PREGNANCY-BIRTH Messages for April, 2000: Re: Question for Mid-wives

Re: Question for Mid-wives

From: Cassandra (anonymous@obgyn.net)
Sun, 30 Apr 2000 01:48:23 -0500 (CDT)

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At Fri, 14 May 1999, Carolyn wrote: >
>I can try to make my question a bit less vague.
>A woman has had a baby (or 2). What, in her pregnancy history would a
>mid-wife look at and say..."nope" won't do it? For example, let's say
>the mother had a c-section due to baby's head size relative ot mother's
>pelvic size. Or the presence of HELLP syndrome. Or Eclampsia. Or
>placenta problems. What would a midwife look at and say NO. In
>addition, what would throw up warning flags?
>
>And for the record...I'm NOT trying to discount homebirths. I'm just
>trying to find out some information as to the comfort level of most
>midwives at dealing with situation where the birth and delivery MAY not
>be "normal".
>
>Thanks.
>

Dear Carolyn, Before I was pregnant with my first child I interviewed many midwives before picking a midwife who I felt comfortable with and who I felt had the neccesary skills to deal with probable complications and had the necesary back-up in place. Midwives will differ on the comfort level dealing with different problems. For example I know midwives who are very comfortable taking moms who had previous cesearans or whose baby may seem large because every delivery is different and many of them believe in the body's natural ability to give birth. Once serious problems such as preeclampsia, HELLP syndrome, or placenta problems creep up and I expect even before some of these problems became that serious a reputable midwife will refer a client to a doctor. A reputable midwife will have prenatal visits with her clients and monitor the urine,blood pressure, fetal heartrate etc. During labor she will also monitor the fetal heartrate and be well-trained in resuciatation. If you are interested in finding a midwife prepare a list of questions and interview several in your area. YOU are the consumer and YOU have to feel comfortable with your caregiver regardless if that caregiver is a midwife, ob, family practitioner, or certified nurse-midwife. By the way I read a quote somewhere :"80% of the worlds babies are delivered into the hands of midwives" In looking at a woman's medical history before accepting her as a client I suspect a midwife will ask the following questions Does this medical condition still exist? What were the circumstances during her last labor(s). Some medical interventions during some labors causing complications. For example a first time mom who has a epidural and can't feel to push. A forceps delivery is performed after which she tears into the rectum etc. etc. Another question that might be posed, Is this condition preventable with good prenatal care? One mother of three children had a history of pregnancy induced hypertension. With her fourth child she went to a midwife for the first time. The midwife and this mother worked out a prenatal plan designed to prevent hypertension. It worked and she never developed hypertension. Well, I've talked your ear off but hope this helps.

>
>--
>Carolyn
>
>At Thu, 13 May 1999, Rachael wrote:
>>
>>At Wed, 12 May 1999, Carolyn wrote:
>>>
>>>This might not be the correct forum, but I thought I'd give it a go
>>>anyway. Under what circumstances would a woman NOT be considered a
>>>candidate for a home birth? Basically, I mean the woman's medical
>>>history.
>>>
>>>Thanks.
>>>
>>>--
>>>Carolyn
>>>
>>I'm not a midwife or doctor, and am not going to attempt to answer your
>>question, just give you a suggestion... This is a very vague question,
>>and you're not likely to have medical types answer it because of the
>>vagueness. Perhaps you could be more specific?? I'm guessing their are
>>literally hundreds of reasons why a woman wouldn't be a candidate for
>>home birth...
>

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