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I am meeting with my Midwife on Saturday so I want to understand this better so I can ask her the right questions. When I spoke to her on the phone last week she mentioned that she is an RN but not technically a midwife in the sense that she cannot prescribe medication. So if that is the case do I need to retain my OB? Can I just use my Internist if I have a yeast infection or something that needs medication? Also what do I tell my OB when I continue with the midwife? My OB is a nice lady and I don't have any problems with HER just her industry. Should I just cancel my OB appointments or should I tell her what is going on? Is there any reason I should retain my OB? I do have gestational hypertension but it was not a problem with DD1 other than them inducing me and taking my blood pressure until I was bruised <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:
 

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If your insurance covers your OB appts then you could keep going if it makes you more comfortable. I do not recommend you tell her your HB plans. She may be nice, but from my experience, OBs tend to view homebirth as a big <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/moon.gif" style="border:0px solid;" title="moon"> KWIM? If you think you might need medical assistance during pregnancy due to your blood pressure then keep your OB. But I would also want to know actual #s. Some docs flip out over things that aren't really a big deal. Get your chart and show your MW. She might have a totally different opinion on your blood pressure.<br><br>
And I wouldn't ever tell them you homebirthed on purpose if you would like to stay on good terms. I got fired from my OB/GYN for telling them 3 months postpartum. I should have just told them I didnt make it to the hospital in time. Now I have to find a new GYN at some point.<br><br>
I also don't use anything medical for yeast infections. A tampon dipped in plain unsweetened yogurt works better than anything else I've tried. Kinda weird at first, but effective. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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My blood pressure has been 142/92 varying only a point or two. When I check it at the grocery store it is either normal or 140/80.<br><br>
Good point about being fired. I plan on keeping her as my gyno. So what would I give as a reason to discontinue care? Part of why I am leaving is because of the stupid tests you have to go through and if I keep her I don't want to continue to deal with those. I guess I will have to ask my MW about the blood tests for pre-e.
 

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WA state is midwife-friendly, right? Your midwife does deliveries legally and above-board? Seems like "I'm going to see a midwife for prenatal care" is a good reason for not scheduling any more OB appointments, if they even ask.<br><br>
It works differently state to state, depending on the legal environment for midwifery.
 

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Discussion Starter #5
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<div>Originally Posted by <strong>jessitron</strong> <a href="/community/forum/post/7961136"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">WA state is midwife-friendly, right? Your midwife does deliveries legally and above-board? Seems like is a good reason for not scheduling any more OB appointments, if they even ask.<br><br>
It works differently state to state, depending on the legal environment for midwifery.</div>
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Yes VERY midwife friendly. "I'm going to see a midwife for prenatal care" holy shmoley why didn't I think of that. I am such a dork.<br><br>
As far as delivering legally what is the difference in the midwife certifications? She has delivered several babies I know so I assumed she is legal. I guess I should probably clarify.
 

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I would definitely NOT see an OB on the off chance I might need prescription medication, esp since I am very reluctant to take meds during pregnancy. Midwives can't legally prescribe in my state, but many women don't seek cocare. To me, prenatals even w/ one person are excessive. I'd go nuts having twice as many.
 

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I considered co-care but knew I couldn't be honest about my homebirth plans and have decided I don't need any extra stress or pressure. So I guess it depends on if you can withstand any pressure and whether it would be more stressful or less stressful to have co-care, and go from there.
 

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I have co-care. I saw my OB once at 10 weeks and asked her if she'd be backup for my homebirth. She reacted like "sure, see you whenever you want to come in next". I decided my next appt with her will be at 20 weeks because I want an ultrasound. At that point, I'll probably make one more close to the end so she knows my situation in case I do have to transfer and one to get my rhogam shot (not sure if this will be one appt or two). She agreed to share any lab tests I get with me/the midwife without any issue. This is ideal for me because it means I don't have to pay for tests (which I would through the midwife) and I've got the security of co-care without having to double up on all the appts.<br>
fyi - homebirth here in ca is legal and my ob is at kaiser. I'm sure I'll continue to see her after the birth for gyn stuff.
 

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My mw is 3h away. I've called her a few times, like, "Hey, I'm having this weird symptom, what should I do?" and if it's something she feels a professional should SEE, then I go to my general practitioner. I explained to him that I'm having a hb with a mw who is 3h away so if I need an Rx or need to be seen right away for something not relating to pregnancy, I go see him. Kwim? I see no need for having multiple prenatal appts. With a regular Ob or CNM in this town, you sit in the waiting room for 45 min, dip your own urine, weigh yourself and write it down, and then see the practitioner for 15 min. No thanks. I'd rather wait and see my mw when I get out there. *However, when I get farther along in this pregnancy, I will drive the 3h more frequently for more regular appts.* But this is my 3rd pregnancy, so I feel pretty confident in my body and myself.
 

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I'm doing co-care and I'm not telling the ob. But I think don't think she'll be surprised. I think I'd have trouble not telling her if she asked point blank (I'm like that) The only reason she took me is the hospital based CNM's wouldn't take me. So now I'm having an illegal hb, which is a good thing, 'cause the OB is only on call one day every other week. And she told me that the other docs in the practise 'would freak out' when they saw my chart and 'want to slice me open to deliver'. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/yikes2.gif" style="border:0px solid;" title="yikes">: I kinda think that was her way of pushing me to find an illegal midwife.
 

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Discussion Starter #11
Thanks for your advice. I decided absolutley no co-care with my current ob. I met with my MW this weekend, who I love BTW, and she said she has birthed patients of my OB before and she is NOT homebirth friendly. I did find out however which OB's are HB friendly if I do need to see one for any reason which is nice.
 
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