homebirth mamas still pregnant - when will your MW start trying to induce? - Page 2

[starry_mama]

Originally Posted by transformed

Meconium can be dangerous-so I can understand the induction. I would be very very nervous if I went past 42 weeks. Because I dont want poo in babys lungs!

I don't think going "late" increases your risk of meconium as much as induction does, FWIW.

[transformed]

Originally Posted by starry_mama

I don't think going "late" increases your risk of meconium as much as induction does, FWIW.

I dont think inducing does? Unless its with castor oil.

going past 42 weeks increases the odds of mecomium. (But then again, your due date could always be wrong, right?)

[starry_mama]

Originally Posted by transformed

I dont think inducing does? Unless its with castor oil.

going past 42 weeks increases the odds of mecomium. (But then again, your due date could always be wrong, right?)

I agree that going past 42 weeks increases the risk, but not as much as induction does. (Yea, I meant castor oil, but I think pitocin carries the same risk also.....maybe.....I can't remember )

[transformed]

ick. I would think pit probably does too. If it causes everything to contract....that means bowels too...and baby bowels...

I dont know....educated guess.

[Belleweather]

Originally Posted by starry_mama

Since *I* hired my midwives, not the other way around, *I* will make any and all decisions about induction, not them.

Since my midwives are subject to state law and licensing, and I'm not willing to put them in a position where caring for me causes us as a community to lose access to their services, I'm not going to get all up in arms about it.

From my experience last time, I expect they'll start offering EPO, herbal tinctures, etc. toward 41 weeks and talk about acupuncture more toward 42 weeks. We don't have to transfer care until 42w6d according to state law, so that gives both methods some time to work. Honestly, I think that's pretty fair and reasonable.

[transformed]

Originally Posted by Belleweather

Since my midwives are subject to state law and licensing, and I'm not willing to put them in a position where caring for me causes us as a community to lose access to their services, I'm not going to get all up in arms about it.

From my experience last time, I expect they'll start offering EPO, herbal tinctures, etc. toward 41 weeks and talk about acupuncture more toward 42 weeks. We don't have to transfer care until 42w6d according to state law, so that gives both methods some time to work. Honestly, I think that's pretty fair and reasonable.

I dont think the MW's can get in trouble because of choices you make.

Unless *you* (the patient) actually comes after them and sues or something.

State laws or not, it wouldnt make any logical sense that someone could "come and get them" because a patient whom they had no control over, made a choice that endangered someone or something.

[Belleweather]

Originally Posted by transformed

I dont think the MW's can get in trouble because of choices you make.

Unless *you* (the patient) actually comes after them and sues or something.

State laws or not, it wouldnt make any logical sense that someone could "come and get them" because a patient whom they had no control over, made a choice that endangered someone or something.

No, but if something did happen to you or your baby they would absolutely be implicated in the investigation which would look into their conduct and the standard of the care they provided. And even being involved in the investigation would have a significant impact on their malpractice rates, and potentially even their ability to continue practicing. There's a midwife in my state who is doing jail time based on a case which was NOT brought by any parent who employed her, but by the Attorney General at the behest of the State Health Dept.

And you know, I might be reacting too personally because I work in a client centered business. But the attitude that "They work for me so screw their preferences and advice" really pisses me off. Firstly, I don't care if it's your midwife or your plumber, just because they work for you does not make them your slave or, pardon the loaded language, your whore. You do not have a right to demand anything you want from a professional just because you're footing the bill.

Secondly, that's not a very good attitude on which to build a good client-professional relationship. You presumably came to this person because they offer service and expertise that you need. If you didn't respect their knowledge to begin with, then why are you there? I don't care if it's pro se or a UC, you always have other options. Moreover, trading money for time/expertise does not mean that the client gets everything they want, or gets to call the shots contrary to professional opinion or best practices ... it means they get the benefit of what I know, and my absolute best work on their behalf. That may or may not be what they want to hear at the time, which is regrettable. But you've got to stay in a place where you can look yourself in the eye -- morally, and professionally.