how has your OB experience been?

loveymay · January 2016

Okay so this is kind of a rant, but also I'm curious to hear what your experiences have been with your OBs. I'm a ftm so I have nothing to compare mine too. I chose my Dr per my friend's recommendation and started using her as my GYN. I just love her and decided to use her as my OB as well. At this practice there are 5 OBs and an NP. I haven't seen my Dr since my confirmation appt at 9 weeks. I was told I would see each of the 5 doctors during my pregnancy so I would be familiar with them in case my Dr is not available when I deliver. I thought that was a good idea. I also thought I would see my Dr for most of my visits. I've seen the NP a few times, ultrasound techs only when I had my ultrasounds (and had to specifically ask to see a nurse those few times with questions I had), and I've seen 2 other doctors. My next 2 appts are with the NP again. To be quite honest, my care feels very impersonal and I have not formed any type of Dr/patient relationship since I hardly see the same person. I feel like when I do deliver, it will still seem like a stranger, instead of my Dr who has been caring for me throughout my pregnancy. I go every 2 weeks now that I'm in the third trimester, and its too late to switch to a different practice. This is far from the experience I imagined, and not similar to what my friends and family had with their OBs. If I ever have another child, I will be finding a new OB. I just wondered if my experience is the norm, or if you ladies see your OBs regularly and have formed a good relationship with them? It makes me wonder what my Dr does if she never sees her pregnant patients? Does she only show up to deliver them? On the day I deliver, I am afraid it will seem like I'm surrounded by strangers, and that makes me sad.

Cookiemonster2009 · January 2016

I understand your frustration. I live in Ireland and there is a public system here and I was put on my OB list and haven't seen her either. I have been told I will see her next time. I'm a STM and with my first I believe it was the same. Though close to the end she seen me 2ce. Then the day I went into Labour she came and told me I was being transfer to a diff hospital due to a midwife strick. I have to say that when you in Labour you will be happy to have someone there that is supportive and helps you through it and you will build a relationship with the people in the room, that r there to help you out . And all the appointments before that mean nothing except your baby is healthy. I don't know if where your from is the same with regards to midwives to the most part of the work. And God they do a great job they see it all day everyday and know there shit

TKaiser91 · January 2016

My Dr's office is the same way. There are five of them and I see a different one every time. With DD they made sure I saw all the doctors quickly and then would schedule me for which doctor was open. This time around I met my doctor and then the new one multiple times. I love them all and feel that even though I've been dealing with the new Dr the most, they still have my best interest at heart. They dont make me feel like it's impersonal or like I'm just another patient. But part of that, I think, is because this is my second pregnancy with them and I've had longer to get to know them. With DD it did sometimes feel like I was just another patient. But once I was in the hospital and then going into labor, both Dr's I dealt with made me feel like I was their priority even though I know they were crazy busy with every room filled. Hope this helps!

AmadorRose · January 2016

I may be wrong, but I think a big part of this is the size of the area you live in. I see a midwife and haven't met a single OB; there are 11 of them so chances of being delivered by the one I'd see would be slim anyway. My midwife always makes sure to answer any questions I have and I wouldn't call the care personal, but it's better than I expected for a military installation. I'm not excited about the facility I'll be delivering in, but the new hospital they're building is over a year behind in opening.

My sister, on the other hand, lives in a small town and the same OB has delivered all five of her children. She also knows him socially because the professional community is very small and she works out of the same tiny hospital, so her care is very personal.

misstopsail · January 2016

There are six doctors at my practice, but only five deliver. I see the five doctors, on rotation, but I always get a doc, not a NP.
It could be the times you're scheduling.. I always ask who I'll be seeing when I schedule, and if I've just seen them, I ask for a different time/day to insure I see someone else.
I've also asked to skip one on occasion- I already know him, and am totally fine with him delivering baby, so I'd like to get to know the other doctors better.
Overall, my experience has been good.. Honestly the front office staff is what makes me crazy. Seriously, don't call twice to ask to move my appointment.. If I say I can't come earlier once, cancel it or deal with it!

sprocketsngadgets · January 2016

Your experience is pretty normal for a practice that has multiple doctors. My friends that were patients with larger practices said they saw the doctor they wanted to deliver with once early on and then maybe two more times in the third tri. I purposely chose an OB that worked alone, although I would have been fine with a two doctor office, for my own comfort since I can have some anxiety issues in unfamiliar situations. I know there is a chance I'll have someone random deliver DD2, but when it gets to that point I don't really care as long as everything goes as well as possible.

ivyvines6 · January 2016

My OB's practice is just him and a bunch of nurses/US techs. I still hate how impersonal it feels and really resent not being able to go through midwifery care.

Small amount of background though, when I first saw a gyno ever it was him, and I was freshly eighteen. He asked me during my first Pap smear if I was having sex, and I said yes with protection. He then started to chastise me and say how disappointed my parents must be because he remembers how religious they were during my mom's last four pregnancies. I left after that was done and planned on never going back.

Now thanks to Medicaid and a few other issues I had no choice in who I saw and I'm just trying to make the best of it. My fiancé thinks the care I receive is a bit of a joke since he doesn't listen to me when I tell him about my regular activity levels, and diet, and just assumes I'm lying because I gained weight rapidly last month. Ugh.

If this whole pregnancy thing happens again I would go as far as to pay out of pocket to use the birthing center, which I didn't find out about until around 25 weeks and was too late to switch over insurance wise on their end at said point. (They do accept Medicaid, but next one, if it even happens, will be planned)

amaniupendo · January 2016

That sounds like my first pregnancy. Four doctors and a midwife. Saw all of them but one more often. It was not personal but the care was fine.

This time my practice has one doctor and the hospital midwife or doctor will deliver. It is nice seeing the same person every time, but it's not necessary.

Ready4theParty · January 2016

I am in a similar situation. Ive seen my preferred OB twice this pregnancy and been to see several of the other OBs. When I schedule my next appointment I can ask for a specific OB but that doesn't mean their schedule will likely line up with mine. I usually take who is ever available at the time that works best for me.

I am impressed with my care though because the staff doesn't treat me like another number but I feel like they review my chart prior to walking in to the room.

Ellenlbishop · January 2016

I go to a 1 OB practice that is very small so overall it's been a good experience. I always see my OB and same 3 nurses during my time. I am little concerned for that OB will not be present for my birth since he is only on-call for deliveries during daytime hours. I was induced last time so it was convenient to both of our schedules. Honestly though he was only in my room for pushing and to check in when they started pitocin. I spent rest of labor with nurse. My overall labor though was only 5.5 hours. Hoping for a quick labor this time too.

skc040512 · January 2016

My OB practice has about 7 doctors that you rotate through. It's one of the largest practices in my area, and delivers at the top L&D hospital in my city (with the only level 4 NICU in this part of the state), so appointments there are in high demand. My GYN is one of the founders of the practice, but is getting ready to retire. Because of that, he's only assisting on deliveries now, and is only doing GYN appointments for the next few months to ease his way out of the practice. So far I've seen 5 of the 7 doctors who deliver, and all have been great. I don't have a "connection" with any of them, but honestly, I'd prefer to not. One of my good friends works in L&D at the hospital I'll be delivering at, and was so excited because she wanted to help deliver my baby. It made it super awkward when I said, "ummm...no thanks". Frankly, I know she see's vaginas all day, but I don't want her up close and personal with mine. I'll take anyone who has a decent bedside manner and is professional over someone I feel connected with, but that's just me.

olivemomma · January 2016

With my first I saw the same OB each time with the exception of the np once bc my Ob was out of town and loved her. However, I was due the week of thanksgiving. My OB was going to be out of town and she told me odds are I would go late since it was my first pregnancy. Nope, had DD the day before thanksgiving and had an ob who I had never even seen before. And you know what, it was no big deal. The nurses are really the ones who labor with you there whole time and the ob just comes in at the end to catch the baby. As long as they are good natured, considerate, and professional I don't think you will mind much who is down there

sprocketsngadgets · January 2016

olivemomma said:
With my first I saw the same OB each time with the exception of the np once bc my Ob was out of town and loved her. However, I was due the week of thanksgiving. My OB was going to be out of town and she told me odds are I would go late since it was my first pregnancy. Nope, had DD the day before thanksgiving and had an ob who I had never even seen before. And you know what, it was no big deal. The nurses are really the ones who labor with you there whole time and the ob just comes in at the end to catch the baby. As long as they are good natured, considerate, and professional I don't think you will mind much who is down there

This. If I didn't have awesome L&D nurses I probably would have had a very different experience.

wildtot · January 2016

My OB has been my GYN for many years. I see here each time and only has one nurse. She will be delivering as well since her medical office is right next to the hospital. There is another doc in the same office but they each have their own patients. I love my doctor and Iv avoided getting a different insurance just so I can stay with here (i have endo and she has done all my previous surgeries).

rebelone · January 2016

Hm, I must be in the minority when it comes to the practice. My OB has been there with me through many of my baby making years. She's been there through 2 losses and this will be my 2nd child that she will be delivering via C Section. All my appointments are with her so we do have a good doctor / patient relationship. The only time I was with an NP was at the first OB appointment and maybe a few appointments over a couple of months because she was on maternity leave. Other than that, she's been my main PCP.

The OBGYN department is huge spread over 3 different locations in town. The location I'm seen has 5 MDs, 5 midwives, 2 NPs then pretty much there's like about the same amount of staff in the other two locations so there's lots to choose from.

mrsmtothek · January 2016

My OB office operates similarly, you see all 5 doctors in rotation first (3 OBs 2 NPs) and then are randomly assigned one for other appointments after that. Based on personal recommendations I knew which OB I wanted to choose (and my experiences meeting with her only validated their opinions), so whenever I check out and make another appointment, I specifically request for her. I've never had a problem doing so.

mrstrax · January 2016

My city (and hospital) has two OB clinics that work together to cover on call for delivery. My clinic has 5 OBs and a team of midwives and the other has 3 OBs and a couple midwives. You meet with either your personal OB/group of midwives and see someone else if yours is out of town, busy or in a delivery.

With DD, I met with the same OB for all but my last appt at 38 weeks (OB was on vacation for week 37-39), so I met with his co-worker. The coworker was up to date with what was happening with DDs growth stuff and scheduled my induction. He was then the on duty OB overnight when I went into labor naturally and stayed at the hospital to talk to the on call for the day time. She was from the other clinic and I'd never seen/met her before. I think she was in the room for a total of about 2 hours of the 17 hours I was there before Lily came - 3 or 4 quick checks and then delivery/aftercare.

It really is all about your nurses. The L&D nurses are the ones who are with you throughout everything and make everything more comfortable.

spicedice · January 2016

Why, might I ask, is it too late to switch to a different practice? If it's because of how far along you are, don't worry about that. I was in my third trimester when I switched practices with DS, and I had a much better experience with that doctor and hospital than I would have if I had stayed. I plan on switching doctors again this time in March, but that's to save money (I'm getting super health insurance for a couple of months, so switching will probably save me $2,000 versus my current insurance) and go to a nicer hospital.

I always have the same doctor and nurse each time at the current practice that I'm seeing. It's nice to have someone who knows me, but at the same time, I don't really care if I know the doctor who is delivering my baby, since I'll have someone I trust there already (DH). With either practice, I knew I wouldn't be getting MY doctor at delivery, so I've been used to that idea since day one.

brit&nate2010 · January 2016

My practice is 2 midwives and I think 4 drs. I've met with both midwives and 2 dr. I've seen. My dr for about half my appts, I've had biweekly appts since the begining pretty much. I've liked everyone so far. My practice has weekly meeting where they dicuss patients and care. So everyone is up to date on all patients.

fourtsixand2 · January 2016

Quite honestly, my experience has been great. There are 6 doctors in my Dr's practice, but I've been fortunate to see my Dr and the same nurse every time. She has always given me the time I need to ask any questions and told me what to expect next visit, etc.
It's a relief for me to have a positive experience, since I've always been terrified of Drs.

g&tlewis · January 2016

My practice has around 6 OBs. I saw my doctor for every appointment through my 20 week then I started rotating so I can meet the others. Once I have had one appointment with each doctor, I'll go back to seeing my normal doctor each time. I don't think this practice usually has pregnant patients see the NPs.

Ready4theParty · January 2016

sprocketsngadgets said:

olivemomma said:
With my first I saw the same OB each time with the exception of the np once bc my Ob was out of town and loved her. However, I was due the week of thanksgiving. My OB was going to be out of town and she told me odds are I would go late since it was my first pregnancy. Nope, had DD the day before thanksgiving and had an ob who I had never even seen before. And you know what, it was no big deal. The nurses are really the ones who labor with you there whole time and the ob just comes in at the end to catch the baby. As long as they are good natured, considerate, and professional I don't think you will mind much who is down there
This. If I didn't have awesome L&D nurses I probably would have had a very different experience.

Agreed. This time around we asked if our same nurses were still in the dept from DD1 and they are! We can't request them unless we are induced again. We've kept in contact with them and they are super excited we are pregnant and will at least be visiting us this time around.

cmjenkies · January 2016

To echo what everyone else said - during the L&D process, the nurses are the real MVPs.

I have had the same OB for both pregnancies and really like her and everybody in their practice. She's with a group of 6ish, but I see her every time except for an upcoming appointment with the NP while she is out of town. She delivered DS. I was induced so I don't know what the protocol would have been had someone needed to be called in. However, I'm not concerned if somebody else ends up having to deliver. I've been very happy with my care overall in their office. The only thing that annoys me is whenever they're running forever behind for some appointments, but I realize newborn babies don't care about my appointment schedule, so they come first! Haha

I'm sorry you're having this experience though. I think it depends on your practice and where you live. I'm in a good sized metro area and there are quite a few OB groups here spread across two major hospital systems.

RoseShadow873 · January 2016

I go to a decent sized clinic that has at least 5 OBs. My OB mentioned how eventually I would see all of them as well but so far I have only seen mine and she has been there at every appointment. I'm really happy about my OB so far. I hate getting pawned off to nurses.

yodiggity · January 2016

I alternate between seeing the OB and MW. I've seen my OB more often than I've seen the MW. As far as delivery, depending on the day/time I go into labor will determine who I get. The OB takes the first half of the weekdays and the MW takes the second half of the weekdays. If it's a weekend, I'll delivery with a partnering OB who I was told I'd likely never meet.

emgee27 · January 2016

It sounds like the issue is that you're being rotated through to the NPs and not seeing any of the actual OBs very often in the rotation method they told you about. Is it that you've had a normal, uncomplicated pregnancy perhaps? I would ask why you aren't getting at least a short check in with an OB after the NP does all the tests/routine stuff. Are they too busy? Too many other high risk pregnancies? Either way, if you were told you'd see OBs on a rotating basis then I would encourage you to speak up and see if things can change. Or specifically request your regular OB that you like and make an effort to come in for appts during her schedule. It might not be that OB delivering but as others have said, the nurses are you BFFs at that point anyway and perhaps you'd feel more assured with consistent care on the front end?

I'm seeing a midwives group, so no OBs. I have 6 midwives I see on rotation and although I haven't gotten to know them super well, I am a fan of the bedside manner they all seem to foster and have in this group and love them. I definitely have a favorite already but they are all wonderful and make me feel cared for while I'm there and that's what I care about, they don't need to know me super well. That being said, I've had no complications and a relatively stress-free, textbook pregnancy so far so my check-ins are usually short and sweet. I'm ok with that because I feel ok. If you do not feel ok, ask more questions, ask for an OB. Maybe there is more for you there. All the best!

MamaRoni · January 2016

I've seen my doc since I was 14.... so 24 years. .. he's a little bitty Indian dude whom I adore. When we lost Angel Baby in April.... he cried right along with us... which broke my heart.
I will say I don't require alot... im a medical provider myself... my appointments are only every 5 weeks and last about 15 minutes from the time I walk into the office until I walk out... lol.
He also owns a very small hospital in a tiny town right down the road and his nurses are TOP NOTCH.... love everything about it

mojomama6 · January 2016

I'm the odd woman out, apparently, because I've never seen anyone but my primary ob, at any of the ob practices I've gone to. My first two, I was at a large teaching clinic, at least a dozen doctors, but never saw anyone but my ob. My third and fourth I only had midwifery care, and also only saw my own midwife- although at my third birth the midwife brought an apprentice I'd never met, which irritated me. My fifth and this one I've had dual care from my ob and my midwife, and of course I only see my own midwife (the norm for home births), but I also only see my own ob, even though there are three in practice. I always have the same PA as well, and if I call, I always speak to one of them.

spatter1 · January 2016

Similar to others, my ob practice has 4 doctors and I have to see all of them at least once prior to delivery. Luckily I like them all and now that I've seen them all I can choose who I want at my next appointment. I don't mind this method bc I'm glad I've at least seen each ob's face and actually learned that I like one of them more than my usual doc! I will also say that I LOVE one of the nurses in the practice and I wish so badly that I could have her with me in L&D. I just feel so comfortable with her and she has gone out of her way to remember me and was the one who helped me through my miscarriage.

The only way I feel unsatisfied is that the appointments are so short/rushed feeling. They are clearly a revolving door of patients. They don't even tell me my weight or BP so I just assume if they aren't saying anything it's ok and I'm only with the doc for a grand total of 2 mins at each visit and they ask if I have questions when they've already got one foot out the door which makes me feel dismissed. I've also had issues with getting results/call backs from the doctor. For example my cell free DNA test took over 2 weeks to get back (hello anxiety!). Then last week I had a really weird sick-spell where I just felt awful (back ache, nauseous, couldn't even drink water, exhausted) all our of nowhere. It was very unusual bc up to this point I've been feeling quite good aside from minor things here and there. So I called the doctor to talk to them and the nurse I spoke to brushed it off completely as "pregnancy" symptoms and was pretty condescending. They said they would check with the doctor and call me back, but never called back!! Good thing apparently it was nothing and I've felt fine since but still!!
And sorry I'm not sorry that in every book I've read, sudden back pain and nausea out of nowhere can be signs of preterm labor or something else serious so I wanted to check! I was pretty annoyed by that.

Monicagail1 · January 2016

I'm another one who goes to a large practice that rotates doctors and NPs for visits. This is my third pregnancy though, so I'm pretty comfortable with the process, as I've been with the same practice for all three. This time I have the added complication of being high risk, and also being seen by the high risk/mfm. The MFM has actually been the dr I've seen the most this pregnancy, but she does not deliver.

Despite this, over the last 6 years, I've established a pretty good relationship with my "primary" OB, and also my primary NP. The upside to the rotation is that it's much easier to schedule appointments at times that are convenient to me (which is a big issue for me since I work full time and travel away from the OB's location quite a bit). I also get a feel for each doctor. As I've gone through, I've also gotten better at advocating for myself and my wishes, which quite frankly, we all need to be prepared to do even if you see one provider primarily.

Another wrinkle is that, during labor and delivery, it's common in my experience for the L&D nurses to be carrying the load of patient care, not the doctors, unless there are complications. If you deliver at a teaching hospital, the residents/med students may also be involved to some extent. In many cases the primary OB just comes in at the end to catch

mumidi · January 2016

My practice has 4 Drs. and NP, since this is my second baby, I know them all so I really just schedule whoever is convenient for the time I have available. Since I've done this once before I already know what to expect. I've seen my dr. 3 times and the NP the rest of the time and actually haven't seen the other drs. this pregnancy. I'm also have a scheduled CS and my Dr. did my last one so I'm not concerned. Since it's scheduled I'll have her again. I can understand wanting a more personal experience but that's not something that has been very important to me personally.

kdebesche4 · January 2016

My practice has 2 OBs, one midwife and 2 NPs, all which you see on rotation. I have been going to this office for about 10 years and have found the key is to ask when making appointments who I have not seen recently and make the effort to schedule according to that. If you don't ask they will just put you in the best available spot.
Now for this pregnancy I am high risk, over 35 and expecting twins, so I only see my 2 OBs when I go in every 2 weeks, and I love them both. If your office specializes in high risk and you are having an "uncomplicated" pregnancy, this might be why you have seen the NP more?

briterfly84 · January 2016

My practice has 3 OBs and 1 NP. I saw the NP prior to the OB at my first appointment, and will rotate through the other 2 during my appointments. I see my main OB for the most part though. If you are lucky, your OB will be on call when you go in to deliver (mine was with DD because we scheduled induction due to Pre-E). And like someone said earlier, the OB literally comes in to catch LO or cut them out, everything else is done by the nurses at the hospital. But seriously, if you have an issue with the way things are going, don't be afraid speak up! Request to schedule with your OB. You are paying them and you have the right to request who you see. Worst they can say is no, and then you go about things the way you are now. As long as you trust in their knowledge and credentials LO will be delivered safely!

Jules08 · January 2016

I absolutely LOVE my OB. She was recommended by my PCP, who I adore, when I got pregnant with DS. There are 5 OBs in the practice and I think I saw 3(?) of them during my first pregnancy. I see the NP at the beginning of the appointment and then my OB after. She makes me feel really comfortable, presents my options, gives me her opinion, let's me decide. She's not hesitant to do more US's, NST's, or bloodwork when she feels necessary and she does them herself, no techs - well the NP does any blood draws. I recommend her to EVERYONE. She pretty much stays on schedule which I find amazing considering she's dealing with pregnant women and the unexpected all day, yet the appointments never feel rushed. I get all my questions answered and always feel comfortable when I walk out the door.

helleebellee · January 2016

I think it does depend on how big your town is. I go to the only practice here (next town over because my town is a shithole). There are 3 OBs and I only see mine. I've been going to him for 12 years, now. He's pretty awesome and is always right on any issues that arise. He has delivered 5 of my 7. The other two he was out of town and the OB on call delivered. I had never met him before, but he was funny, and incredibly nice and understanding. If my OB were to leave, I'd go to the other guy with no issue. And I second the PP, my dr breaks my water (cuz my bag is made of steel or something), and then he's there to deliver, the nurses do everything else. With my last I had 3 CNAs there throughout as well, learning the ropes, and of course, they asked if I was okay with that.

cmjenkies · January 2016

@SweetBriarBee I'm always glad to hear whenever people let interns/students/trainees observe/assist. I think I had either a couple of nursing or med students in with my last delivery, they asked if it was okay and at first I wasn't sure then I realized that 1. I was going into a medical related career where I had to do several months of on-site clinicals and 2. these are future providers potentially for my loved ones. Not to say that anybody should feel like they need to allow a huge crowd to observe/assist, but 1-2 newbies learning wasn't bad.

cortney626 · January 2016

With my first, I saw all the dr's in the practice. Very much like your experience and it was fine. My appts were quick and kind of impersonal but I was also having a textbook pregnancy with no issues. So I was ok with the whole experience. This time around, I have Kaiser and they schedule the different appts with the different dr's in the practice. Since I'm having a repeat c section and will schedule it with a certain doctor, I have requested my 3rd trimester appts to be with her. But again, I'm having no issues and have seen a few different doctors and midwives. My appts are always in and out.

spicedice · January 2016

@cmjenkies I let all of the students in. I was there so long that I saw what seemed like 20 different people. I remember thinking after the fact that four strangers watches me not only give birth, but do so naked. Oh well! I got a cute baby out of it.

Missingchampagne · January 2016

Like many, my practice rotates through appointments with midwives and OBs. I have so many questions... Like what happens if I need an unplanned c-section on the day/night of my actual childbirth and a midwife is the one on-call? Would it be a random hospital OB doing the surgery?

Since I have epilepsy, a seizure disorder, at my last visit they made a note "physicians only going forward" where now I will only be seen by the doctors at my appointments. That's just because I often have questions that the MW team can't answer. I do find myself wishing that I lived in an area that allowed for a close relationship with one doctor, or even two doctors, instead of getting to know a ton and getting the luck of the draw on "the big day".

emgee27 · January 2016

cmjenkies said:

@SweetBriarBee I'm always glad to hear whenever people let interns/students/trainees observe/assist. I think I had either a couple of nursing or med students in with my last delivery, they asked if it was okay and at first I wasn't sure then I realized that 1. I was going into a medical related career where I had to do several months of on-site clinicals and 2. these are future providers potentially for my loved ones. Not to say that anybody should feel like they need to allow a huge crowd to observe/assist, but 1-2 newbies learning wasn't bad.

I'm giving birth at a university teaching hospital so I have also been warned about students/residents. I think they only let one or two in at a time and I'm ok with that, even if it's rotating students. It weirded me out at first but the more I thought about it, the more I agree with you - future providers in the making.

miramirror · January 2016

Heroic, awesome L&D nurses have also largely shaped my labor experiences. In the hospital where I deliver it's luck of the draw who's working when you go into labor. (Though, I will say, my husband did request a new nurse during our first labor because we were not clicking personally. She was just very high energy and loudly prognosticating worst-case scenarios and it was not calming at all. Something to keep in mind: If you're in a large enough facility, you can politely request someone new, I think.)

The only reason it was important to me to understand the temperament and personality of the OB was that my labors were really long and the nurses had to check in with them for advice and instruction. If you're having a short labor with textbook progression that isn't important, but if you plateau for a while it's nice to know the general outlook of the person who is telling the nurses whether you'll need to start Pitocin etc.

I don't know what kind of community you live in, but with baby 2 my insurance changed in the new year when I was 30 weeks pregnant and I had to switch providers. It was a little stressful, but I do think it's never too late if there are other options and you're not happy with your care. And I left my first OB on good terms so was able to switch back for this pregnancy when my insurance changed again.

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