Sorry for my ignorance, but I'm clueless. If you are high-risk can you use a MW? I was reading about a MW practice around here that a HBer uses and it sounds like they would not take high risk patients.
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My understanding is no, but that's just from reading on the 'net. I've never considered a MW practice.
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@MamaG: me neither. This is merely me being curious.
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I'm not eligible for MW care given my birth with DD. I prefer an OB anyway. My pregnancy wasn't high risk, but my birth was (erratic BP, LGA baby).
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My midwife group doesn't take high-risk patients. I don't know of any that do around here, actually.
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I called one practice in my area (who delivers at a hospital) to see if they would take me even though I'm on Lovenox and was told no.
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Nope. Most states have a list of reasons they have to deny a client and being labeled high risk is one of them.
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I'm high risk and the MW at my OB practice sees me for some of my visits and says she will be there for some of my labor but I don't think she will actually deliver the baby. I like her and the attention she pays to patient care but it did get frustrating at some point that she tried to override one of my specialists who made recommendations for continuous fetal monitoring during labor because of the risk of oxygen being cut off.
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It depends on what makes you high risk. For example, locally the hospital classifies a VBAC mom "high risk" - you'd birth in the high risk wing with an OB. However, you would still qualify for midwifery care and, depending on where you live in proximity to emergent care, a home birth. I even know of VBA2C moms who have had midwives (but not home births).
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I'd ask that specific practice, but probably not? I had to be approved before switching to my midwife practice because they wanted to be sure I was low risk. And they like to call themselves "specialists in normal pregnancy." But it might depend on what the issue is/what their policy is.
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At the practice where I am, the midwife sees high risk patients. She's in contact with OBs and delivers at the hospital.
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They considered me high risk do to me being overweight for some odd reason and I still seen my MW but also seen a high risk doc every few weeks but I had a totally normal and uneventful pregnancy
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I suspect not, but I think it would depend why you are high risk Last time, my practice was a combo midwife/OB and I rotated seeing each. As soon as I became high risk, I only could see the OB. But, I was preterm labor/early dilated/shortened cervix.
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I don't know if my midwife practice would take on high risk patients... I do know that if you become high risk while in their care you don't "risk out". They just require that you give birth in the hospital and receive additional care/consults from an OB with their sister practice.
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It probably depends on the situation. I wasn't even able to see my normal ob, they sent me to someone who only deals with high risk.
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Nope, at my birthing centre it was strictly low risk singleton pregnancies. In fact, I had high blood pressure on admission when I was in labour (gee, I wonder why!?) and I was moved to labour & delivery, still under care of midwives but with an OBs supervision.
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My doctor's office has both OBs and midwives. I saw midwives throughout most of my pregnancy, but when they discovered my low platelets, I was switched to an OB because I was "high risk". But a midwife ended up delivering for me!
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I was high risk for several reasons and started out at a MW/OB office. I saw both midwives and OB's but then was kicked out of the practice because one of the doctors didn't feel comfortable treating such a high risk patient. Blah. I ended up in an all OB office which worked out really well for us. I think it probably depends on your situation though....
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The practice I go to is at a university hospital and they have midwives and OBs in the same practice. If something happens and you become "high risk," the head of your care switches from being a midwife to an OB. I'm not positive about the involvement that the midwives have from then on because I haven't experienced it personally.
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The practice I went to had MWs and OBs (although the former was barred from actually delivering babies). At our first visit I was told that I would be seeing a MW for prenatal care, but if at any point my pregnancy became high risk that I would be transferred to an OB within the practice.
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No. My GD made me high risk, even though I was diet controlled and had no complications from my GD.
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I'm guessing not? I had preterm contractions starting at 26 weeks last time so I'm going to go ahead and assume a MW wouldn't accept me for any future pregnancies. But that's ok, it's not something I'm particularly interested in anyway. I like doctors.... and epidurals
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My ob practice has a midwife on staff who Ended up being the one on call for most of my labor and for the delivery even though I think I was high risk by then (induced early bc of low fluid). I loved the midwife, I am so glad it was her on call!!
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