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Pregnancy - OBGYN or midwife?

Thu, January 21, 2021 7:41 PM

Just found out I'm pregnant with my first baby and would love to have a pregnancy and delivery with minimal medical intervention. Have any of you used a midwife instead of OBGYN? Did you have a care team that included both?

My Crohn's has been remission since 2011 after a major flare and subsequent bowel resection. Was on Humira for 2 years post-op, then 6mp for about 7 years. Gastro switched me back to Humira in October for longer term safety. Otherwise I'm a heathy 30 year old and am not too concerned about flaring during pregnancy, but want to make sure a midwife is equipped to handle my care. Any thoughts?

FPO Woodworker
Joined Jan 21, 2021

Mon, September 13, 2021 10:45 AM

Reply posted for henryk.

I know I'm a little late and you've probably chosen care already, but a midwife has a less medically driven focus on pregnancy (they view it as a natural event vs an OB views it as a medical event), whereas an OB takes a more medicall approach and that influences their attitudes in providing care. One things to note is that midwives don't usually perform c-sections, so you should find out who performs those or deals with other complications just in case.

Good luck with your pregnancy!

FPO Woodworker
Joined Jan 21, 2021

Mon, September 13, 2021 10:40 AM

Reply posted for Museofir.

I ended up choosing midwife, and having an MFM on my care team. I've had monthly growth scans at my MFM office, in addition to my midwife visits, and two consults with the MFM (one intake and one in my third trimester). I also scheduled intake sessions/consults with two different high risk MFM/OBs earlier in the pregnancy so I'd have that relationship set up in case I needed to switch later on.

Glad I did that because I'm currently at 37 weeks and baby is breech and may need a c-section, so I may switch to one of the MFMs I consulted with a few months back. She's at a hospital with a stronger surgical department than the hospital with the midwives. The midwives work with their hospital's OB practice and I have faith in them, but if complications arise (i.e. adhesions from my abdominal surgery) the other hospital is a better place to be.

Overall I've enjoyed the midwife care, and their approach to pregnancy. It did mean more appointments (separate midwife, ultrasound, and MFM visits) but I appreciated never feeling rushed and the more hands-off approach. I have a procedure (an ECV) in two days to try and turn baby so hoping that goes well and I can keep my care team as is.

FPO Woodworker
Joined Jan 21, 2021

Mon, September 13, 2021 8:00 AM

Reply posted for Woodworker.

Hi! I'm interested to know what was right for you? What did you decide?

FPO Museofir
Joined Sep 13, 2021

Sat, June 12, 2021 2:39 AM

Reply posted for henryk.

Please help i am going to be 10 weeks on this Friday and I still haven't been to the doctor I wanted to know what's the difference between a midwife and obgyn ? And which one should I schedule appointment for?

Has anybody haven't had their 1st appointment yet???


FPO henryk
Joined Oct 20, 2020

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