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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Completely new poster here who has been following this thread with interest.  And I have to agree with a PP that this thread has really confirmed my feelings that I made the right choice choosing MCA over Wisdom.

First, the idea that a midwife of this long standing would blame, overtly or not, ANY woman for GD (a disease I'm not even convinced exists in the truest sense--an opinion which I thought was shared more widely in midwifery) with cause or without, is absurd and offensive.  The PP who said [quote]"I don't like tough love. I want to be respected and treated as an equal. If I go in there and get demeaned, criticized, or patronized, I'll vote with my feet."[/quote] is absolutely right.  I thought a huge part of the midwifery movement was about demanding better, more respectful, more evidence-based healthcare, so to hear that such a "respected" midwife is doing the exact opposite makes me really angry.  (Also FWIW, I'm fat, eat horribly by their standards, haven't changed that at all in two pregnancies, and passed both pregnancies' GD tests with flying colors.  I've also only gained 4 pounds now at 37 weeks.  My body just looooves being pregnant.)

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?)

Third, the idea that any medical practitioner would value their "stats" over individualized care of their patients, and bringing that better care to more patients, also makes me really angry.  I get that Wisdom is so popular they feel like they can be choosy, but wouldn't it be better for midwifery care and women in general to bring their models and best practicies to a broader audience, rather than preaching to the choir as it were?  Women are limited enough in choice of midwife care providers in this area, that it pisses me off that they would decide so many of us are "not good enough" for them.[/quote]

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, [b]you should seek a high touch low intervention OP[/b], 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]

Not the PP you quoted, but who are these OBs? Because of a complicated pregnancy, birth, and a baby who needed the NICU for weeks, I would be uncomfortable with an out of hospital birth. Other than Wisdom, who supports unmedicated birth? I'm all for any interventions that my baby needs, but if it's just because of protocol or to ease staff's burden or lawsuit liability, no. Who are these OBs who use the same level of science as Wisdom?[/quote]

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