I'm thinking WAAY ahead (not pg yet) here. I'm just wondering how upfront you'd be w/a midwife in this situation.
I had a (unnecessary, I believe) c/s with DS. I WILL VBAC next time. There is one midwife in town who runs a birthing center. There are two OB practices, one of which employs a midwife (but they only birth at the hospital). As a result of DS' birth, I am determined NOT to ever birth at a hospital again, so I'm seeing the midwife with the birth center.
I've met with her once, at which time we discussed my plans for VBAC. She was on-board and, without seeing my medical records (ie, based on what I told her), is confident in my ability to VBAC. During our meeting, we discussed vaguely what we (I) could do to ensure a successful VBAC. One of her comments was that "we will probably try to induce you at 38 weeks or so to avoid the baby getting too big"
(DS was 12 lbs).
I made some non-committal comment like "Huh. I don't know, we'll have to see". It wasn't a big issue at the time, although I knew that it wouldn't ever be happening. (And, side note, she didn't mention HOW we would induce, but inducing a VBAC? Not a good idea in my book)
Now I'm wondering how upfront to be about this sort of thing with her. She's pretty much the only game in town for me (we live on an island, so it's not like I can just go elsewhere), unless I want to go UC, which I am thinking about. Even if I went UC, I would see her for pre-natal care. My concern is that if I am upfront about refusing the induction (or other things), will she "fire" me? Is it ethical for me to go through my pregnancy knowing that I will not allow an induction AND knowing that she is planning one?
The more I think about it, the more she seems like a MEDwife, but like I said, I have little choice. She will be paid upfront for each pre-natal visit (insurance), so even if we went UC in the end, we're not trying to "stiff" her $$-wise.
What do you think? I'd really LOVE to have a midwife I can trust and be completely open with, but I'm not willing to birth in a hospital. It's not worth it to me, emotionally.