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What questions should I ask when interviewing a midwife?

I'm going to see a midwife for a consultation at a birthing center tomorrow.

Answer Question
 
Mrs.Roccaforte

Asked by Mrs.Roccaforte at 6:52 PM on Sep. 15, 2009 in Pregnancy

Level 1 (0 Credits)
Answers (8)
  • is she a licensed midwife, or a lay midwife? (depends on the state you're in too), how many years experience/live births? what is considered "routine"- what does the facility offer in way of accommodations? what is her primary focus in preventative care? what "Backup" plan is in place should a medical emergency that the center is not equipped to handle arise? does she work with a physician/is there one on staff (some centers do work this way)? what postpartum care will be provided/will she do home visits? will she assist in a home birth? is a birthing tub available (not in all states)? what support will be offered during labor (not all midwives play an active role in labor support- some have doulas that they work with)? does she do "routine" sonograms? if your pregnancy becomes considered high risk, will you transfer to the Dr. that she works with? lactation support? i could bring up a hunderd others.....
    ObbyDobbie

    Answer by ObbyDobbie at 7:06 PM on Sep. 15, 2009

  • What her game plan is if something goes wrong: ie: when will you be transferred to an OB/hospital? No disrespect intended at all. You just need to know.
    Anonymous

    Answer by Anonymous at 7:07 PM on Sep. 15, 2009

  • Questions to Ask a Midwife
    Experience

    1. What is your general philosophy about pregnancy and birth?
    2. Do you let us do whatever we want during labor? (Food, positions, water, etc.)
    3. What is your education and training as a midwife?
    4. How many years have you been practicing?
    5. Are you a mother yourself? How old are your children now?
    6. How were your babies born?
    7. Do you work alone or with a partner or assistant? If you work with someone, what is their experience?
    8. Do you participate in a local midwife peer review group? How many meetings have you attended in the past year?
    9. How many births have you attended as the primary caregiver?
    10. What is your experience with breech births? How many have you attended?
    11. What is your experience with twins? How many have you attended?
    12. What is your experience with VBACS? How many have you attended?
    doulala

    Answer by doulala at 10:16 PM on Sep. 15, 2009

  • 12.

    Prenatal Care

    1. How many births are you attending now? Do you have a maximum, and how do you manage to avoid too many commitments?
    2. If I am planning a home birth, do you come to my home any time before I go into labor? Do you provide supplies or literature to help us prepare?
    3. How often will I see you? What do your checkups consist of?
    4. What are your guidelines concerning weight gain, nutrition, prenatal vitamins, and exercise? What are your standards for pre-eclampsia?
    5. Do you require that I take a childbirth education class? Do you teach such a class?
    6. Who takes over for you if you go on vacation or get sick?
    doulala

    Answer by doulala at 10:16 PM on Sep. 15, 2009

  • (*You are talking with a midwife, but may want to know about her OB-hospital related info, too)

    6.

    Hospital and Obstetrician

    1. Do you attend births in a birthing center, home or hospital?
    2. How do you handle emergencies? Under what circumstances would you transfer?
    3. What is your transfer rate?
    4. Would you stay with me in the hospital?
    5. Do you require that I see a physician during my pregnancy even if everything is all right?
    6. Do you have guidelines or restrictions about who can give birth at home?
    7. Under what circumstances do you induce labor with pitocin?
    8. What is your protocol to induce labor naturally?
    9. What is your c-section rate?
    10. What is your episitomy rate?
    doulala

    Answer by doulala at 10:17 PM on Sep. 15, 2009

  • 10.

    General Labor

    1. What kind of equipment do you bring to a birth?
    2. Are you permitted to administer any drugs during labor?
    3. How many people are allowed to be around?
    4. When should I call you after my labor begins?
    5. Do you wait until the cord has stopped pulsating before it gets cut?
    6. Will you allow my partner to be as active at the birth as he desires?
    7. How much time do you allow for the delivery of the placenta?
    doulala

    Answer by doulala at 10:17 PM on Sep. 15, 2009

  • 7.

    Financial Matters

    1. What are your fees and what do they include?
    2. Can you submit your charges to my insurance company?
    3. What payment arrangements do you make?

    The Baby

    1. Have you ever had to resuscitate a baby?
    2. Do you examine the baby after birth?
    3. Do you give eyedrops or shots to the baby?
    4. Do you have a pediatrician you work with or recommend?
    5. Will you help me with breastfeeding?
    6. How do you feel about circumcision?
    7. How often do you come to see me after I give birth?
    8. Do you provide or know of anyone who will help new mothers after birth?
    doulala

    Answer by doulala at 10:18 PM on Sep. 15, 2009

  • i don't know why that last number continued on the following reply...
    Anyway~ there are some good questions to start with.
    I have a lot of info and am always happy to help!


    (*I birthed my 2 at a birth center, wonderful! waterbirths!!)
    Good luck to you!
    doulala

    Answer by doulala at 10:20 PM on Sep. 15, 2009

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