OB or midwife?

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OB or midwife?

Just wondering what others are choosing Smile

This will be my 3rd midwife birth. We just moved to Iowa and midwives are very hard to come by. That and the OB care here is among the worst in the country. I will actually be driving to Minnesota to see a midwife practice. I'm hoping to do most of my appointments with a NP or PA here locally, and then do my last month and delivery in Minnesota. My first appointment is in a few weeks with my new midwife and I'm excited Smile it's an hour and a half drive so here's hoping I don't deliver in the car! A planned Home birth is out of the question as it is almost an hour to the nearest hospital in case of an emergency.

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I was open to the experience and choose a practice that had OB's and a midwife, but when I went into labor it happened to be the one weekend of the month they were not on call. Sad

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No midwife would take me. I have had pre-eclampsia, gestational diabetes, PROM, and a host of other problems (hense the reason I had my tubes tied in the first place). All three of my girls are preemies, so I am sure we will have to be at a major hospital. Thankfully there is one 5 miles away.

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I'll be having an OB, as I'm categorized as High Risk, and my next appt is next week, in which I decide which OB to go with. I'm excited and nervous.

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Either. I've had great experiences with both. But, with my second son, I had a midwife. Now, while delivering his head, she tells me to give her my hands, so I do. She had me pull my son out and to my chest! It was an amazing moment! Completely changed my thought process on birth. I'm pretty sure an OB won't offer that, my first OB didnt. To me, a midwife is a medical mother. She takes care of you in a similar way a mother would, and knows what to do during delivery. It's a nice combo to have as support during pregnancy and delivery.
This time I am planning to use a midwife and deliver in hospital, like my 2nd pregnancy.

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I will use my reg ob that delivered my last baby. I love him and his staff they were great Smile

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I used a midwife last time but she literally retired the day after Nigel was born. This time I am trying an OB who was recommended by several nurse friends.

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"jennbttr" wrote:

Either. I've had great experiences with both. But, with my second son, I had a midwife. Now, while delivering his head, she tells me to give her my hands, so I do. She had me pull my son out and to my chest! It was an amazing moment! Completely changed my thought process on birth. I'm pretty sure an OB won't offer that, my first OB didnt. To me, a midwife is a medical mother. She takes care of you in a similar way a mother would, and knows what to do during delivery. It's a nice combo to have as support during pregnancy and delivery.
This time I am planning to use a midwife and deliver in hospital, like my 2nd pregnancy.

See, the OB that delivered my last one (not mine, just the on call guy) tried to get me to do that and I was mad because he didn't ask ahead of time and I did not want to do it. In the end, I didn't but it was too late to not SEE Lucas coming out and we made eye contact as the rest of him was pulled out and it gave me the creeps, honestly. I will never forget the look on his face and not in a good way. He looked pretty pissed about the whole thing! It was weird.

I am switching to a new OB this time. Small practice, he works alone and does all his deliveries himself. I want that. I want a doctor who knows me and what I want and don't want during the birth. I am not one to have a 20 page birth plan or anything (my birth plan is simple: I'll do whatever it takes to avoid a c/s). But I want a doctor who knows me. And I know that is more what I'd get with a midwife but I tend to have very rough pregnancies and and prefer someone with a full medical background as opposed to someone who only knows pregnancy and birth. When you have been diagnosed with pancreatitis, gallstones and mild appendicitis all at once during a pregnancy, you tend to want a doctor not a midwife. Smile

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i have my first appt with a midwife in January, but in my head i keep wondering if i should have gone with an ob.

i had high bp with my ds and he was growth restricted. I am worried about it happening again.

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"janijanis" wrote:

i had high bp with my ds and he was growth restricted. I am worried about it happening again.

I do not really have any advice about an OB vs. a midwife, but I did want to say that I had high blood pressure with all of my girls and IUGR with my last. Scary stuff. Maybe if it would make you feel more secure, an OB would be a better option. Especially if you can't been seen until January. High Blood pressure is something you want to stay on top of.

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it's true. I was transferred to one last time at 32 weeks and I lost a lot of support. I still have some time to decide, meanwhile i have a manual reader at home so I am checking it.