

My first appointment is on Monday with a CNM at a birth center.  We'll decide afterward if we like it, but it seems promising right now.

post #14 of 28

I feel very lucky to live in Canada. Our health care covers midwifery 100% so there are tons of them to choose from up here. I have a team of 3 midwives. I'll see them all during appointments and whoever is on call when I go into labor will deliver the baby. There's a great birthing center up here attached to the women's hospital that I'll be using as well. 

post #15 of 28

I didn't answer the poll yet, as I have yet to decide.  Homebirth and CPM Midwives are not legal in this state.  Because of this, I used a wonderful doctor, an OB, last time, but he has retired!  My options are a "homebirth" away from home, in another state- this isn't an ideal option, because of insurance not covering it and also having to travel; using a different OB from the same practice so that I can birth in the same hospital as last time...I had a pretty good experience at that hospital, as opposed to another hospital in town where I had a terrible experience with my first son's birth; or using a CNM and delivering at the Children's and Women's hospital, which is huge and I think not very nice!

 

I am starting with the CNM to give that option a chance, and have an appt to meet her at 11 weeks, I think it will be.

post #16 of 28

My midwife last time attended my birth illegally--and she still would be illegal if we went with her, as she's DEM, and my state only recently began recognizing CPM; CNM have been able to practice directly under an OB for much longer. Even the CPM recognition is tenuous from year to year. OY!

 

I selected CPM since that will be my primary and the person whom I will call for the birth. But since CPMs don't have any prescribing or test/scan ordering privileges here, I will also see an OB (huge office I call The Baby Factory) for shadow care. I've had horrific bronchitis while pg with both my boys and actually needed abx both times (I think my lungs are defective!), so even after a hopefully a-ok 20w u/s, I'll still keep some limited appts. maybe. depends how our insurance decides to pay or not pay. Our MW will be out of pocket regardless. :/

 

The mw I'm thinking of going with has been a doula for almost 20 yrs, recently got her CPM, and has attended a zillion births including a number of mutual friends. My previous mw is over 30 min away and is pricier than we'd like...and I admit that I'd been waiting for my friend to finally switch from doula to midwifery. 

post #17 of 28
Thread Starter 
Quote:
Originally Posted by ms.shell View Post

I didn't answer the poll yet, as I have yet to decide.  Homebirth and CPM Midwives are not legal in this state.  Because of this, I used a wonderful doctor, an OB, last time, but he has retired!  My options are a "homebirth" away from home, in another state- this isn't an ideal option, because of insurance not covering it and also having to travel; using a different OB from the same practice so that I can birth in the same hospital as last time...I had a pretty good experience at that hospital, as opposed to another hospital in town where I had a terrible experience with my first son's birth; or using a CNM and delivering at the Children's and Women's hospital, which is huge and I think not very nice!

 

I am starting with the CNM to give that option a chance, and have an appt to meet her at 11 weeks, I think it will be.



Just wanted to say that homebirth is not in and of itself illegal in any state. CPMs may be illegal, but it is the midwife who gets in trouble, not the mom. Thousands of women have babies accidentally at home every year -- it's not something that any legislature can regulate. The person that they (sometimes) go after is the midwife for practicing medicine without a license, or whatever the specific legal violation is.

 

That said, you should choose whomever you feel comfortable birthing with, and if you're not comfortable with the midwife's status, you should choose someone you do like. Feel comfortable in your surroundings and with your providers is very important!

post #18 of 28
As of right now... Nothing lol. I need to register with Tricare (military insurance) at the hospital here and will be seen by cnm's here at the army hospital. If this babe is healthy I would have the option of staying under the cnm's care at the hospital or using a cnm here for a home birth or birthing center.

If this babe has any problems (heart defect) then we will have to transfer care with a high risk ob at the children's hospital.
post #19 of 28

I wish my CNM was covered by tricare :( but we're just going to pay her in one chunk out of our tax return. 

She can't accept tricare for homebirths until August 2013 (due to her work at the Naval Hospital and other stuff, she explained it to me, I don't fully understand it) :(

post #20 of 28

I'm using an OB, since I already know this will be a rcs. Just very grateful I have a supportive OB who is an excellent surgeon and not afraid of multiple sections.

Ever since my 3rd birth due to placenta previa and the placenta+scar issues during that birth I have not been a candidate for VBAC.

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