Reply to Midwife groups that support epidurals

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]What's the purpose of having a midwife over an OB if you're planning on having an epidural?[/quote]

+1 can a midwife even order an epidural or do they need sign off from an OB?[/quote]

Why does that matter?  There are various reasons, as I posted on the first page, why someone might choose a midwife even knowing they wanted an epidural.  Midwives have a lot more training typically in minimizing unnecessary interventions, even with epidurals (which I wouldn't consider unnecessary).  I delivered all three with midwives, one unmedicated, two with epidurals, and in all three cases appreciated them with with me the entire time I was pushing and as much as possible during labor itself, not to mention the close care I received through pregnancy and after.  Midwives are also more sensitive to things like pelvic floor health and mental health than most OBs.  It's a different model of training; epidurals are only one small piece of the puzzle.[/quote]

Your post is rife with misinformation, pp. Obstetricians have far more training than midwives. That is a fact. The reason you say midwives have more experience in minimizing interventions is because midwives do not have the full scope of practice that OBs do. They cannot perform operative deliveries or C-sections and anyone needing those has to be transferred to an OB care. Only obstetricians have the full training to handle any and all complications in labor that can arise and frankly, there is a tremendous push right now in both professions to try and minimize interventions during labor and birth.

Also, using the phrase unnecessary when referring to interventions is polarizing. You, and everyone else, have no way of knowing if anyone’s interventions were unnecessary or not because you will never know the outcomes of what someone’s delivery would have been without the intervention they had. So you should really stop using that word. I’m glad you had a positive experience with midwives but if you have read the threads here you will know that while many women have great experiences, many do not. Saying midwives are more aware of pelvic health and mental health concerns is an untrue generalization. You cannot extrapolate that because your experience with specific individual midwives included a sensitivity to those issues, that somehow is how “all” midwives practice that way and OBs do not. Yes, it is a different model of training but to suggest that all midwives have some greater level of caring that he entire field of obstetrics lacks is silly, there are many posters on here who feel that the opposite. [/quote]

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