E.J. asks from Jamaica Plain, MA on March 13, 2008
Midwives and Good Fits - Choosing Someone for Prenatal Care and Delivery
Hi Moms,
I'm hoping to see if my experiences so far are unusual or an indicator that I should try to connect with people I click with more. Some people say you should be very particular about choosing the person, or group, who delivers you. But one only has so much time . . . and it's hard to know how much of a connection is really needed. (Additionally, the midwife group I'm with is large and even if I click well with an individual midwife, the chances are slim that she'll be on call the day I deliver.)
So, the back story: I'm due in June and decided to go with midwives for my prenatal care and delivery. I did this because I think they are more inclined to support natural childbirth and a woman finding the power and peacefulness in her own body to become a mother -- from prenatal care through delivery and beyond. Also, I wanted a forum where during delivery I would be allowed to walk around, squat, listen to punk rock, or bluegrass, or wear hightop sneakers, or do whatever I physically or emotionally needed to do while delivering. I know that a lot of OBs would be fine with all this, but I thought that the spirit of midwifery would be more likely to be a good fit.
So, interestingly, I've found that the approach of the midwives I've been interacting with so far are not quite what I expected. They all seem very competant and confident, however, perhaps because they are rushed and over-worked, a bit bossy and a bit dismissive of questions.
At the beginning of the pregnancy I heard a lot of "call if you have the slightest question" and "It's always better to check" . . . But I have found that when I actually am pro-active about asking questions, there's a little bit of "don't worry so much" and "we're the experts, you don't need to concern yourself with that." For example, when I ask about nutrician, I've heard things like, "Well you're not eating McDonald's and soda every day so you're doing pretty well. Any other concerns?"
This has been at my regular check-ups, and mostly just irritating. I did have one experience though where I felt pretty clear that the system wasn't working as it should. A month or so ago, I'd felt something the size and shape of a golfball in my lower right abdomen. My partner confirmed this. For several days I told myself it was probably just a muscle knot and nothing to worry about. I massaged it once in a while thinking that might help.
A few days later I was at the hospital to visit a family member who had just had surgery. It is the same hospital where I'm due to deliver; my midwife group runs out of there. I now know you cannot do this -- but at the time it struck me as a good idea to stop by the midwife station and see if someone could put their hand on my belly and confirm there was nothing to worry about. Getting confirmation seemed like a better idea than assuming all was well.
So, to make a long story short, despite my insistance that it probably wasn't a big deal, I was bracelet-ed and swept up into the OB/GYN triage unit. I asked several times if I instead could just chat quickly with the midwife on duty. They said no, but that it was no problem to route me this way, and that in fact it was an underutilized service, so I should go for it. I told them several times I didn't think this was necessary and that I was concerned about using resources needed by other people. I was reassured that it was a free service, underused, and that I should not worry about a thing.
But then when the midwife came in it was a completely different story. It was as if two lambs-- the woman at the front desk and the nurse-- had escorted me to the gate of a lion! She was confrontational, provocative, and almost accusing. She said it was clearly nothing but a fibroid, that I shouldn't come in for such a small matter, and that I definitely should stop touching it because it could cause contractions. She also told me I was using up the resources needed by other people. (I almost laughed at this point because it was the very question I'd asked on the way in.) When she asked me questions, she interrupted my attempts to answer.
Anyway, I can understand that her job is extremely hard and she was stressed, and that the real problem is probably miscommunication between the gatekeepers and the midwives about who to let in. However, I was still pretty surprised. It wasn't only that she was harsh and dismissive, but she also gave me incomplete and inaccurate information. (I later found out that touching the fibroid would in fact not give me contractions.)
So, perhaps this, and my general experiences so far are simply the ups and downs one has with any health care providers while riding the additional ups and downs of pregnancy hormones. But I thought I'd run these impressions by the group to see if anyone had thoughts to share. I've been hoping that the midwife who is on call for my actual delivery is more gentle and sensitive, but it's a gamble, I guess. Or perhaps I should count on my partner and support persons to be sensitive and emotionally supportive . . . and the midwife to be competent and experienced. This does seem a bit different than hopes I'd had at the start, but that may be the reality.
Thanks for reading this long post! Any thoughts or shared experiences much appreciated!
E.
So What Happened?™
Thank you all SO much for taking the time to share your experiences and wisdom. You can't imagine how helpful it was to have your support and feedback! The story of course isn't over yet, but I wanted to let you all know that things are moving in the right direction. I went on some hospital tours /midwife open houses and discovered that the Mt. Auburn hospital in Cambridge has a midwife program that really resonates with me. Additionally--I admit I'm one to be biased by aestetics--I really liked the look and feel of their birthing rooms better than the hospital I was with. There's more space, bigger windows, more calming/pleasing/simple decor, and including warm wood cabinets. I'm switching there this week. Also, I got my taxes done early and, though my budget is tight, I have decided to use part of my refund to hire a birth doula for extra support. I'm sure there will be some bumps in the road as no place is *perfect*, but I feel a lot better about my set-up now. Thank you all so much for taking the time to respond to my post! You have really been instrumental in improving my pregnancy.
E.
Featured Answers
D.F. answers from Boston on March 15, 2008
I just delivered my first baby Feb 27th at St. Joe's in Nashua and used Full Circle Midwifery and a doula. I found the experience wonderful and quite fulfilling. They let me manage my labor and were open to all my ideas. If you want to hear more about my experience let me know.
-Deb
J.M. answers from Hartford on March 15, 2008
If I had been treated that way, I would have switched midwives/doctors. In fact, you still can if you feel that you are not getting the care and attention you deserve. There is no shame in finding a new group (most OB's have midwives as part of their practice). My experience with my OB was pretty positive. There were a couple of questions that I didn't feel were answered as fully as I would have liked. I found the answers I needed for those on babycenter.com Good luck!
B.M. answers from Boston on March 14, 2008
I found I felt the same way with the large midwife group I was seeing. I wanted individual attention from one motherly, caring woman who would listen to me and not "tell" me what to do. I also wasn't keen on the whole hospital setting and all the needless interventions they do. I decided to go with a homebirth midwife. I just had my baby boy at home 2 weeks ago and the experience was great. The midwife was a perfect companion through my pregnancy and birth.
More Answers
T.M. answers from New London on March 15, 2008
E.,
You have to be comfortable with your provider no matter who it is. I would find another group or call and ask to speak to the office manager, let them know your concerns and see if things change if not definatinly change. I had two visits with my ob and said forget it its too stressful and fired him. I now see a lay midwife and she is wonderful. I see her once every 4 wks and can call anytime with a problem and she is there for me. I love her. You could try to find a lay midwife usually through alternative health places is a good place to start. Or find another midwife group. I find most obs have at least one midwife with them sometimes that is better and just ask a few questions before you make a new patient app. Good luck.
T.H. answers from Portland on March 14, 2008
Hi
I only have my experience and opinion to go on, but having read your request, I felt the need to respond. I'm not sure where you live or what group of midwives you're referring to, but no one should make you feel your questions aren't worth answering or tell you that they know best and brush them off. You should feel as though your questions and concerns are important.
My daughter was born 11/06 and I went through Coastal Women's Heathcare, where there is a large group of ob's and two midwives. I chose the ob partly because I work in a hospital and felt that was better for me as a person. My point is that the whole group is great. There is a 24 hour hotline where if you have any questions or concerns (and I had plenty) someone will address them and answer them properly and without making you feel brushed off. A lump in your abdomen should have been attended to and telling you you could contractions by touching it is just crazy! I think the little voice inside you is giving you the right information, and that is that you should find someone else to take care of you. I hope you find someone that will take your concerns seriously and therefore allow you to enjoy your pregnancy and birth experience!
Good luck!
S.M. answers from Boston on March 15, 2008
You need to go with yor gut and should feel comfortable with who you chose to care for you before and during your delivery. There are a lot of providers out there that would be more than happy to answer you questions and trust me as pregnancy goes on there are always more. Don't count out the midwives though. There are some out there that are wonderful and very sensitive to all you needs.
L.L. answers from Burlington on March 14, 2008
hi E.,
i think you should definitely find a group you feel good with. i am diabetic so had to be seen by high risk docs, although i had originally wanted midwifes, but my doc was fantastic and it definitely made a difference during labor and delivery. i think a lot of docs support natural childbirth these days, if you are up front about it and make a plan, i know mine did. you are going to be trying to birth your child, you don't want to have to worry about a less than great doctor.good luck, happy birthing!
L.
S.M. answers from Springfield on March 14, 2008
E.,
I delivered my first happy, healthy baby November 27th with the help of OBs and nurses. I originally planned to go with the care of midwives, and coincidentally the hospital where I delivered decided last year that they would no longer allow midwife-assisted births (temporarily...they are now starting their own hospital-based midwife training program). My husband and I were faced with either using midwives for prenatal visits but having a strange doctor deliver the baby, switching practices, or using OBs. We decided for a number of reasons (convenience being one) to use OBs...and I LOVED the care I received. I really think the letters after the name matter less than the name itself...it is all about personality and whether you feel comfortable.
K.V. answers from Boston on March 13, 2008
You should send most of the "letter" you wrote directly to the board that runs that clinic of midwives. I am sure they would like to know what is really going on.
Next, you should find a doula to hire and to run interference for you and be your support through all of this. They are excellent to have for YOU!
If you really feel uncomfortable, find a midwife that is at a smaller, more caring facility.
R.L. answers from Boston on March 13, 2008
I too agree that you should send this exact letter to someone to complain! Are you kidding me?????????? I had midwives, and high risk OB's and loved them both. The midwives would never have spoke to me that way. No one should talk that way to anyone reguardless of any situation! Change...it's your body and it's your baby, don't stick around.
S.H. answers from Hartford on March 14, 2008
E., Your experience sounds awful - I would look for another practitioner/office for your prenatal care and delivery. The chances that you will luck into a better person are there, but also possible that you would get the awful one... During my pregnancy, I had one midwife who was wonderful, gentle and calming, and the other was nice and knowledgeable, but kind of hyper and loud like an energetic cheerleader, which I found kind of grating. Anyway, although I saw the other one throughout my prenatal visits, but by chance of course I had the hyper one for the delivery. And, then there were complications, which resulted in the OB getting involved anyway, and I had literally never met him before that day, which I would do differently next time. Sigh. A small OB or midwife practice lets you consider who you may see better, and they tend to be less rushed, and I'd strongly recommend that.
And, without asking a medical person, how on earth would you know to diagnose your own lump as a probable fibroid? That seems insane to judge you or respond impatiently for that.
--S. H.
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