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[quote=Anonymous][quote=Anonymous][quote=Anonymous]
Second, I have to vehemently disagree that desiring an epidural up front does not "fit" with the midwifery model.  I think access to midwifery care for lower risk pregnancies should be available to ALL women regardless of their pain relief preferences.  An epidural alone does not add significant enough risk to opt out all those women (obviously, as Wisdom will give you an epidural "when needed" without transferring your care mid-labor), many of whom could possibly have far fewer other interventions with midwifery care than with an OB. Why not try to improve care and deliveries for ALL women without judging them for their pain relief preferences? (Again FWIW, I did not/do not want an epidural, but not out of a generalized belief that "natural is better" -- it's mostly an irrational fear of needles in my spine, plus some more minor concern over the possible side effects on me, my labor, and my baby.  But if hydrogen peroxide/laughing gas were available here, I would ABSOLUTELY use it.  Would they boot me for that too?)
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I'm the person you quoted about not wanting tough love. But, I also disagree with you about epidural / midwife connection. Look, they are going for a non-medicated approach. I personally think it is not appropriate to say you want low intervention but yet you want the one intervention that MOST midwifes believe is a big part of the "cascade of interventions." If you want an epidural with otherwise low interventions, you should seek a high touch low intervention OP, get a doula, and advocate for yourself. But a midwife is not necessarily for you. And yes, personally I think this would go for laughing gas, too. Exception for epidural is when mom has labored for a long time and just needs to rest. I don't think midwives are de facto opposed to epidurals. but with most births, they believe they are not needed. I'm not sure why that is such an issue. [/quote]

Epidurals solely for pain relief come with complications. Midwives are the most practiced and familiar with complications that arise from non-medicated birth. It's not a judgement thing. It's a we-are-best-at-this-kind-of-birth thing. If you go into birth knowing you want anesthesia, you are sort of wasting their expertise and the strength of their model of care. If you just want to hold your baby right away and wait to cut the cord, agree with PP above - just get a doula and find an OB that'll support your plans.[/quote]

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