Reply to Are there any great OBs out there? Every option has to many cons :-( and mixed reviews

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[quote=Anonymous][quote=Anonymous]Agree that you will drive yourself nuts if you try to rely on unverified online reviews.

The most important factors are that the practice not have an ideology that you don't share -- so don't sign up with a [b]militant natural birth outfit [/b]like Wisdom at GW. After that is convenience. You are going to be going to a LOT of appointments, so you need a place you can get to easily from home and work. After that, it's worthwhile checking online to see if there are giant red flags, like overwhelming negative feedback.  Even that you have to take with a huge grain of salt.  Eg, so many online complaints about Reiter Hill, but when you probe further, you find many perfectly happy patients who just aren't motivated to post online.

Anyway, if I had it to do over again, I'd pick a non-ideolgical hospital based midwife practice with a doula. I do think the midwife model of care has some advantages for prenatal and maximizing chances for a vaginal birth, but I'd also want to be in a setting where they were not hesitant to intervene as needed and gave no pushback on pain meds. [/quote]

This made me giggle.

FWIW, other midwives practicing in area hospitals are often perfectly fine with taking moms who think they may want an epidural. They can deliver the baby either way. I used to be out at Loudoun Community Midwives, and half the mothers they deliver choose epidurals. They still have only a 9% c-section rate, and that includes planned c's for factors like breech birth. So don't avoid all midwives just because you're afraid they might scorn your desire for an epidural.[/quote]

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