midwife or doctor?

Lindsay - posted on 09/13/2009 ( 42 moms have responded )

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I'm trying to decide whether to go with a midwife or doctor for my next baby. I know I want to give birth in a hospital, in case of an emergency, but I think I'd like to have a midwife there. I did natural chiodbirth with my first son and everything wen really smoothly. Any opinions?

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Monica - posted on 06/02/2013

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I went with an OB. Here are my reasons:
1- all the women on my mothers side miscarried with their first pregnancy
2- I need someone who knows more than just how to give birth in case something happens to me while pregnant or giving birth that is not baby related.

If you were okay doing it before you'll probably be okay with that now

My advice would be to make sure you at least have an OB in case you need them

Charlie - posted on 09/20/2009

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i had a doctor throughout the pregnancy and a midwife at the birth they were fantastic , caring , helpful didnt need my doctor there at all !

[deleted account]

I am using a midwife. I absolutely love my midwife she and her staff are so great. www.thebirthplace.com

MICHELLE - posted on 09/15/2009

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LINDSAY, WHEN I HAD MY DAUGHTER A NURSE MID-WIFE DELIVERED ME. SHE DID AN EXCELLENT JOB; SHE KEPT ME COMFORTABLE, AND TALKED ME THROUGH EVERYTHING- NOT TO SAY THAT A DOCTOR WOULDN'T BUT I HAVE ONLY BEEN DELIVERED BY A NURSE MID-WIFE AND IT WENT VERY SMOOTHLY. GOOD LUCK!

Shawna - posted on 09/15/2009

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I have used both and I have to say the experience with the MidWife was AMAZEING!!! I loved it, I had my first Child with a Dr who I was also pretty close to, but it was still nothing compared to the Midwife! Katy ( my Midwife) and I became great friends! And she totaly respected everything I had to say and wanted!!! She did have to confur with a OB after every visit because I have extremely high risk pregnancies, But I only had to actually "see" him once through the whole pregnancy! In my opinion Midwives are AMAZEING!!!

Sarah - posted on 09/15/2009

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In terms of what's best for you, I'd probably suggest interviewing some midwives and some OBs and then seeing who you are more comfortable with. My OB's practice has a CNM on staff and I saw her throughout my pregnancy with my son. For me, this was a mistake. I thought that she was caring and a good listener and understood my concerns and desires. But when my water broke, I discovered that she actually had no idea. I did not want Pitocin or other interventions early on, but rather wanted to see how my body would handle things...when we got to the hospital, she's already called ahead and ordered Cytotec & Pitocin. Things just went downhill from there. Eventually, we demanded that the OB be called and I had a c-section. I love my OB, and I wish more than anything that I had been with him from the beginning. I feel like my birth experience would have been better overall.

However, I'll say that I'm not anti-midwife in the least. I think that they serve a very good purpose and are a wonderful experience for many many women. You just have to focus, I think, on choosing a GOOD care provider and be careful about getting stuck on what their title is.

Hope - posted on 09/15/2009

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My midwife worked in a Dr.'s office and was wonderful. I did see the Dr. a few times just so I could get to know him just in case. My delivery went great. i did have preterm labor so a midwife that worked with a Dr. was a must. My sister had a very different experience. Her midwife was horrid. She participated in weird howling rituals and stuff.She did not get good care and they let her baby go over due and get too big. Midwives can be great just be careful to get a great one.

Peggy - posted on 09/14/2009

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I went to an obgyn practice that had 2 midwifes and several obgyns. My first child was delivered by the midwife. I really hadn't made a decision, but when I went into labor the midwife was there. She was with me through the whole labor. The doctor was there during the delivery, but the midwife actually delivered him. It was a very positive experience. When the next one came along, unfortunately neither midwife was available and I had to settle for just the doctor. With the first, I knew what was going on the whole time. With the second. the doctor showed up at the zero hour and I almost delivered without a doctor. My advice is midwife in a hospital. There are always doctors there if you really need one.

Sarah - posted on 09/14/2009

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I used a midwife with both of my children. They just seemed to be more attentive and got much more personal with me. My last midwife was awesome. Not intrusive at all. At my appointments we would just chat for like an hour. She was never "on me" about my weight gain and she was just so positive and helpful. I always had so many questions and she never made me feel dumb or feel like I was asking too many. I delivered in a hospital both times.

Cheryl - posted on 09/14/2009

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If you want medications and someone telling you how to care for your newborn, choose a doctor, but if you want to be able to trust your motherly instincts and are brave enough to do without all the meds, go with a midwife. Many midwives will deliver in the hospital and will help you to stand up for your rights, not the doctor's.

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I prefer a midwife but the hard part when I had my son was that there are so many at the practices in this area it is hard to know who will be delivering. I am currently with a midwife for my pregnancy and changed hospitals due to a move which I have loved they have little get togethers with all of the midwives there to get to know each one so I am ready this time no surprise.

Good luck and best wishes with your decision!!!

Teresa - posted on 09/14/2009

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why do you think a midwife would be better than a doctor? I know you don't see your doctor tell the baby is coming so if a midwife says with you that might be nice to help you though the labor pains, and if you doctor can be reached quickly if needed go for it, you would actually still have both.

Amanda - posted on 09/14/2009

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i had a great doctor he was like both a doc and a midwife so understanding and listend to everyting i had said. it was great. you just have to think what ever works for you and , how did your first one go was there any problumbs. but for a hint if you go with a docter pick a older one that is what i do and they always seem to be more careing!! good luck

Angie - posted on 09/14/2009

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I had an amazing midwife with my first pregnancy,although at my 8 month appt she stripped my cervix without really explaining to me what that was --I left to go out of town,ended up in an emergency room having a premature baby by myself. But other than that her care was amazing.My 2nd I had a doctor that was horrible so when I got pregnant for the 3rd and last time I knew I wanted a midwife--couldnt find one ,ended up with an amazing dr that was always available-and did so many sonograms just so I would feel better-I couldnt have asked for a better dr,in the end whatever you decide I would just get references-talk to people who have had the dr or midwife before you decide.

Toni - posted on 09/14/2009

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Quoting Lindsay:Hi Lindsay I think go with a midwife thats what their trained for thats their specialty.

midwife or doctor?

I'm trying to decide whether to go with a midwife or doctor for my next baby. I know I want to give birth in a hospital, in case of an emergency, but I think I'd like to have a midwife there. I did natural chiodbirth with my first son and everything wen really smoothly. Any opinions?


 

Lyndall - posted on 09/14/2009

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I sometimes think I was lucky to have my kids years ago when I had the one ob for all my pregnancies and births. He knew me and my body very well. The middwives at births 3 & 4 were not so good when the ob was not around - one actually slapped my arms because I wanted to put them over my head (I couldn't seem to stop doing it, it just felt so much better it was like an auto thing) and the last ensuring that the doctor missed the actual birth because she didn't believe I was ready to have the baby (like I didn't know what was what by baby no. 4 :-). I'm sure there are good and bad experiences on both sides, but I was very grateful to have continuous care from a single professional who was wonderful.

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Everybody is going to have mixed experiences with both doctors and midwives, I got really lucky and the midwife I had for the most part of my labour was really good, listened to what I told him (yes I know a male was better than a female) and the midwife who was there at the end not so good, ignored me when I said I needed to push, brushing me off syaing she doesn't think I'm ready therfore didn't check, just left the room for another 30 minutes.



If you have the opportunity to speak with the people that will deliver your baby before you actually go into labour, to find out if you agree on how you would like things to go, that will be the only way to know for sure if your second experience will be as good as your first.



I don't think the title matters as much as the personality and integrity. You need to connect with them

Sarah - posted on 09/14/2009

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i was planning to go to uni to study law but after giving birth to my son this january i'm actually planning on going to uni to study midwifery (hopefully).. since midwifes are in demand now and most of the experience i got whilst pregnant was good.

the midwifes at my medical centres antenatal clinc were lovely =]

also if i ever have another child .. i want a home birth with just a midwife present

Sarah - posted on 09/14/2009

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in england you only get consultant led care if your pregnancy is seen as high risk.

most people just get midwives.

i guess if your first birth went smoothly you shouldn't really have any problems this time around.

so i'd go with midwife led care and if theres any problems the midwife would call for a doctor.

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My ob. was great. He didn't insist on anything and was the only one in the hospital (apart from my mother and my husband) who trusted my body. I was induced because I had high blood pressure that wouldn't stabilise with meds (turns out I'd just started labour when he put the gel on though, so the induction just meant I was monitored through the labour) (or I was supposed to be - another thing the midwives stuffed up). The midwives refused to believe I was in labour, sent my mother and partner home (since I wasn't in labour...) and because I got a casual, they didn't know how to turn the heat on in the room or use the entonox machine. My ob had told them I'd probably go into labour that night but since so many people insist that obs don't know anything and don't trust women, they thought he was just pushing for a c-section/epidural. I'm def. going with him next time and not letting the midwives insist they know better than me.



I had a great experience with my ob. - he was totally supportive of my decisions, his staff were lovely and the midwives he works with were great. I just happened to get a bunch of idiots when I went into labour.



I have to say though, the idea that midwives are lovely and wonderful and obstetricians aren't meant I trusted the midwives far more than I should have. People who insist that midwives are ALWAYS great are as mistaken as people who insist every labour needs a surgeon/anaesthetist on hand. I know better now, but I wish I'd gone with my gut rather than thinking the midwives knew better and weren't ignoring what I said.

Ginger - posted on 09/13/2009

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hospitals and doctors dont let your body do the job that all woman's bodies know how to do they want money monday-friday and in their time lines midwifes let you do yhe job and help nomatter how long. my midwife was great and i would never change a thing.

Megan - posted on 09/13/2009

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I would definatly recommend a midwife but you still need to meet a few and interview them and see which seems like a right fit for you. Unfortunatley some midwives in the hospital are little different from the doctors so you do need to get their birth philosophy and ask questions. Most good midwives will treat birth as a wonderful, natural event and not like some medical issue that needs attention. They also give you more of the control on the experience you want rather than dictating how it needs to be. There are less interventions used with good midwives which are better for you and the baby. Of course there are some wonderful natural minded doctors out there too but they unfortunately are harder to find. Midwives are usually more personal, get to know you better and spend a lot more time with you. My appointments were never rushed and they always scheduled at least an hour to devout to me. I found wonderful midwives and my VBAC experience was amazing!

Tammy - posted on 09/13/2009

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i had a midwife for 3 of my deliveries and a doctor for my other two children....Midwife no question. They are the greatest. Had my first son at home with a midwife and my last child at the hospital with the midwife they are wonderful ladies!!

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I had a waterbirth with my son and am planning another one with my daughter. I planned to use a midwife, but I ended up with a doctor and I loved her so much that I'm using her again. So I guess it just depends on the individual and their beliefs and practices rather than their title. I'd shop around : )

Amy - posted on 09/13/2009

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As an 11 year labor and delivery nurse, let me give you a little inside info. Midwifes of today do very little differently from a physician due to the lawsuits involved. I always recommend that you have a doctor for this reason......SHOULD something go wrong, you will have someone you know there and ready to assist. The nurses are your greatest ally so talk at length with the one taking care of you. Ask them if they are willing to work with you for a natural birth. If you find them to be unwilling, you most certainly can ask for another nurse. Then you can assure a great experience.

Charlene - posted on 09/13/2009

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I have gone both ways, I had a doctor with my oldest daughter and a midwife with my youngest. I would have to say the decision would be based on how much involvement you want from your midwife or doctor. The doctor was more rigid on what choices I had and wanted things to go a certain way. The midwife allowed me more freedom in how I wanted the birthing process to go. I went natural with my youngest, I had 4 people in the room with me, my best friend actually "caught" my baby, I waited for a couple of hours for my daughters shots and eye lubrication, I was able to nurse immediately, and her dad was able to give her the first bath. The midwife allowed for a much more relaxed setting and alot more personal involvement instead of having the nursing staff do everything. If I was to ever have any more kids I would always go with the midwife. Best of luck in your choice. I suggest do lots of research on what options you have, birthing plans etc.

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I know a few people that had midwifes that thought it was AWESOME! They loved the intimate relationship they had with their midwife. I personally LOVE doctors and have no issues w/drs and hospitals and all that clinical stuff. Plue I've been w/my ob/gyn for 7 yrs and he was my dr through my pregnancy of my 1st born (unfortunately when I went in labor he was on vacation, darn summer babies :) ) He has assured me he will be in town this time, and he is always on call for the labor of his patients (i've missed appts because he was @ the hosp delivering) I suppose it would be whatever is most comfortable for YOU! Sounds like a certified nurse midwife might be a good option for you?

Sharon - posted on 09/13/2009

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I think that is the best of both worlds.



Midwife care with doctor back up.

Regina - posted on 09/13/2009

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Lindsay,

As a Patient Safety Officer, unfortunately i see everything that can go wrong, that being said, i think you are very wise to have your baby in a hospital. However, midwives can be a great addition to the childbirth experience, just make sure you midwife is certified and has a written agreement with an obstetrician. Good luck!

Regina

Lisa - posted on 09/13/2009

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If you want to deliver in a hospital, in most states you'll need to use a Certified Nurse Midwife (CNM). Basically, a CNM is a registered nurse that has also had midwifery training. I want to do a VBAC this time so I decided to go with a CNM and I couldn't have made a better decision. I have received excellent care and she is very supportive of all of my desires to deliver naturally. Because she is a CNM and not a lay midwife, she does have medical training and knows when she needs to call on the doctor. In addition, the doctors know her and respect her opinions as a fellow medical professional. In my opinion, she is the best of both worlds.

Elizabeth - posted on 09/13/2009

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I loved the 3 midwives I had with my son. I honestly like having them then a doctor I would walk in the office and they knew me by name not just a please sign in and wait the doctor it was "Hi Liz, Kathy will be out in a minute". They were amazing and I still use them for my regular gyn stuff. Everyone is different just interview a few and see the vibe you get.

Kyrsha - posted on 09/13/2009

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I had midwives for both of my children, it was great. They definitely knew what I always needed and were so comforting. it was nice because they were with me throughout my entire pregnancy, it wasn't like a doctor who might not have at the birth. With the doc you get whom ever is there.

Mandy - posted on 09/13/2009

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i went with a doctor. i guess my only thing with a midwife that i was unsure of was did they have to go to as much school as an o.b. doctor...i have had 3 and had doctors with all of them. i had a choice, but i just was more comfortable with a doctor.

Stephanie - posted on 09/13/2009

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I had a dr. and an epidural- which wore off so my son's birth was all natural... had I know what was going to happen before it happened, I would have def. looked into a doula... b/c of my high risk pregnancy... good luck in your decision

Emma - posted on 09/13/2009

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Midwife!

i went through midwifery group practice and loved it. That's where you have one midwife through the whole pregnancy and at the birth. You develop a nice bond with the midwife and it's really very convenient. Less waiting times in the antenatal clinic, and the midwife is on call for you.

Karen - posted on 09/13/2009

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Midwife all the way. I was soooo happy when I switched from my regular family doc to my midwives. The care they provided before, during and after the birth was absolutely amazing. Like Stacey said, the treat pregnancy and birth as a natural process as opposed to a illness - which I really appreciated.

Stacey - posted on 09/13/2009

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With my midwife I have the option of delivering at home or at the hospital. I spent the first few months of my pregnancy with a doctor and then switched to midwifery care. I have loved the overall support, open dialogue and empowerment I have experienced since switching to the midwife. I have found that the distinct difference is that my midwife treats my pregnancy as a natural process that my body is capable of whereas my doctor treated it more as an illness. It has been nice to be able to discuss the emotional aspects of pregnancy with my midwife as well. Of course you may have a doctor that offers this type of support either so its really up to you and which practitioner you feel most comfortable with. My advice is to interview potential midwives and see if you find one you connect with, and same goes for doctors if you can do that.

Hope this helps somewhat :)

Siobhan - posted on 09/13/2009

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Midwives can be wonderful, just make sure they know when to ask for a doctor.....some in my experience, wait to long, and then you run into problems.

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