Family Practioner vs. OB vs. Midwife

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Registered: 04-27-2003
Family Practioner vs. OB vs. Midwife
7
Thu, 06-26-2003 - 1:29am
Does anyone have any thoughts on any of these three as choices for seeing you through your pregnancy. I've just started looking for one and trying to decide who I want. I know a family practioner who also specializes in obsterics and I think she would be good because once we have a baby, she can continue to be its doctor. Then there is a midwife I've known for about 17 years and she's a wonderful woman. Any thoughts from anyone on midwifery? I am just beginning to realize how close all of this really is and I am feeling somewhat unprepared now. For the longest time I felt so ahead and like it would never get here, but now that it's only a little over a cylce away, I'm getting really nervous and feeling unprepared. Also I just keep thinking about how I'm going to feel if it doesn't happen the first month. I know this is a good possibility, but I feel like I've been waiting so long, that I don't want to have to wait any longer but I can't make myself get pregnant (although I have thought about willing myself to prenancy (lol)).

Melinda wtt 8/03

 

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Registered: 03-26-2003
Thu, 06-26-2003 - 9:45am
Melinda,

Seems like there's a lot of things to consider. I haven't given it too much thought myself, but I guess I always just assumed that I'd use an OB - especially for my first - just because I will be so nervous and not really know what to expect and I want the confidence that if something goes wrong, we are in a hospital with an experienced staff, etc. With a midwife, don't you deliver at home or something? I can see how that'd be neat, especially with someone you know and like a lot. But again, I'd just be more at ease in a hospital! And as far as using your FP who specializes in OB, again I'm just not sure. For example, I chose my FP after (moving to a new city) because she specializes in GYN and then she could do my paps and all. And I do feel comfortable with her and she's very nice and seems knowledgeable but now that we're dealing with fertility issues, I think I want to find someone who deals with that more often. Does that make sense?

I guess, like a lot of things, it just boils down to what you feel most comfortable with! Sorry I'm not more helpful!

Good luck,

Laney

Avatar for maddiekaysmom
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Registered: 03-28-2003
Thu, 06-26-2003 - 9:50am
I used an OB just because they are the most experienced. If anything went wrong, then they would know how to handle it. I had a friend who would not even think of using anyone but her family doctor, well she ran into complications and was forced to find a new doctor at the end of her pregnancy. Also the doctor was not up to date on inducing and would not even discuss inducing. By the time she got a new doctor, she was a mess. And spent a week and a half in the hospital after the birth of her dd. My own experience with a family doctor was that he did not listen to me. I told him that I was only 6 weeks, but that I had problems previously. He thought I was farther along than that, and he told me standing out in the hallway with nurses, kids, other mothers, lab techs, etc that my baby was dead. My levels were too low. Needless to say, Kay turned 3 in March. I guess, I don't trust them. They have to know too much "stuff". But you need to do what you are comfortable with.

josie

Maddie (11/98), Kay (3/00), & wtt 8or9/03

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Avatar for jlynna12
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Registered: 03-25-2003
Thu, 06-26-2003 - 11:09am
Melinda, I think it's all personal preference.....

The way I understand it, is that the FP would continue your care after you deliver. They probably know more of your "total" health history.

The OB is probably a bit more knowledgeable in pregnancy, only because they don't have to know a bunch of other stuff

The midwife would be a good choice maybe if you prefer a less "structured or institutional" type delivery. A lot of midwife's will deliver in hospitals now....or birthing centers. Depends on a few things, state you live in, the relationship that particular midwife has with the local heath systems. My sis was going to be a midwife, so one thing I would stress if you choose this option....REALLY know the laws in your state. Make sure the midwife is a certified midwife. And, there are a few different types of midwife's. I will see if I can find some of the webistes my sis was using to inform me of her choice (she ende dup changing her mind, btw) :-D

The most recent issue of "pregnancy" magazine had a good article in it about choosing a dr for pregnancy and delivery. It stressed the most important thing was that the health care provider be friendly, informative, and that you are comfortable with them.

Good luck in your choice!!! I will see if I can find the midwife page for you to "browse" through :-D

Jlynn

 

           
Jlynn, Momma to Asher and Ada

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Registered: 04-27-2003
Thu, 06-26-2003 - 11:53am
Thanks for the advice. The woman I am interested in as a midwife does both home and hospital births. She is a certified nurse midwife and has been for quite some time. I think I would still do the birth in the hospital because of the chances of things going wrong (especially with the first). She works with a very well-known OB in the area in cases that may be too much for her to handle. I just need to look into each option a little more and figure it out. I'm leaning toward the FP because she is certified in obstetrics and as others have mentioned she will have a good idea of my overall health and can continue to be my doctor after the pregnancy.

Melinda wtt 8/03

 

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Thu, 06-26-2003 - 12:54pm

 

           
Jlynn, Momma to Asher and Ada

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Registered: 04-27-2003
Thu, 06-26-2003 - 4:02pm
Thanks for the links. I checked them out and I will continue looking on the web and reading up so I can make the most educated decision about something so important.

Melinda wtt 8/03

 

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Registered: 03-19-2003
Sat, 06-28-2003 - 4:24pm
When I first made this decision, I was pregnant with my first child. Although we had planned it, I didn't know enough to realize that I had choices and went right to an OB/GYN--chosen from the phone book of all places! But it worked out perfectly b/c I LOVE him! Having the experience of three pregnancies and deliveries, I think I'd still go with an OB b/c we had a couple of scares with prematurity (my two boys...nothing but trouble, LOL!) and his expertice not only in the OB department but with high risk pregnancies and infertility gives me a great deal of comfort--I'm not worried that a problem will arise that will mean that I have to change caregivers mid stream or be referred to another physician. I feel the same way about having a separate pediatrician for my kids (and I kept it that way even as DH and I use a family doctor for ourselves)--I like having the provider highly specialized in the field. That said, I have nothing against either of the other options. As I said, I more or less stumbled onto my OB but I'm extremely happy with him.

Sarah, WTT #4 5/05

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