Join Date: Nov 2005
Location: Muskoka, Ontario, Canada
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He was calling because my midwife requested my recent bloodwork and pap results...and he wanted to 'forewarn' me and express his dissapointment that I've requested midwife care.
Long story. My experience with ds #1 at the clinic was fine, but of course, there's always things you'd like to improve upon(the clinic was 3 dr's sharing patient care at the obstetrics unit at the hospital, the first time around I continually saw the other 2 dr's, I didn't even see my own but once, and he didn't birth my baby either). I've always wanted to have midwife care, since I was a little girl, and from the research I've done with low-risk pregnancies midwives are often the safer choice, as they avoid the 'cascade effect' intervention. So far I've been thrilled with the care, attention and time I've recieved, and as I've mentioned before I love my midwife and am really comfortable.
My dr. said he couldn't 'refer' me in good conscious becasue he had safety concerns that he felt at least he should warn me about. He said the midwife team decided to practice independantly rather than cooperatively with the local dr's, they came in fast without much warning to the community-(he said practicing only for 6 months here now, wrong, it's been a good year now and he knows that) and that there'd been several causes for concerns, including a recent case-(which I know about through the small-comunity grapevine- an expectant mom lost her baby days before her due date for an unknown reason but as far as I understand it was not preventable b/c everything was fine and healthy up to that point- AND a similar thing happened to my cousin who was under high-risk care, she also lost her baby) He questioned my reasoning, and offered his services for both homebirth and a more tailored prenatal care- and suggested I do my research both with the hospital and with the midwives, asking for references.
I'm dissapointed. I'm not planning on switching solely on his request, but of course I'm going to be less relaxed and more on gaurd. The other thing is, I don't really believe him. I think he feels he's losing a patient, thus losing money (he 'delights in the obstetrical care'), and is trying to manipulate me to coming back to him using fear and alarmist tactics. Now, I've got a good head on my shoulders, and I've done quite a bit of reseach which only confirms my decision to go with midwife care. I guess the question is, 'is there something wrong with THIS midwife practice?'. Even still, I highly doubt I am in danger. I'm dissapointed that now it's a tug-of-war, rather than, ' I think that's a reasonable choice. As your doctor I support you and look forward to seeing you back, and welcome you back at any time'
So this means I'm responsible to take his medical package to the midwives personally, which isn't a big deal. But it also means our relationship is more strained, which is too bad. Despite this, I'm pretty determined to stick to my guns and not be pressured against my will, I've been trying to be more assertive the last year.
Any thoughts? Any concerns with midwives, based on experience?
note: in ontario, canada, midwives are fully funded and have to be registered as a midwife, which means certain training and standards. They are gaining in popularity, and often unattainable because of demand, yet there remains a certain amount of animosity between them and the medical community.
Amanda; mama to: Axel (Dec/04), Evangeline (Apr/07) and Ramsey, (Feb/09) born unassisted! Jethro Vader (Apr/11) and #5 due April 2014.