Reply to Trying to understand the midwife route

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]March of Dimes supports midwifery care for low risk pregnant women and shares that in the US low risk women are less likely to have a c-section than the same risk group of women working with an OB. Of course, midwives are individuals just like OBs so there will be varying levels of care between both.

[b]The midwifery model of care promotes birth as a normal physiologic occurrence and are able to manage typical complications of pregnancy and labor. OB model of care starts with the idea that birth is inherently risky and needs to be managed. [/b]

You can have a wonderful birth with either, but if you have an opinion about how you want it to go, you may be better served by one or the other. You can have an epidural with either at GW.

https://www.marchofdimes.org/materials/Final%20midwifery%20position%20statement%20August%2029%202019.pdf[/quote]

I don't understand this at all. The OBs seem to find my pregnancy very normal. What would this mean in terms of actual differences in care?[/quote]

New poster here. In low-risk pregnancies, mothers end up with fewer interventions and fewer c-sections with midwives than OBs. (30% fewer c-sections for first-time moms, 40% fewer for those with previous deliveries.)

https://www.reuters.com/article/us-health-birth-midwives/fewer-c-sections-when-low-risk-deliveries-handled-by-midwives-idUSKBN1WP38D

I chose midwives to reduce the likelihood of interventions, knowing that they would pass me off to an OB if they felt interventions were warranted. [/quote]

Did you ever consider that midwives have lower rates of these procedures because they can’t perform them? And also—the fact that midwives may be less likely to intervene when warranted, allow prolonged pushing and labors which can result in maternal and fetal injuries, etc. I chose midwives for my first thinking all the research supported that and there could be no downsides, and ended up finding out that yes, there are downsides. They just aren’t often discussed. An important question: would you rather have a more qualified provider who may be more inclined to give you a C-section if they are concerned with your labor, or a less qualified provider who might not appropriately respond to a critical situation when necessary by doing needed interventions because they view the trajectory of your labor as “normal” or don’t want to transfer your care? Obviously for an uncomplicated delivery a midwife is great but if you have complications (which can’t be prevented)—ask yourself what matters more. [/quote]

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