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Discussion Starter · #1 ·
Okay, maybe there is no such thing, LOL. But I would like to switch OBs now before we even start thinking about #3. When I realized I didn't really like my OB's philosophy last time, it was kind of too late to switch.

I just cannot bring myself to go to a midwife because even though I am into NFL I am a super paranoid neurotic mama, LOL. When I get pg I want to know exactly what my HCG level is, I want my level 2 ultrasound to make sure things are okay, etc. I don't do AFP, amnio, or any of that but I do like to know things are okay as much as possible without using invasive tests. Otherwise I would worry myself sick.

Although I want medical assistance during my pg, I want a NCB. My OB is not especially supportive of this.

So, any recommendations???
 

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I go to Loudoun Community Midwives that are overseen by an OB. (in the same office). There's nothing about my care that has been "less" than the care I recieved with a previous OB I used, just a lot more respectful of my opinions and a bit more celebratory of womanhood in general. I am having a hospital midwife attended birth at Loudoun Hospital. It's not really all that crunchy, I think. I've had all my annual check ups through them for the past 2 years as well as some exams related to a breastlump I had found (they sent me to a breast specialist). I've had my pap smears and everything there. The care I have recieved from them has in many ways been more thorough and informative than the OB care I recieved before (and I went to a really good doctor).

I had an ultrasound to determine my due date and I'll have another one at 20 weeks to determine gender. They definitely tell you your HCG levels and ALLLLL that - it's still medical - it just means they are going to be supportive of NCB and breastfeeding and treat you with a lot more respect and sense of empowerment.
 

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Discussion Starter · #3 ·
Sounds perfect for me. I will definitely check them out. Thank you! It might be kind of a hike for me is the only thing so if anyone knows of any that are in western Fairfax County that are just like Becky described, I might check them out as well. But if I prefer the Loudoun ones it would be worth the drive. Thanks again!
 

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There's also Physicians and Midwives in Alexandria and Lake Ridge. One of my friends has been using them and has been very satisfied with her prenatal care. She has felt much more respected by them than she had with the regular OB she started off seeing.

Don't necessarily discount a good midwife practice, though. I am using BirthCare in Alexandria and have received all the info/tests you mentioned in your OP. If anything, they seem more willing to share the hard data directly with their patients than any doctors office I have ever been to in my life, i.e. I know my exact iron levels, not just whether they were "normal." When I sign in, I'm handed my whole chart, with all the test results and their notes right there. I read over it all before I walk out of the appointment, and write things down to do my own research later.
 

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I delievered my first with Loudoun Comm Midwives. It was a *good* birth experience. I had a level 2 ultrasound and they follow medical *protocol* I wouldn't recommend them for someone who wants to refuse "standard" medical care (ie glucose tolerance, 28 week Rhogam, 20 week sonogram etc) but it sounds like you are looking for those kinds of tests.

FWIW, I had my 2nd w/a CPM and still pee'd on a test strip at every appt and still got my 20 week sonogram. And I didn't have to fight anyone about refusing the GTT but that's a whole 'nother story...
 

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I go to Physicians and Midwives - their main office is in Alexandria but they have a satellite office in Lake Ridge. I love their practice - switched to them at 22wks from a traditional OB and have been really happy with my care. They practice collaboratively - six MDs and ten CNMs in the same practice, you rotate to a different practicioner at each visit. And all the tests get done, all the bells and whistles are available if you want them. I've felt totally respected, listened to, and overall "cared for" since switching my prenatal visits to their practice. They are set to deliver my baby some time next week
:

Loudoun MW's might be closer to you. But P&M (and as a pp mentioned, BirthCare in Alexandria) are known to me as being super-awesome. If my insurance took them, I would TOTALLY have gone with BirthCare - as my pg friend put it, "It's like a little bed & breakfast!"


Good luck ... it's an important decision!
 

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Quote:

Originally Posted by Herausgeber
There's also Physicians and Midwives in Alexandria and Lake Ridge. One of my friends has been using them and has been very satisfied with her prenatal care. She has felt much more respected by them than she had with the regular OB she started off seeing.

Don't necessarily discount a good midwife practice, though. I am using BirthCare in Alexandria and have received all the info/tests you mentioned in your OP. If anything, they seem more willing to share the hard data directly with their patients than any doctors office I have ever been to in my life, i.e. I know my exact iron levels, not just whether they were "normal." When I sign in, I'm handed my whole chart, with all the test results and their notes right there. I read over it all before I walk out of the appointment, and write things down to do my own research later.
I agree with Herausgeber! LOVE LOVE LOVE BirthCare!!!! And talk about getting to read your chart! I transfered to BC from OB after I learned they were an option with my Kaiser insurance (wheee!) and Kaiser wouldn't let me just bring my record to them, they had to fax it to BC. Then, BC just gives you your folder every time you go so I got to read them anyway, plus everything that happened while at BC. It really is nice. And I just have to say, they are really on top of things.

BC has an informational night you might want to go to where you can go and ask questions and learn about the different protocals they have, tests they do, etc.
 

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Quote:

Originally Posted by AmyCarin
FWIW, I had my 2nd w/a CPM and still pee'd on a test strip at every appt and still got my 20 week sonogram. And I didn't have to fight anyone about refusing the GTT but that's a whole 'nother story...
I tried PMing you about this, your box is full. How did you get a 20 wk u/s and who paid for it? I'm wanting an u/s for peace of mind. But my DEM only has access to someone in PA -- a little far to travel.
 

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Dr. Tchabo at Virginia Hospital Center (Arlington Hospital). He is awesome. He trusts the birth process, doesn't intervene unless necessary, and accommodates mom's requests, even when outside his normal SOC.

He is less interventive than Physicians & Midwives, and practices under less strict protocols (example - he will deliver a vaginal breech, and support a mom's plan for VBAC, P&M doesn't ususally do either anymore)

I don't have personal experience with LCM, but have heard reasonably good things.

Sweetpea
 

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I second Dr Tchabo - I had a vaginal breech delivery with him - Birthcare regularly refers their high risk patients to him, as well.

He is constrained by the hospital policies, though (I had to deliver in the operating room, just in case - hospital policy - ditto IV - ugh). But he didn't insist on an epidural or anything like that. I did get an episiotomy, but that was necessary due to some bad scaring from my first baby AND the fact my second was a 9 lber!

Arlington Hospital (now called VA medical center) is a pretty good hospital, though the nurses are not as bf friendly as I'd like. Good food, though.

Also, I agree with PPs about birthcare midwives - I was with them before we discovered my second child was breech at 37 weeks. As mentioned, they do do 20 week u/s, gest diabetes tests, etc. You can deliver at home or at their birthcenter in Alexandria - whichever you feel more comfortable with.

Good luck!
 

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Quote:

Originally Posted by siobhang
I did get an episiotomy, but that was necessary due to some bad scaring from my first baby AND the fact my second was a 9 lber!
I am worried about this for myself this time around, if you wouldn't mind too terribly much --
Did you know this was a possibility ahead of time?
If so, How?
And after the fact, do you think it was really necessary, prevented other damage or just no way of knowing?

My 1st vaginal birth has left the perinum not as stretchy and very fiberous deep within the tissues. I believe this to be scaring of the muscle tissues within. My dd was 9lbs +. I really fear it will not stretch and I will end up with either tearing elsewhere or a snip. I've discussed this with a CNM at a gyn exam and her answer was maybe yes, maybe no -- so she couldn't really tell me if I would need an episotomy or not.

I guess I'd like to be mentally prepared for that as well as have items in my home for care of the incision if it comes to that.
 

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No prob!

I did know this was a possibility ahead of time - even at birthcare. I had a third degree tear with my first (not with the birthcare midwives - but with GU midwives - tear due to the epidural and not being able to feel a thing). After my first, I found the scaring very uncomfortable during sex and pelvic exams were extremely painful.

The midwives at birthcare even commented on the fact that my perinium wasn't that stretchy and that I would most likely tear again. They did make some recommendations on how to make it more pliable, but they didn't seem to help.

I was okay with that, but when we found out that Liam was breech, I was SO happy to find a doctor who wasn't going to rush to do a c/s, that when I learned that Dr Tchabo does tend to favor episiotomies for breech babies, I was okay with it. He also favors numbing the perinium in general for breeches b/c he wants mom to not be inhibited with pushing since with breech deliveries, controlled, even deliveries is key. And with Liam having a HUGE butt (he still does!), it was pretty important.

Oh, and I find sex MUCH more comfortable (and even FUN!) this time around. Go figure.

I felt very confident with Dr Tchabo since he has been delivering babies for 30 years, is the head OB/GYN at VA medical center, and travels around the country teaching about breech deliveries. And he is a warm, friendly guy. The birth was more interventionist than I would have preferred, but since in the DC metro area, my choices were homebirth with a quasi legal midwife (we were not comfortable with this route), Dr Tchabo, or a c/s, I was very happy with Dr Tchabo.
 

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I used Loudoun Community Midwives and loved them. I've also heard great things about Birthcare.

I generaly found that Loudoun Community Midwives would offer whatever (would you like me to check your cervix, etc.) but it was up to me to say yes or no. They were happy to let me leave the hospital in as little as 8 hours after birth if I desired. (I ended up deciding to spend one night)

I was fairly pleased with the staff at Loudoun Hospital. They did keep asking about circ but it was less like "you really need to do this" and more like "you must have forgotten this form". It was a little annoying but I didn't feel like they were going to wisk ds away and have him circed if I turned my back or something.
 

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I'm with Northern VA Gynecologists....it's a practice with 6 dr's and you rotate...a dr is always on call and it's been such peace of mind for me knowing that I can call anytime I'm worried and speak to someone.

I've had a couple issues come up in my pregnancy (low lying placenta, subchorionic bleeds) and I've always been so well taken care of and I'm really happy that my regular gyn recommended them.
 
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