We're toying with the idea of another baby.
My last delivery was uneventful, with a midwife in a hospital, I arrived 8 cm, 1 1/2 hours later, after a short pushing phase, my DS was born. The delivery experience was fine, the hospital experience sucked.
If we do have another baby, I'd like to have a homebirth. BUT with my history of a bad nuchal scan at 12 weeks, I'd like to get a nuchal scan to make sure this baby doesn't have the same genetic defect as our second child.
Of course, homebirth midwives don't do nuchal scans, so my plan would be to go to my regular midwife clinic up until I get an all-clear on the nuchal scan, then switch to a midwife.
Would a homebirth midwife take you after starting with a hospital-based midwife?
Christy birth doula, Hypnobabies instructor, small business owner & most importantly MOMMY.
Janel, my home birth midwife offered ultrasounds ~ I didn't have an NT one (though I could have) but I did have a routine 20 week A&P scan. She worked with a local OB who would give them to her clients I know that my midwife would take clients who transferred at any point ~ she recently had a client switch from an OB practice at 38 weeks ~ they met that morning, (she wasn't in labor at all) and delivered the baby at home that night after a swift labor and birth!
Around here, the homebirth midwives fill up so fast that you pretty much need to book one ASABFP. Licensed midwives can refer you to a lab for any testing you want -- bloodwork, CVS, amnio, or ultrasound -- but the cost is extra (i.e. not included in the midwifery fee) and it might not be covered by insurance if you have a plan that requires referral by your primary care provider. For that reason, some women see their regular OB until they get all the testing they want.
ETA: I belong to an HMO so my midwife couldn't care for me in case of hospital transfer, although she did accompany me as a doula; I did dual care throughout my pregnancy so the HMO would have complete records for me. Also there was no co-payments for any maternity-related services, so there was no reason not to do dual care since it didn't cost me any extra.
Last edited by Spacers; 01-18-2011 at 02:26 PM.
70% of the U.S. population now lives in a state where same-sex marriage is legal. At 36 and counting!
Our HBMW was fine with us having dual care if we choose. We didn't and just used her, but our neighbors had dual care until about 25 weeks and then they fired their OB. I guess it depends on your MW.
~Joy~ DS1-8/5/05, DS2-10/18/10 (VBAC#1), DS3- 4/11/12 (VBAC#2!)
I use an ob until 20 for the scans and bloodwork and then switched to a hb midwife. I told my ob was moving to avoid scare tactics.
Kristina, (formerly known as ~Kristina~)
doula and apprentice midwife
Wife to Jesse 8.18.01
Mom to Ayden 12.18.01, Kailey 7.1.03,
Ashlyn 6.11.05, Dylan 9.29.07 & Riley 12.8.09
Janel, what a terrific idea you are "toying" with!
Leo (3 1/2) with Malcolm the cat
Yay, Janel. You should have another.
Just to echo the others, my HBMW can refer you for any testing you want-- U/S and whatnot. But with my first homebirth, I switched care from an OB to a HBMW at about 32 weeks...and it was fine for me.
GL with your decision!
DD 8.03, DD 6.05, DS 3.07, DD 5.09, and DS arrived 6.17.12
My midwife offered all the normal tests (including NST), I just had to go to my HMO clinic to get them done. I declined and signed a form that I did not want any. When I wanted an extra u/s in first trimester, they just gave me a referal, simple.
I ditto what others have said about ours filling up early.