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Looks like I'm switching MWs... (long)  

post #1 of 10
Thread Starter 
My MW was my friend first, actually I met her on MDC and she invited me into the local AP group when we moved here last year. So she was one of the first people I met in person. The kids and I would go to her house for playgroups. Then because we were both passionate about birth we started having birth studygroups and I became her assistant, going to prenatals and births with her. When I got PG it seemed logical that she would be my MW... she is nearby, I know her birth philosophy and it really matches mine, I feel like we would get exactly the birth we wanted with her. Plus we were going to barter the whole cost of the birth--paying less money always helps!

But anyway, something hasn't been clicking since our last prenatal. I finally decided that maybe I'm just having a hard time negotiating all these different relationships. She is having a lot of really, really shitty things happen in her life and I want to be there as her friend to listen to her. And I have spent a lot of time with her going to prenatals and being on-call for births (all for free) and helping her take care of others. But now she is my MW and I need to have time with her that is just about *me* KWIM? You kind of want that when you're pregnant, and it's just not happening. So I think it's time to listen to my instincts and change midwives. I've given that advice so many times to others! Yet it's so much harder to do it yourself... It is going to be so hard to talk to her and tell her we are switching. Like she needs one more bit of bad news right now... *sigh*

So, the next part of the dilemma is this: We have very specific wishes for this birth--like basically being left alone so it's just DH and I at the time of birth, and he will catch, and whatever MW we choose will mostly stand back and watch and only jump in if needed. (Kind of a UA birth but with a "lifeguard" just in case I have a PPH again--best compromise we can come up with.) Some MWs may just not be agreeable to this at all, I don't know. My bigger concern is that we'll choose a MW who says she is on board, but then in the actual situation will have a tough time really just sitting back and watching... I know from experience that if you've been trained to do something, it is really hard to do nothing.

Luckily I'm in an area with several HB MWs. Two I have ruled out already for various reasons. I got a phone number for a MW I've never met but have heard good things about, so we're going to try to meet her. There is another MW I'd like to talk to but don't have any contact information for.

Then there is our MW that we used last time. I talked to her yesterday and it is really tempting to just go with her. I think she is awesome but on the other hand, there were some reasons we weren't going to use her again. It is hard to explain because she was great, I always loved my prenatals, I basically had a wonderful birth, and she handled my PPH really, really well and we didn't have to transport. But I also feel that she said some things when I was pushing, things that were supposed to help, that made me feel self-conscious instead. And there were a few things at the time of birth that didn't happen in the way she'd said they would (use of bulb syringe, who cut the cord). I don't know if there are good explanations for it all or if it can be remedied by better communication on our part... or not. So even though I love her, and it felt *so great* to talk to her yesterday (like a huge weight off my shoulders, actually) and it would be so easy and comfortable to see her again, I'm not 100% sure if we'll really get what we want with her. But I'm also not excited about interviewing the other MWs and trying to guess what they will be like at the birth--we may not get what we want with them either. Heck, just because we have such specific ideas for this birth, this baby will probably throw us for a loop no matter what!

What do you think, go with the known or the unknown?
post #2 of 10
Tara--What a dilemma! I'm so sorry things aren't going to work out with having your friend as your MW, but your reasoning is completely understandable. I don't have any advice for what I think you should do, but I hope that you are able to reach a decision...and soon!
post #3 of 10
Yup, truly a dilemma. Can you have a heart to heart with both of them and see how it goes from there? Maybe your friend/MW is feeling the same things but doesn't want to "let you down". Maybe your 1st MW is open to hearing what you didn't like about her not following your wishes/birth plan. She probably has a whole different take on the situation and letting her kn ow you weren't 100% happy might make a difference in how she is at birth #2. (then again, maybe not)

Anyway, my point is, you'll never really know how either of then are feeling/felt unless you talk to them about it. Be honest, be direct, be gentle. It's delicate especially since your current MW is also a friend and you don't want to hurt her feelings, I'm sure! I hope you work it out soon...and I'm glad you have options.
post #4 of 10
Are you open to talking with your friend about your needs...or do you feel that it's just time to move on? Maybe she doesn't realize that she isn't giving you what you need and may be able to uphold those boundaries and be there for you. If she's a good friend, I think she deserves a chance.

I also think that if things don't work out with your friend, it would be wise to consider having a heart to heart with your former mw.

It's so much easier to just not confront issues and drift away...I know, this is one of my biggest challenges as an adult. Seriously. I hate conflict of any kind and truly have to force myself to deal with it.

Think of it as a gift to yourself and the others you are relating to. You deserve to have your needs met and be heard. Your friend and mw deserve to have the chance to receive honest feedback and to determine if they can do anything to make it right. Relationships that can withstand this are treasures to cherish.

Take care and good luck! Please keep us updated.
post #5 of 10
before you cut and run with the currnt MW who you know you can work well with -- have you tried talking to her? I think, personally THAT is harder than just finding a new HCP .....

Telling her you need YOU time....time to focuse on this pregancy?

It sounds like you are confident of her stying in her life gaurd postion so that you can have you UC with your DH.......that is a big big big plus.....

otherwise i would go back to the MW you birthed with last time, and talk to her about the certain items at birth -- be non-confontational "you know last tiem X happened, we'd like Y this time"

personally -- just me -- the MW you know you worked well with last time, and you know handled PPH without transport or the MW you are currently working with -- i would try to make one of them work rather than venture out into the unknown.

To me -- just me -- I'd raher deal with what i know, and be able to head off if possible what i know diodn't like in the past -- than to try to unknown and maybe risk dislikeing more.
post #6 of 10
It is such a hard thing to do - to find a midwife that you really click with.

And it's even harder when you are having a tough time deciding what to do when the person is your friend too. I think you do want someone who can be there for you and help you focus on your pregnancy - and since you know your friend so well and all that she's going through, even if she does commit herself to you fully during prenatals etc, you might not be able to let go of your concerns for her.

If you can't sort things out with your friend (since her assistance at the birth sounds ideal), the I would definitely both meet with the unknown MW and talk to your previous MW and discuss some of the things you would like done differently this time and see what her response to that is. It is your birth, and it sounds like you are very well educated about birth, so you should be able to let her know why these things are important to you, and decide if her response shows that she's listening and considering your desires and knowledge, or if she's just got a certain way of doing things. And with the unknown MW - well, I would present her with some specific scenarios to see how she would handle them, and figure out what kind of vibe you get from her.

Good luck - it's a hard decision, but at least you have a decision to make and don't have to take the only MW available, no matter what their philosophy. Let us know how things go.
post #7 of 10
Such a tough position. I think it would be a big conflict of interest/overstepping boundaries to have such a close friend be your mw as well. That's my personal take, so I think you are probably doing the right thing by switching mw's. And if you're friend is a true friend and professional, I would think she would understand and hurt feelings would be at a minimum if everyone was honest.

I also think you need to talk with your former mw about your concerns from your previous birth. She may be able to do things differently next time. She probably does have a completely different take on the situation than you do. Good luck with it all.
post #8 of 10
If your friend/MW is willing to listen then why not give it a shot and talk to her about your concerns? Offer to chat/talk about her problems at some other time, let her know that you need to be focused on yourself and the baby when you come in for your appointment to make sure you got all questions answered. Explain that when you make time for her you won't bug her w your preggers stories.
If you still don't feel comfy or she won't listen to you I would go ahead and have a talk w your old MW. Let her know what you didn't like last time and make sure that you want things to go a certain way.
I think you're at greater risk of going w a new MW. Maybe she'll do the things that are important to you but won't go along w your wishes in other areas, kwim?
Like I love my MWs, the births weren't perfect both times, but overall I was satisfied. I went with them again because I know what to expect and ask for now. For example both times they kinda tugged on the cord to get the placenta out, didn't appreciate it. But what if another MW would let me birth the placenta whenever I'm ready and put eye drops in my baby's eye? Just a thought, pick your battles. I know we all want it 110% perfect and as planned when we have our babies. After all, we've had plenty of time to research and plan but in reality it rarely really goes exactly like planned.
But that's just me, I coudl get over minor things like that...

I really hope no matter what decision you are going to make, it'll be what you really want and you'll feel comfortable with it.
post #9 of 10
Thread Starter 
Thanks ladies. Lots of wisdom here!

I haven't talked to my friend/MW yet. I have figured out how to broach the topic, I just want to do it in person. No matter how the conversation goes, I don't think I will be staying with her as my MW. My intuition has been nagging at me for more than 5 weeks and I need to listen to it. But I definitely want to salvage the friendship!

I have an appt with my previous MW next week. I have had an awesome feeling every time I have talked to her in the last 2 days, so I think maybe she is the right choice. I'm going to talk to her about the last birth and tell her what we're thinking for this one, and just see what she says. If nothing else it will be great to catch up with her, and she is excited to see DD as a 3yo.

I haven't gotten ahold of any new MWs yet, but I hope to interview at least one. That way, no matter what choice I make, I can look back later and know I explored all the options and truly picked what was best for me/us at the time.
post #10 of 10
Tara ~ Read the whole thread and am very happy that you are coming to a comfortable place in your decision making. I'm really impressed with how you are handling the situation!

And to all the replying mamas ~ You give *great* advice!


~* Laura
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Mothering › Forums › Archives › Pregnancy Archives › November 2007 › Looks like I'm switching MWs... (long)