Doctor insights on:
Can I Have A Doula And A Midwife For My Home Birth
Delivery at home: Pregnancy and delivery should be taken seriously because not only the life of the adult (in this case the mother), but also the life of an unborn human being could be in in danger if adequate resources are not available in case an unexpected emergency develops during labor and delivery. You should have prenatal care and your obgyn is in the best position to advice you about delivering at home. ...Read moreSee 1 more doctor answer
Yes: The overall risk associated with having a home birth is low but studies show that it carries a three times increased risk of neonatal death compared to hospital birth. If you are going to have a home birth you should have a certified nurse midwife attend who has prearranged backup with an obgyn. Here is the acog statement on home birth. http://www.acog.org/from_home/publications/press_releases/nr01-20-11.cfm. ...Read moreSee 1 more doctor answer
Usually a shot: There are several medications which can be given effectively as shots and a couple that can be given rectally. ...Read more
That is the question: You have asked a very important question. Anyone considering home birth should ask their provider that question. Child birth is amazing and beautiful but things can go wrong and when they do minutes matter. There are plenty of obs and hospital based cnms around who support unmedicated delivery choices and a more natural experience but in the safety of the hospital setting. Take no chances. ...Read moreSee 1 more doctor answer
How is a midwife different than a doula? I’m researching whether i’d like to have a midwife or doula at the birth of my baby, but i’m not clear on the difference.
There : There are two types of midwives- certified nurse midwives and uncertified midwives. Certified nurse midwives require an advanced nursing degree and have undergone the rigorous certification process that licenses them to deliver babies with physician back-up. Uncertified midwives do not require a nursing degree and usually have less formal education, which leaves them unable to qualify for certification. While many uncertified midwives are very good, they are less regulated, which makes it more challenging to assess their qualifications and choose the best midwife. Both certified and uncertified midwives deliver babies, but only certified nurse midwives deliver in hospitals. If youâ€™d prefer to experience labor and delivery with as little intervention as possible, reserving the participation of an ob/gyn only for emergencies, choosing a certified nurse midwife might be your best option. The services of a doula may overlap with those offered by a midwife, but doulas do not deliver babies. A doula serves more as a labor coach, offering guidance, assisting with the labor process, and making recommendations, often for those who seek to deliver naturally and want labor support, as well as the care of an ob/gyn. If youâ€™re under the care of a doula, your doula and someone else- usually an ob/gyn- will deliver the baby. Many ob/gynâ€™s (myself included) love collaborating with midwives and doulas because the midwife or doula often has more time to be at the patientâ€™s bedside, answer questions, make natural childbirth suggestions, and offer emotional support. If you want a doctor to perform your delivery but you want a labor experience that more closely mimics what you might experience with a midwife, a doula might be just the ticket. ...Read more
Whts the big difference if a woman uses a midwife a doula or a obgyn?aren't natural births better and do drs encourage this without unnecessary drugs?
Why OB/GYN?: We all love it when pregnancy, labor and delivery all happen smoothly and naturally. That is how we would like it, but frequently, unpredictably and suddenly, things can turn sour and be dangerous to mother and baby. Obstetricians, neonatologists and perinatologists are the women and men trained for those situations. Most midwives have or are required to have obstetricians within easy reach. ...Read more
Be safe first: Make sure you verify the credentials and experience of your midwife. Understand the different types of midwives and the different levels of training as this can often be confusing. I would recommend you also see a physician to confirm whether or not you are a candidate and to arrange a back up plan. Acog stance on homebirth: http://www.Acog.Org/from_home/publications/press_releases/nr01-20-11.Cfm. ...Read moreSee 1 more doctor answer
Liability: Aside from the fact that none of us want to be in a situation where there is a serious complication with mom and/or baby and appropriate facilities are not readily available, any bad result is grounds for a lawsuit and liability coverage is either not available or very expensive. Fix the liability system and i think you will find the medical establishment more accepting. ...Read moreSee 1 more doctor answer
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