HI, all. I've been reading all these posts about these disappointing births. I've had them, too. I am presently a direct-entry.
In the almost 23 years that i've been involved in some capacity in midwifery/homebirth/consumer advocacy, I've seen some CPM's who were a whole lot more interventive than some homebirth CNM's (especially CNM's who were doing homebirths as a direct-entry midwife for years before becoming a CNM) & I've seen some direct-entry midwives who were more interventive than some homebirth CNM's or CPM's. I've also seen some very interventive CNM's, but I also know a hospital CNM who is one of the most non-interventive midwives (& uses lots of herbs & alternatives in the hospital!)that I have ever known & tells the nurses what the couple/lady wants or doesn't want!
I've said many times on these forums, that one has to carefully check out all the attendants in your area to find the right one for you (even if that sometimes means going more than 2 hour away). Some folks will even travel into a preferred attendant's neighborhood & have the baby in motels, travel trailers, friends' & relatives' homes, the midwife's home, etc. That happens alot. So, don't automatically assume that the one attendant or attendants who is/are sanctioned by the controlling rumor mongering types in her state or area is/are the right attendant for you. You'd be very surprised at some of the reasons that the rumor-mongering insecure, but loud mouthed types start rumors or half-truths on other midwives & sometimes it's been for reasons, like one midwife has a nicer home than another! There's a serious lack of respect & trust for other midwives among the non-CNM types & that is very disheartening.
I encourage all of you to really take your time in chekcing out attendants. Require them to supply you w/ a Informed Document that hopefully covers all their training, complications, fees, & many other things & then ask for a no-strings-attached consult. Many midwives in my practice area dont' supply these totally informative documents & dont' have a no-strings-attached consult & the couple doesn't search out others before choosing one & only then beginning prenatals. Also, know that there are safe ways (w/ much empirical evidence that they do work) to get rid of strep through all kinds of concoctions that dont' have anything to do w/ IV antibiotics. But for the ones who choose the antibiotics over the ways that I suggest for dealing w/ the strep (which also includes a don't test option), I will do an IV antibiotic for them. I would also do an glucose IV for someone who was dehydrated & couldn't stop vomiting, so she could get some energy back & remain at home. I'm a RN, (but was a midwife long before getting the RN) so wouldn't have trouble doing that & can order the fluids w/out any problems. Remember that sometimes things happen at birth that aren't our ideals & there's no explanation. One has to research & understand & make better choices for next time, yes, but there are still so many unknowns about everything in birth & death, too. As I've said many times on this forum & others, most folks take more time & care at picking out a new car, then they do in choosing someone to help them in one of their most important life events. That was longwinded & now i need to get off & go do some prenatals. Many warm regards to you all, Karen Valcourt of BirthTender in the foothills of the NC Mtns.
In the almost 23 years that i've been involved in some capacity in midwifery/homebirth/consumer advocacy, I've seen some CPM's who were a whole lot more interventive than some homebirth CNM's (especially CNM's who were doing homebirths as a direct-entry midwife for years before becoming a CNM) & I've seen some direct-entry midwives who were more interventive than some homebirth CNM's or CPM's. I've also seen some very interventive CNM's, but I also know a hospital CNM who is one of the most non-interventive midwives (& uses lots of herbs & alternatives in the hospital!)that I have ever known & tells the nurses what the couple/lady wants or doesn't want!
I've said many times on these forums, that one has to carefully check out all the attendants in your area to find the right one for you (even if that sometimes means going more than 2 hour away). Some folks will even travel into a preferred attendant's neighborhood & have the baby in motels, travel trailers, friends' & relatives' homes, the midwife's home, etc. That happens alot. So, don't automatically assume that the one attendant or attendants who is/are sanctioned by the controlling rumor mongering types in her state or area is/are the right attendant for you. You'd be very surprised at some of the reasons that the rumor-mongering insecure, but loud mouthed types start rumors or half-truths on other midwives & sometimes it's been for reasons, like one midwife has a nicer home than another! There's a serious lack of respect & trust for other midwives among the non-CNM types & that is very disheartening.
I encourage all of you to really take your time in chekcing out attendants. Require them to supply you w/ a Informed Document that hopefully covers all their training, complications, fees, & many other things & then ask for a no-strings-attached consult. Many midwives in my practice area dont' supply these totally informative documents & dont' have a no-strings-attached consult & the couple doesn't search out others before choosing one & only then beginning prenatals. Also, know that there are safe ways (w/ much empirical evidence that they do work) to get rid of strep through all kinds of concoctions that dont' have anything to do w/ IV antibiotics. But for the ones who choose the antibiotics over the ways that I suggest for dealing w/ the strep (which also includes a don't test option), I will do an IV antibiotic for them. I would also do an glucose IV for someone who was dehydrated & couldn't stop vomiting, so she could get some energy back & remain at home. I'm a RN, (but was a midwife long before getting the RN) so wouldn't have trouble doing that & can order the fluids w/out any problems. Remember that sometimes things happen at birth that aren't our ideals & there's no explanation. One has to research & understand & make better choices for next time, yes, but there are still so many unknowns about everything in birth & death, too. As I've said many times on this forum & others, most folks take more time & care at picking out a new car, then they do in choosing someone to help them in one of their most important life events. That was longwinded & now i need to get off & go do some prenatals. Many warm regards to you all, Karen Valcourt of BirthTender in the foothills of the NC Mtns.






even 10 years after that birth.
Karen/BirthTender….I took a childbirth class with you when you were in RI. I was labor support for a single mom friend of mine; I think it was back in 1991….
: ...and I thought COMPASSION was a midwife's most powerful tool.
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