Here's my situation:
I'm pregnant with my 3rd baby. I qualified for medicare this time around and I had a few worries in the first trimester so I decided to seek shadow care from an midwife/OB practice.
My first 2 children were born at home with a midwife, the second time she was out of state so not legal in my state. I did self care with phone consults for my second baby and was prepared to UC, but in the end went with some help.
This time around the plan is to again work with the same out of state midwife. She has been consulting with me by phone again, and the only "care" I have been receiving from the MW/OB practice is a ridiculous amount of lab work and ultrasounds.
I've been with them for 10 weeks and have been seen at an appointment, for lab work, or for an ultrasound 5 times. They have set appointments and canceled them on me 2 times, both times calling me the day of the canceled appointment because I was a "no show". One of my appointments, that went very badly and involved a lot of lab work and 2 calls to the office later in the day to complain about how it went somehow does not show in their records (except they do have all the labs dated from that day.) They have refused to treat my low progesterone and my rising thyroid, the 2 biggest reasons I elected to get traditional care, and have actually told me to stop taking the progesterone proscribed by my family doc (he did the lab and caught the extremely low hormone level early in my pregnancy) because that lab number "does not matter." They are convinced I am diabetic and have tested me for diabetes every time that have seen me despite results that show not only not being diabetic but being in the "low risk of developing GD" category. The reason they are convinced I am diabetic? I am 40 and my DD was 10 pounds at birth, 8 years ago. The fact that she was 43 weeks at birth "was not a factor" in her large size according to them. The fact that GD testing in both of my previous pregnancies was negative does not matter either.
So, at 24 weeks this week, when they called to cancel an appointment set for the next day, one that had been rescheduled by them already, and was extremal difficult to schedule in the first place (they did not want to "allow" me to push it back one week so my DH could come with me, then after 2 days of debate they did, only to cancel it and push it back 2 more weeks!) and then getting a call on the day telling me I missed an appointment, I decided I was done, done, done with them.
I received another call from one of the midwives today telling me I must come in in the next 7 to 10 days for diabetes screening, it is very important to do this test, blah, blah, blah, and that we will need to have a talk if there is an issue. She mentioned they have not seen me in awhile (I was in less than 2 weeks ago to turn in a 24 urine collection, blood pressure, weight and they did a CMP and CBC.)
Sounds like I am about to be fired. According to my medicaid advocate they can fire me before 30 weeks and after 40 weeks.
My concern is that they may also report me for medical neglect or something since they are under the impression I have not been seen and I am diabetic (again, no labs have shown that) and high risk (one midwife tried to pressure me into a fetal echo-cardiogram by saying I was high risk, but when I asked when I got that label and why was I still seeing the midwives and not transferred to the OB's or the high risk OB she could only say, "Well, you are 40.")
Can they do that? Should I worry that CPS will show up at my door and make trouble for me and my family? My homebirth/out of state midwife was concerned that if I kept seeing them up until my due date and then did not birth with them that they would, she has seen it happen. But could it happen at this early date?
UC is still a real possability for us too. It makes me double worried.