Mothering Forum banner

1 - 5 of 5 Posts

·
Registered
Joined
·
781 Posts
Discussion Starter · #1 ·
<p>I 'm sure there is a topic on this somewhere but I did a search and couldn't come up with much.</p>
<p> </p>
How do you choose a midwife?id youIs there any online questionnaire to use? Luckily I heard back from several midwifes and the birthing center, so I have a few to choose from. I thought I was a little late in the game and wasn't going to have many options.
<p> </p>
I guess it would help to know what kind of midwife I want, but with this being my first birth, I'm not really sure. Right now I think i will probably want to be left alone to do my thing, for the most part. I don't really like anyone fussing over me. But on the other hand, I've never given birth, so when the time comes I may prefer someone who is more hands on.
<p> </p>
Any advice on how to choose would greatly be appreciated?
 

·
Premium Member
Joined
·
929 Posts
<p>I would ask:</p>
<p>questions about training, experiences, credentials/licensing</p>
<p>check with your state licensing board about any disciplinary actions</p>
<p>verify they are current on their neonatal resuscitation training (NRP)</p>
<p>whether they practice alone or w/ another mw or assistant and what backup arrangements they have in place</p>
<p>when someone might be risked-out of care</p>
<p>what tests are recommended during pregnancy and how would the results affect your care</p>
<p>ask about protocols for monitoring baby during 1st and 2nd stage</p>
<p>what drugs/herbs they carry for managing pp hemorrhage</p>
<p>whether and under what circumstances they've ever lost a mother or baby</p>
<p>when and where they would transport if needed</p>
<p>whether they have a backup arrangement with an OB or hospital in the event of transport</p>
<p>how do they help you to prevent a tear</p>
<p>how third stage is managed</p>
<p>whether they are able to suture tears and what degree they feel comfortable suturing at home/birth center</p>
<p>post on your tribal area to find out others' experiences and opinions about the mws you are considering</p>
<p>you can also ask for references so that you can get an idea of how that midwife practices</p>
<p> </p>
<p>There are actually a bunch of other questions I would probably ask and I have a document from the mw I work with, but don't have permission to repost here so if you'd like a copy, pm me and I should be able to email it to you.</p>
 
  • Like
Reactions: Peppamint

·
Registered
Joined
·
1,181 Posts
<br><br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>womenswisdom</strong> <a href="/community/forum/thread/1291883/how-to-choose-a-midwife#post_16190423"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a><br><br><p>I would ask:</p>
<p>questions about training, experiences, credentials/licensing</p>
<p>check with your state licensing board about any disciplinary actions</p>
<p>verify they are current on their neonatal resuscitation training (NRP)</p>
<p>whether they practice alone or w/ another mw or assistant and what backup arrangements they have in place</p>
<p>when someone might be risked-out of care</p>
<p>what tests are recommended during pregnancy and how would the results affect your care</p>
<p>ask about protocols for monitoring baby during 1st and 2nd stage</p>
<p>what drugs/herbs they carry for managing pp hemorrhage</p>
<p>whether and under what circumstances they've ever lost a mother or baby</p>
<p>when and where they would transport if needed</p>
<p>whether they have a backup arrangement with an OB or hospital in the event of transport</p>
<p>how do they help you to prevent a tear</p>
<p>how third stage is managed</p>
<p>whether they are able to suture tears and what degree they feel comfortable suturing at home/birth center</p>
<p>post on your tribal area to find out others' experiences and opinions about the mws you are considering</p>
<p>you can also ask for references so that you can get an idea of how that midwife practices</p>
<p> </p>
<p>There are actually a bunch of other questions I would probably ask and I have a document from the mw I work with, but don't have permission to repost here so if you'd like a copy, pm me and I should be able to email it to you.</p>
</div>
</div>
<p> </p>
<p><span><img alt="thumb.gif" src="http://files.mothering.com/images/smilies/thumb.gif">  Excellent questions.</span></p>
<p> </p>
<p><span>I also relied on my inner vibe of the MW's we checked out. </span> Gotta dig who is helping you, KWIM?<br>
 </p>
 

·
Registered
Joined
·
4,476 Posts
<p>I have a doc of LOTS of questions that I gathered from a couple posts here, just a couple weeks ago as we were searching for a homebirth midwife. I organized them too :) That could help, pm me with your email if you would like it. It's pretty exhaustive.</p>
<p> </p>
<p>I think the more you talk to, the more you will get an idea of the kind of midwife you want. I don't mean interview ten, that is a lot of time, but a few. Take as many notes as you can because you'll forget details. There will be some you don't click with at all, and you can keep that meeting shorter if you are confident you wouldn't want to hire them. </p>
<p> </p>
<p>Thought I'd just post the questions here in case someone else searches in the future.</p>
<p> </p>
<p>____</p>
<p> </p>
<p><span style="font-family:calibri;">PRENATAL</span></p>
<p><span style="font-family:calibri;">What is your definition of "high-risk"?</span></p>
<p><span style="font-family:calibri;">Do you allow the mother to go past 42 weeks and still have a homebirth?<br>
What are your standards for preeclampsia?<br>
What is your back-up system during pregnancy and labor—when you go on vacation, are sick or with another mother?<br>
Are you available 24 hours a day at all times?</span></p>
<p><span style="font-family:calibri;">What is your approach to taking on a client at the beginning of her third trimester?</span></p>
<p><span style="font-family:calibri;">Do you have guidelines or restrictions about who can give birth at home?</span></p>
<p><span style="font-family:calibri;">What is your fee?<br>
What happens with your fee if I have to transfer out of your care?</span></p>
<p><span style="font-family:calibri;">What tests do you <span style="text-decoration:underline;">require</span>?</span></p>
<p> </p>
<p><span style="font-family:calibri;">STATS/EXPERIENCE</span></p>
<p><span style="font-family:calibri;">What is your hospital transfer rate?<br>
What experience do you have with VBAC?</span></p>
<p><span style="font-family:calibri;">How many clients do you have due in any 4 week period, and what is the plan if I go into labor while you're with another laboring client?</span></p>
<p><span style="font-family:calibri;">Have you ever missed a birth? If so, what were the circumstances?</span></p>
<p><span style="font-family:calibri;">If you are sick or otherwise unavailable during my labor, who will attend to me?<br>
How many assistants do you normally bring to the birth?<br>
Who are your normal assistants?</span></p>
<p><span style="font-family:calibri;">Do you file with insurance?</span></p>
<p><span style="font-family:calibri;">What is included in the fees? What will I need to provide?</span></p>
<p><span style="font-family:calibri;">How many births have you attended? How many VBACs?</span></p>
<p><span style="font-family:calibri;">What were your own births like?</span></p>
<p><span style="font-family:calibri;">How do you describe childbirth?</span></p>
<p><span style="font-family:calibri;">How, when and where did you receive your education in midwifery? Are you also a nurse? Are you certified or licensed and by whom?<br>
How long have you practiced? Approximately how many births have you attended? Would you give me the name of a few mothers as references?<br>
Do you maintain statistics from your practice? May I see them? Do you participate in regular peer review?</span></p>
<p><span style="font-family:calibri;">How do you advise clients in speaking with worrisome family members?</span></p>
<p> </p>
<p> </p>
<p><span style="font-family:calibri;">EMERGENCIES/TRANSFERRING</span></p>
<p><span style="font-family:calibri;">How would you handle a hemorrhage?</span></p>
<p><span style="font-family:calibri;">What situations do you consult the Obstetrician for?<br>
What problems or complications in pregnancy would mean that a physician would become my primary maternity caregiver?<br>
Under what circumstances do you transfer to hospital?</span></p>
<p><span style="font-family:calibri;">To what hospital do you transport if this becomes necessary?<br>
What is your percentage of hospital transfers?<br>
What is your Cesarean rate? What are the most common reasons?<br>
What would be the plan of action if a transfer to hospital were necessary?<br>
What care would you give me if I need to transfer?<br>
Would you stay with me in the hospital? In the operating room? For how long after the birth?</span></p>
<p><span style="font-family:calibri;">How do you handle emergencies?</span></p>
<p><span style="font-family:calibri;">What emergency equipment will you have on hand</span></p>
<p><span style="font-family:calibri;">What physician collaboration or backup do you have? What percentage of the time is he/she called in? How long will it take for the doctor to get to me? At what point is the back up doctor typically called in? Will I have a say in the decision? Will I have a chance to meet the backup doctor ahead of time? Who covers for the doctor if he or she is busy with another delivery? Is the doctor’s fee included in the fee I pay you?</span></p>
<p><br><span style="font-family:calibri;">LABOR</span></p>
<p><span style="font-family:calibri;">Eating drinking, moving, blood tests,</span></p>
<p><span style="font-family:calibri;">Do you offer IVs?I felt that it helped my energy with ezra’s labor</span></p>
<p><span style="font-family:calibri;">How many internal checks do you normally perform?</span></p>
<p><span style="font-family:calibri;">When do I call you?</span></p>
<p><span style="font-family:calibri;">At what point in my labor will you or your assistant come to my home?</span></p>
<p><span style="font-family:calibri;">How many people are you comfortable with being present at the labor and birth?<br>
How do you feel about having a doula at a homebirth?<br>
How much time do you allow for the delivery of the placenta?</span></p>
<p><span style="font-family:calibri;">What happens if my perineum needs stitching/suturing?<br>
What supplies do I need for the birth? Where can I purchase those supplies?<br>
Do you help with cleanup?<br>
How long do you stay after the birth?</span></p>
<p><span style="font-family:calibri;">Do you come to my home any time before I go into labor?</span></p>
<p><span style="font-family:calibri;">meconium in your water breakage.</span></p>
<p><span style="font-family:calibri;">What percentage of your clients tear?<br>
What is your protocol to prevent tearing?</span></p>
<p><span style="font-family:calibri;">How many 3rd or 4th degree tears have you had? Up to what degree do you suture?</span></p>
<p><span style="font-family:calibri;">How do you think the pushing stage should be managed?</span></p>
<p><span style="font-family:calibri;">How long are you willing to let a client push, or do you base it solely on the baby's stress level?</span></p>
<p><span style="font-family:calibri;">Do you have a problem waiting for a while after the placenta is delivered to cut the cord?<br>
What protocol do you use to stop excessive bleeding after delivery?<br>
Have you had experience breaking the clavicle if it ever becomes necessary during a dystocia incident?<br>
Have you had experience with cord prolapse?<br>
Do you have any special things you do after a birth such as an herbal bath?</span></p>
<p><span style="font-family:calibri;">During labor, how active are you in checking the client, etc?</span></p>
<p><span style="font-family:calibri;">What do you perceive your role to be during my labor?<br>
What are your expectations of clients during birth?<br>
What equipment and supplies do you bring to a birth?  (stool, ball, etc)<br>
What natural comfort techniques do you provide?<br>
What pharmaceutical drugs, homeopathics and/or herbs do you use at births?<br>
What is your usual approach to a labor that is progressing slowly?<br>
How often do you listen to baby during labor?<br>
How long for placenta to come out. What happens if it does not come out during that time</span></p>
<p><span style="font-family:calibri;">What equipment do you normally bring to the birth (birthing stool? blow-up pool? oxygen? ambu-bag? pitocin shot?)</span></p>
<p><span style="font-family:calibri;">What is your cut-off for considering a baby to be premature and requiring a hospital birth?</span></p>
<p> </p>
<p> </p>
<p><span style="font-family:calibri;">SCENARIOS</span></p>
<p><span style="font-family:calibri;">What if my water breaks and contractions do not start<br>
What if I am in labor for days<br>
What if my labor is just progressing slowly (not for days, but just slow)<br>
How do you handle postpartum bleeding<br>
How do you handle breech baby<br>
How do you resolve shoulder dystocia handling</span></p>
<p><span style="font-family:calibri;">Under what conditions would you artificially rupture the amniotic sac?</span></p>
<p><span style="font-family:calibri;">Have you had any bad outcomes for the baby or the mother? Please explain them.</span></p>
<p><span style="font-family:calibri;">How long are you willing to wait for a baby in a bad position to change positions before labeling the pregnancy high risk?</span></p>
 

·
Registered
Joined
·
1,094 Posts
<p>I think this is a very exhaustive list of excellent questions to ask your midwife.  However.  As an apprentice midwife I've sat through enough consults to know that, if you brought this list of questions to my preceptor and asked them one-by-one, we'd be looking at about a five-hour consult.  </p>
<p><br>
My opinion--ESPECIALLY if you're interviewing multiple midwives (so it's not just a "pass-fail" sort of situation for the midwife, but a "choose the best midwife for you" scenario)--is that you could pare this down to the issues that are most important to you, the "make or break" issues, and ask those of every midwife.  Then, when you've chosen a midwife, take your time going through the other questions with her.</p>
<p> </p>
<p>It's not that you're not entitled to all this information before you make a decision, it's just that I think this could be a pretty overwhelming interview for a midwife, and a REALLY overwhelming process for you, if you interviewed several midwives like this.  And, my guess is, when it came down to it, other than a few big factors, you're going to have a pretty good "feel" for who is the best midwife for you--and I say that as a relatively objective, totally non-touchy-feely kind of person.  I just think that a lot of your satisfaction with a midwife's care will come down to how well you "click" with her--it affects how you understand/interpret her actions, it affects your ability to communicate your needs and desires to her, and I think it has enormous implications for how you experience your labor/birth.  Like I said, it's not *everything,* but it's big, in my opinion.<br>
 </p>
<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>CookAMH</strong> <a href="/community/forum/thread/1291883/how-to-choose-a-midwife#post_16201979"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a><br><br><p>I have a doc of LOTS of questions that I gathered from a couple posts here, just a couple weeks ago as we were searching for a homebirth midwife. I organized them too :) That could help, pm me with your email if you would like it. It's pretty exhaustive.</p>
<p> </p>
<p>I think the more you talk to, the more you will get an idea of the kind of midwife you want. I don't mean interview ten, that is a lot of time, but a few. Take as many notes as you can because you'll forget details. There will be some you don't click with at all, and you can keep that meeting shorter if you are confident you wouldn't want to hire them. </p>
<p> </p>
<p>Thought I'd just post the questions here in case someone else searches in the future.</p>
<p> </p>
<p>____</p>
<p> </p>
<p><span style="font-family:calibri;">PRENATAL</span></p>
<p><span style="font-family:calibri;">What is your definition of "high-risk"?</span></p>
<p><span style="font-family:calibri;">Do you allow the mother to go past 42 weeks and still have a homebirth?<br>
What are your standards for preeclampsia?<br>
What is your back-up system during pregnancy and labor—when you go on vacation, are sick or with another mother?<br>
Are you available 24 hours a day at all times?</span></p>
<p><span style="font-family:calibri;">What is your approach to taking on a client at the beginning of her third trimester?</span></p>
<p><span style="font-family:calibri;">Do you have guidelines or restrictions about who can give birth at home?</span></p>
<p><span style="font-family:calibri;">What is your fee?<br>
What happens with your fee if I have to transfer out of your care?</span></p>
<p><span style="font-family:calibri;">What tests do you <span style="text-decoration:underline;">require</span>?</span></p>
<p> </p>
<p><span style="font-family:calibri;">STATS/EXPERIENCE</span></p>
<p><span style="font-family:calibri;">What is your hospital transfer rate?<br>
What experience do you have with VBAC?</span></p>
<p><span style="font-family:calibri;">How many clients do you have due in any 4 week period, and what is the plan if I go into labor while you're with another laboring client?</span></p>
<p><span style="font-family:calibri;">Have you ever missed a birth? If so, what were the circumstances?</span></p>
<p><span style="font-family:calibri;">If you are sick or otherwise unavailable during my labor, who will attend to me?<br>
How many assistants do you normally bring to the birth?<br>
Who are your normal assistants?</span></p>
<p><span style="font-family:calibri;">Do you file with insurance?</span></p>
<p><span style="font-family:calibri;">What is included in the fees? What will I need to provide?</span></p>
<p><span style="font-family:calibri;">How many births have you attended? How many VBACs?</span></p>
<p><span style="font-family:calibri;">What were your own births like?</span></p>
<p><span style="font-family:calibri;">How do you describe childbirth?</span></p>
<p><span style="font-family:calibri;">How, when and where did you receive your education in midwifery? Are you also a nurse? Are you certified or licensed and by whom?<br>
How long have you practiced? Approximately how many births have you attended? Would you give me the name of a few mothers as references?<br>
Do you maintain statistics from your practice? May I see them? Do you participate in regular peer review?</span></p>
<p><span style="font-family:calibri;">How do you advise clients in speaking with worrisome family members?</span></p>
<p> </p>
<p> </p>
<p><span style="font-family:calibri;">EMERGENCIES/TRANSFERRING</span></p>
<p><span style="font-family:calibri;">How would you handle a hemorrhage?</span></p>
<p><span style="font-family:calibri;">What situations do you consult the Obstetrician for?<br>
What problems or complications in pregnancy would mean that a physician would become my primary maternity caregiver?<br>
Under what circumstances do you transfer to hospital?</span></p>
<p><span style="font-family:calibri;">To what hospital do you transport if this becomes necessary?<br>
What is your percentage of hospital transfers?<br>
What is your Cesarean rate? What are the most common reasons?<br>
What would be the plan of action if a transfer to hospital were necessary?<br>
What care would you give me if I need to transfer?<br>
Would you stay with me in the hospital? In the operating room? For how long after the birth?</span></p>
<p><span style="font-family:calibri;">How do you handle emergencies?</span></p>
<p><span style="font-family:calibri;">What emergency equipment will you have on hand</span></p>
<p><span style="font-family:calibri;">What physician collaboration or backup do you have? What percentage of the time is he/she called in? How long will it take for the doctor to get to me? At what point is the back up doctor typically called in? Will I have a say in the decision? Will I have a chance to meet the backup doctor ahead of time? Who covers for the doctor if he or she is busy with another delivery? Is the doctor’s fee included in the fee I pay you?</span></p>
<p><br><span style="font-family:calibri;">LABOR</span></p>
<p><span style="font-family:calibri;">Eating drinking, moving, blood tests,</span></p>
<p><span style="font-family:calibri;">Do you offer IVs?I felt that it helped my energy with ezra’s labor</span></p>
<p><span style="font-family:calibri;">How many internal checks do you normally perform?</span></p>
<p><span style="font-family:calibri;">When do I call you?</span></p>
<p><span style="font-family:calibri;">At what point in my labor will you or your assistant come to my home?</span></p>
<p><span style="font-family:calibri;">How many people are you comfortable with being present at the labor and birth?<br>
How do you feel about having a doula at a homebirth?<br>
How much time do you allow for the delivery of the placenta?</span></p>
<p><span style="font-family:calibri;">What happens if my perineum needs stitching/suturing?<br>
What supplies do I need for the birth? Where can I purchase those supplies?<br>
Do you help with cleanup?<br>
How long do you stay after the birth?</span></p>
<p><span style="font-family:calibri;">Do you come to my home any time before I go into labor?</span></p>
<p><span style="font-family:calibri;">meconium in your water breakage.</span></p>
<p><span style="font-family:calibri;">What percentage of your clients tear?<br>
What is your protocol to prevent tearing?</span></p>
<p><span style="font-family:calibri;">How many 3rd or 4th degree tears have you had? Up to what degree do you suture?</span></p>
<p><span style="font-family:calibri;">How do you think the pushing stage should be managed?</span></p>
<p><span style="font-family:calibri;">How long are you willing to let a client push, or do you base it solely on the baby's stress level?</span></p>
<p><span style="font-family:calibri;">Do you have a problem waiting for a while after the placenta is delivered to cut the cord?<br>
What protocol do you use to stop excessive bleeding after delivery?<br>
Have you had experience breaking the clavicle if it ever becomes necessary during a dystocia incident?<br>
Have you had experience with cord prolapse?<br>
Do you have any special things you do after a birth such as an herbal bath?</span></p>
<p><span style="font-family:calibri;">During labor, how active are you in checking the client, etc?</span></p>
<p><span style="font-family:calibri;">What do you perceive your role to be during my labor?<br>
What are your expectations of clients during birth?<br>
What equipment and supplies do you bring to a birth?  (stool, ball, etc)<br>
What natural comfort techniques do you provide?<br>
What pharmaceutical drugs, homeopathics and/or herbs do you use at births?<br>
What is your usual approach to a labor that is progressing slowly?<br>
How often do you listen to baby during labor?<br>
How long for placenta to come out. What happens if it does not come out during that time</span></p>
<p><span style="font-family:calibri;">What equipment do you normally bring to the birth (birthing stool? blow-up pool? oxygen? ambu-bag? pitocin shot?)</span></p>
<p><span style="font-family:calibri;">What is your cut-off for considering a baby to be premature and requiring a hospital birth?</span></p>
<p> </p>
<p> </p>
<p><span style="font-family:calibri;">SCENARIOS</span></p>
<p><span style="font-family:calibri;">What if my water breaks and contractions do not start<br>
What if I am in labor for days<br>
What if my labor is just progressing slowly (not for days, but just slow)<br>
How do you handle postpartum bleeding<br>
How do you handle breech baby<br>
How do you resolve shoulder dystocia handling</span></p>
<p><span style="font-family:calibri;">Under what conditions would you artificially rupture the amniotic sac?</span></p>
<p><span style="font-family:calibri;">Have you had any bad outcomes for the baby or the mother? Please explain them.</span></p>
<p><span style="font-family:calibri;">How long are you willing to wait for a baby in a bad position to change positions before labeling the pregnancy high risk?</span></p>
</div>
</div>
<br><br>
 
1 - 5 of 5 Posts
Top