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not sure about MW

958 Views 22 Replies 14 Participants Last post by  Foobar
Ok, This is all so strange to me... I need other opinions. I met my new midwife today. I did not get to pick her, she is the ONLY MW in our military hospital. I opted for the care of a MW. Now, I was rather happy to find out that my birth plan although 9 pages long was very in sync with the normal hospital procedures. The only things that the MW wasn't sure about were
A) taking home the placenta. She wanted to know why I would even want to or what are you going to do with it? No one has ever asked to take it home before.
B) NB procedures, vit K, eye ointment and vax. She said she had no idea why one would want to skip these but I could IF they were approved by peds and if they were not state mandates. She also had no idea that ANY vax were given before 2 months including hep.
C) I asked to deliver in whatever position I wanted. NOT MY BACK. She said uh well, how about side lying? I deliever LOTS in that postion! I said I wanted to be unrestricted and didn't know if I would feel like side lying.
D) She onlyt delivers babies on Thursdays. If it's any other day it's up to the residents and interns!!!!!!!AHHHHHHHH!
E) She graduated MW school after only 25 births?????? I know my jaw dropped! Is that normal? Now, She is a LT Col. in the Air Force. I'm guessing either a CNM or a NP and MW. You can't be in the military as an officer and a CPM ect...

I was shocked and a little put off by the lack of knowledge in normal practices of MW. Is it just me?
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I'd run for the hills.

Firstly, 25 births only is obscene. As a CPM, I'm going to need to witness 25 births, manage 50 in labor and delivery, and be the primary midwife at 25. I also will have to provide continuous care for the full 9 months for 10 women before I can even be licensed.

Secondly, the midwifery model of care certainly supports questioning the routine testing, etc., that may come up. The fact that she stated that she had no idea why anyone would want to question that would make me feel that she didn't even care to understand me. Also, the placenta is YOURS. Not the hospitals. Even my mainstream midiwives asked me and said that I looked like the kind of person who wanted to cook it in a stew or something.


Thirdly, the best birthing position for me thus far has been standing next to the bed, leg up on the side of the bed. My midwife said that instinctively, my body did things that helped her, like tilting my hips in a certain way as the baby was coming out, so that I could help manage the delivery. Birth out of the bed if you feel like it.

ONLY ON THURSDAYS??? Insane.

On the other hand, you may be able to help her get the "practice" of natural healthy birth. That would be good. Great for her, and as long as you know what you want and how to get it, you should be okay. My midwives love it when I birth--it's the only time they have a patient who doesn't walk in the door yelling for her epidural. :LOL
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WEll, Thanks. THe only problem is that it's either her or the docs for now. And of course only her for delievery is I happen to go on a thursday. I'm still trying to get my insurance to pay for another CPM, not likely. You should have seemt he look on her face when I said I was still hopeful they would! She looked at me like, WHY? The fact that she didn;t know what CPM stood for and hadn't heard of a lay mw struck me funny. She looked at me as if I was trying to hire a killer to deliever the baby.Yes, it's all scary. What's scarier is that with good military insurnce she's my best option. It's scary to think this is what the military is modeling as midwifery. Most women don't even know it's not I guess. It was like I was really pushing her.. she looked really flustered that she didn't know things that I did about HER job.
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well, I just had an awful mw and have a *wonderful* doc! This family practice, (except for the MW obviously
) practices the midwifery model of care. So, maybe you can find a good doc who is likeminded.

Hope you find someone you like. Its hard sometimes....
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Quote:

Originally Posted by wannabmommie
well, I just had an awful mw and have a *wonderful* doc! This family practice, (except for the MW obviously
) practices the midwifery model of care. So, maybe you can find a good doc who is likeminded.

Hope you find someone you like. Its hard sometimes....

We chatted the other day! I have to say I just adore you! Hannahs prayer is also my favorite scripture.
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I was on medicaid w/ baby #1 and had a similar experience... a choice between a stinky MW or an OB.... I wish I'd taken the DRs. I think many people are being attracted to midwifery for the wrong reasons entirely and their hearts are not in it. I am a message therapist and I can't tell you how many women I went to school with who had no true interest in healing.
My WF also gave me #*@!!! about the eye ointment and HepB...
so much for mother-guided birth. My whole pregnancy was a battle.
SO:
I would have a consultation with the OB if that's a possibility. Why bother with a MidWife if she's just going to act like an MD sans experience?
She doesn't sound like a midwife at all. Run, run. Or go in at the very last minute. Can you look into lay midwives in the area and possible pay on a payment plan?

Jesse
yeah, what indigirl said... my lay midwives in the sacramento area did lots of births down at the air force base in fairfield, so perhaps there are some lay midwives in your area too. go look for 'em, because this gal is not gonna be much help for you!

good luck, and too bad this is even an issue...

katje
Just my experience from my first pregnancy, but the only midwives the base hospital ever had were terrible! There were two and I didn't want either one near me. One actually chewed me out for gaining 6 lbs in 4 weeks after having LOST 10 lbs due to really bad morning sickness! This time around I am lucky enough to get civilian care b/c we live to far from the nearest military hospital that provides maternity care.
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I say run too!

I think you are more likely to find a "midwife-like" OB than be happy with this midwife. Plus, what are your odds of delivering on a Thursday????

I know lots of women who delivered w/OB's & had terrific experiences. While not always the case, there are some out there who do not believe every woman is a C-sec waiting to happen. Plus, since OB's are called at the last minute ~ you might just end up delivering w/a nurse anyway!


Good Luck!
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Quote:

Originally Posted by lena_girl
Just my experience from my first pregnancy, but the only midwives the base hospital ever had were terrible! There were two and I didn't want either one near me. One actually chewed me out for gaining 6 lbs in 4 weeks after having LOST 10 lbs due to really bad morning sickness! This time around I am lucky enough to get civilian care b/c we live to far from the nearest military hospital that provides maternity care.

I live about 40 miinutes away. The said that's jsut too bad for me. AND I have really fast labors. I'm still trying to find out what I can do. The military insurance sucks when it comes to MW I guess.
OMG - RUN, RUN, RUN!!!!!!!!!!!!!!!!!!!!!!!!!!!

This is you: "Excuse me just a moment while I... ummm..."


She delivers only on Thursdays? So you have a one in 7 chance that she will even be able to deliver your baby. That's absurd. Check out the OB that's available, you never know s/he might be perfect for you. Mine is fantastic, I wouldn't give him up for a MW any day of the week because he's just that sweet and good.

Kitty
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I agree, don't discount the OB's without checking them out. I also have just the most amazing OB and wouldn't trade her for the world, she has a way of putting me completely at ease and I just spoke with a client today who was totally pissed off because my OB refused to do a c-section after 30 hours of labor because baby was looking just fine. My client was pissed off, said she was the customer and if she wanted it over with the OB should have done the section--I just smiled and knew that I had the right doc!!
I found out the hard way that my MW just wanted the fastest way in to be a birth manager, as in not going to med school. She had been an OB nurse and wanted her own gig, I guess. She managed my birth to the hilt and used heavy coercion techniques to get me to agree with her. At least this midwife you saw isn't pulling wool over your head for 10 months while you gestate!!!

Next birth I used a FP doc who was everything I wanted. You *never* know who you will click with. Hopefully it wont take too long to figure it out!

Good luck!
I know. You are all right. The other MW, the CPM that I just LOVE called me today to reinvite me to a prenatal party on Thursday. I so wish I could go. I think it's a no kids thing. Anyway, she is positive about the insurance co and is helping me to think that way also. She gave me the # of another tricare client who they have promised they would pay the fees for. We'll see.

It's bad when eve DH is put off by the MW lack of knowledge.
sorry to hear about that. i am active duty and delivering at a naval medical center and was very scared i was going to run into the same issues as you. but the MW here have all been very crunchy! didnt blink an eye when i said i wanted to take my placenta home (just have to sign a waiver), can squat and give birth on the ground if want to, and they even suggest i set up a consult w/ the peds at my 36wks appoint to talk about pros/cons of doing the vit k, eye drops etc. i think it really has to do with their experience. sounds like your hospital is not totally up on hiring the most experienced MW....you did say yours was AD? all the MW here are retired or civilian, so that might make a difference.

go to the tricare website. if you are civilian, tricare will allow you to go to a free standing birth center. you may have to go to standard (not sure if prime pays for it) but i couldn't do that because i am AD and only can deliver at the hospital, unfortunately! there is a great free standing birth center here!. i actually found some links for you:
http://www.tricare.osd.mil/Factsheet...eet.cfm?id=261
actually, cant get the second link to work, so i copied for you:
Chapter No. 10 - What's Covered
Freestanding Birthing Centers

TRICARE Standard cost shares the use of approved "freestanding" birthing centers that agree to participate in TRICARE Standard. Birthing centers may be freestanding (separately located and not having any official connection with a "parent" institution), or they may be affiliated with, and even located at, another institution. They must be authorized as providers of care under TRICARE Standard and must have signed a participation agreement with TRICARE Standard. These birthing centers provide services for low-risk (normal) pregnancies and are limited to the use of natural childbirth procedures. Active duty family members pay $25 to use them and to use hospital-based birthing rooms for outpatient deliveries. For other TRICARE-eligible persons, cost sharing will be on a standard outpatient basis. For more information, contact your nearest BCAC/HBA/TSC.

good luck mama! hope you find the care you need.
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Quote:

Originally Posted by mistisa
sorry to hear about that. i am active duty and delivering at a naval medical center and was very scared i was going to run into the same issues as you. but the MW here have all been very crunchy! didnt blink an eye when i said i wanted to take my placenta home (just have to sign a waiver), can squat and give birth on the ground if want to, and they even suggest i set up a consult w/ the peds at my 36wks appoint to talk about pros/cons of doing the vit k, eye drops etc. i think it really has to do with their experience. sounds like your hospital is not totally up on hiring the most experienced MW....you did say yours was AD? all the MW here are retired or civilian, so that might make a difference.

go to the tricare website. if you are civilian, tricare will allow you to go to a free standing birth center. you may have to go to standard (not sure if prime pays for it) but i couldn't do that because i am AD and only can deliver at the hospital, unfortunately! there is a great free standing birth center here!. i actually found some links for you:
http://www.tricare.osd.mil/Factsheet...eet.cfm?id=261
actually, cant get the second link to work, so i copied for you:
Chapter No. 10 - What's Covered
Freestanding Birthing Centers

TRICARE Standard cost shares the use of approved "freestanding" birthing centers that agree to participate in TRICARE Standard. Birthing centers may be freestanding (separately located and not having any official connection with a "parent" institution), or they may be affiliated with, and even located at, another institution. They must be authorized as providers of care under TRICARE Standard and must have signed a participation agreement with TRICARE Standard. These birthing centers provide services for low-risk (normal) pregnancies and are limited to the use of natural childbirth procedures. Active duty family members pay $25 to use them and to use hospital-based birthing rooms for outpatient deliveries. For other TRICARE-eligible persons, cost sharing will be on a standard outpatient basis. For more information, contact your nearest BCAC/HBA/TSC.

good luck mama! hope you find the care you need.
I *think* that the birthing center also has to have a CNM. Ours does not. Thanks for the links!! I really appreciate it. Yes, the MW is active. I think that makes a huge diff. I actually wonder if she only had some type of miltary training. I've no heard of a MW school where they send you packing after 25 births. The problems is no getting the tricare office and claims dept to actually follow through with this policy.... You know how that is.
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well, it is their policy, and it is in writing, so you should not have any problems with getting them to pay part of the cost for a birthing center. or even if you go civilian. when i called, they were very friendly and knowlegeable, but no joy for me unless an OB signed off on it, and of course they would not for an AD. But you would not need that, since you are civilian. It's worth a call to your area tricare to get all your options. good luck!
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I was just with my DR who wanted to induce. I called and refused and he dident call me back
! Now I'm jumping ship at 38 wks! I wanted to about a month ago... He ageed to my birth plan but we dident discuse it. I got the feeling that he was humoring me. My family told me to stay with him. I felt lost like, where would I go? who would take me? I got ahold of my friends and in turn they asked there friends. I have an appointment for my new doc at 4:30. This Doc is used by meny MW in town and was recamended through C.H.O.I.C.E. I hope she is the Dr im looking for
. IF YOU GET RED FLAGS RUN!

P.S. Baby is fine thats why I'm running
!
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