Utah midwives and medicaid?

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Joined: 03/16/15
Posts: 53852
Utah midwives and medicaid?

I'm due with my second baby in May, and I'm on the Utah pregnancy medicaid program. With our first baby, we had her at the hospital, I had an epidural, they gave me pitocin, they cut the cord as soon as she was born, gave her the vitamin k shot, gave her the stuff in her eyes, and I hated it. Not feeling the pain made it seem like it was so easy, and finally delivering my daughter didn't seem like quite as monumentous of a moment as I'd pictured it to be. This time around I want to have a midwife, not an OB. With my first baby I went to the Central Utah Clinic in pleasant grove, but now we've moved down to Provo, right by center street, and we're only a few minutes away from the Utah Valley Regional Medical Center, but from all the research I've done on the internet, it doesn't seem like any midwives are authorized to deliver babies there. When I have this next baby, my mom who lives by American Fork, is going to take care of our daughter while I'm in the hospital, and I don't want to be very far away from my daughter while I'm in the hospital mainly because I get stressed because I'm not there to protect her and hold her when she cries, etc. I met with a midwife that works at Pleasant Grove's central Utah clinic yesterday, and didn't really like her. She just seemed dissinterested in me, and just sat there and didn't really say anything and it was just akward.
This is the birth plan I've put together so far, based on reading several other birth plans:

We are attempting to have a natural birth, which we believe to be birth without medical and/or chemical intervention.
We ask that we be given the opportunity to accept or refuse any procedure.
We also request that the least invasive or restricting versions of procedures be used.
We?d like to keep the vaginal exams to a minimum.
We do not want an epidural, please do not offer chemical pain relief.
If our child is not in distress he should be given to the mother as soon as he?s born.
I want only my husband to be in the delivery room.
We want the environment to be as quiet as possible.
Unless required for health reasons, I do not wish to be separated from my baby AT ALL.
I want to breastfeed, no formula is to be given.
I would prefer that no students, interns, residents or non-essential personnel be present during my labor or the birth.
If a cesarean section is required, we would like the father to be present during the surgery.
We prefer to not have an episiotomy, unless a previous tear is threatening to become severe.
We request that an IV be administered only if necessary.
We request the cord be left uncut until it stops pulsing.
No hepatitis B shot is to be given.
Any vitamin k will be administered orally, not through a shot.
After the birth, we wish to nurse our son immediately.
We ask that any evaluations be done while the mother is holding him.
We ask that the father and our son both sleep in the mother?s room.
We ask that our other child be allowed to visit.
Our son will not be spending any unnecessary time in the nursery.
One or both parents will be with him at all times while he is in the nursery, including during any and all tests.
Thank you for your support during the birth of our baby.

I liked American Fork hospital, I just didn't like my delivery nurse because she was extremely rude to me, my husband, and my family. I'd like to go to Utah Valley Regional Medical Center because it's so close to home, but I've heard most nurses there are very argumentative if your refuse any of the standard procedures or tests.

MissyJ's picture
Joined: 01/31/02
Posts: 3212

Hi & welcome to Pregnancy.org! I'm sorry that your first appt with a midwife did not go very well. I will try and reach out to some others I know from that area and see if they may have some suggestions for you.

It seems that you are putting a lot of thought into your birth plan. I hope that you are able to find the care and have the birth experience you desire.

Outside of this question, you shared that you are due in May. Have you found our May 2014 group? There you can connect with others due at the same time and share your journey.

All the best!

MJDttc's picture
Joined: 08/12/12
Posts: 1118

Hello and welcome!

You deserve the birth that you want, and your requests aren't outrageous so any hospital (doctor or midwife) should be willing to help you with that. Definitely tour the hospital and ask all the questions you have. Be firm on your position about the things you need. I hope that you find a doctor or midwife that is more to your liking, I switched from a doctor to a midwife birth center at 32 weeks and it really made all the difference in enjoying my birth experience.

Spacers's picture
Joined: 12/29/03
Posts: 4100

You're very unlikely to find a home birth midwife who will take Medicaid. You might be able to find one who will take payments over time, or who will barter for a service you or your DH can provide. Short of that, you're probably going to be in a hospital. And due to insurance issues, in most states, you will not find any home birth midwife who can deliver at a hospital. There are often hospital-based midwives who would be covered by Medicaid if you deliver at the hospital, but they don't provide prenatal care; you request them when you check in, they are kind of like residents in that they only offer hospital services. You should call both of your local hospitals and ask if they have midwives on staff. And there is nothing on your list should be out of the ordinary even for an OB.

As for the bad experience at American Fork, remember that you have the right to change nurses. If you get someone who is rude, send your DH out ASAP to get the charge nurse and demand an immediate staff change. You are hiring them, they are performing a service for you, and you *need* to be happy with your care.

And finally, don't worry too much about your daughter. She's going to be fine -- she'll be having a new adventure with grandma, and she'll be getting a brother soon! If you feel up to it, leave the hospital as soon as you & baby are medically cleared. If there's no medical reason to keep you, you don't need to stay for the normal two or three days just because everyone else does. Just make sure that you have a good support system at home, someone to play with your daughter, make meals & do laundry, and fetch your water bottle for you when you forget it when you sit down to nurse. Your job for the first 2 or 3 weeks is to recover from birth, and take care of baby. Let your loved ones take care of everything else.