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Has anyone ever used a midwife? Care to Share?


Posted: Jan 5, 2010

Just found out my daughter is pregnant (her second).  The first experience was so bad for her.  Hypoxemia, induction gone wrong, emergency C-section, anesthesiologist actually threatening her, and the baby had jaundice at a dangerous level that no one even noticed until I made them test him (he went home with a light vest and home health nurse), all of which was reported to the hospital administrator and so on.  Bad memories.

She really wants this time to be different.  She has an appointment with a midwife in a couple of weeks.  Now, I have not given birth in 30 years (old way - vaginally with a doctor) and I do not know much about this process with a midwife.  I am afraid that any reviews on their website may be biased or simply fake. 

Have any of you had experience with a midwife?  If you could enlighten me I would appreciate it.  I am a worried Mama and Nana.

;

delivery with midwife - ejt

[ In Reply To ..]
I had my youngest daughter 26 years ago with a midwife in a hospital. I have a very high regard for them. I have a friend who has 9 children. 8 of which were born at home with a midwife. The one I had was a Bible believer stayed with me the whole time and quoted Bible verses to me. I would recommend midwives very highly.

midwife - chelle

[ In Reply To ..]
I had the same midwife with both of my children. My son was a 28 hour labor and I actually decided to get an epideral b/c of this. My midwife was amazing, encouraging the whole way and allowing me to take whatever direction I wanted to take with my labor. She was present throughout the whole delivery. She asked me questions throughout the entire pregnancy, making my pregnancy and my delivery my choice. My second was the shortest labor I could ever imagine and my midwife was again amazing. She really let me take control of my delivery, which I had drug free. She really let me listen to my body and make myself comfortable. All of this is as opposed to a doctor who really seems to take a more controlling angle towards the entire process. Just my opinion, of course.

Reallly surprised, 1 time OB-GYN confided in me - Lynn

[ In Reply To ..]
I was working inhouse. This doctor came into the office, was like he had nothing else to do and he and his father were in the business as above. He told me he thought it was the most ridiculous thing he could think of that a woman would want to have natural childbirth because of the tremendous amount of pain. Like I said, really surprised to hear this frank talk from someone who knew.
natural birth - chelle
[ In Reply To ..]
i personally hated the after effects of an epidural. with the natural birth, i was up and mobile almost immediately and felt almost normal so much quicker. I will admit that my natural birth was a very quick labor, way faster than norm, so this may have something to do with my feelings towards natural labor as well. But honestly, why be drugged up if you don't have to???

midwife - oldone

[ In Reply To ..]
I worked for years in an OB/GYN clinic and our RNs were both back in training in a midwifery program. This program was to be under a physician's guidance. They were great accomplished women and the program just made sense. That being said, not all mid-wives are going to be great accomplished people. As well, since you daughter had a cesarean section the first time, I would be very very concerned about a VBAC under the care of a midwife. With VBACs there is the possibility of uterine hemorrhage, etc. Also, your daughter had hypoxemia and other problems. I would consider a midwife for a vaginal delivery in a mother who had never had problems. I would not consider it for a vaginal delivery after C section in a woman who had other problems as well. Just too many variables and bad outcome possibilities here. She can change doctors. She can talk with an anesthesiologist before delivery and get to know him. I am a Mimi with a daughter with 2 C sections and I would be terrified if she wanted a VBAC. Her only complications were the first child went into a transverse lie and could not progress. Her second child was a scheduled C section because of the dangers in VBAC.

I am with oldone, very dangerous after csection - Lynn

[ In Reply To ..]
to even think midwife. I type on people who have had csections and doctors are very reluctant to let them go through labor for fear of rupture and death of the patient and baby. You need to really talk with her as her mother and inform her of these things.

She plans on a midwife in the hospital? - sm

[ In Reply To ..]
If she is using a midwife in the hospital, I think that's fine. But a home birth would be insane after a c-section. My children were born in the hospital 21 and 19 years ago, with OB attending and no drugs. I had great docs who supported me. I also have two friends who had their first children via c-section (both breech and no other probs), and then went on to deliver 2 and 3 more children via VBAC. One used a midwife for her last 2 children. She highly recommended using a midwife because she had the attention of the midwife throughout the entire labor and delivery. Who has an OB sit with them the entire labor? I know I sure didn't! He came in and checked and talked with me, but really, I only had him all to myself right at the end of the delivery. During lots of my labor, I was alone in the room with my husband. I would think that if something went wrong, having a midwife in the room throughout the labor would be a plus, because she'll spot trouble right away and call in the doc right away.

I can completely understand that your daughter wants a better birth experience than the last time. And I hope that happens for her.

Fingers - email me privately ~ I'm a midwife/MT and can help you and daughter with directions, - Certified Professional Midwife/MT

[ In Reply To ..]
First of all, I had 2 children at home, 2 at hospital. Home by far was the best for me but I was not VBAC. As with every occupation, there are good midwives and there are bad midwives. You need to start by finding out which state the midwife is in and/or if they are regulated in anyway. If so, check their records, see how long in practice, see if they get in their CEUs, etc. No, don't rely solely on the "recommendations" from clients on their webpage as of course that will be good outcome clients. Ask for the midwife's records, ask how many problems she has faced and what her protocol is if and when running into problems, how close to the hospital, etc.

Before your daughter meets with the midwife, she needs to get her OP note from the C-section and carry with her. No midwife (in their right mind) will deliver without this. Your daughter and baby's father need to really research VBACs and learn all they can. VBACs are risky and some midwives will no longer even perform them. In our area, you have to meet certain requirements. I don't know of any hospital OB or midwife who will even let you attempt one because of liability. I have delivered many VBACs with no complications but I also put a lot into deciding whether to take that client or not. I have turned down VBAC clients solely based on my intuition or judgement I guess you can say. Your body is what you put into it. To have a good outcome in pregnancy, you have to really take care of your body. So these kinds of things went into my decisions too. If your daughter is healthy and eats well (not fast food every day, etc.) and knows her body well, she should do fine. Email me if you want.

To Professional Midwife and MT - Fingers

[ In Reply To ..]
Thanks for the info. What is CEU's?

My daughter is going to do the research. The midwife she has an appointment with is in a group at a hospital birthing center - with doctor overseeing. Are there any websites I can refer her to?

I am sorry, but for several reasons I do not give out my email address. Has nothing to do with you. Thank you for being so kind.

CEUs are continued education units. Most any regulating sm - Professional Midwife/MT

[ In Reply To ..]
authority requires them to renew your license. This keeps the midwife up to date on advancements in the field, new learning opportunities, peer review, etc. If she is in a group at a hospital birthing center, the midwife will definitely be regulated in some way so have her check into her records (the state) and make sure she doesn't have lots of complaints filed against her. Catch patients going in and out and ask questions.

For instance, I had a midwife in my area who was not a member of any of our groups, never went to any of our classes, workshops, conferences, etc. There was no way she kept up to date on stuff. Her handouts were at least 10 years old and it showed it. I would be afraid to use someone in this instance but that isn't where it sounds like your daughter is headed. It sounds like she will be fine.

Most important questions if she is delivering at the hospital is to ask who will actually be delivering. In group centers like that, they rotate on different schedules so you don't always get the same midwife at each appt nor are you guaranteed that midwife for your delivery, depending the hours and days of week you go into labor. Some midwives in those settings will be very similar to an OB, some will allow lots of options for pain management if requested. Good luck to her and you!

Used a midwife x3 - Old part-timer

[ In Reply To ..]
Most midwives work with a doctor and actually, 2 of my 3 children were delivered by the doctor (in the hospital), who was called in when I needed a forceps delivery. Don't be frightened by the idea of a midwife, although I certainly wouldn't recommend a home delivery (which I know some midwives do).

why did the 1st baby have jaundice at birht?...sm - .

[ In Reply To ..]
Is the mother Rh negative and the father Rh positive? This causes the buildup of antibodies and is a cause of the jaundice.

What is the time span between the 1st and the 2nd pregnancy?

Thank you all so much. Please read - Fingers

[ In Reply To ..]
I have to admit I am really ignorant about these things. I have not even transcribed much OB/GYN. I definitely need to read up on this a bit. I know this is a stupid question too, but would you use a midwife even if you are planning on a C-section?

I do not know why the baby had jaundice (ignorant about that too). I saw him the night before they were to leave the hospital. He was so yellow, he looked Asian to me. Strange since both parents are so lilly white. His eyes were even yellow. I demanded that they test him (which they do not do anymore). Back in the day, all babies went under the bilirubin light but not anymore. Anyway, they tested him, bad, and wanted to keep him in the hospital and let her go. She was hormonal, emotional, crying and refused to leave. She had the C-section (without being completely numb). She would not take the pain medication because she wanted to be alert regarding decisions about the baby. The staff threatened to call the police when she would not leave without her baby! She just sat in the nursery waiting room with her bags and refused to budge. She is not an assertive or aggressive person, so she called me crying and did not know what to do. It finally went to the top and they sent him home with a bilirubin vest that hooked to the wall and a home health nurse daily for a while. This was all after a horrible labor and delivery.

What upset me was no one (doctors or nurses) had noticed how jaundiced he looked. They thought I was an over protective grandma until they tested him.

I would like to help her enjoy this pregnancy, labor, and delivery after such a horrible experience the first time. I have not heard anything bad about midwives, but then again I have not heard much about them at all except the good things stated here.

Seems more like the mother causing issues than - the hospital care she received

[ In Reply To ..]
She was the one causing the scene. If she had to go back to the same place I could understand her not wanting to show up. There are numerous mothers who leave the hospital if the child has some problems, one jaundice, premature, it happens. How old is this person having this baby, does not sound very mature. I do not think midwives do c-sections. She best get more information than she has at the present. Has she gained any maturity since the last stay?
This woman is not immature, but very brave. - I do not blame her one bit.
[ In Reply To ..]
At the cost it requires just to have a baby these days, I certainly hope she would protest the less than the quality care she and the baby deserve.

Hi, Fingers, you did not answer my question..sm - .

[ In Reply To ..]
regarding the Rh negative and positive factor.
How long did it take until the baby's jaundice cleared up?
I cannot believe that the doctors did not even noticed the jaundice of the baby and that you had to point this out to them and the test results were so bad that they wanted then to keep the baby in the hospital.

It is understandable that your daughter lost trust in the hospital care and did everything to take the baby home with her!
Didn't the doctors explain to your daughter why they wanted to keep the baby in the hospital, so that she could understand?

Also, how much time between the 1st and the 2nd pregnancy? Is it at least 5 years? In what month is your daughter now?
Response To SM - Fingers
[ In Reply To ..]
They simply wanted to keep him in the hospital for the bilirubin light and to check the level each day, which they did at home. I think it was about a week to 10 days when the nurse stopped coming. He will be 3 years old next month. She is about 6-8 weeks pregnant now. Is there a chance that the same could happen to the next baby?

Furthermore, I did not ask if a midwife did C-sections. I am just thinking that help through the pregnancy from a midwife would make her more comfortable, but I do not know if that is done. And furthermore, she did not cause a scene - I DID. No the police were not actually called. The hospital administrator certainly did not think the complaints about her care were unfounded and neither did her doctor. That is another story I do not care to go into the legalities of.

She is a 31 year old Special Ed teacher with a master's degree and very mature. I certainly don't think she would refuse another C-section if necessary. Is that the way it is always done?
Your words above - not anyone else- mature?
[ In Reply To ..]
She was hormonal, emotional, crying and refused to leave. She had the C-section (without being completely numb). She would not take the pain medication because she wanted to be alert regarding decisions about the baby. The staff threatened to call the police when she would not leave without her baby! She just sat in the nursery waiting room with her bags and refused to budge
Knock it off, will ya. - Would have done the same
[ In Reply To ..]
Had natta to do with original post anyway. Don't you have anything else to do?
I agree with "would have done the same."..nm - .
[ In Reply To ..]
nm
I would too - sm
[ In Reply To ..]
Especially since care appeared to be suboptimal in the first place. If they were so interested in caring for the baby, they would have noticed something was wrong before it was time for him to go home. You go Nana!!
IMO - I do not consider that immature at all. - nm
[ In Reply To ..]
x
So there are 3 years between the first child..sm - .
[ In Reply To ..]
and the 2nd pregnancy.

It is obvious that the father is Rh positive and your daughter is Rh negative. The baby is Rh positive like the father and your daughter's system built during her pregnancy antibodies against the Rh positve factor, etc.... did you read the whole link I sent you, it is all explained in there.

Your daughter's body needs 5 years to clear up these antibodies, they are still in her blood and they 2nd pregnancy will cause again the buildup of antibodies.

Please go to the hospital and explain to her doctors that you are worried about this. Maybe nowadays they have means to stop the buildup of additional antibodies.

At the same time you could ask for advice if your daughter should deliver in the hospital or get a midwife.

My personal opinion: I thin it is better that your daughter delivers in teh same hospital with the same doctors, as they know already her case, and I think that they can provide good after-birth care for her 2nd baby.

Please go as soon as possible to the hospital and talk with the doctors!

Good luck and keep us posted!

Me again: Rh incompatibility...I sent you a ink that explains it...sm - .

[ In Reply To ..]
Rh incompatibility: MedlinePlus Medical EncyclopediaHemoglobin changes into bilirubin, which causes an infant to become yellow (jaundiced). The jaundice of Rh incompatibility, measured by the level of ...
www.nlm.nih.gov/medlineplus/ency/article/001600.htm

You should talk to her doctors about this, regarding the 2nd pregnancy.

I myself am Rh negative and I have 2 children and had some problems because of this, but everything worked out fine.
SM - Thanks, will review when I finish working today. - Fingers
[ In Reply To ..]
Sounds a little over my head, but I will check it out and jot down some notes and questions for her to bring up at her appointment. Thanks again.
You are so welcome, take your time and check it out and good luck!...nm - .
[ In Reply To ..]
nm
TO SM - Fingers Again
[ In Reply To ..]
Checked out the website. Very informative. Sent it to my daughter. She thinks the Coomb's test is a good idea and the mid term injection if necessary.

Thank you for taking the time to provide a total stranger with supportive information and such a nice post.
for Fingers: very welcome, good luck!..sm..nm - .
[ In Reply To ..]
nm
Although this is very helpful and can be the cause, it is not always. sm - Professional Midwife/MT
[ In Reply To ..]
Jaundice is much more common in first time moms who are solely breastfeeding as well as in premature infants.

http://www.askdrsears.com/html/2/t029600.asp

There are lots of reason for jaundice. Your daughter should know if she is Rh negative or not. If she is not Rh-, there isn't anything to worry about.

Midwives do NOT do C-sections. She could probably continue her care with the midwife until the end but then the doctor would be the one doing the C-section with possibly the midwife assisting, depending on hospital and practice protocols. Most OBs and hospital based midwives these days do not allow attempted VBACs. There are a few but can be hard to find. Midwives will, however, educate her well throughout the pregnancy.

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