I've been seeing an OB who is great. But he delivers at two hospitals and neither of them is known for being particularly friendly to med-free birth; it can be done, but it's definitely not the standard at either hospital. Also, his practice covers deliveries on an on-call rotation, and I've never met any of his partners. And also, nobody at his practice is certified in waterbirth.
So I'm considering transferring care. Here are my options:
1) I switch to a family medicine doc who tries to be at the births of all of her OB patients. I've spoken to her on the phone and I really liked her a lot. I would work with her through the entire rest of the pregnancy, so I'd get continuity of care throughout the rest of the pregnancy. She does waterbirth and delivers at a very med-free friendly hospital. She says she makes it to about 80% of her OB deliveries. If she can't make it, she tries to get one of the other three family med docs in her practice who do waterbirths to attend. If that fails, I end up with one of the other on-call family med docs in the practice and I don't get the waterbirth option...but at least I'm still at the med-free friendly hospital.
2) I switch to a practice of four midwives who all deliver at a different med-free-birth friendly hospital. I've spoken to one of them on the phone and she was nice, but I didn't get the same great vibe as I did from the family med doc. All four midwives do waterbirth, so I'd definitely get the option of waterbirth. What I wouldn't get in this scenario is the continuity of care. I'd probably try to meet all of them beforehand, and then I'd get whichever one is on call.
3) I stay where I am.
Looking for opinions. WWYD?
Re: WWYD: transfer of care.
From you descriptions, I'd say you know where you would like to be
. And that says more than any of us could. You sounded excited about the family doc option. Things usually work out- keep that in mind.
I'm just jealous you have water birth options in a hospital
Personally, I'd go with the practice that I got the best vibe from. In your case, that sounds like the family practice doc.
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I'd go and meet each in person and then decide. Do you have a preference with the hospitals; is either much further from you?
I don't have a problem seeing different providers so that part wouldn't bother me. In the midwifery practice, are you able to see each of them during your pregnancy? Or do you just get one primary.
Really either option sounds promising and better than where you are currently
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Haha, well... try as you might, your opinion shows through.
I'd take option 1, too, because I really like continuity of care and being at a NB friendly hospital with a provider you trust is the most important thing. Meet with her once before considering it a done-deal to make sure you click in person, but assuming everything feels right, it sounds like a great situation.
Basically echoing what people have said above. In this scenario, I'd probably choose option one since I like continuity of care more than I'd want a waterbirth, but that's me. Whichever of those two is more important to you is the way to go.
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