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Expectant and Postpartum Moms
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[quote=Anonymous]OP, if you choose a midwife, you'll still have access to all the benefits of hospitals and of OBs. All hospital based midwives collaborate with OBs, who you can see during pregnancy or during labor/birth. If something goes wrong, a midwife would be able to identify that and call in an OB if needed. In many ways, I think there's LESS of a chance of things going wrong if you have midwifery care -- there is some decent research out there that supports this, that your husband may appreciate reading. For example.... http://apps.who.int/rhl/reviews/CD004667.pdf Midwife-led versus other models of care for childbearing women (Review) 1 Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Main results We included 11 trials (12,276 women). Women who had midwife-led models of care were less likely to experience antenatal hospitali- sation, risk ratio (RR) 0.90, 95% confidence interval (CI) 0.81 to 0.99), regional analgesia (RR 0.81, 95% CI 0.73 to 0.91), episiotomy (RR 0.82, 95% CI 0.77 to 0.88), and instrumental delivery (RR 0.86, 95% CI 0.78 to 0.96), and were more likely to experience no intrapartum analgesia/anaesthesia (RR 1.16, 95% CI 1.05 to 1.29), spontaneous vaginal birth (RR 1.04, 95% CI 1.02 to 1.06), feeling in control during childbirth (RR 1.74, 95% CI 1.32 to 2.30), attendance at birth by a known midwife (RR 7.84, 95% CI 4.15 to 14.81) and initiate breastfeeding (RR 1.35, 95% CI 1.03 to 1.76), although there were no statistically significant differences between groups for caesarean births (RR 0.96, 95% CI 0.87 to 1.06). Women who were randomised to receive midwife-led care were less likely to experience fetal loss before 24 weeks’ gestation (RR 0.79, 95% CI 0.65 to 0.97), although there were no statistically significant differences in fetal loss/neonatal death of at least 24 weeks (RR 1.01, 95% CI 0.67 to 1.53) or in fetal/neonatal death overall (RR 0.83, 95% CI 0.70 to 1.00). In addition, their babies were more likely to have a shorter length of hospital stay (mean difference -2.00, 95% CI -2.15 to -1.85). [quote=Anonymous][quote=Anonymous]Not advocating either way, but I also switched around 20 weeks for my 1st, and at 36 weeks for my 2nd! (Not by choice; we moved across the country and it was necessary.) I had no issues either time - in both cases, my primary OB/Midwife was not necessarily going to be the one to deliver me, and with both deliveries, I had never seen the OB/Midwife who was on-call. It may be different if you have established a very close rapport with your OB, but I think it is definitely possible. The first time around, I switched from an OB to a Midwife for the reasons you stated in your original post. I had a wonderful natural birth in a hospital setting (in Boston). It was an extremely slow night in the hospital and the nurse on duty ended up basically being my doula. She stayed with me the whole time and was so encouraging. I did not choose to have a doula the second time around, but really wished I had. Having unconditional, unwavering support throughout you birth by someone who knows you and knows your desires is really invaluable. All the best to you![/quote] Thank you! Yes, with my current OB, it's a practice with a bunch of people so I won't know exactly who will deliver me. I'm seeing the other doctors along the way, but even if i stay with them, I won't get a chance to see all them before I deliver. A natural birth in a hospital setting sounds perfect to me. I guess I'm afraid to commit to the midwife thing because I'm afraid of something going wrong. I'd like to be in a hospital or at least very close by, just in case. Also my husband is a little worried about me looking into all this - he's just afraid something will happen to me and is leaning more towards wanting me to be around doctors and in a hospital. But I'm absolutely going to keep doing my research so I'm informed!! :)[/quote][/quote]
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