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SO excited to begin this journey :)

Posted by on Mar. 4, 2013 at 1:35 AM
  • 11 Replies
1 mom liked this

My name is Megan, my husband and I have been married for 4 years - he is 30, I am soon to be 27. We are planning on trying to conceive for our first child within the next few months. We have recently moved to Portland, OR (3 months ago) and have new insurance. We haven't found a preferred care provider yet and I am wondering if anyone has any advice for me. I am seriously considering using a midwife when the time comes - but should I begin my pre-conception care with a PCP or go directly to a midwife or OB for that matter?

by on Mar. 4, 2013 at 1:35 AM
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Replies (1-10):
doulala
by on Mar. 4, 2013 at 1:44 AM

Hi!
It's great to start interviewing both types of practitioners and see what you think.   There are some big differences in these types of practitioners, their care, their philosophies, so it's worth reading up a bit and preparing some questions (I can share some~).

What are your preferences and priorities?
What sort of experience would you like?

mevans13
by on Mar. 4, 2013 at 1:52 AM

Example questions would be wonderful! If I have a healthy pregnancy, I would prefer to go without pitocin and epidural. I work in healthcare and feel like pregnancy is a very natural process and God willing, my body was made for it. My mom used an OB for both my brother and myself and feels differently then I do. I know I have time to think about these decisions, but outside input is great :)

 

doulala
by on Mar. 4, 2013 at 2:04 AM
Quoting mevans13:

Example questions would be wonderful! If I have a healthy pregnancy, I would prefer to go without pitocin and epidural. I work in healthcare and feel like pregnancy is a very natural process and God willing, my body was made for it. My mom used an OB for both my brother and myself and feels differently then I do. I know I have time to think about these decisions, but outside input is great :)


Times have changed since your mom had you, even just since I had mine!   Maternity care is another picture.  (The U.S. cesarean rate is at a record high of 32.9%; in 1970 it was 5.5%.)     If your mom hears how OB practices generally manage labors (and add unnecessary risks to mothers and babies) she might be more supportive of helping you work to avoid management.

It is worth using an OB if needed (true high-risk situations).  When health and safety are the priorities and mom is having a normal-healthy pregnancy, the midwifery model of care yields safer outcomes, service, satisfaction--    If you want to save interventions for a true need then a midwife is probably the better route for you to start with.   

Are you considering a hospital, birth center, or home setting?

Do you work in maternity?






HOW TO FIND A MIDWIFE 
http://www.midwife.org/find.cfm
http://cfmidwifery.org/find/index.aspx
http://birthpartners.com/
http://www.mana.org/memberlist.html 

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?

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?

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?

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?

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?





frndlyfn
by Emerald Member on Mar. 4, 2013 at 2:50 AM

Luckily Portland has some good womens health care set up so for time being see who your insurance will accept and see who fits your philosophy for womens health.

funhappymom
by on Mar. 4, 2013 at 8:53 AM

Definitely check out the Natural Birth & Parenting group. The mamas there are awesome and can help you with deciding on who to chose and give you questions to ask and everything.


jobberwocky
by Chrissy on Mar. 4, 2013 at 9:29 AM
Welcome to the group and congrats on starting your journey to having a baby!
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mevans13
by on Mar. 4, 2013 at 12:56 PM
1 mom liked this
Wow, thanks for the insight!!
NDADanceMom
by on Mar. 4, 2013 at 1:00 PM

what is your plan for pre conception care?  I like my OB but her plan is, if you arent on BC take pre natal vitamins.  Do you think there is something else that needs to be done?

godsgirl26
by ♥Char2theMaine♥ on Mar. 4, 2013 at 1:35 PM


Quoting jobberwocky:

Welcome to the group and congrats on starting your journey to having a baby!


mevans13
by on Mar. 5, 2013 at 12:11 AM

I've been taking prenatal vitamins for quite a while- figure I take vitamins anyway, why not bulk up my storage of essential nutrients? Also, I have been drinking red raspberry leaf tea almost every night for toning the uterus and drinking grapefruit juice to help keep my ovulation regular... does this all help - time will tell :)   I also work in a hospital and walk at least 5 miles a day, if not more.

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