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Gonna go interview a midwife; WWYA?

862 Views 16 Replies 13 Participants Last post by  sapphire_chan
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As in, what would you ask?

I've interviewed one in this practice before, but I'm going back with DH in tow this time.

My previous interview kinda sucked.
I left feeling a lot more uncertain about the midwife than I was when I went in, because her answers were rather vague. But maybe my questions left a lot to be desired, too. I wish I'd gone in with a better plan and been a little more aggressive.

Any suggestions for good questions, hints, things you wish you could ask if you had it to do again will be appreciated. I'm interested in finding a midwife who'll be pretty hands-off and respectful of my wishes, not a midwife who runs to the doctor for every little thang.

TIA!
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Things I'm planning to ask when the time comes, perfect answer listed below the question, haven't really completed this list or the exact phrasing, but maybe bumping the thread up will get you some better responses:

What do you feel is the midwife's role in birth?
:"A midwife is there in case the normal process of birth goes badly or if the mother loses confidence in the normal process of birth. Ideally, as a midwife, all I do at a birth is help set up the birth area and clean up afterwards. I am proud of myself when I'm able to encourage a mother to make her birth easier, but I like it even better when I'm not necessary. Of course, I also think knowing what to do in a true emergency is important."

Have you had transfers and why?
:Here I'm looking for just a feel that the transfers were necessary for the women involved and that they aren't all for the same thing.

What's your policy on vaginal exams?
:"I prefer not to do them at all unless the mother asks or there is some specific indication that they are necessary. Regardless of indications, I never ever do a VE while a woman is in her laboring place, I wait for her to come back out so I can discuss it with her."

Tell me about perineal massage, what can be done to prevent or reduce tearing?
:"Perineal massage probably does nothing, sorry to tell you. Many women find it helpful to have pressure on their buttocks, at the base of their spine, but I try to only touch women as much as they want. There isn't really a way to prevent tearing, but letting your body push on it's own and getting into an upright position should reduce the possibility of tearing. Most minor tears only require that you keep your legs together. If you do tear enough to need stitches, I can take care of that in your home."

Basically, I want a midwife who'll talk *me* into a hands-off birth. I've read some stories on here of midwives who talked a good line about not interferring but ended up bullying their clients. Neutral, open-ended questions.

I'm going to let dh handle the safety questions.
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Quote:
This list of questions is perfect!
My husband put them on his laptop and
filled in her answers as we went along.
It is really the best set questions I've come across.
Good luck!
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I guess I'd approach it a little differently, knowing and experiencing what I have - my successful MW hire was one that was OK with me knowing exactly what I wanted. So, for example, instead of fishing for answers such as :

"Which tests do you require"

I'd say,

"I'm thinking of declining the GD test. Is that OK with you?"

If I was unclear about something, say - GBS, I'd ask for her opinion on it, testing, and treatment of it. I went with a very hands-off MW after starting out with a very rigid, controlling one who wanted me to have EVERY test. But the second MW (the one I stayed with) I could have declined every single test or procedure on earth and she would have supported me 100%. Now, just because I knew I could decline the tests, I had many of them. Because I'm contrary like that...but also because I knew she wouldn't force me into any sort of treatment protocol, based on our interview. I could have GBS but decline antibiotics, etc.
I did make a list of questions the first time. The second time, I just talked to them, got a feel for them, read the literature they handed out, etc. But I chose the one with whom I had an immediate connection. Period. Everything they said didn't make a difference to me so much as if I connected with them, I knew it wasn't going to be a fight about this or that, we were going to work together to get what we wanted done. Ultimately, I had both perfect-at-the-time midwives present for both my son's births with this approach.

I wanted a midwife who was basically a friend with extra life-saving knowledge should we need it. I wanted "unassisted plus test-ordering priviledges and life-saving training."

mv
Yeah me too spaghettimama. At my first appt, I told my midwife, the only test I plan on doing is GBS. Is that alright with you? She was taken aback and said of course- that her job is t offer me info and it is my job to make the decisions. I said I agree, but I've heard of too many midwives "firing" a client if they refuse the GTT or something else.
Quote:

Originally Posted by the_lissa
Yeah me too spaghettimama. At my first appt, I told my midwife, the only test I plan on doing is GBS. Is that alright with you? She was taken aback and said of course- that her job is t offer me info and it is my job to make the decisions. I said I agree, but I've heard of too many midwives "firing" a client if they refuse the GTT or something else.
Yeah, my first one was like that. She was insisting on GD test and then she would kick me out of the practice if I were positive. OOOH, great deal there.
References. Ask around as much as you can about her.
I'm definitly asking my next midwife how much and what she does with a mother when the baby is malpositioned. I had a hospital transfer with my last and it was at least partially because he was OP. I came to find out that her philosophy is such that she believes that the woman's body will move the baby into the best position, which is all fine and good in theory, but my poor posture created the problem and I needed help fixing it.
for us, it wasmore important that we clicked with the midwife personality wise, as all that we interviewed had the right answers....
That's why I'm going to try for questions that require an longer answer. I figure that'll give me a better feel for the style of the midwife.
Bump!

:

I didn't LOVE my midwives last time around so for the next hb i want to interview as many as I can!
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Hello,

I am going to meet with a midwife (for the first time) soon. I was able to get some really good questions under the key words, "questions to ask a midwife" in my search engine.

If you don't "click" with your midwife I would say continue looking.
I just talked to a potential midwife and she was so warm on the phone I felt at ease with her right away. I hope I only need to interview one midwife!

Myhusband works alot, and I want him with me on these interviews...he needs to feel comfortable around her too.
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Quote:

Originally Posted by flyingspaghettimama
I guess I'd approach it a little differently, knowing and experiencing what I have - my successful MW hire was one that was OK with me knowing exactly what I wanted. So, for example, instead of fishing for answers such as :

"Which tests do you require"

I'd say,

"I'm thinking of declining the GD test. Is that OK with you?"
Rereading this, it reminded me. I think it's CMD who had midwives who were wonderful for every prenatal appointment, totally went along with what she thought was best, and then on the day of the birth turned into pushy bullies. Just a total personality shift right when she was most vulnerable. Now, my guess is 99.999% of midwives are not like that, but I still want to interview midwives in a way to see if they are consistent. Hence my focus on asking for stories of how they handled situations. I don't want to hear "oh, of course I'm very hands off and let the mother respond intuitively" I want hear stories where the midwife thought about suggesting a position change and didn't because the mother knew what she was doing.
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