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I had an ob with my daughter for the first 28 weeks of pregnacy, but then switched over to a cnm (certified nurse midwife) practice after that. I never regretted my decision to switch. an ob only comes when the baby is being born...a midwife is there the whole time with you. I also had alot more freedom with the midwife, whereas the ob said that I couldn't eat or not have an iv. ( i had my daughter in the same hospital that the ob would have delivered me in, so it was just the ob's rules, not the hospital's.) The midwife also did ultrasounds. i think you run into problems with a midwife not liking ultrasounds when you use a cpm (certified practicing midwife). Both types are very good though.
oh, and most midwives will only see you if your low risk. but again, that depends on their practice. my midwife was connected to an ob, so if i went high risk, id have to be delivered by the ob. hope that helps.
My first was a home-birth with a midwife, and I can't imagine doing it any other way. We're using a midwife for baby #2 as well, but it'll have to be at the hospital...(living with my parents and they're weirded out by the idea of a home-birth!)
I had an OB with my first. I liked a few OBs in the practice, but most of them left except for the crappy mean one. In North Carolina, we can only have CNMs. A CNM can do anything an OB can do except perform surgery (they can request epidurals). I go to a large OB practice that also has several midwives. I loved the difference with my second pregnancy. They were willing to spend more than 2 minutes in the appointment, they were always on time, answered my questions about NCB and gave me suggestions on reading or yoga. Unfortunately my labor was super fast and I didn't make it to the hospital where my midwives delivered. She called DH's cell phone an hour after he called her to say we couldn't make it to check on me even though I was at a totally different hospital. I'm so excited to go through another pregnancy with them.