I just found out I'm pregnant and we're considering a homebirth. There are several CPM's in our area to choose from that are well trained with many years of experiance, along with a birth center that will also do homebirths. I've considered a CNM at the hospital, but the 2 hospitals that allow CNM's in our area don't allow waterbirths and have a very strict "No Kids allowed" during flu season. I understand why, but my children are very involved and I think not allowing my kids to visit will effect the transition of adding a new baby... and then there's the possible seperation of their daddy who may not be here for the birth, because he'll be oveseas.
Anyway, I'm just curious to know if a CPM would consider me high risk. The day my youngest was born I woke up with a blind spot in my left eye and tingling on the same side of my face and down into my arm, followed by a headache. Pre-eclampsia was ruled out. 4 months later I was hospitalized for tingling and numbness on the left side of my body, followed by a mild headache. The Dr. ran several tests and concluded it was a TIA. 6 weeks later I was still having tingling in my body, so I saw my DO who ran some bloodwork (showed Vit. D defiecency and a high rheumatoid marker) and referred me to a new neurologist who didn't believe I had a TIA. He ran more tests. The Ct Scan showed bulging discs and he sent me to PT, but I wasn't able to get started because we moved. I also had 2 positive syphillis tests, which were proven false by the secondary test. So, I got a new neurologist after we moved who disagrees with the previous 2 neurologists. Yea, it COULD have been a TIA, but I'm young and fairly healthy so he ran even more tests. They came back clear, so now he wants to rule out partial seizures. I'm also seeing a opthalmologist, because in the last 6 months I have had the blind spot and the tingling a few more times. He found that I had papilledema (could have been pseudo- papilledema). Psuedotumor was ruled out, as was all other illnesses that would cause it. The swelling has since disappeared.
I'm meeting with CPM's when I get home from vacation, and I have an appt. with a CNM so I'm curious to know what answers I might get. I'm also looking for ideas on what questions to ask a CPM and the CNM regarding my past health history and birth, as well as any precautions I may need to take? I did speak with my neurologist and he wasn't concerned with me being pregnant; however, he did run bloodwork to test my D, B6, B12, iron, and a few others.
Thanks for reading this and responding!
It's hard to tell what a CPM might concider "high-risk" these days. It really depends on your area and the experience of the midwife you're asking. The important part to me would be to meet in person to really gauge the reactions and answers to your more serious questions. If you were in Las Vegas thier's a great midwife with open weekly meetings. It's show up and get answers and research on the spot. Even if you're not in our area I'm sure this midwife would answer your question honestly over the phone. But research is key to finding a trust worthy profession for any birth. Best wishs on your search for your next birth experience. Have a grateful birth.
In regards to whether you are to high of a risk much of this will depend on what laws your state has for CPM midwives. In my state if you are licensed we have a list of clients who have "absolute" risks and can not be cared for and those with "non-absolute" risks and require a consult with another licensed professional to continue care. In my state you would fall under the non-absolute criteria....
I would probably suggest blood work up that might include autoimmune and bleeding disorders. With the possiblity of a small stroke (TIA) checking how your blood clots would be an important test to have. The two false Syphilis tests can also occur when there is an autoimmune disorder present, along with the rheumatoid marker being present.
Any CPM you have should be able to work well and in communication with the medical providers you are currently working with to figure out this possible medical issue.
Good Luck :)
Tia Rich, LDM, CPM
Tia Rich LDM, CPM
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