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Discussion Starter · #5 ·
There's a great homebirth midwife in town, that's not the problem.

The problem is, we have an HMO, which will cover nothing towards a homebirth and almost everything towards a hospital birth. If we stay one night or less: $500 for everything, unless we need extra ultrasounds for going past 41 weeks, which are $50 a pop.

We're trying to buy our first house, so money is an issue.
 

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Discussion Starter · #7 ·
But that's almost a $2000 difference!


I'm going to call the homebirth midwife again and price things out, just to see.

I still think finances will dictate a hospital birth (no freestanding birth centers in the city) but I really don't want to have to haul ALL the way across town (at least a 30 minute drive) for all of my appointments and to deliver, but that's where the next closest CNMs practice.

We're having a protest Thursday in support of the fired midwives, so maybe something good will come of that and they will get adopted by another practice or something.

 

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Discussion Starter · #9 ·
Right, but the midwife I had (who got fired) hardly ever had a turn a patient over to the doctor and had a very low section rate, so hopefully I will find another good CNM or figure out a way to make the difference in price not so large between a homebirth and a hospital birth. I don't blame the hb midwife, I blame the HMO for not covering it!

I must admit, I'm not as concerned about a section after giving birth easily once already.
 

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Discussion Starter · #11 ·
I'm definitely not going to let them dictate my birth choices and DH is completely behind me. So we will use a midwife, whether we can scrape up the money for a homebirth or we drive all the way across town for every single appointment.

Right now, I am just mourning the loss, participating in the outcry/protests, and not wanting to make any new decisions. We're having a peaceful protest tomorrow, the local paper ran an article today, who knows? Maybe I will be able to use my midwife on my side of town.
 

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Discussion Starter · #14 ·
They terminated the whole midwifery program, and they were the only midwives on my side of the city.

We had a protest today on their behalf and the news came. About 75 women and 100+ kids, a good crowd.

I think I have decided on a new midwife practice, too.
 

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Discussion Starter · #17 ·
One of the things that peeved me the most about the whole thing was talking to the COO of the practice on the phone and him saying, "Only 10% of women nationally are birthing with midwives in hospitals and that's not enough for us to warrant spending time and energy supporting a midwifery program."

me "10% may seem small to you, but that's a lot of women choosing to use CNMs! You've just cut out that choice for half of the city."
 

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Discussion Starter · #19 ·
I live in Richmond, VA. The area is split by the James River (the river of "Just around the Riverbend"/Pochohantas fame
) and there are no midwives delivering South of the James. The new hospital was also very convenient for all those living on the west side of the city north of the James.

Now I am going to deliver with the midwives practicing at the Medical College of Virginia/Virginia Commonwealth University, in downtown Richmond. As long as I don't need to go to the hospital during the morning or afternoon commute, I should be okay. There are also midwives in far Northeast corner of the area (in a county hospital) but it's really far and the midwives there are reportedly a little more medical than the ones at MCV, which defies logic to me.
 
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