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Discussion Starter · #1 ·
<p>My MW just found out that she has to have surgery <em>the week I am due</em> and one of the two backup MW will be out of town that same week for continuing ed.  If I go into labor while 2 of the 3 midwives are gone and the 3rd is busy with another birth I'd be stuck with an OB that I don't know.  I will be really upset if I end up birthing with an OB at this point, since I really want a natural birth AND I've been traveling an hour to my appointments since leaving my in-town OB at 20 weeks.  If I wanted an OB birth, I would've just continued seeing my OB here in town that I've known for 10 years. </p>
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<p>I'm pretty sure my MW is going to offer me a sweep when I see her tomorrow (I'll be 38 weeks), but I haven't decided if I should do it.  I am generally not into any kind of intervention, but I REALLY don't want to end up birthing with an OB - I'm pretty much guaranteed some kind of intervention/induction then.  Advice?  Anyone had a sweep and been glad (or sorry) they did?  The main risk I'm finding is that it could cause PROM.  I know it may do nothing at all.  I was 80% effaced and 1 cm dilated almost 2 weeks ago and I think it has a better chance of working since my cervix is already preparing.  But I just don't know.  I could wait til next week (39 weeks) and do a sweep then, or do nothing and just hope that I make it to 41 weeks??? </p>
 

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<p>I wouldn't do it but I know I'm more likely to go late than on time.  How long is she going to not be able to attend births?</p>
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<p>I might be the only weirdo who tries communicating with my baby but have you asked the baby?</p>
 

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<p>I  have had sweeps work for me. My opinion is worst comes to worst if i doesn't work it makes you feel crampy and crappy for the night! I have heard that if you are GBS positive there can be some risk in doing sweeps but I don't have anymore info on that! I had some Blood pressure issues in the past with my previous babies at the end, the sweep was enough to do it for me and keep me from a chemical induction. For me it caused contractions that then broke my water within 12 hours and my babies were big and good and ready to be born. My feelings on it is if baby is not ready it won't work.</p>
 

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<p>That is a tough decision. I had my membranes swept by the MW at 41 weeks. I had some cramping that night, but nothing. I ended up getting induced a few days later. Sounds like it works for some though. I hope the timing works out for you either way.</p>
 

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<p>I would wait. If your midwife is only going to be out for a week, and you'll still have access to one of them while she's gone. You are unlikely to go on time as a primip, and if you do, odds are that you'll still be able to have the third midwife. Are you planning a hospital birth? Do you have a support person who is on board with your wishes? How are you and baby feeling?</p>
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<p>Now, if you were feeling like things were hapenning labour-wise, or if your midwife thinks your babe is huge, or if you just have a gut feeling that things were going to get moving earlier than later, then maybe the sweep is a good idea. From what I understand, they're most effective if done repeatedly. Like, every week for a couple of weeks. But, the reality is that it won't work unless you're "ready".</p>
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<p>That's a cruddy situation though. I'm sorry. My midwife last time was on vacation for the two weeks before AND after my due date. She missed it, obviously. But, we still ended up with a really good, hands off birth with the random on-call ob and a resident who was a little lacking in clinical skills and confidence. It was good though; very hands off. You might luck out with the same sort of deal. I'll cross my fingers for you. :) </p>
 

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<p>I'd probably just take my chances.  Can you ask how many other people they have due at the same time?  What are the chances the third midwife will actually be busy at the exact same time you need her?</p>
 

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Discussion Starter · #7 ·
<p><br><br>
My midwife is actually going to be out for several weeks after the surgery, but I think the midwife who will be out of town is only gone for a week.  There is still a third midwife, so hopefully she would be available, but she has her own patients and will be covering for both the midwives who are gone.  Since my midwife didn't know she was going to have to have surgery I'm assuming she has quite a few patients to be covered.  That's why I am worried.</p>
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<p>I know most first babies are late, but I really feel like mine is more likely to be early.  In fact, I really don't expect to make it to my due date anyway so I don't know why I'm so worried about this.  I've been having BH for months, baby dropped over 3 weeks ago, 80% effaced and 1 cm dilated almost 2 weeks ago...  of course this could mean nothing, but I still think I'm going early.  I don't have any prior births to compare to.  My mother didn't go past EDD with any of her 3 (I was 2.5 wks early and I was her first) and all of us were born naturally.</p>
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<p>I do need to ask my midwife about the OBs.  They may be better than I think - this hospital is supposedly really natural birth friendly.  I do have a birth plan in my chart.  It just makes me nervous to birth with an OB, especially one I've never met. </p>
<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>selkat</strong> <a href="/community/forum/thread/1279554/midwife-problem-and-advice-needed-on-sweep#post_16047983"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border-bottom:0px solid;border-left:0px solid;border-top:0px solid;border-right:0px solid;"></a><br><br><p>I would wait. If your midwife is only going to be out for a week, and you'll still have access to one of them while she's gone. You are unlikely to go on time as a primip, and if you do, odds are that you'll still be able to have the third midwife. Are you planning a hospital birth? Do you have a support person who is on board with your wishes? How are you and baby feeling?</p>
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<p>Now, if you were feeling like things were hapenning labour-wise, or if your midwife thinks your babe is huge, or if you just have a gut feeling that things were going to get moving earlier than later, then maybe the sweep is a good idea. From what I understand, they're most effective if done repeatedly. Like, every week for a couple of weeks. But, the reality is that it won't work unless you're "ready".</p>
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<p>That's a cruddy situation though. I'm sorry. My midwife last time was on vacation for the two weeks before AND after my due date. She missed it, obviously. But, we still ended up with a really good, hands off birth with the random on-call ob and a resident who was a little lacking in clinical skills and confidence. It was good though; very hands off. You might luck out with the same sort of deal. I'll cross my fingers for you. :) </p>
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<p>I'd do the sweep.  Worst thing that happens is you don't go into labor and have a crampy, uncomfortable night.  But, my latest baby came at 38wks to the day, so maybe I just see things differently since I'm not a 'usually past my due date' kinda gal. </p>
 

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<p>Ok, if she's going to be out for several weeks afterwards, and you're thinking "early", go for it. It won't work if you're not ready, but it might help speed things along. I am sorry you're dealing with this!</p>
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<p>I just wanted to say I'm sorry you're dealing with this.  I've had weeks to come to terms with my mws' sudden limited availability, and I still haven't quite gotten there.  They're tough choices, and I wish you all the best!</p>
 

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Discussion Starter · #11 ·
<p>So I got checked today and despite all my contractions over the past 2 weeks...no cervical change.  My MW didn't offer the sweep and I didn't ask for it.  I figure if my cervix wasn't any more dilated/effaced than 2 weeks ago, I probably am not ready.  I may ask for it next week, but I'm still not sure. </p>
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<p>I did talk to my MW about her absence, etc.  She is confident that the 3rd midwife will be able to handle the week by herself.  She also told me that she'd make sure I had priority since birthing with a midwife is so important to me.  This MW practice sees all kinds of patients, not just the "crunchy" ones and the ones who aren't specific about having a midwife/natural birth like I am can be referred to the OBs if necessary.  So HOPEFULLY things are going to work out fine.  If I do end up birthing with the 3rd MW I won't be able to have a waterbirth since she hasn't gotten approved for it at the hospital, but I can be okay with that.</p>
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<p>I still hope the baby shows up early, but I'm trying to prepare myself for another few weeks of waiting!</p>
 

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<p>I'm sorry I'm late chiming in, but we've been have internet issues....</p>
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<p>what you're going through is so like what happened to me with dd. At my 37 w appointment (I was actually 37w6d), my mw let me know that she'd be out of town the following weekend (Friday and Saturday). She normally wouldn't have mentioned it- she didn't think a first-timer would go that early- but when she did my check, it turns out I was almost 4 cm dilated (crazy, I know). We knew I was close, and that if I made it to and delivered over the weekend (this was a Tuesday), I would be stuck with one of the office's obs, none of whom were remotely natural childbirth-friendly. </p>
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<p>Anyway, we decided to go ahead and give me a little push. She stripped my membranes at roughly 12 pm, then I went home and did the castor oil routine (two doses). By 3 pm I was having BH-like contractions, at 9 pm my water broke, and my dd was born at just after midnight (38 weeks on the dot!)- after only 3 hours of what I would classify real labor and 15 minutes of pushing.</p>
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<p>For me, it was absolutely worth it. I didn't find the procedure to be too bad- just really uncomfortable. In the end, I had a beautiful labor and birth experience with the woman I knew well and trusted. Then again, I can't absolutely say that the procedure and castor oil did anything- who knows? Maybe I was going to go into labor that afternoon anyway. </p>
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<p>The bottom line is two-fold: One, you have to weigh how important having your chosen provider is to you versus letting your body enter labor naturally. Two, know that these procedures (according my mw and what I've read, anyway) are both somewhat controversial as to their effectiveness, and likely will only work if your body is ready anyway.  </p>
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<p>It sounds like you are covered now, though, with the other midwife. ((hugs)) </p>
 
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