This probably seems like a stupid question. I know that I have the right to choose whatever care route I feel I need in my pregnancy. So I know I CAN leave, but here's my situation...having never done this before...
I looove homebirth, and I have learned exactly how my body labors best and I know I can't fully achieve that in a hospital (at least not without a battle). My first was a medicated hospital birth, but my last 2 babies were unassisted homebirths. However, this pregnancy, after 4 miscarriages in 12 months (the last being at 9.5 weeks), I have decided to make an appointment with my old OB. I am hoping that everything with this pregnancy is just fine, and if so, I'd like to proceed with a homebirth again. However, if there is a problem that we can identify that might require more care, I'll gladly stick with him. But I just don't want to me "medicalized" if everything is just fine, KWIM?
So I plan to go to 1 or 2 appointments with him, have some bloodwork and an ultrasound, and not only hope and pray we can confirm a healthy, sticky baby in there, but also to see if there is an obvious issue that we need to keep an eye on. If not I'd like to switch to my midwife. How do I go about it without burning bridges? Do I need to talk to him personally? Do I just call and cancel my next appointment and not make a new one? Do I call and say we've switched providers? (and if so, do I give a reason?) I am grateful for any care and answers he can provide me during this time, but as great of an OB as he is, I just don't feel that I can have the pregnancy and birth experience that I need (and that is healthiest for me and baby) if I don't REQUIRE his assistance, you know? So I guess I want to leave on terms where if I need to, I can come back to him in future pregnancies. Am I thinking too much into this??? I'm a people pleaser (recovering!! LOL) so maybe that's part of why this bothers me so much?
The other thing I'm wondering is about billing...at the first appointment with him, they set up a payment plan based on your insurance that goes from that first appointment clear up until the last post-partum checkup. So it covers everything. I'm assuming that if I leave, I'll just get a bill for what I hadn't yet paid for (but received) or a refund for what I overpaid...but do I have to notify billing that we're leaving?