Midwife vs. Doctor

Danielle - posted on 06/02/2011 ( 73 moms have responded )

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Hello Ladies,

I am just wondering how many have gone through Midwifery instead of a Doctor.

My husband and I are expecting again, due in January, and we have an appointment for an introductory consultation with a Midwife on June 8th.

I really want to go through a midwife for this pregnancy because I really want to have a drug free delivery...with as little medical intervention as possible.

With my first birth, we ended up having an emergency cesarean after we discovered that my son was breech and had passed a stool.

Long story short, we had a horrible experience.



I am looking for opinions of the pro's and cons of proceeding with Doctor care vs. Midwifery. I am also wondering if you had bad experiences with either.



The Midwifery in my area is always very busy as well, so they can not take all of the applicants. Do you know what they will be looking for when they review the applicants?



I am a little worried. It has taken us around 2 years to conceive after our first child. We know we only want two children so this is our only chance to have a natural delivery.

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Jenny - posted on 06/02/2011

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I had a hospital birth with doctors and two subsequent home births with midwives attending. I am currently planning another home birth. I am so grateful hospitals are available for me to transfer to in the event of an emergency. I trust my midwife to make that call if it is needed....but I really do believe that an attitude that birth is normal and our bodies are capable makes a huge difference in outcomes and satisfaction. My healthy eight year old did have meconium present when his water broke and the midwife just suctioned him while only his head was out...before he took a breath...midwives come with many tools.
Three suggestions:
Read Ina May Gaskin Spiritual Midwifery
Check out mothering dot community forums there are many like minded experienced women there.
If you end up choosing hospital care, hire a doula to support your labor. It's a lovely way to get some of the best of both worlds.
Blessings on your birth,
Jenny

[deleted account]

I seriously recommend reading "Ina Mae's Guide To Childbirth"!! Also if you'd like to, add "Birthing From Within". I read both before my 2nd birth (1st was c-sec) & was so happy I did. I don't like to hear "if there are complications what can a midwife do but call a doctor?" because I believe a mw can & will do more than a doctor is WILLING to do before he just sections you. Most important is to find a midwife with experience.
Now with my attempt at VBAC, I started out in a birth center laboring in a whirl pool, with midwives & a doula. Ended in the hospital w/ a c-sec. My midwives & I decided TOGETHER when to make the call to transport me. I was in active labor for about 6 hrs with no progression past 5cm, & baby had turned sideways. 2 of those hrs were hard back labor. After trying different positions to turn baby, my midwives offered to turn her manually if I wanted. I knew that even if they did....WOULD I get to 10 cm? Did I even have it in me to TRY? I was exhausted! We made the call then to transport. The docs were actually AWESOME & allowed my mw to check my cervix again to make sure they got the same #. (many docs just take over & don't want to consult with your mw:( ) They also gave me a chance to dilate after the epidural, to try & avoid the c-sec. Just didn't happen.

Angela - posted on 06/03/2011

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As I've been reading some of the posts below, I was blessed. There was one, however, that seemed to have a bad experience. I am sorry for her, but I really do not believe that is the norm. I think it may depend a lot on the midwife. Shop carefully, and not just by price or certification. I have had two different midwives in the four deliveries I've gone through, and the first was a certified midwife, etc., etc. She was much more quick to transport than the other because she lacked experience and was afraid of the liability. She was sweet and caring, but just lacked the experience. The second had twenty-nine years experience, though she wasn't certified. I would choose experience over certification any day. There would be several other things I'd look for: are they all natural, or will they transport in an emergency? How do they feel about inducing labor? How quick are they to transport? I felt that my midwife was very reasonable. There were position issues with two of mine, and the midwife knew just what to do to keep labor moving, without bringing it to emergency status. But had it gotten to an emergency, she wouldn't have hesitated to transport. She had good back-up doctors (their trust in her also boosted my confidence), and I could rely on her knowledge. She would induce if continued pregnancy was a risk factor to baby or mother (I had trouble with hypertension), and she was very good at guiding me to a healthy diet during my pregnancy to help control morning sickness, hypertension, and weight gain. My midwife is a highly competent woman, a mother of eight, and willing to not only tackle breech babies, but also VBAC, and many other complications. She was so experienced, and knowledgeable that my mind could rest at ease when she was there (one of my births was so fast, that she didn't make it!). And, unlike one person's experience, she was very careful to abide by my wishes about procedures to be done before, during, and after labor. I know there are definitely cases where a hospital birth is recommended, but as long as I'm able, it is home birth for me!

[deleted account]

I LOVED my midwife!

I had been seen by a male doctor for years...One time probably a year before I got pregnant...I got sick. The man never told me WHAT it was that I was sick with...but I was sick. Passing blood for like three weeks, throwing up...I was SICK. (I am sorry I can't tell you what my sick was called...the man never bothered telling me WHAT I had.)

He put me on antibiotics and I started throwing them up. I called his office after about four or five days of throwing up EVERY antibiotic..and he barked at me. "If the pills make you sick then just stop taking them."

What? How are you going to SAY that to someone? Don't take the antibiotics I BOTHERED writing a script for? Like...so....I didn't NEED them when you wrote the script five days ago...or....they make me throw up...so...it's easier to just...'be sick'? I was very angry at that man...I feel like he let me DOWN.

So I changed OB/GYN. I went to a MIDWIFE.

I've never been so happy!

In the past, my MALE doctor would say, "Oh that's normal, don't worry about it."

Where my MIDWIFE would say......."That is caused from the baby sitting on your bladder. If you will get on the floor like this...(and she crawls down on the floor) You can MOVE the baby a little bit...by rocking this way.

No MAN ever got on his knees in the floor of his office to SHOW me how to move the baby...He's never BEEN pregnant..he doesn't know a DANG thing about what I FEEL. A woman can.

I fell like my midwives slowed down and EXPLAINED things to me...so I could understand WHY my feet are as big as volkswagons....and how to STOP that from happening.

I really loved my midwife.

She listened to my birth plan..and she followed through with my wishes.

My midwife uses the birthing suites at the local hospital in town. She delivered my son with no doctor's assistance.

BUT........

She does work side by side WITH a OB/GYN surgeon. If something HAD gone wrong with my birth...all she had to do was go to our door and yell into the hallway and a surgeon could have been in the room. I was just seconds away from the operating room...and could have been in for a C section immediately..had something gone wrong.

By the grace of God...nothing went wrong with my birth.



I did watch Business of Being Born...it was a serious factor in helping me decide to have my son with a midwife instead.

It was cheaper....$4,000 instead of $30,000.

It was safer...

I was more comfortable...

I got more education and advice from the female midwife.

I got a TON more compassion from my midwife.

My wishes were respected by my midwife.

I healed faster after a natural birth.

I had a healthy birth. A surgeon's assistance would have been time and money wasted.

My midwife has breastfed four of her own children..she knew how to help us get started, before his little bottom had even been wiped or diapered.

Rae - posted on 06/03/2011

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I am a midwife so I'm a little biased! I'm in Australia; here maternity care is predominantly done by midwives and doctors only intervene when the situation calls for it. A very small number of women opt for a private OB, but in terms of the education and scope of practice of each field midwives are trained in and are recognised as the most appropriate care providers for the 80-90% of pregnancies and births that are not medically complicated whereas OBs are trained in the 10-20% that have complicating factors.
Based on research, VBACs are more likely to succeed when a woman is attended by a midwife for labour care. Because OBs are trained specifically for complications, they tend to see worst case scenarios and risks out of proportion to the actual incidence, which causes them to overreact and intervene unneccessarily for some women without complications.
VBACs are proven to be quite safe; the risks are very minute and are actually comparable with the risks of a repeat caesarean, but make sure you know every angle before deciding on caregiver and mode of delivery. Whatever you decide, as long as your decision is well informed and you have weighed the information yourself without pressure, the decision will be the one that is right for you.
All the best!

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Danielle - posted on 06/09/2011

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Thank you all for your suggestions and encouragment.

Unfortunatly, I am currently having a miscarriage so this advice is no longer needed (at least in my case).

Thank you all for your time.

Jenny - posted on 06/09/2011

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You can deliver without drugs with a doc too and then there is a medical team on standby if you have probs like your last birth. I had three natural births in the hospital, no drugs and no epidural. My first and last were premi's, my water broke on all three but it was a good thing there was a doc. there. In my first birth I tore internally also and on my last the baby had the umbilical cord wrapped around her neck twice. Quick access to a medical team really is smart. After writing all that all my kids are healthy and thriving at 21, 19 and 15. There are hospitals that let you do things naturally with help on standby. I hope you have an easy and healthy delivery.

Donna - posted on 06/07/2011

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i've had a bad experience witha a doctor co i had a midwife with both of my children and wouldn't have it any other way. with my first child i had my ob / doctor appt and she told me i was going to have an epidual cause once i get into labor i will want one and i will have to sign a paper before i go into labor about having an epidural. so then that's when i went to midwife. oh how i love them. they go above and beyond their call of duty. i didn't have any painkillers with either of my kids and both were born in a birthing cernters by midwifes

Jennifer - posted on 06/06/2011

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I had a doctor for my first delivery and a midwife for my second. I would say that that midwife was 100% better, in my situation. I was able to go naturally with both children, but the experience with the second one was better. The midwife was with me for all of active labor, whereas the doctor only showed up to "catch" the baby. She also had all the confidence in the world that I could do it, but I felt the doctor was the opposite - he just wanted an opportunity to jump in and save the day with any intervention, but I wasn't willing to take them.

I also had a waterbirth with the midwife, which I would recommend, if you have the option - it was so much more relaxed.

Good luck and best wishes with whatever you choose!

Marley - posted on 06/05/2011

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For the greatest information on having and rearing children, read these books ASAP:http://www.ringingcedars.com/ You will not find ANYTHING like it ANYWHERE on planet Earth! I had my own children with midwives and they were awesome...but there is one person who is even better than a midwife ...to find out who this person is, read the books! ;-) Blessings.

[deleted account]

A good homebirth midwife is very capable of handling a HBAC. The key is having a modwife with the experience to know when a birth is outside of normal and will transfer if needed. As stated earlier, chances of rupture in a non augmented labor are very very low. Chances of complications are much higher in a high intervention hospital birth. It is all about being an educated consumer and picking a compatable care provider.

Shelly - posted on 06/05/2011

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I used a Midwife and wouldn't do it any other way! I loved her! I would NOT use a home midwife though, It's very important, especially since you are doing a VBAC to use a RN Midwife at a hospital. I'm a PICU/NICU RN and speaking from experience. :) Good luck and how fun!

[deleted account]

Totally, Heather. Not all docs jump to section you, & not all midwives are good! For me, the midwives at the birth center FAR surpassed the MWs at the hospital for my 1st child. They explained SO much to me & made sure I understood everything every time. They definitely felt more like a friend than a doctor/caregiver :) And kudos to the docs at the hospital for my 2nd birth for giving me the chance to progress before going ahead w/ a c-sec!

Ez - posted on 06/05/2011

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If you want a natural, low-intervention birth, go with a midwife. Don't let people scare you about it being a VBAC. The risk of uterine rupture in a natural (Pitocin will increase the risks significantly) VBAC is 0.5%, and only a portion of those are catastrophic. There is more chance of a woman having a debilitating, long-term reaction to an epidural than a rupture.



The reasons for your first c/s were random and unlikely to repeat (unlike failure to progress, or failure to descend). Providing you have a classical scar (and not an inverted T incision), a midwife is more than equipped to guide you through your pregnancy and attend your birth.



I am Australian, and most low risk pregnancies are attended by midwives here. I was under the care of a team of midwives (working in a birth centre attached to a hospital) until 28 weeks. I was then risked out (suspected macrosomia in a primip = automatic high risk apparantly) and started seeing an OB. The OB was great during my prenatal visits, but I got the on-call doc for my birth and he was an asshole. I would never choose an OB over a midwife in the absence of complications.

Heather - posted on 06/05/2011

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I just have 1 more thing to say. I keep reading about how "Dr.s just jump into c-sections" & "won't let you make decisions or explain things". Just as someone said about my experience with midwifery was "not like ALL midwifes", I can say not ALL docs are like that either. I have worked in OB/GYN for years & we always answered any questions, set up birthing plans & classes & treated our pts with respect. (I worked in several clinics as I was a float & they all were like this.) Also, when I had my c-section with my son, once the dang midwife called a Dr. (after 3 days of labor & about 16 hrs of "active labor"), even tho I was only dilated to 8cm, he had me try to push 1st. He gave me 3 pushes, & due to my son's distress would not allow more. We discovered my bones are built wrong for delivery & my son would never have made it out naturally. But he did TRY to help me have a natural birth first, he did NOT jump right to c-section & this doc didn't even know me. I had never met him before, having just worked with the midwife throughout my pregnancy. I think he was an excellent Dr. who saved my son's life! They do not ALL jump to c-section, just as not ALL midwives allow labor for 3 days & a allow a child to nearly die. Also, maybe I was with a bad group of midwives (& I went to 2 diff groups cause I had to switch at 7 months due to my ins being changed), but I never thought any of them "were with me all the way" or "took the time to explain" anything... In fact, 1 even told me I was "killing my baby" when I asked her to help control the sugar levels with gliburide because diet wasn't working. It was weird, if I went to McDonald's & got fries, spicy chicken sandwich & diet coke, my sugar was perfect, but if I ate exactly what the example diet was I was high. My body wouldn't control the sugar & I asked her what more I could do & could she help me & she said "You are killing your baby by making his liver work too hard to process all that sugar!" WTH????

Angelica - posted on 06/04/2011

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Well I had a midwife who practiced out of a hospital . And when it came down to giving birth she tried to control the situation but my birth was soo long and the baby was sunny side up and wouldn't budge so I had a csection.....not happy. But my second I opted to go with a doctor that promoted having a vbac and she supported me and tho I didn't go all natural because I felt as if I might have another csec. Might as well ease my pain. I ended up vaginaly delivering. The support and control of my doc. Was a huge diffrence. Tho I love midwives and support them I think u should find a doc that supports your desire to deliver vaginally and with out drugs. And maybe find a doula to help.

Angelica - posted on 06/04/2011

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Well I had a midwife who practiced out of a hospital . And when it came down to giving birth she tried to control the situation but my birth was soo long and the baby was sunny side up and wouldn't budge so I had a csection.....not happy. But my second I opted to go with a doctor that promoted having a vbac and she supported me and tho I didn't go all natural because I felt as if I might have another csec. Might as well ease my pain. I ended up vaginaly delivering. The support and control of my doc. Was a huge diffrence. Tho I love midwives and support them I think u should find a doc that supports your desire to deliver vaginally and with out drugs. And maybe find a doula to help.

Patrice - posted on 06/04/2011

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Congrats on being pregnant with second child. I sorry the first one didn't come to the world as you envisioned, but (given it wasn't mentioned in your question), I would assume the first child is healthy with no issues. It is hard to answer your question because everyone is different. Me being a mother of one only cared about my daughter being born alive with 10 fingers and 10 toes. If I had to get cut doing that (which I didn't have to do), it would have been fine and well...just so long as the baby is not hurt. I respect your desire to have a "nature birth" with little or no drugs....to each its own..I think more babies have survived now in this decade and age to due medical expertise and drugs than back in day when different drugs and medical knowledge hadn't yet been discovered or utilized. I am not knocking midwifes...but if something were to happen during the delivery like that which happened during your first one...what could a midwife do but call a doctor or call an ambulance to take you to a hospital.. Idk...seems like you could have saved yourself the trouble and just gone to the hospital to begin with and expressed your wishes to a trained ob/gyn who is knows what to do should something unpredictable occur. As far as horrible experience is concerned...you can't predict that. I can think of worse things that could occur with a midwife than with a trained physician in a hospital and vice versa.

Stacey - posted on 06/04/2011

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It is likely that you will only have a trial of labour as you have a previous C/S and therefore uterine scar.. You will need some medical management and have an increased risk of repeat C/S

Nichele - posted on 06/03/2011

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I agree with Brittany G. in that you can have bad expiriences with both doctors and midwives... I had a midwife with both my children and had little to no problems and I continue to see her for all my yearly visits. You just need to find someone you connect with. I think that helps you build a good repoire with whoever you choose. My midwife and I get along great but I also get along with the doctor she works with. Go into your interview knowing what you are looking for and get a feel for that person. One question you should ask is what hospital they use. Not all midwives/doctors can use all the hospitals in your area.

Lady Heather - posted on 06/03/2011

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I love my midwife. I'm in BC, Canada and here we can have hospital or home births with the midwives. I ended up needing more intervention than I wanted simply because I have an abnormal uterus, but my midwife definitely helped make sure it was kept to a minimum and she even made sure I had consultation with an obstetrician and got extra care to check on my baby's growth. I certainly never felt like myself or my baby was in danger. At the same time, you have to be realistic. I could have said no to every intervention (I was hooked up a fetal monitor and had to have an episiotomy because of placental insufficiency), but then I'd have given birth to a dead baby. Having a midwife who goes as natural as is possible for each particular birthing scenario was definitely the right way to go for me. Very happy to be seeing her again this time!

My sister also had a midwife and she didn't really care for her. She said she found her irritating during the birth and she had a quick, textbook 4 hour labour. Must have been one annoying lady.

Mrs. - posted on 06/03/2011

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Do both. If you live in Canada, they go hand and hand. That way, if something happens that is beyond the MW's expertise...they can help you out.

Do your research, weigh the risks with your doc, try not to let the fear of the first experience override the safety of the second and trust your instincts.

April - posted on 06/03/2011

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Hi,
With my first baby I used a midwife. I LOVED everything about it, except at 37 weeks they discovered my baby was breech and I had to go have a c section in a hospital. I hated the C Section but im thankful i was able to have it. The midwives caught the breech complication immediately and referred me to a dr that works with midwives and isnt opposed to a more natural approach.
I am now 18 weeks pregnant with my second and Ive explored my options again, obviously wanting to go with a VBAC... and I have to say, i would recommend going to a hospital. There is a slight chance that something can go wrong during any birth, but more so during a VBAC. Your incision can rupture and while its very rare, if it happens the OR needs to be ready to give you a c section and get the baby out within minutes. I am all for a natural approach and I think its important to find doctors that do not impose their beliefs on you, but i do think it is the safest option to have a VBAC in the hospital. Also, every midwife that I have spoken with would not let me do a VBAC out of the hospital.
Good luck. I know hospitals are scary.

Linda - posted on 06/03/2011

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I had a doctor for my first two children, and a midwife for my last two. I much prefered the midwife. She was there for the whole labor and was really very helpful. The doctor barely came in at the last moment to catch the baby. Also, I had my baby in the hospital with the midwife...so if there had been any complications, we were right there. I did actually hemorhage after my 3rd was born, but the midwife was able to stop it immediately.

[deleted account]

I had a VBa2C 16 months ago. Regardless of whether you choose Dr. or midwife, the best chance you have of having the birth you want is to be an educated consumer. Take an out of hospital birth class such as Bradley Method, Hypnobirthing, Hypnobabies, or birthing from within. I was so glad have taken a bradley class this time around. Also having a doula is so important. They cannot tell the health care providers what to do, but they are an extra set of eyes and ears in the room and they can help you to advocate for yourself and for your partner to advocate for you as well. There are good midwives and dr. they all vary so much. Ask a lot of questions about how they will manage (or not manage) your vbac. Take some time to check out the International Ceasearan awareness network (ICAN) They offer some great info to help you be successful. Good luck. and the vbac planning is so worth it!! (I did get a low intervention drug free birth. )

Stifler's - posted on 06/03/2011

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Midwife. I had no doctor present at my first sons birth and no pressure to get induced or have random scans. The obstetrician scared teh fuck out of me with him "oh do you feel bigger with this one" and all this so I got a scan then I was induced, foetal distress... blah blah emergency caesar. With the first one I had a natural birth and didn't get induced or scared the shit out of. I demanded drugs both times though especially the second time after how painful natural birth was.

Christi - posted on 06/03/2011

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I had a hospital birth with midwife my first (still had drugs -long story...) and a home birth with midwives for my second, who is now 7 months old. I think the experience depends on the midwife involved. The hospital based midwives were not nearly as attentive as I had expected during labor (barely saw her during 23 hours of labor) and mistakes were made. My home birth midwives were at my side from start to finish and my prenatal and post delivery care from them were also incredibly attentive. If your pregnancy is not high risk, I recommend this route.

Krystle - posted on 06/03/2011

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I had a midwife and a wonderful home birth. I think that nature should be allowed to play it's part more than how much doctors step in. However, a VBAC is still controversal: some doctors and midwives believe in them, some don't.



If I were you, I'd see what options were available:

- Maybe a midwife can deliver at the hospital (they can do that where I live)

- Maybe you can find a doctor who agrees with you.

??



Even if you can't get a midwife, I would suggest you hire a doula that has the same values as you do. You will have a much better birth experience if you know someone else is on your side who can stick up for you to the doctor when you can't! :)



Good luck!

Charlieandpearl - posted on 06/03/2011

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Your chances of having a natural birth is much higher with a midwife. I have 3 kids. My first was born in the hospital with a doctor, my second born in the hospital with a midwife, and my third born at home and the midwife did not get there in time. My experiences were better with my midwives. They spend more time with you and they will make any medical decisions based on you and not the vast majority. They are more willing to let you labor and deliver in different positions which are most helpful. If you really are striving for a natural birth you really should go with a midwife. I hope that you get a wonderful birth experience. I know that I did with my last son and it will stay with my husband and I forever! Good luck!!

Elizabeth - posted on 06/03/2011

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You should be able to have a natural delivery whether you use a midwife or doctor. That's your decision not the doctor's. Unless the is a problem. It also depends on how the c-section was done. The doctor or midwife can look at the c-section scar and tell you if you have to have another c-section or if you can still deliver naturally. Then if there is another problem when you go into labor it won't mater if you have a midwife or a reg. doctor. You will still have a c-section if it is necessary. If there is an emergency they will do what's best for you and the baby. All midwifes are under the direction of a doctor anyway. It's like the difference between a doctor and a nurse practitioner. But whether it is a natural birth or not is your call as long there is no medical reason for otherwise. And it doesn't mater if you use a midwife or doctor. Both can do the same thing. Just the doctor steps in if things get out of hand. I've had both with my four. My first two was with a midwife. I had a natural birth with both one with drugs and one without. (Without was not my choice. I had him in an hour and a half. There was no time for any.) My third and fourth was a c-section. My third because he was 12 pounds. My fourth because she wasn't completely in the birth canal and the contractions were hurting her. (She had been breach and was turned before I had her. OUCH!)

Heather - posted on 06/03/2011

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I went with midwifery & all I cansay is I would NEVER do that again. Hey induced my labor because I was full term with gestational diabetes, let me have such bad labor that I was vomiting & spraying blood (cause they broke my water) for 3 days & then I ended up with an emergency c-seaction anyway when baby's heart rate dropped to 22. They weren't good at helping with controllin the diabetes, no matter how well I followed the diet, my sugar was still high & they wouldn't put me on gliburide. It was just horrid! I've had friends who said it was a great experience, but I think it just depends on each individual pregnancy. At least with a Dr., you can specify everything you want for your delivery & they will follow it unless there is a complication that would be dangerous to you or your baby. The midwives I was going through weee SO deadset on everything being natural that it almost cost my son's life!

Elfrieda - posted on 06/03/2011

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I think you should try to get in with the midwives. Even if you risk out of their care, once you're in, they will stay with you through all of labour and delivery, even if it goes to the care of a doctor and they end up just being more of a support than anything else. But certain midwive groups are associated with certain hospitals, meaning you have to go to a hospital where they already have a relationship. Just give them a call and find out what's what! Congratulations on your new baby. :) Hope it all works out for you to have a VBAC.

Brenda - posted on 06/03/2011

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You can still have a natural delivery with a normal doc. I did even 30 years ago. My daughter had a drug free delivery just 5 years ago. You do not have to have drugs. You can decline them. If you had issues the last time, I would reconsider this option.

Brenda - posted on 06/03/2011

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I would be careful. Midwives are good but my daughter was going to one and it was months before a huge problem was discovered. This caused her to have to have premature emergency c-section at 32 weeks. Not saying that midwives are bad but they don't always catch all the issues a doc might catch.

Vicki - posted on 06/03/2011

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I used a midwife and a doctor. Probably the best of both worlds. Because of the complications of the first birht you might want to do what I did, find a NP/Midwife who is affiliated with a hospital and colaborates with a doctor, that way if something should go wrong you have the backup plan. Natual child birth with no drugs is very painful, but worth it.

[deleted account]

Oh yeah I forgot to add the stipulations for midwives too! Type of incision, where your placenta is attached, anemia, gestational diabetes & things like that will be factors in whether they will take you.

Lisa - posted on 06/03/2011

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I have had 2 children in a hospital with doctors. The same dr. delivered both my kids. My first wound up in the NICU (she has had many ongoing issues due to a chromosomedeletion.) There were no issues with the second.My dr.

~♥Little Miss - posted on 06/03/2011

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OOoohhhh. I forgot to say, you do need to be checked out by a midwife or a doctor first, have your records checked also for the kind of c section it was, to make sure you are a candidate for a VBAC. Certain reasons, like the way your uterus was cut, may make you ineligible for a VBAC. First, get cleared by someone for that also.

Pam - posted on 06/03/2011

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First four deliveries were with my family doctor....all went well, number five was with a midwife at the hospital, was an awesome experience. She was just so gentle and loving versus matter of fact, get in and get it done doctor. All five were natural drug free deliveries. My daughter had two midwife births, first with the same one I used, the second was an at home water birth and all went very well. Just trust your instincts....

Janel - posted on 06/03/2011

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I had my first by a midwife at home. It was a much gentler birth than the next which was an emergency c-section. For my first I was about 1 mile from a hospital, so I had that in my back pocket in case it was needed. The second I lived in the hills in Oregon...I chose the hospital. I had a great Dr who was anti drug, and it was quiet & calm. That was important to me. But mostly I wanted a healthy baby. As it turned out he was in a way tricky position and had to be a c section. You want it to be the least traumatic for everyone. It's a personal decision for your and your husband - I recommend silent and calm regardless of the method.

~♥Little Miss - posted on 06/03/2011

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Danielle how I delt with it, I called all the local labor and delivery units in each hospital. I talked directly to the nurses about current VBAC policies for their hospital, and asked if they had any midwives affiliated with that hospital. Then I called up all the recommended midwives and dictors and had a phone interview with them.

[deleted account]

1st baby was C-sec, hospital start to finish. I was much more knowledgeable the 2nd time, went with midwives in a birthing center for a VBAC. I labored in a tub, baby turned sideways, had back labor for 2 hrs with no progression past 5cm (water had broken about 12 hrs earlier). Ended up in hospital w/ another c-sec, much to my dismay. Midwives were WAY better than docs before, they even stayed with me through admitting & answered all those dumb questions for me with medical responses ;-P If you'd like more details, please feel free to message me :)

Danielle - posted on 06/03/2011

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Thank you all for your advice.

For those who ask... we are in Canada.

I am hoping because it's been over three years since my previous c-section that they will be more lenient over the birthing process for this second child.

I really, really don't want to have another c-section if it isn't warranted.
Does anyone have any experience with VBAC?

~♥Little Miss - posted on 06/03/2011

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kathy, in the US, VBACS are high risk, and are typically done in a hospital. Some states will not do VBACS any longer, but don't be fooled, it is not so much about complications for mother and child, but more for insurance prices getting hiked up in hospitals. There are high complications for elective c sections also.

Allie - posted on 06/03/2011

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VBACs have a whole slew of additional risks. I think the key is a doctor or a midwife with experience in this area. I had a successful VBAC and owe it all too my docs. I don't know much about midwifery, but my husband and I were very nervous b/c of complications we had before so we went the doc route. I don't know where you are located but would highly recommend checking out Village OB's website. They are in NYC and Dr. Mussalli and Dr. Worth are exceptional when it comes to minimally invasive obstetrics. You may be able to find a similar option where you are. My concern with a midwife was biased b/c of a friend's experience. She went that route and then ended up with an emergency c-section in a hospital with a doctor she didn't know. Now pregnant the second time she is with my doctor who expressed concern that the first c-section may have been avoidable, but the key is a doctor who respects your beliefs and is willing to help you achieve the birth you want while making sure both you and your baby are safe.

Lauren - posted on 06/03/2011

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I wanted THE BEST for my baby and my health during labor. After watching The Business of Being Born and reading The Thinking Woman's Guide to Childbirth, I knew I had to go natural. That meant being taken care of by someone who KNOWS the birth process AND how to take care of newborns. That's a midwife! Doctors are trained in surgery NOT how to take care of a pregnant woman or how to help her go through a healthy, natural birth. This explains the C section rate that has sky rocketed- doctors also put babies and women in danger with inductions and epidurals. There are reasons why we are supposed to feel pain in labor physiologically. I went to The Farm Midwifery Center and had the best, most beautiful birth there. I would do it again in a heartbeat. All women giving birth need to knows their options and birthing out of a hospital with a midwife or RN midwife is the safest way to go if you are not a high risk pregnancy.

Kathy - posted on 06/03/2011

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My husband has delivered babies for 36 years. These days it is unlikely that anyone would do a vaginal delivery after a c-section. While many women have had good experiences with mid-wives, a competent one will shy away from a v-back. Occasionally a midwife will not recognize a complication. One time an elbow tried to come out first and it was fatal for the baby and nearly for the Mom when she was finally brought in. It was a heartbreak for all.

~♥Little Miss - posted on 06/03/2011

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Danielle, where are you from???? Some places in the USA are banning VBACS, do your research if you are in America.

~♥Little Miss - posted on 06/03/2011

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I had a VBAC in April with a midwife. My first deliver also was a c-section, with a doctor, so this time around I did it differently. I found a clinic of midwives that was also run with a doctor, delivered completely natural...NO intervention or drugs. It was a night and day experience. I would think you would need a Doctor run midwifery also beings that you are a VBAC and at a higher risk for complications.

Holly - posted on 06/03/2011

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I'm from Alberta Canada and with my first son I went to a midwife and had a great experience. I had to be transfered to an OB during delivery because he was pre term. I went to a midwife again with my second and still had a really great experence. I think they spend more time with you and give you more info. As well they only do low risk births here so you can't use one after a c-section. They may have some info for you in finding a good OB that does natural birth after c-section.

Camy - posted on 06/03/2011

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and another thing to add to my earlier post. i had problems with my mother-in-law when it came to the birthing center. she wanted to be in the room when i delivered and i didnt feel comfortable being around her. 8 months pregnant she pretty much cornered me and wanted to know why i didnt want her in the room when i delivered. at the baby shower her and a couple other people ganged up on me about the "risks" of having a baby in a birthing center. i am very hard headed and knew i could have my daughter in the birthing center. the midwifes understand where my concern was when it came to being around my mil when it came to delivering. the midwife would have, if she needed to, told my mil to leave if she saw that i was under stress being around mil. the 6 wk check up after the birth she told me that she saw the tension between me and mil. they will stand up for you and take your side on whatever you have decided. they stay by your side through everything. you can move freely, eat whatever you want. i walked around the college thats across the street from the birthing center when i was in labor.

Ann Marie - posted on 06/03/2011

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I had an O/B for my first baby and a Midwife for my second. Our midwife group was able to deliver in the hospital. I wanted that hospital "back-up" because our first daughter was a preemie and our second daughter had a few risk factors.



My O/B was OK, but she hardly spent any time with us. She was also skeptical that we'd be able to have a drug-free birth, and surprised when we did just fine. She also showed up at the hospital 45 minutes AFTER I got to 10 cm and wanted to push, which was awful.



I preferred the midwives. They were all extremely experienced certified nurse midwives with thousands of deliveries under their belts. They spent much more time with us than the doctor ever did, whether that was for prenatal care, delivery, or follow-up care. Also, the midwives were very supportive of us wanting to have a low-intervention birth (Bradley method), and they knew all of the tricks to help me feel more comfortable and to help with pushing out a big baby. I had to meet with all of the midwives for my prenatal visits, but once I was admitted to the hospital to deliver my daughter, the same midwife stayed with me the whole way.



Also, I almost forgot to mention that my second baby didn't need the hospital back-up, but I did! I ended up with a postpartum hemorrhage and needed medical intervention to stop that. So I was glad to already be in the hospital.



Do look around to see if there's a midwifery group around you with hospital rights, if that interests you. We did it in the U.S., at the University of North Carolina - Chapel Hill Women's Hospital.

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