I'm with a midwife. Two friends of mine in my city went to the same practice I'm at and had good experiences so I thought I'd look into it and it seemed the best fit for me. I decided to go with a MW because I like that they present me with all of my options (pros and cons) but focus on letting me make decisions that are best for me and my baby. One of the things my MW emphasizes is "pregnancy as a state of health" rather than a medical condition. They're also supportive of no/limited medical intervention at birth if that's what I choose which I appreciate, though I still have the option to have any sort of medication or intervention if I want or it's necessary. I have the option of a home birth or a hospital one and have decided to go to the hospital. So far I've had a positive experience.
Sorry this is so long, just wanted to give a full answer.
I prefer to receive medical care from an OB...but I have had 2 high risk pregnancies, so that skews my opinion.
I think in a normal-risk situation where you and your baby are doing well in the pregnancy - care from a midwife is just fine.
You need to think about your comfort levels with where they deliver (in/out of hospital) proximity to hospital if emergency arises, access to OB if your risk level changes, experience of the midwife and her team.
I have had 2 great pregnancy experiences with my OB, so for me there is no appeal to get a more personal or soft touch with regards to prenatal care - my OB has a fantastic bedside manner and is a mom of 3 herself. IF I didn't have a great OB - I can see how a midwife could be more appealing in that respect too.
Do what you are comfortable with - evaluate your needs/wants - discuss your risks with the midwife and see how you feel about the care they can provide.
Re: Thoughts on a midwife?
Mom to Carter (6), and Calianne (1).
Proud VBAC, natural birth, breastfeeding, cloth diapering momma!
If you decide to go with an OB I would look into getting a doula. They will be able to help you with pain management and will be your advocate. Your OB might check in with you to see how your are progressing but a doula will be dedicated to you the whole time. They can help coach you and your partner.
Unfortunately because of the preterm birth (which was due to an abruption) I am classed as high risk from now on, DS2 was also born at 36 weeks, so an OB it is for me. If I could do it all over again I would though, I'm very much pro- midwives!