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Originally posted by pamamidwife Tracy, have you thought about telling them the truth? As a midwife, I would be hurt to establish a relationship with someone when all along they had alterior motives for the birth. Perhaps working something out for prenatal care can be done...
It is my policy, too, to not refund money if the birth happens so quickly that I don't make it, or if the parents don't call in time. Just like I don't charge extra for those three day long births...I do, however, do a per-visit schedule for couples planning unassisted births....
Then again, why are you doing prenatal care? I think that 98% of prenatal care is just to establish a relationship with someone in preparation for birth.  |
Oh of course! I would prefer to be open about my intentions since I am not doing anything wrong. I don't intend to lie to anyone. However, I am familiar with the climate in my state, and am EXTREMELY skeptical that these medwives would jump right on board with my plans. Additionally, if I found someone who "allowed" me to choose what procedures/tests I wanted there is no way I would want to jeopordize that by blythely hoping aloud that they would agree to see me without delivering my baby. I am 99% certain that a doctor-affiliated birth center in a state where lay midwifery is illegal would not be set up in any way to make allowances for them not attending a birth they've done the prenatals for.
There are many lay mw's in my city. And many of them are quite flexible regarding how often you see them and whether or not they attend your birth. However, I will not ask someone to perform illegal acts on my behalf. Yes, I know that it is their choice. But I would be morally complicit. Also, I do not believe it is wise to put myself in the possible position of having to "protect" a mw from the law. I would not lie.
I live in NC. Just over the border in SC lay midwifery is legal. I contacted several mw's there to determine whether someone would be willing to see me, say once per trimester, with the understanding that they would not attend the birth. I was informed that they felt it would open them up to liability to accept me as a pt with the knowledge that they would not be attending the birth. I was also told several "dead baby" stories in attempts to convince me that I needed them for the birth.
I would not want to hurt anyone's feelings either. However, that is not really my main concern. My main concern is to have a healthy, safe pregnancy and birth. These mw's are simply people with whom I've had a business contract in the past. I assure you that they were not my friends and exhibited very little regard for whether or not their policies hurt my feelings. I am not responsible for their personal feeling regarding my birth. (Though they did tell me that ours was a very pleasant and fun birth for them. It was not so for me.)
I agree with you in regard to the purpose of prenatal care. As I mentioned I have been willing to do it since my dh was asking it of me. He is not quite as educated as I on this topic and has not felt totally comfortable relinquishing the cherished notion that if something was wrong with the baby, traditional prenatal care could correct it.
The good news in all this is that my dh told me this evening that he thinks maybe I don't need traditional prenatal care after all. Super-duper! Here we go...
edited to add: please forgive my misdirected pregnancy hormones spilling out all over you!