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Need Advice talking to midwife... (very looong)  

post #1 of 7
Thread Starter 
I need to give a quick history here so you can see where I am coming from. There are 3 Midwives in the practice where I am receiving prenatal care. I LOVE one of them- she is always willing to let me decline tests, do things my way or give a NATURAL remedy for anything. Then there is this other midwife who is pretty new to their practice...

I was rear-ended by a dump truck... I was fine but started having BH every 5 mins. I tried drinking half a glass of wine and just relaxing in a warm bath. They kept coming every 5 mins or so.

The next day they were still frequent so I called midwife on duty- it was the one that I LOVE- she told me drink lots and lots of water and then lay on my left side and call her back in an hour. I did what she asked and the BH were still frequent- she asked how I felt- I told her tired- I just wanted to rest- she asked if I was worried, I said no, I'm not worried. So she told me to go to sleep and call back in the morning and to drink lots and lots of water.

Well things didn't seem right to me because as fast as I could drink water I would pee it right back out- my lips were still chapped and my mouth felt dry. I called the midwife the next day and she asked me to go to the hospital and have a NST done to make sure the baby was handling everything ok and so they could see how often and how strong the BH were.

Baby was having good movements and his heart was great. My contractions were still coming every 4 or 5 mins. Now these were completely painless and I could only tell I was having them because the top of my belly would get really really hard. The OTHER midwife was on call by the time the NST was being done. She came in and did a cervical check- everything was closed up tight, she did some test where they can check for a hormone that is present if labor will begin within 2 weeks- came back negative. She then told me I needed a shot of Terbutaline (sorry if spelled wrong) and a pill of anti-anxiety meds to counter effect the speeding heartrate that terbutaine would give me- and she also wanted an IV. Everytime I questioned what each thing was for she would brush me off and talk to me like I was child- she kept saying- the most important thing is keeping baby in there. I wasn't prepared at all for interventions BEFORE labor and went ahead with her plan. Minutes after the IV was in the BH stopped. I had the shot and took one anti-anx pill. The midwife now told me she was writing me a perscription for terbutaline and the anti anxiety and that I was to take them together 3 times a day for at least a month- until I was 36 weeks. While she was checking around 'down there' she also said I 'had something yeasty going on' and wrote a prescription for that too! I didn't have any other symtoms of a yeast infection- itching, smell- just a little bit of white discharge that she noticed because she was 'in' there.

I went and got the pills filled but threw out the yeast infection meds and just used a vinegar and water rinse in there for a couple of days- and that cleared up the yeast. In the meantime I was miserable on these two meds and started to get worried that if she is stopping BH that my uterus won't be ready to give birth and then that will lead to more complications. On top of that I am a yogi- breathing is my everything and this crap was seriously messing up my breathing! I couldn't even talk without getting out of breath.

I waited until the Midwife that I LOVE was on call and told her how I was feeling and asked her if there weren't any alternatives to these DRUGS? She said well what did you have inmind- I said ANYTHING- I don't want to be on drugs. She looked over all the notes from the OTHER midwife and couldn't figure out why she had me on the anti-anxiety meds- she said that I should have been told to only take that as needed. Then she said that it appeared that I had just been dehydrated! The OTHER midwife didn't even mention that to me! So this good midwife told me I could come off both drugs and get a tincture of wild yam root to use when the BH were coming more than 3 or 4 an hour and that I needed to drink 3L of liquids a day.

I am fine and have made it to full-term but am still upset at how things went with this OTHER midwife that could possibly be the one on call when I go into labor. I just read some reports about a connection between autism and moms who were put on terbutaline and I'm upset at this other midwife all over again. I have my regular prenatal with this OTHER midwife this week and I really NEED to make sure that she is gooing to respect my wishes of a NATURAL birth and not make any suggestions for intervention that aren't 100% necessary. I don't want to be questioning her- I want to have the same confidence in her that I have in the midwife that I LOVE.

What I am needing advice on is how to talk to her about what happened- how I felt and how I felt that my wishes were not respected- that all other options should be exhausted before drugs are brought into play- I really need to work things out with her or I will be dreading going into labor with a 33% chance that she will be there. HELP. I do plan on bringing my birth preferences again and having her sign it. (other midwife signed it already)
post #2 of 7
I would tell her that I had stopped the terbutiline and anti-anxiety meds after talking to the other midwife and getting the ok from her. I would tell her what the other midwife said- that it was mostly a case of dehydration and that I felt more comfortable taking the wild yam tincture the other midwife recommended than powerful drugs. See what she says, she can't really bad-mouth the other midwife she works with and it might illustrate to her that you prefer the kind of care the other midwife is giving and maybe she can strive to give that to you in the future.

I think its important to be honest and get all of this out in the open before the birth, even if you need to talk to the midwife you DO like and have her say something to the other midwife for you if you don't feel comfortable doing so yourself. You definately don't want to be attended in labor by someone you don't feel you can be open with, that can really hold things up.
post #3 of 7
Thread Starter 
Quote:
Originally Posted by LoveChild421 View Post
I would tell her that I had stopped the terbutiline and anti-anxiety meds after talking to the other midwife and getting the ok from her. I would tell her what the other midwife said- that it was mostly a case of dehydration and that I felt more comfortable taking the wild yam tincture the other midwife recommended than powerful drugs. See what she says, she can't really bad-mouth the other midwife she works with and it might illustrate to her that you prefer the kind of care the other midwife is giving and maybe she can strive to give that to you in the future.

I think its important to be honest and get all of this out in the open before the birth, even if you need to talk to the midwife you DO like and have her say something to the other midwife for you if you don't feel comfortable doing so yourself. You definately don't want to be attended in labor by someone you don't feel you can be open with, that can really hold things up.
Thanks Lovechild- this incident was about a month ago now- and I have spoken with the OTHER midwife once on the phone since - she knew that the midwife that I LOVE had given me her ok to go off the meds and asked if the BH had returned- I told her just occasionally when I had to pee or was going for my walks and that I had used the tincture a few times at night. She just said ok and that was really it. I guess I will just try and stress to her, like you said that I really preferred the way I was 'treated' by the more natural midwife and I want to make sure that is the kind of care I will receive inthe future... I don't want to leave there without feeling confidence in her- that's for sure...
post #4 of 7
I would talk with the midwife you like, tell her you like her, tell you that you feel the most relax with her, tell her nicely that you would like if SHE could be at the birth and ask what you could do about this. A lot of time Dr.s (and midwives) can call "dibs" in a manner of speaking. I would tell the other one that you do not understand why she gave you the meds she did and did not tell you what else was going on, you stopped taking them under the guidance of the other midwife (the one you love), that you would like to have her tell you what is going on, and that you understand that she has had a lot of schooling, but that this is your body and you need to understand as well, lastly make it known to her that you wont take her word as the end all the beat all. When you deal with her again make sure to ask at every step, why? how come? is there something else we can try? Make her slow down and work with you. I am sure that she did not try and upset you.

I hope it all goes well!
post #5 of 7
Thread Starter 
The appt went great! I went in there with the intention that I was not leaving until I liked this woman and felt comfortable with the possibility that she may be there for the birth of my child.

I told her that I was holding some water in my legs and she gave me very natural options for keeping the swelling down- lemon in my water, eating cucumber and asparagus. She read my birth preferences and signed them and talked to me more about the PKU testing. She insisted that if it is my perogative to delay the testing to a time when they are know to be accurate (48 hours after MILK comes in) than I am within my rights and they will have to make arrangements for the testing at the later date- a week from birth was suggested. I was so happy to hear her support me on that and know that she agreed and had read about the inaccuracies of testing before baby is on breastmilk. My confidence is renewed. So tomorrow I am spending the day by myself- just me and baby relaxing and meditating, singing and dancing and telling this little one that I am truly ready for him.
post #6 of 7


I was going to suggest that you go and read the stories from some of the March mamas who were seriously struggling with PTL. Your intuition was telling you that everything was fine, but that midwife went by the book in caring for someone who was having genuine PTL; interventionist, yes, but her heart was in the right place. It sounds like she's going to look out for you and your baby and get him into the world safely. Give her a chance.
post #7 of 7
So glad it went well! Now you can just concentrate on cooking that sweet baby a little longer and having a blessed birth!
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