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Hey There February 2nd, 2009 09:11 AM

Hey There-

This is my first pregnancy and I'm going to be meeting with my midwife next week (2/9/2009). What kinds of questions did you ladies ask at your first appointments? What things will I be asked?

Thank you and hope you don't mind if I hang out for the next couple of months!!

inyourhonor February 2nd, 2009 09:27 AM

You definitely want to know what her transfer rates are. So find out how many births she transfers to the hospital, before, during, after and what ends up being a vaginal and c-section.

Sk8ermaiden February 2nd, 2009 06:16 PM

This was my list, compiled from the lists of others and edited to the things I cared about. I didn't ask every question with each midwife. And sometimes they answer several at once.

What is included in the fees?
What will I need to provide?
When do you require payment?
Do you work with insurance?
What happens with fees if my care is transferred to an OB?

How many births have you attended?
What are your expectations of clients during pregnancy?
Can you recommend or will you loan to us appropriate book, videos, internet sites, etc. to help us prepare for homebirth?
Do you require or recommend that my husband and I take a childbirth education class?
What do your checkups consist of?
Do you come to my home any time before I go into labor?
What prenatal tests do you recommend?
How do you feel about induction?
If I develop a condition that makes me high risk, do you have a doctor you normally use to transfer my care to? Do you also try to use this doctor for transfers during labor?
What is your cut-off for considering a baby to be premature and requiring a hospital birth?
What are your feelings on GD? Refusing testing?
Do you deliver breech babies?
What do you do to try to turn a breech baby?
How long do you allow a woman to go with her water broken?

General Labor
How many internal checks do you normally perform?
At what point in my labor will you or your assistant come to my home?
How many clients do you have due in any 4 week period
What do you perceive your role to be during my labor?
What are your expectations of clients during birth?
What equipment and supplies do you bring to a birth?
What natural pain relief techniques do you find to be most effective?
What is your usual approach to a labor that is progressing slowly?
How often do you listen to baby during labor?
Do you break the water for any reason?
How much time do you allow for the delivery of the placenta?
What happens if my perineum needs stitching/suturing?
Do you help with cleanup?
How long do you stay after the birth?
Do you have any problems with delayed clamping/cutting?

Potential Problems
Do you have guidelines or restrictions about who can give birth at home?
What is your definition of "high-risk"?
Do you allow the mother to go past 42 weeks and still have a homebirth?
What problems or complications in pregnancy would mean that a physician would become my primary maternity caregiver?
How would you handle a hemorrhage?
What is your episiotomy rate?
Shoulder dystoxia/cord prolapse?
What is your hospital transfer rate?
Under what circumstances do you transfer to hospital?
What would be the plan of action if a transfer to hospital were necessary?
What care would you give me if I need to transfer?
What is your Cesarean rate? What are the most common reasons?
Would you stay with me in the hospital? In the operating room? For how long after the birth?

Do you come to see me after I give birth?
What do these visits include?
Will I visit you after the birth? How Often? What do these visits include?
Do you examine the baby at any or all of your visits?
What does the examination include?

Hope this helps!

MamaFish February 2nd, 2009 07:04 PM

Those were excellent questions! Commenting on two...


Do you allow the mother to go past 42 weeks and still have a homebirth? In my state it is the law that a woman be transfered to an obgyn if she goes past 42 weeks. My mw will begin working with natural methods of induction after 41 weeks just to allow time for them to work and avoid having to transfer to an ob.

Would you stay with me in the hospital? In the operating room? For how long after the birth? Some hospitals will grant mws priviledges and others will not. Your mw may be able to actually help you labor in the hospital or she may just be allowed to be with you.[/b]
I might also ask if your mw is open to you laboring with a ball, in a birth pool (ask about water birth if you're interested), a birthing stool, etc.

Hey There February 3rd, 2009 08:06 AM

Thank you ladies!! This information is so helpful. I have been doing some research on my own but the list of questions I came up with doesn't even come close to the amount of information I've gotten here. I will be trying a waterbirth so thank you for the additional questions about that. I can see this is going to be a very helpful place to me in my pregnancy journey!

In case anyone is interested, here is one of the 2 midwives I will be using:


Sk8ermaiden February 3rd, 2009 07:58 PM

Yeah mamafish, I found out really quickly that the midwives in Texas can only do a homebirth between 36 and 42 weeks. :(

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