Once you decide that you want a midwife to look after your growing family, it is essential to discover someone with whom you are comfortable and trusting. It’s essential that you feel well informed about your antenatal care and have precise expectations about what’s going to occur when you go to labour. Ask about how they operate and the charges they pay when you meet them so you can make an informed decision if you choose to use a personal obstetrician or midwife. The following checklist indicates questions you may have to ask your midwife or obstetrician. Not all issues will relate to you, and there is no doubt that you will have additional questions particular to your position or preferences.
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Best Questions To Ask Your Midwife
How does your practice work?
The first place to begin is to look at the practice of midwives. While there may be only one practice in some areas of the nation, there may be many to choose from in other groups, and all of them are structured in distinct ways. Some methods focus more on continuity of care mean you’d be dealing with one midwife all the time, while others operate with a shared care model so you can see various midwives as a team. With a specific practice, find out what your care would look like: Would you see just one midwife during your pregnancy? Or are you going to be with a two or three squad? What if your midwife is unable to join your birth? Who’d be with you there?
What does prenatal care with a midwife look like?
You’re probably anxious to figure out your prenatal care’s specifics. Ask the midwife: How many appointments will I have? What does a typical appointment look like? Generally, you’re going to see your midwife every month until you’re pregnant for 28 weeks, then every two weeks until you’re 36 weeks, and then every week until you’ve got your child. An average rendezvous lasts between 30 and 45 minutes. It is also a nice time to ask the clinic what tests and tests are available during the prenatal period. Decisions on these are based on informed choice, meaning that your midwife will speak to you about what the tests provided are looking for, how they are conducted, potential benefits and disadvantages, and any hazards associated. Midwives are offering the same routine exams as physicians and obstetricians.
Will a student midwife be involved in my care?
Most clinics near midwifery schools have student programs and involvement of students varies from practice to practice. If student involvement doesn’t make individuals feel comfortable, then they need to choose their exercise accordingly.
What happens if there’s a complication in my pregnancy?
Midwifery schools, which regulate the profession and exist in provinces where midwifery is regulated, have guidelines for the kinds of situations that would warrant consultations with a doctor and the kinds of things that would require care transfer.If a particularly complicated situation arises, such as premature birth before 34 weeks or placental abruption, the care of the patient may be transmitted to a professional in full. In this example, if it is within their scope of practice, your midwife may provide supporting care.
What happens if I’m overdue?
Practices have distinct protocols when it comes to past due, but all give an informed decision-making approach concerning induction timing. Midwife practices in some fields may experience pressure from the community to follow hospital policies, so induction may be encouraged at a particular moment (for instance, at 41 weeks and three days). In other practices, midwives ‘ own practice protocols may have higher leeway to inform how care is given in this scenario. Midwives are generally anticipated to support the care strategy that utilizes the fewest procedures, as supported by proof, and this will effect when suggested for induction. As you approach your due date, your midwife will discuss these policies with you, along with your professional association’s guidelines as well as your own needs and expectations. They will also make sure you understand each option’s risks and benefits.
Can I have a home or hospital birth, or deliver at a birth centre?
Your midwife will take care of you throughout your pregnancy, regardless of where you choose to carry your child: at home, at the hospital or at a birth center depending on the equipment available in your region. You may want to ask questions about your personal experience and level of convenience in whatever birthplace you choose. Note that some hospitals limit the amount of births booked by midwives, so if that quota is filled in the midwife practice you’re watching, you may need to locate another one that accepts births in clinics. Of course, if during labour you need to move to a hospital due to a complication, or for any reason during your entire care, you could do so.
What might labour look like?
Typically, you will be in contact with your midwife by telephone in early labour. Your midwife goes to you once in active labour and provides you constant assistance throughout your active labour, birth, and after your child is born for a few hours. Midwives offer the lowest intervention approach to care that’s supported by the evidence. For example, the evidence shows there’s no benefit to being hooked up to a monitor for low-risk labouring people. Throughout labour, a midwife will listen to the baby’s heartbeat intermittently, usually with a handheld Doppler.Generally speaking, midwives assist to promote some common birth plan objectives, including: avoiding episiotomy ; promoting skin to the baby’s skin ; maintaining the umbilical cord attached until it stops pulsing ; including any work assistance that the client might want, such as a doula ; and promoting mobility.
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What are my chances of needing intervention during labour (such as a caesarean section, forceps, and vacuum delivery)?
Most practices across the country should be able to access data from their own practice to illustrate what proportion of pregnant women end up with a caesarean, or require some other method of intervention, such as delivery of forceps. If you have an objective of avoiding labour intervention, it may be worth researching this sort of information.
How are my baby and I cared for postpartum?
Your midwife will come to visit you within 36 hours of birth, whether you deliver your child at home, at a birth center or in the hospital. During the six-week postpartum course, you will be seen numerous times, including regular visits in the first week. Most probably, these first few visits will be given in your home. Your midwife will monitor your health as well as that of the baby and provide assistance for breastfeeding. A midwife is accessible 24 hours a day, 7 days a week, by pager. Most individuals are discharged from the clinic at six weeks postpartum, and care is passed to your family doctor.
As mentioned, you can choose on where you want to give birth. On rare cases, some mothers-to-be opt for giving birth in the premises of their own homes. When doing this, below are some questions that you might want to ask.
How do you assess if it’s safe for me to have home birth?
Since home birth is becoming more popular option of child delivery today, there are still some factors your midwife considers before agreeing to the procedure. Your assessment of how safe it is for you to have home birth depends on your pregnancy condition, needs and where you are from. Some places do not allow birth at home operations.
Who else will be present at the birth and what is their level of experience and training?
As for another person present on your delivery process, it is up to you who you want to be with you aside from your midwife. They don’t have to be expert in any of these procedures.
If there’ an emergency, am I going to be transferred into a hospital?
Absolutely, if emergency occurs, you will be transferred to a hospital immediately
Are home births safe?
Recent studies showed that giving birth at your own homes has become as safe as giving birth in hospital for women having low risk pregnancy who is not a first time mom.
Are pain reliefs given during labour and delivery at a home birth?
Yes. There are plenty of home relief given to mother during labour and delivery. These are TENS machine, birthing pool, bath, gas and air, and epidural (which can also be given by having hospital birth).
What are the benefits of having home birth?
When you are having home birth, you are likely to be cared by a midwife that you already know, thus you are comfortable with. Also, if you are a mother of more than one child, you don’t have to have to leave them for your labour and delivery. Lastly, it is less likely for you to have interventions such as instrumental delivery or episiotomy.