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Midwife Candidate?  

post #1 of 5
Thread Starter 
I have had a difficult road to motherhood, and am currently 6 wks pg with what will be our last child. Since my first son was born, I have done a great deal of reading on homebirth/uc/and midwife assisted births. My dream birth would be a home water birth, but with my second son a midwife was not anywhere near where we lived. We now live near a birth center, and could go there to have a midwife assisted birth. However, I am wondering if I would even be a considered client.

With my first son, after he was born, the doctor discovered that my placenta would not detach and he had to physically remove my placenta then do a d & c. Once the placenta was out, he saw that it had a cord defect, velamentous insertion. We felt very blessed that my son was born alive and healthy and that I didn't have to have a c-section or hysterectomy.

When my second son was born, we discovered he has Down syndrome. The fact that we have him (he has non-disjunction Ds, it's not inheirated) only ups my risk of another child with Ds by a minimal amount. But my age (36) bumps my risk more, too. I'm not afraid of having another special needs child, but the risk is there in the Dr's mind.

Also, I have had 4 first trimester miscarriages, 2 in the past 6 months. I am on a daily baby aspirin and progesterone suppositories (200 mg 2x a day.)

I found out with my pg in April (mc in May) that I am Anti-E and Anti-Kell positive. Both conditions are at minimal levels right now, but have to be continuously monitored throughout my pg. They put the baby at risk for anemia, may require fetal blood transfusions if it gets really high during pg or at birth, and will most likely cause a degree of jaundice at birth. Both of my sons were jaundice for weeks, but only DS2 was treated via at home biliblanket time. I had a difficult start breastfeeding both sons & jaundice did play a roll in those challanges.

Whew! Doesn't sound like I am a good candidate for a midwife, does it? If I can't have a homebirth or midwife assisted birth, I do hope to have another med-free hospital vaginal birth.

So what do you think? Should I bother talking to the midwifes or just stick with my OB (I like her, this will be my first baby with her, though. I just like the idea of a more relaxed birth experience.) Thanks for reading.
post #2 of 5
You should absolutely talk to the midwives. They may not be able to take you; they may be able to offer joint care; you may be just fine. But you won't know until you ask. Practice protocols and qualifications vary so much that asking here might give you an idea, but only asking those midwives will say for sure.
post #3 of 5
I totally agree with Arwyn--as a mw, I would be glad to talk with you, do some research and inquiry, see how your care might best and safest be handled with all things taken into consideration, holistically. The DS possibility would not in itself worry me, neither would the past placenta issues--these are things to be aware of, ready for, but that could be said of practically anyone, really, in some way or another. The Kells is a potentially bigger deal--potentially, not absolutely--and would bear close observation and readiness to deal with it, but to me doesn't mean you'd be absolutely ruled out. I think I would want you to get medical co-care, in order to have sufficient 'tools and measures' in easy reach. I encourage you to start looking and interviewing....don't give up before you know what may be available to you!
post #4 of 5
as the others have said ask the mws at the birth center
-- to me the antibodies are the issue that needs to be watched/serial blood draws and could end up being a reason to transfer care to a perinatologist.

velamentous insertion as far as I know is not a repeating kind of thing-- it happened in that pregnancy doesn't mean it will happen again-- adherent placenta hard to say -- is more common in women who have had a previous c-section..
post #5 of 5
Thread Starter 
Thank you for the advice! I will have a long talk with my dh and see how he feels about this then proceed from there.

I forgot to mention that he was tested for Kell & E and found to be positive on both. The OB said we would see a maternal fetal expert near the end of the first trimester to consult.
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