Twin homebirth midwife recommendation

Anonymous
Regardless of your credentials or your feelings, I think you are inappropriate to imply that OP is making a reckless choice. And all the capital letters and the nasty tone in your post leads me to disregard your perspective, and I imagine that OP might do the same. You don't seem to know how to communicate in a way that is respectful of the feelings and choices of others. It is each woman's right to determine what level of risk tolerance they are willing to deal with and where they are willing to deal with that risk. This entire message board is filled with women feeling superior to each other and implying that other women's choices are reckless and dangerous, whether those choices be a cesarean or a home birth or whatever. Wouldn't it be nice if we could just answer each other's questions without the need to be judgmental and condescending?

I agree with PPs who said that the best way to understand the type of services that home birth midwives provide, and the types of arrangements that they have in case a transfer is necessary, is to talk to the midwives themselves. How do you know that CPMs don't have informal arrangements with providers in their area? Maybe some women are perfectly comfortable going to the ER if a transfer is necessary, even if they don't know the doctor on call. And even if doctors do treat women poorly who have transferred from a home birth, that doesn't make it right. And there are some hospital providers who treat women who planned a home birth with respect and gentleness -- it doesn't sound like you'd be one of them, but they do exist.

OP wasn't asking anyone's opinion about the safety of twin homebirth. I imagine she's made her own informed decision about that.

Anonymous wrote:
Anonymous wrote:
Which is yet another reason why you need to think LONG and hard about having a twin home birth with a midwife, especially in Maryland where the only providers doing home twin births are CPMs (otherwise known as LAY midwives). These midwives DO NOT have collaborative arrangements with OBs unlike CNMs because they're practicing ILLEGALLY to begin with. So, if you're a patient of a CPM and have issues with premature labor (which happens not infrequently with twin pregnancies) you are stuck going to the ER for care and being seen by whatever provider is on call for OB that day. Not an arrangement I'd be comfortable with at all because you have NO idea who you're going to get. And I can guarantee that the ob/midwife (especially OB) who is on call is NOT going to be thrilled to see you as they'll certainly think you're nuts for attempting an out-of-hospital twin birth.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Twin mom here. While I completely respect OP's desire to give birth to her twins at home, one must keep in mind that many twins are born prematurely -- in which case they'd require additional medical attention immediately after birth. How would this be handled by a CNM or CPM? Any professional input is appreciated.


Singleton or multiple, CNMs and CPS will only deliver full term babies (37 weeks is usually the cutoff). If the mom goes into premature labor, she is sent to the hospital.

I had a home birth last year and was practically counting down until I hit 37 weeks in order to have my homebirth.



Which is yet another reason why you need to think LONG and hard about having a twin home birth with a midwife, especially in Maryland where the only providers doing home twin births are CPMs (otherwise known as LAY midwives). These midwives DO NOT have collaborative arrangements with OBs unlike CNMs because they're practicing ILLEGALLY to begin with. So, if you're a patient of a CPM and have issues with premature labor (which happens not infrequently with twin pregnancies) you are stuck going to the ER for care and being seen by whatever provider is on call for OB that day. Not an arrangement I'd be comfortable with at all because you have NO idea who you're going to get. And I can guarantee that the ob/midwife (especially OB) who is on call is NOT going to be thrilled to see you as they'll certainly think you're nuts for attempting an out-of-hospital twin birth.


Your post is full of misinformation and scare tactics.

Let's say this one more time so the whole class can hear: before you decide that you "know" how anyone would handle a twin homebirth, you should spend some time actually interviewing a midwife who provides such services. End of lesson.



where is the misinformation??? please, i'd like to know.
Anonymous
There are CPMs with relationships with OBs in the state of MD. I ultimately went with Birthcare because I made it off the waiting list and my home birth was covered at 100%.
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