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If I pass 42 wks?  

post #1 of 34
11/14/06 at 4:27pm
Thread Starter 
In Az my midwife can't attend my homebirth past 42wks. My OB withdrew care when I said I was planning a homebirth, and I didn't bother finding another one. I've never had a baby in a civilian hospital before, and have no idea how all this would work.
Also, I hate the idea of being induced, how do I avoid it?
post #2 of 34
11/14/06 at 4:35pm
I have heard this, too. Is this true of all MW in AZ? Where in AZ are you?
post #3 of 34
11/14/06 at 4:46pm
You could check with the state dept of health, but it is probably true; that's how it is in TX.
post #4 of 34
11/14/06 at 4:59pm
This can be a bit sticky but you and your midwife can re-figure your "due date". This depends how you and baby are doing of course.

My midwife gave me two due dates (Nagel's and Woods) I went right around my later date (Woods).
post #5 of 34
11/14/06 at 5:11pm
Quote:
Originally Posted by ferra View Post
This can be a bit sticky but you and your midwife can re-figure your "due date". This depends how you and baby are doing of course.

My midwife gave me two due dates (Nagel's and Woods) I went right around my later date (Woods).
:

I might "find" an old calendar in your shoes, that pushes your dates up a week...

-Angela
post #6 of 34
11/14/06 at 5:33pm
Quote:
Originally Posted by i'mmykid'$mom View Post
You could check with the state dept of health, but it is probably true; that's how it is in TX.
I guess it depends on where in TX you are and who your MW is.
My MW is a CNM and she has no issues with clients going 42+ weeks.
Have you considered finding another MW?
FYI - if you go into the hospital while in labor they will treat you but I would stay home.

Keri
post #7 of 34
11/14/06 at 6:06pm
My understanding is that all of the TX "rules" are just suggestions at this point. That providers can choose to um, override them. My midwife will do twins, breech, over 42 weeks etc without batting an eye.

-Angela
post #8 of 34
11/14/06 at 7:41pm
If you are past your edd a more natural route of induction is acupuncture. I went to get acupuncture when I was two weeks past my edd and I started labor contractions right there on the acupuncture table!
post #9 of 34
11/14/06 at 7:54pm
Quote:
Originally Posted by kerikadi View Post
I guess it depends on where in TX you are and who your MW is.
My MW is a CNM and she has no issues with clients going 42+ weeks.
Have you considered finding another MW?
FYI - if you go into the hospital while in labor they will treat you but I would stay home.

Keri
....
post #10 of 34
11/14/06 at 8:08pm
Is it new? My midwife is a non-nurse midwife and never mentioned it.

And my understanding is that CNMs in TX don't need to work under an OB- I don't know any homebirth midwives who do....

-Angela
post #11 of 34
11/14/06 at 8:11pm
Quote:
Originally Posted by alegna View Post
Is it new? My midwife is a non-nurse midwife and never mentioned it.

And my understanding is that CNMs in TX don't need to work under an OB- I don't know any homebirth midwives who do....

-Angela
Often, there will be "rules" in place about who or what or when a midwife can attend, and midwives will stick to or ignore those rules based on how much legal trouble they're willing to risk. Even going outside guidelines can be risky, alas.
post #12 of 34
11/14/06 at 8:16pm
Quote:
Originally Posted by alegna View Post
My understanding is that all of the TX "rules" are just suggestions at this point. That providers can choose to um, override them. My midwife will do twins, breech, over 42 weeks etc without batting an eye.

-Angela
I think my mw would in this situation, but it would be at risk of losing her state license. The rules (like federal regulations) are created by the midwifery board, do not go through the legislature, have the force of law http://www.dshs.state.tx.us/midwife/mw_ruledraft.pdf. But, I think that the rules are "overidden" a lot in situations like you mentioned.

My mw did say that when they are reported to the board for supposed violations it is not by the mother but by another mw with a grudge, or a grandparent who is angry with their child, the mw, or homebirth (or all three).
post #13 of 34
11/14/06 at 8:46pm
Quote:
Originally Posted by alegna View Post
Is it new? My midwife is a non-nurse midwife and never mentioned it.

And my understanding is that CNMs in TX don't need to work under an OB- I don't know any homebirth midwives who do....

-Angela
I didn't think that CNMs were covered by the board rules but by nurses board ; but skimming the rules it seems I was wrong (I linked the rules in another post if you'd like to read them). I'm not sure about the relationship between Dr supervision, CNMs, and Texas law. I think I may have been going off of this (though it says most, not all, states):

Quote:
Certified Nurse Midwives (CNMs) and
the ACNM's CM credential

Certified Nurse Midwives (CNMs)

* Educated in both nursing and midwifery, primarily in the hospital setting; are "advanced practice nurses."
* Must have at least a Bachelors Degree when training is complete.
* Have successfully completed a university-affiliated nurse-midwifery program accredited by the American College of Nurse-Midwives, and passed the exam.
* Out-of-hospital clinical experience is not required.
* Are legal and can be licensed in all states.
* Most practice in hospitals and birth centers.
* In most states must have some kind of agreement with a doctor for consultation and referral; practicing without such an agreement can lead to loss of license.
post #14 of 34
11/14/06 at 9:04pm
Nope. In TX they don't work under drs.

And I'm fairly certain that there is no limit in non-nurse midwives attending after 42 weeks.

-Angela
post #15 of 34
11/14/06 at 11:00pm
I personally would discover that my dates were wrong!
post #16 of 34
11/15/06 at 2:25am
Quote:
Originally Posted by alegna View Post
Nope. In TX they don't work under drs.

And I'm fairly certain that there is no limit in non-nurse midwives attending after 42 weeks.

-Angela
It's not that they can't attend at all; they have to recommend a transfer to a dr and if the patient won't transfer they have to do concurrent care with a dr. And since CNMs are also licensed under the midwifery board it would apply to them too. The rules are actually more restrictive than I realized, but they are bended often.
post #17 of 34
11/15/06 at 2:31am
Oh I do hope your dates were originally wrong and you can fix them. However if you end up in hospital, just say no to everything you like -if you are fine and baby is fine.

"we would like to induce" "am I fine? is baby fine?" "yes" "no thank you I would like to wait"

buy as much time as you need, it may be enough to get through. also hire a doula, they can be good advocates! good luck.
post #18 of 34
11/15/06 at 3:03am
Quote:
Originally Posted by i'mmykid'$mom View Post
It's not that they can't attend at all; they have to recommend a transfer to a dr and if the patient won't transfer they have to do concurrent care with a dr. And since CNMs are also licensed under the midwifery board it would apply to them too. The rules are actually more restrictive than I realized, but they are bended often.
I've never heard mention of this. Could you give me a link?

-Angela
post #19 of 34
11/15/06 at 3:09am
Where in AZ are you? I had a wonderful midwife in Tucson. We talked postdates...she said, well....here is what we do to protect you and my license.

My understanding is that AZ is fairly strict about their licensees, but that there is flexibility.
post #20 of 34
11/15/06 at 10:11am
Quote:
Originally Posted by alegna View Post
I've never heard mention of this. Could you give me a link?

-Angela
http://www.dshs.state.tx.us/midwife/mw_rreview.shtm
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