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geogeek May 15th, 2011 04:31 PM

contacting a midwife soon
I have been seeing an OB and I like him enough. But, before I got pregnant with this little one, I had 4 miscarriages. So, automatically I was labeled high risk. Those were all chemical pregnancies with the longest lasting 5 weeks. I am 17 weeks now. I am starting to feel the baby move. Now my drive for a home birth is getting so strong I can't hide it anymore. I have my ultrasound the end of next week for the anatomy scan and I hope to be under the care of a midwife by 20 weeks planning my wonderful home, water birth.

Is there anything that I should do to stop seeing the OB better? That is the only part I am not looking forward to. I don't want the whole OB telling the woman she is going to kill her baby thing. If he classifies me as high risk, I am afraid that no midwife will take me on as a client and that is hanging over my head. I just hope my OB will release me from his care easily.

SillyKitty May 18th, 2011 06:21 PM

Re: contacting a midwife soon
I transferred from my OB to my midwives at 12 weeks. I contacted my midwifery group first, had my first appointment with them, then notified my OB's office that I was canceling my next appointment. I didn't tell him face-to-face, but I went to his office and talked to his office staff to get the records transferred, then left a very polite voicemail on his nurses' line thanking him for the great care that he provided me through my miscarriages and early pregnancy. My midwives happen to know the OB I used and told me that he is generally supportive of them, and he would not be offended that I transferred because I want a home birth.

Regarding your "risk" based on your early miscarriages, my midwifery group did a risk assessment. If your midwife uses the same assessment, having 3 or more back to back miscarriages would earn a score of 3 on the assessment, meaning that your record would have to be reviewed by their own back-up OB. Since most midwives have a home-birth friendly back-up OB, I don't think that OB would think you were too risky just because of early miscarriages, especially since you've made it this far now.

If you do pursue the home birth option, make sure to ask about pro-rated rates for the midwifery services since you are transferring into the practice later on. My midwives dropped $300 from their usual rate since I had done all the first trimester testing and appointments already.

So to summarize, I would recommend contacting the midwifery group and setting up an appointment first, see how things go with that appointment, THEN tell the OB that you are transferring if you decide to. Good luck!

Martha83 May 19th, 2011 08:48 AM

Re: contacting a midwife soon
I was going to an OB with my last baby and then switched to a midwife at around 12 or so weeks I believe...I'd only had one appt with the OB I think. I just called and canceled my appt and then never set another one. I didn't tell them what I was doing and didn't really care to. LOL....You could get copies of your record when you go in (it's your right) and then just say you are transferring care so that will be your last appt. You dont have to go thru an explanation or anything. You have the right to transfer care and such without having to give excuses...GOOD LUCK.....

geogeek May 19th, 2011 09:15 AM

Re: contacting a midwife soon
Thanks for the advice ladies. I think that I will be requesting a copy of my records today to have them Monday when I go in. I am contacting the midwife practice today to set up a first appointment. I hope that it is okay that I am almost 20 weeks...

Martha83 May 19th, 2011 01:22 PM

Re: contacting a midwife soon
im sure it will be fine....

Alison79 May 19th, 2011 08:12 PM

Re: contacting a midwife soon
I transferred care late in my 4th pregnancy because we moved out of state. Most midwives are used to getting clients later in pregnancy. Best of luck with your appointment!

geogeek May 19th, 2011 08:21 PM

Re: contacting a midwife soon
With my history the midwife recommended me for a birth center rather than home birth. I am hoping that when I move I can move toward a home birth. I LOVE the practice there. They are wonderful midwives. They answered every single question that I had. They let me stay there for over an hour. It was wonderful.

Asdel May 19th, 2011 10:08 PM

Re: contacting a midwife soon
I am glad they were able to be of help and Answer all your questions and let you stay :)

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