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Discussion Starter · #1 ·
Last PG I had a great OB - I really loved her but her practice is SOOOOOO busy that she always ran over by at least 2 hours and it was very annoying. Other than that she was terrific. I have GREAT insurance which my prenatal visits are $150 cap and 5% of the delivery.<br><br>
My MW talks a lot. LOL. Literally - long talkers drive me bonkers - I am such a get to the point person. She also doesn't take insurance and charges $3600 for the delivery and $50 per visit.<br><br>
Argh! I really detest hospitals - if I could go in and NOT have to have an IV and not HAVE to have a fetal heart monitor it wouldn't be so bad. I also want my DD to be there. And I do not want to spend the night away from my DD when the new baby is here - what kind of message is that sending?<br><br>
I am feeling confused! I need to decide now because I am already entering my 2nd trimester and I had complications with Ellerie. MOney is not so much the issue ( we can afford it but I would rather not spend it if I don't have to.)<br><br>
Any advice???
 

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Wow, your midwife is expensive! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/yikes.gif" style="border:0px solid;" title="EEK!"> My homebirth will be $1500 total (well, I have to buy chux pads, gloves etc). Of course, we live in a more rural area so that's a lot of money. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"><br><br>
Do you have the option of another midwife, one that you click with? Maybe you can find another mw that you enjoy more. It's nice that you like the OB, but it's sure a pain to wait that long for visits, especially when you have a toddler/preschooler to keep occuppied!<br><br>
Only you can make you the choice! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 

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YIKES ~ your midwife is pricey! Mine is only $1500 total too, for all prenatals and the delivery (although I supply the birth supplies).<br><br>
I agree with busybusy, is there another MW in your area who you like a little more and who costs a little less? I can't imagine a 2 hour wait with a toddler either.
 

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if your insurance reimburses for midwifery care, you can file a claim with them and they should write you a check for whatever they cover, even though your mw doesnt take insurance. a lot of mw dont take insurance becuase it is so hard to get reimbursed. the insurance companies jerk you around and deny your claim over and over again. and if the mw doesnt get paid, she cant afford to keep doing hb! so by getting paid by the client, she is covering herself. but you should still be reimbursed. you might have to fight for it though.<br><br><br><br>
i hate long talkers too! i had a preceptor once who would go on and on and on about every little thing- pn always lasted at least an hour and a half. yuck.<br><br>
do you have the option of finding another midwife? last resort i guess would be to tell her when you are in labor that you hate it when people talk to you, and have your dp help run interference. i would choose a long winded mw over a hospital birth, if those were my only two options, but you should try to find a mw youclick with, if possible!<br><br><br>
oh yea, NO your midwife is not pricey! the going rate for hb mw in my area is 3000-4000. for the services they provide-including being on call 24/7, staying with you your whole labor (obs just come in at the end) giving breastfeeding support, postpartum care (obs generally only do a 6wk check up-), childbirth ed, nutrition counseling, etc etc it is well worth it. a hb mw is worth waaaaaaay more than 1500 for all they do for us. obs get paid so much more!
 

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<div>Originally Posted by <strong>homemademomma</strong></div>
<div style="font-style:italic;">oh yea, NO your midwife is not pricey! the going rate for hb mw in my area is 3000-4000. for the services they provide-including being on call 24/7, staying with you your whole labor (obs just come in at the end) giving breastfeeding support, postpartum care (obs generally only do a 6wk check up-), childbirth ed, nutrition counseling, etc etc it is well worth it. a hb mw is worth waaaaaaay more than 1500 for all they do for us. obs get paid so much more!</div>
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True, true <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">! I guess I'm pretty fortunate that my mw charges so little. Must be the area where we live. She really is worth far more than the $1500 she charges <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">.
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> i hope i didnt come off sounding snarky! im just very passionate about midwifery. you are super lucky that you live in an area where a mw can afford to charge so little. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/upsidedown.gif" style="border:0px solid;" title="upsidedown">
 

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<div>Originally Posted by <strong>luckylady</strong></div>
<div style="font-style:italic;">- if I could go in and NOT have to have an IV and not HAVE to have a fetal heart monitor it wouldn't be so bad. I also want my DD to be there. And I do not want to spend the night away from my DD when the new baby is here - what kind of message is that sending?<br><br><br>
Any advice???</div>
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I think it really depends on the OB & the hospital. My Ob (and all of the Drs in her practice) do not routinely IV or use efm. They will use an IV (obviously) if the mom wants meds, if they are doing a c-section, or if they are unable to resolve dehydration issues. The only use a fetal monitor if they have a reason to believe the baby is in distress. And I should add, the hospital has a very liberal policy on husbands & siblings sleeping over (I would assume if you have a large # of children, the might limit it, but 1 or 2 is ok according to the nurses at the birthing center)<br><br>
so...my advice is check around & see what the hospital & OB's policies are & talk to some nurses who can tell you if that is an accurate portrayal of how things actually turn out. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 

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Well, I love midwives, but with the OB, the first appointment of the day, and the last appointment of the day would help with the time issue.
 

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<div>Originally Posted by <strong>homemademomma</strong></div>
<div style="font-style:italic;"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> i hope i didnt come off sounding snarky! im just very passionate about midwifery. you are super lucky that you live in an area where a mw can afford to charge so little. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/upsidedown.gif" style="border:0px solid;" title="upsidedown"></div>
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I agree... my midwife is worth so much more. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> This is a lower income area- there's not a great job market here at all. I wish we could pay her more, but we'll be taking a sizable chunk out of our tax refund to pay her and the rest is to pay off debts so we won't hurt so much when we pay the bills. LOL<br><br>
Honestly- $3600 would be 15% of our family's yearly income, we could not afford that much! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">
 

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The midwifery practice I'm using is a little less than $4000 for everything (as many appointments as you need + the birth); so it honestly doesn't sound too pricey to me--that's just what you pay in these parts (though I wonder if a single, homebirth midwife might be cheaper).<br><br>
My first thought is that I would try to find a midwife with whom I click more. Or, perhaps you can find a somewhat diplomatic way to deal with your mw's talkiness--i.e., go in and say you have another appointment in x amount of time, so can you keep things strictly business for the day or something like that?<br><br>
If you do decide to go with the hospital birth, I would DEFINITELY hire a doula and make sure you go over all your wants beforehand. I think it can be very helpful to have an "impartial" advocate (i.e., not you or dh) to fight for what you want at the hospital and help you avoid unneccessary interventions. You might also want to check around to see if there's a more natural-birth friendly hospital in your area.
 

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Discussion Starter · #12 ·
thanks for teh great feedback mommas. My girlfriend told me that there is a nurse-midwife here in town who takes insurance and delivers natural CB at the hospital. I am going to call her this morning. YAY! I'll keep you posted. I hate to go the OB route because there are so few OB's in Vegas now because of the insurance that they schedule somewhere around 80% of births - cecarean or inductions. *sigh* that SUCKED last time. I know because I thought I was leaking amniotic fluid around 32 weeks and went to the hospital and the nurse said well, if you deliver on the weekend that's good becaue no one is here on the weekend! She told me that all of the OB's schedule M-F births. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/yikes2.gif" style="border:0px solid;" title="yikes">: It's scary to feel like you don't really HAVE a choice, ya know?
 

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I think we lucked out--my hb mw has a sliding fee scale.<br>
Her full rate is $3000.<br>
Her sliding scale goes from $1800 <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/jaw.gif" style="border:0px solid;" title="dropjaw"> to $2400.<br>
We are going to give her monthly payments for as much as we can squeak out and then pay the rest with our tax refund.<br><br>
I feel guilty for making our family tighten our belts a little bit more (while I loosen mine :LOL), since we could have a hospital birth completely paid for by PCAP....<br><br>
BUT.<br><br>
It is worth it for the quality of care--the one on one attention and the lack of interventions.<br>
and my mw and I really get along well<br>
That doesn't hurt either <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">
 

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I KWYM Lauren. I could have a hospital birth paid 100% by Hoosier Healthwise, but then I'd need to hire a doula- or a whole fleet of them because I'm very limited on the OBs I could choose and I was snottily informed last time around that they don't "do" midwives, even CNMs. :LOL There's so many things that money could pay for, but the homebirth is cheaper than therapy! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/biglaugh.gif" style="border:0px solid;" title="laugh">: I had a nice chat on the phone with my mw the other day and she's coming to my house on Thursday. Who cares if she's a few minutes late or has to go to a birth? I didn't wait in a waiting room forever. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">
 

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I also couldn't decide whether or not I wanted to go the MW route or not. The biggest thing for me, was that I truly loooove my OB, he's very open minded about anything. (His wife is also an OB, amybe that helped??!!) And the hospital that has the MW's is over an hour away, which would mean taking much more time off of daycare, plus the price of gas is horrendous. I'm sooo very glad I decided to stay with my OB, as I had that awful experience with the MW here in town. (But I don't think she practices as a MW, she is also a NP) And I really had wonderful experiences at our hospital. All of my nurses were exceptional. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 

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<div>Originally Posted by <strong>busybusymomma</strong></div>
<div style="font-style:italic;">Honestly- $3600 would be 15% of our family's yearly income, we could not afford that much! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"></div>
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that is almost 33% of our yearly income. luckily medicaidcovers hb in fl, or else i would uc<br><br>
nak
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/offtopic.gif" style="border:0px solid;" title="offtopic"><br><br>
I found out that in NYS, medicaid only pays $1050 for prenatal care, delivery, and a postpartum visit.<br><br>
That is is.<br><br>
$1050.<br><br>
No wonder so few small practices accept it.<br>
They are pretty much volunteering their time at those rates.<br><br>
busybusymama: I remember my days on HoosierHealthwise when I was a single mama with ds1.<br>
Options were less than appealing (although dental options were much better than they are here in NY)
 

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<div>Originally Posted by <strong>homemademomma</strong></div>
<div style="font-style:italic;">that is almost 33% of our yearly income. luckily medicaidcovers hb in fl, or else i would uc<br><br>
nak</div>
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WAY TO GO FLORIDA! I hadn't heard that before. What a smart move on their part.<br><br>
luckylady, I don't know if the 'rules' are the same country wide, but in GA (at least in the 5 GA hospitals that I have dealt with) you can opt out on IV fluids, but they require that you allow them to insert an IV line. The reasoning is that they want fast hook-up if you bleed out. HOWEVER, I really wish this wasn't true. Even as a student nurse, I DESPISE having an IV. I can put them in other people all day long, but if I even look that that little tube going into my own body it just ruins my day.
 

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<div>Originally Posted by <strong>NurseLaurie</strong></div>
<div style="font-style:italic;">WAY TO GO FLORIDA! I hadn't heard that before. What a smart move on their part.<br><br>
luckylady, I don't know if the 'rules' are the same country wide, but in GA (at least in the 5 GA hospitals that I have dealt with) you can opt out on IV fluids, but they require that you allow them to insert an IV line. The reasoning is that they want fast hook-up if you bleed out. HOWEVER, I really wish this wasn't true. Even as a student nurse, I DESPISE having an IV. I can put them in other people all day long, but if I even look that that little tube going into my own body it just ruins my day.</div>
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NurseLaurie...can you explain a bit more about the reasoning behind this? In my experience, it takes them exactly three seconds to insert an IV in your arm/hand. If you're having problems is there really so little notice and do those few seconds really make a difference?
 

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Now, my knowledge is as a student only, but it's all about people who are lawsuit happy. The hospital enforces all of these stipulations to cover their own tails. And, if they knew you didn't want an IV and kept one at your bedside it would take no longer to start the IV than it would to hang a bag of fluids. It is all their attempt to make sure that everything that can be done will be done in the fastest way possible. It's the same with all the freaking C-sections. One late decel on the strip and they are already talking c-section. Most (and I know not all, but most) of these babes could tolerate a vaginal delivery without complication, but because the facility is so scared that the mom could sue if the baby ended up with CP or something they don't take any chances... not even the chances that have favorable outcomes.<br><br>
It's all crap in my opinion. And even though I LOVE mother-baby, it is the reason I will likely not choose it as my career field.
 
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