Okay ladies so I have my first consult with a midwife on Tuesday and I was wondering if you all could give me some advise?
What kind of questions will she ask me?
What are the most important questions to ask her?
I have already visited the Hospital i am planning on delivering at, because this is the only hospital in our area that has midwives. It is illegal for a midwife to attend home births in my state. This is my first pregnancy, and as far as I know besides being overweight, i have no real medical problems or any history of medical problems in our family.
I am hoping and praying for this to be a great meeting as i would hate to have to continue down the path of looking for another OB. I am planning on leaving the one i have now, to be cared for by just a midwife.
Hi Chris - first of all CONGRATS on your pg!!!! Looks like you had quite a hard road TTC - so happy for you!!!
I'm copying and pasting these questions from the "read me first" post in the sticky at the top of this board. You should check out the other resources there as well - lots of helpful advice!
I would want to know:
- the structure of the practice; does she work with other MWs, OBs, nurses.
- Does she have hospital priviledges, and at what hospital.
- Does she do home births.
- who attends the actual birth
- what are her % rates for epidurals, episiotomies, transfer to OB
- does she catch breeches, and if not, who does she refer you to for a vaginal breech birth (this is important because by the time a persistent breech is diagnosed there's very little time to find a new caregiver; better to have a plan in place that you don't need than to deal with no plan at 37 wks)
- What are the circumstances under which she transfers to the hospital?
- How long is she willing to wait after your water breaks?
- What's her philosophy on birth?
- Is she hands-on or hands-off?
- Does she work with an assistant or midwifery student?
- How long past your due date is she comfortable with letting you go to?
- What tests does she require?
- definitely ask how many midwives are in the practice, which one will be there for the birth...
-what's their policy on big fetuses
-how do they monitor health of overdue babies, what would they do in alarm scenarios
-have them give you an overview of care - what can you expect for the rest of pregnancy/delivery
- what does she know about alternative medicine (herbs etc)
- how does she deal with GBS
- does she do alternative testing for things like Gestational Diabetes
- also read up on some of the midwifery guidelines for your area so you know what they have to and don't have to do.
I'm also birthing at a midwifery center located in a hospital - I think you'll really like it. Hope this info is helpful and welcome to the board!!
Sarah and Dave, married April 8, 2000
DS David Anthony July 14, 2005
DD Teresa Joy "Rese" February 11, 2011
My February Space
thanks for the reply I knew that was there and i have read it but i was hoping to only ask the most important questions. I was wondering what others think? I am new to the process, i was just looking for some support.
i wanted to know what others thought were the most important.
sorry if i was unclear.
Obviously there are some questions that are irrelevant since i have no choice but to birth at the hospital.
I went with a list of questions to my first meeting and ended up barely looking at it. I really went for a "feel". I wanted to be comfortable with her.
My main concern was the possibility of transfer and how that would work. You won't need to transfer locations, but how would it work if you need OB care in the middle of labor? Will she stay with you and will it be covered by insurance? I found out that if I transfer my insurance won't cover the birth center portion anymore and it will end up costing us quite a bit more. Since I have an HMO, I figured I'd transfer into their care, but I wasn't sure (I was right). Who would you transfer to?
As for other questions, I wanted to know basics:
-what if go past due date?