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[quote=Anonymous]You’ll be transferred from care: a midwife cannot perform an epidural, forceps, vacuum, or C-section delivery. Though they will likely still involved, the team of OBs will theoretically get involved and be in charge.

However, you better hope the midwives bring in the OBs at the right time and that they do it well and that everyone’s role is clear. The trouble is that midwives are educated in a very different childbirth model than physicians so what a midwife may see as “normal” may be seen very differently by a physician - and as the patient you may find yourself navigating their different perspectives (is one may think your labor is progressing normally and the other may not), which is not what you want to be doing when you are in the worst pain of your life, and when your child’s entire life and the entire future of your pelvic health is at stake.

In my experience, the transfer to OBs was not done in a timely fashion, it was done poorly, there was confusion about team roles and leadership, and the midwife and Ob had different opinions. I ended up permanently injured due to the poor decisions made in their wonderful “collaborative care model” (which perhaps yields the very best outcomes for some pregnant women, but certainly did not for me) and I made a well documented complaint to the practice and to the hospital over the many issues our family experienced with it during my delivery. For that reason alone I can never recommend midwifery care, though you will find many on here who like them and have positive experiences. Many births will be uncomplicated and straightforward and for those you don’t need a hospital—any decent EMT or even your partner with a towel will do. But for births that are complicated, they can go very badly and trust me, when your child’s life is on the line you will find yourself wishing for the world’s very best doctor and you won’t care in the slightest if your birth was “unnatural” as long as you both make it out alive and intact.

Good luck with your decision.  [/quote]

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