Midwives and OB's

Wussel78

In my last post I asked you ladies about your pregerence in regards to home birth versus hospital birth. I gathered from all the answers that there is quite a controversy in regards to either personnel. I was wondering what the origin of this is?
Personally, I went with midwives because I love the fact how much time they had for me for each appointment. In the end I had to be transferred to an OB because of my daughters increased heart rate. The OB was super nice too and explained everything to me. My midwife stayed with me despite the transfer of care and took care of me postnatal. I loved it too that they came to my house for two follow up appointments on day 3&5 instead of me having to go to the clinic.

ho11yday

I will not be having a home birth, but I've seen only midwives this pregnancy. Last pregnancy I saw a NP for my first two appointments and then changed, because I wanted less interventions and more personal treatment. I love my midwives.

rainydayluck

anniemore said:

Are you writing an article or something? 

I was wondering if something nefarious was going on since she randomly started posting these two posts here and has contributed nothing.

sisterjanet

Wussel78 said:

In my last post I asked you ladies about your pregerence in regards to home birth versus hospital birth. I gathered from all the answers that there is quite a controversy in regards to either personnel. I was wondering what the origin of this is? Personally, I went with midwives because I love the fact how much time they had for me for each appointment. In the end I had to be transferred to an OB because of my daughters increased heart rate. The OB was super nice too and explained everything to me. My midwife stayed with me despite the transfer of care and took care of me postnatal. I loved it too that they came to my house for two follow up appointments on day 3&5 instead of me having to go to the clinic.

I'm honestly not sure what you're referring to.  The origin of people deciding between midwives and OBs goes back to childbirth being a thing doctors might take care of instead of midwives.  You can read more here: https://en.wikipedia.org/wiki/Obstetrics#History_of_obstetrics_in_America or at your local library.

spacepotatoes

Babybarlow2014 said:

I'm seeing a witch Dr. Ooh eee ooh ah ah ting tang walla walla bing bang

So, do they induce via voodoo doll?

Wussel78

Sorry if I have come across as to try stirring feh pot with my questions. I honestly just wanted to hear people's opinions in regards to home vs hospital births and also in regards as to why it sems that there is a competition between who is the better caregiver.

hfooter

spacepotatoes said:

Babybarlow2014 said:

I'm seeing a witch Dr.
Ooh eee ooh ah ah ting tang walla walla bing bang

So, do they induce via voodoo doll?


This is a genius idea.

...runs to store to buy voodoo doll making supplies...

Ykford80

I wouldn't say there's competition on who gives better care. It depends on the patient's preference on whether to have a dr or a midwife and whether they want to deliver at home or at a hospital. And also every provider whether midwife or dr has different bedside manners. Some drs have great bedside manners and some don't. Some midwives have great bedside manners and some don't.

Miles2Go

My life coach will be delivering my baby. I don't trust "authority". Too many interventions!

talkthewholetime

I dont' see it as a competition...IMO, doctors and midwives are equally qualified to do the same job. In the end, for me, it comes down to personality, hospital affiliation, hours/location etc. I ended up with a practice of doctors, but becuase I like them personally, and their practices and standards of care. Not because I dislike midwives.

spacepotatoes

I'm not sure I understand. Are you seeing a competition between pregnant women over whether they are getting better care under an OB vs midwife? Or are you talking about a competition between the OBs and midwives themselves?

Either way, I don't think there really is one. I will say that some people around here (as in, where I live, not on the boards) mention their midwife as if it was a status symbol to have one but that's not typical. And considering how hard it is to get one, it almost is worth bragging about.

jenb_99

spacepotatoes said:

Babybarlow2014 said:

I'm seeing a witch Dr. Ooh eee ooh ah ah ting tang walla walla bing bang

So, do they induce via voodoo doll?

I hear they stick needles into the doll's crotch till she screams and a tiny mini voodoo doll pops out.

Me, personally, I'm waiting for the stork to deliver this baby. We built a giant birdhouse in our front yard and everything.

Wussel78

kitchencolors said:

With regard to the "competition" aspect... I think there's probably something to the fact that as professionals there is some degree of competition between MWs and OBs.  They do have an overlap in clientele.  They're different, though. 

Do I think that MWs categorically provide better care to low risk women?  No. 

Do they typically provide low risk women with equal quality care (or better) at a lesser overall cost?  Absolutely. 

Do I think that OBs provide a necessary service that MWs can't provide? Absolutely. 

A lot of us pregnant ladies find ourselves in a situation where we don't personally have to weigh the cost factor because there's not a difference in OOP cost.  I think that's part of what makes the difference seem sort of not relevant, but what factors so much into the political forces behind MW vs. OB models of care.  Obviously the AMA has no desire to advocate for turning over some of their business to people who fall outside their jurisdiction to do a job that their members have historically done.  That's part of what professional organizations do - they advocate for the interests of their members.  From a quality of care perspective, I can see how the AMA would feel compelled/obligated to argue that their members provide superior service.

Wussel78

Thank you for your input, that's what I was after, maybe I just didn't ask my question properly