So I had to share a really positive experience I had this morning at the midwives' office. First of all, we heard the heartbeat (about 165) and some movements, so that was awesome. I'm 15 weeks today. I think I mentioned in the Introductions thread some of the details about the high-risk consult I had in December, which was a stressful fiasco.
Anyway, the appointment itself... I couldn't schedule with the person I had previously been seeing because of a schedule conflict or something (I don't remember exactly), so they just picked another midwife on staff at random. Boy am I glad they did! Her bedside manner was terrific. She talked to me about my high-risk consult and said she had seen the writeup and pulled down the information to review because they made it sound so serious, but everything actually looked very good and she was not concerned, and I should stop worrying so much.
She sort of danced around the subject and spoke of it in a very professional manner, but she told me that for a while the practice at this health system had been to essentially place all overweight women in high-risk care, and I got the strong impression that she did not approve of this approach at all. She was especially disapproving of a note they put in the writeup about scheduled induction at 39 weeks (which I'm glad they apparently failed to mention to me at the appointment, because I would have flipped out). She said the midwifery model of care produces the best outcomes for most women, and that doesn't change just because you're heavy. Their approach would be to keep an eye on my risk factors, and if they became a problem, consult with the high-risk docs (she said this could be done even during labor and delivery if necessary) or, if things became very worrisome, transfer my care, but as of right now I'm a "very average lady" and by no means their highest risk patient. She advised me to get exercise (and told me about a study showing that if you walk after a meal, it helps reduce blood sugar spikes) and eat healthy, avoid simple sugars, etc. but miracle of miracles, managed to make this advice sound benign and positive rather than accusatory. I mean, of course I am doing my best with these things anyway (gym visits still hit or miss but I am getting there more and more often), but it makes an enormous difference how they approach these subjects with you in the appointment. I actually feel inspired to get to the gym rather than feeling like crawling in a hole and crying.
As far as actual numbers, I guess my A1C was very good and she didn't seem concerned about my blood pressure (sky-high in the office again this morning, but my logged numbers from home are much lower). She didn't mention my weight gain.
I went into this appointment positive that we would end up kicked out of the midwife practice and I wasn't sure what I would do then (because I just didn't think I could handle seeing that high-risk doc again). Instead I now feel excited about this pregnancy again and ready to get back into preparing for birth. I feel so lucky, I just had to share.
ETA: Full disclosure, I basically reposted this from the ONE Thread Graduates thread... sorry, I know that is not the best practice but I was excited and wanted to share with everyone.