Its finally here! My first midwife appointment in 2 hours. Why am I so nervous!? This is crazy that I'd be this nervous about seeing the midwives. I think I'm just a little afraid because we are spending a small fortune on the midwives and there is no guarantee that it'll work out. Please God, let this work!
The appointment went well. The midwife told my DH how impressed she was at our consult about how informed I was and my reasons for wanting a VBA2C. These midwives don't take just anyone who walks in the door. They do a consult to gauge your reasons for wanting to use a midwife and ask questions to determine whether you are informed about midwifery, NCB etc.
We got to hear the HB (162), but she had to get the stronger doppler to find it because the first doppler she used she couldn't find it. I tried not to freak out when she left the room to get the other doppler. They did blood work and all the legally required tests, but the difference was that she explained exactly what was being tested in the bloodwork and what the vaginal swab tested for. With my OB the last two times I was sent to the lab to get the blood drawn and they drew way more blood than the MW did. When I asked the lab tech what all they tested for, she didn't really know and only told me she knew HIV was one of them. The OB also never went over the results with me and its my understanding the MW will go over all the results with me at my next appointment. Its a whole different ballgame and I am loving the personal, companionable attention I get from the midwife! I'm also drooling over the large Jacuzzi tub in the birth room I was in!!
I'm curious when you say they did the "legally required" tests. What tests are those. Are they required for you to have or required by the midwife to do? I'm just kind of surprised you could be required to consent to a test. I'm curious as to what the tests would be for.
Here in Canada they are several things they screen for at the beginning of pregnancy, but I was under the impression they weren't mandatory. I know for the newborn procedures I had to sign a waiver declining eye ointment, I could have done similar with the vitamin K shot but we chose to have it. I always got the impression that all tests were optional and they would educate/guide you as to which ones are really important in your case.
"Texas law (Chapter 81.090 of the Texas Health and Safety code) requires any health careprovider allowed to care for a pregnant woman to test her for human immunodeficiency
virus (HIV), syphilis and hepatitis B virus (HBV) unless she objects. These tests must
take place during the pregnant woman’s first prenatal visit."
From the health department website. The site also says 'unless the woman objects' so you would have the right to refuse. The site also says that 99% of women consent, but I find that to be a bit funny since no practitioner during any of my pregnancies has ever asked for my consent. The OB's office never even explained the testing to me at all, just sent me for bloodwork and then never discussed the results with me other than to say it came back fine. I think more women would decline if there was even a hint that it were an option, especially those who are low risk and don't engage in behavior that would lead to these conditions. I would likely have consented regardless just to be on the safe side even though I am confident about the results. Chlamydia and gonorrhea were also tested for under state recommendations. Anyway, there is a right of refusal, but it is not generally presented as optional. I doubt most women ever even question the testing. I did as far as asking what all they tested for, but I didn't get too deep into the questioning. Maybe I should have since the OB's office took like 6 vials of blood I know they tested for more than the 'required' stuff.