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Thoughts on shadow care? Did you have it? I'm trying to gather information for my next pregnancy which I would love to be a home birth... Right now I'm trying to see if I can get my insurance to pre determine coverage of some or all of it... And I wondered if I was successful, how that would work if I needed shadow care? Do you tell the OB your plans? What if I only wanted the 20wk Anatomy Scan?
Most likely I will be driving across state lines for a "home birth" in someone else's home... or a birthing center, As it's illegal for a midwife to attend an out of hopsital birth here in AL. Although, there are some who do it at their own risk.
Bri, wife to Kirk, & mother of Aidan Troy , Callen Rhys, and introducingJulia Pearl
I decided not to have shadow care by an OB and just use my midwife. I also have crappy insurance that will not cover midwives at all. However, I do have coverage for services that she orders. Ultrasounds, blood work and stuff that she orders but doesn't preform herself have all been covered. If you're trying to see two providers through your entire pregnancy your insurance will most likely not pay for it but if you had a midwife as your primary care giver and needed to see a OB/specialist for a specific issue that might be different.
I'm receiving shadow care (it's referred to as "parallel care" where we live in CA) throughout my pregnancy. We have really great health insurance, but they have a rule that they will only cover midwifery services if the midwife is an RN. And, it just so happens that none of the midwives who will attend home births in the county where we live are RNs. So, we're paying out of pocket for our midwives (worth every penny, though!), and our insurance covers all of my visits, tests, u/s's, etc. for parallel care in full.
Home birth is common here so the ob's that I see are familiar and comfortable working with our midwives and are well aware of our plan for a home birth.
I am just seeing my midwife. Home birth is easy to come by in TX and my midwife has referrals she provides if anything abnormal pops up during pregnancy. This will be my 4th birth with her so I am comfortable that she can provide my full care. She does my labwork and sonogram referrals as well.
Alison - Mom to: Emmeline (7/14), Augustus (2) Maximus (4) Eleanor (5) Reid (6) Evelyn (8) Lucas (13) Christopher (14)
I'm getting ready to move to TN and the way the midwife I chose explained it to me is that she does have a backup OB that I am to have one appt with before I deliver. She also said he will prescribe anything I may need, including things for the birth like pitocin (in case of hemorrhage), eye ointment and vit K (if I wanted it), my Rhogam shot, etc. I'll be 32 weeks when I start my care with her. My insurance won't cover any part of her cost so I'm really glad that I can at least get the prescriptions covered. Especially the Rhogam for after birth - i hear that's really expensive. Luckily I'll have my pregnancy dose tomorrow and that will be out of the way.
eta: attending home births here in Indiana is also illegal so I would have had to pay for any of the medical stuff out of pocket if I had decided to stay here and have a home birth.
Mom of 3 girls and 6 boys
& never forgetting our angel Tristan ~ lost 2/6/03 @ 20 weeks