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It all depends on the individiual's philosophy about birth. There are OB's who are very supportive of natural birth, and there are midwifes who are very oriented towards interventions. My midwife likes to talk about M.D.'s (Midwives in Disguise) and "MEDwives." LOL
But generally speaking, OB's are less inclined to support natural birth than midwives are.
I say meet with a midwife or two, and also with an OB or two - find out about their personal philosohpy and go with whomever would be best suited to supporting you in the kind of birth you want.
Personally, my OB supported my natural birth plan to a point. He agreed with everything I asked for BEFORE birth (no meds, no episiotomy, etc), but once I was actually in labour he fell right into his old routine - he's been delivering babies a LONG time, so my wishes kind of got ignored. Thankfully we had a doula with us to remind him of things so I wouldn't have to. He delivered #1 and #2, med-free births in hospital.
For #3 we went with a midwife and had our first homebirth. The difference was AMAZING! She didn't impose anything on me - she totally believes my body knows how to get a baby out and she's just there to support me. Whatever position I wanted to be in, whatever I felt like I needed to do - she was cool with. We had a waterbirth - my biggest baby and NO stitches for the first time! YAY! She was very accomodating and I can't wait to give birth again!
I cant comment on this seeing as id unbelievably biased as im going to be training as a Midwife but i think it differs from each practitioner. Midwives are more popular with those wanting to home birth and have a med free delivery, it all depends on what you want from your ob/midwife as well.
<div align="center">Alexander, Dylan & Joseph
Midwives seem to be more flexible- think the ability to call someone a 3am and know she's really there for you
You seem to develop a pretty close relationship with the midwife, and they also do at home services after the birth. Thats great!
I"ve heard of too many very well meaning docs that turned to their medical knowledge instead of keeping you on your birth plan.
I'd add that while this isn't such a big deal, midwives are cheaper and just seem to be so much easier to work with. Please dont think I"m just talking about money, but hey if you want just one more perk of a midwife, well there you go!
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