Reply to Why did you pick a midwife over a doctor?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I was low-risk, aside from being in my mid-30s, and wanted to minimize unnecessary interventions.  I went with a hospital-based midwife practice that was integrated within a larger OB-GYN practice.  I ended up having some level of intervention with all three L&Ds (epidurals for two, NICU ped present at delivery for the third), and it was handled seamlessly.  I went to an MFM practice for scans; when I developed complications late in my third pregnancy, the midwives transferred me to the OBs as needed.

I was fortunate that I had skilled medical professionals (CNMs) attending my births; included in their medical training is knowing when they needed to transfer care and/or involve a different provider.  That also meant they were with me for most of my labors and all of the deliveries, which isn't typically the case when an OB is attending.

[b]21:17 - can you stop patronizing women, please?  Your "caution" is pretty thinly disguised.[/b][/quote]

I went with a practice much like described above and ended up with a c-section by the OBs.  The c-section wasn't because I chose a nice smile over a real medical professional [b]because I'm a dumb laydee.[/b]  It's because that's the way my birth went, and the [i]trained medical professionals[/i] with decent human skills that I chose [i]also[/i] had the medical knowledge and skill to handle my care correctly.  
[/quote]

DP - there are stupid people everywhere of both sexes.   21:17 is speaking to women because it is women who are choosing who provides their care, not because they think women are dumb.  [/quote]

DP, but come on.  That post was dripping with condescension.  Do women really need to be reminded about not confusing personality with clinical acumen?  Really?[/quote]

Well, let’s see - just on this thread alone, the reasons given for choosing midwives include the doctor made me wait too long, he talked down to me, it felt like an assembly line, wanted someone loving.   [b]All legitimate reasons for choosing someone, and I completely respect that, but not a whole lot to do with clinical acumen.[/b]  Pregnancy is a vulnerable time.  We all want to be protected and nurtured but sometimes the person who can best protect our health and well being isn’t the person who can provide the nurturing.  There’s nothing wrong with a reminder that there are times when these roles should be separated.  [/quote]

Another PP alluded to this, but the bolded is bullpuckey.  We KNOW that health outcomes are impacted by interactions, and particularly for women of color (see that damning series by ProPublica on maternal mortality outcomes for more).  Providers who *listen* to their patients and *trust* them ARE providing better care!  You honestly think a condescending physician is providing good care?  Shame on you.  [/quote]

Where do *you* get off comparing the health effects of systematic racism to the minor inconvenience of waiting too long for an appointment?  Because that is what we are talking about here.  The studies correlating maternal experience to outcomes are not talking about waiting room waits or rude doctors.  No one here has said or even suggested that they picked a midwife because they felt that their race was affecting the medical care they received with an OB.  If you can’t see the difference between built in systematic racism in healthcare and a doctor with poor bedside manner, I don’t know what to tell you.

Signed, a Woman of Color tired of others presuming to know what’s best for me [/quote]

16:13 again.  By the way, I’ll be sure to tell my Head of Department OB, who has some of the worst beside manner that I’ve ever seen, what terrible care he provided me when he saved my life.   After all, I can’t honestly think that a condescending physician can possibly provide good medical care.  I’ll be sure to pick the nice one next time over the better qualified one since some lady on the internet told me so. [/quote]

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