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Torn... x-posted


Forum: Natural Childbirth

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  #1  
April 10th, 2009, 06:10 PM
Kelllilee's Avatar Platinum Supermommy
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okay, so a few weeks ago I met with a homebirth midwife. I really like her (I'd met her before) and feel very comfortable with her. The main "downsides" are that she is not state licensed (she is a CPM, just doesn't have state credentials), and we have to pay out of pocket because she doesn't accept insurance (due to the licensing thing). Other than that I'm very comfortable with her.

Fast forward to today. I heard about a new homebirth midwifery team starting up in our area. So I emailed them and met with one of the women today. She's also really nice, though I didn't click with her quite as well. She is state licensed (just finished her training and certification a couple months ago) and they are working on contracts with insurance companies. So while I will probably be covered insurance-wise, chances are we'll have to pay at least part up front and wait for reimbursement.

plus during our conversation a couple things she said kinda set off my radar. First off, she lives nearly an hour away from me and at some point mid-pregnancy I'll start having to drive to her house for appointments. And she said that they are very conservative in regards to at what point they transfer people to the hospital. Which kinda concerns me.

The appeal of not paying out of pocket is high, but I just don't know what to do! My next appointment with the first midwife is May 1st...

Any thoughts?? I think my gut is telling me to stick with the first, but I don't know if that's just my uber-loyal personality talking (I have a VERY hard time quitting a job because I quickly feel loyalty to people/companies)...
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  #2  
April 10th, 2009, 06:13 PM
The Purple Butterfly's Avatar Stacey
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I'd go with the 1st one. If you feel a connection with her, than stick with her.
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  #3  
April 10th, 2009, 06:26 PM
GoldmanBaby09's Avatar Regular
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I agree. Go with the first one. We are paying $3k out of pocket for our HB midwife, and NV has no formal mw licensing requirements, but she is licensed in CA and has been delivering babies for 25 years. That is good enough for me! Plus, you want some one you are comfortable with and have a rapport. Plus an hour is kind of a long ways away. GL!
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  #4  
April 10th, 2009, 06:29 PM
Kelllilee's Avatar Platinum Supermommy
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yeah, that's what I'm thinking. Her fees are pretty low, $1550 and it includes birth kit, supplies, tub rental and everything. She's half an hour away, but depending on traffic, as little as 20 minutes, which is much better.
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  #5  
April 10th, 2009, 06:40 PM
mgm78's Avatar Zoe's mom Meredith
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I would go with your gut and go with the first one.
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  #6  
April 10th, 2009, 06:54 PM
LadyLuck's Avatar Platinum Supermommy
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I always listen to what that little voice in the back of my mind is saying, and it seems like your's is directing you with the first one. I also always say,"doubts = don't"... since you have quite a few doubts about the second one, I wouldn't go with her.
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  #7  
April 10th, 2009, 08:28 PM
Sk8ermaiden's Avatar Platinum Supermommy
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For $1500, I would totally go with the one you want! My CPM is twice that, even though she takes insurance (she's out of network for me).
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  #8  
April 10th, 2009, 09:29 PM
soImarriedAnerd's Avatar Platinum Supermommy
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$1500 WOW! (mine is $4000). I say go with your gut and stick with the first one.
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  #9  
April 10th, 2009, 10:22 PM
Martina's Avatar Mega Super Mommy
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1500 is a good deal LOL, I am having 3rd baby with midwife and we paid for each around 3000 (though this time around I think it will get funded , so I should pay less - this time around price was 3800, but I should get back some of that money. because last 3-4 months should be funded)
I say stick with the mw you like.
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  #10  
April 10th, 2009, 11:02 PM
ShaunaB's Avatar Mega Super Mommy
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I agree. Go with your gut on this. I would be concerned that she's newly trained and experienced foremost, as well as your other concerns. And for $1500 your first choice us a steal!
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  #11  
April 11th, 2009, 06:40 AM
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I say go with the first one. I wouldn't be thrilled about the hour drive. And since she's newly trained, she may not be feeling completely confident with herself, which is the reason for the conservative attitude about transfers. And from someone who was worked with managed care and government insurance contracting, it can take MONTHS or even longer to get insurance contracts in place. There's no guarantee that she would even be participating by the time you deliver.
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  #12  
April 12th, 2009, 04:56 PM
DoulaMama's Avatar Platinum Supermommy
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I think the first one sounds like the best fit for you. And wow- that is just so little, I'm still in awe!

oh- and I'm with the other m/w about transfering on the side of caution- I think it's just a much better and safer thing to do. But that still shouldn't mean she has a high rate of transfer..... I think a conservative rate should be about 15% for first timers, and about 10% for multips.
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  #13  
April 12th, 2009, 05:15 PM
~ Ada ~'s Avatar Zen
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Ditto to what everyone else has said, the first sounds like a winner!
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  #14  
April 12th, 2009, 05:20 PM
Kelllilee's Avatar Platinum Supermommy
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Quote:
Originally Posted by I want a baby View Post
I think the first one sounds like the best fit for you. And wow- that is just so little, I'm still in awe!

oh- and I'm with the other m/w about transfering on the side of caution- I think it's just a much better and safer thing to do. But that still shouldn't mean she has a high rate of transfer..... I think a conservative rate should be about 15% for first timers, and about 10% for multips.
yeah, I didn't ask her specific rate. Being very new at it, I'm not sure the rates would really be accurate, ya know?

my concern is that she'd want to transfer earlier than I felt necessary, especially living 4 blocks from the hospital.

Plus, her being an hour away isn't good, once I get to the point of calling the midwife it probably will only be an hour or so until baby is born! lol


Anyway, I'm pretty decided on sticking with the first I really appreciate everyone's input!!
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  #15  
April 13th, 2009, 08:15 AM
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Glad you made a decision. I was going to say stick with the first one too.
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  #16  
April 13th, 2009, 09:47 AM
DoulaMama's Avatar Platinum Supermommy
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truew about her rates not being too accurate, and I'd forgotten that you were 4 blocks away.... that would totally give you more time at home safely.
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  #17  
April 13th, 2009, 09:48 AM
DoulaMama's Avatar Platinum Supermommy
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truew about her rates not being too accurate, and I'd forgotten that you were 4 blocks away.... that would totally give you more time at home safely.
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  #18  
April 13th, 2009, 02:17 PM
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go with the first!
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  #19  
April 13th, 2009, 07:37 PM
moon~maiden's Avatar Cheryl~ birth truster
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sounds like you knew what to do the whole time! Sometimes we have to say it outloud (or type it) to know for sure...
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  #20  
April 13th, 2009, 08:27 PM
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It sounds like you know who you want to go with, good luck with your decision!
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