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Emmecat View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Emmecat Quote  Post ReplyReply Direct Link To This Post Posted: 25 March 2010 at 9:42am

Yep I agree that unless you are a high risk pg then a mw is absolutely fine...as they will refer you to an ob if the need arises. I will be having a mw for this bubba, but a different one from my first...I don't think I can go through another labour listening to my LMC rather haughtily saying that in *her* day they diidn't have epidurals!  Sucks to be her then aye lol

Congrats BTW in case I haven't said it already!


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Treen View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Treen Quote  Post ReplyReply Direct Link To This Post Posted: 25 March 2010 at 10:40am
Congrats Bobcat!

We went to a OB in Mt Eden as recommended by a friend for a couple of appointments whilst TTCing (PCOS was confirmed and the OB prescribed me clomid). We got a pricing schedule while we were there for OB care and it was approximately $5500.

Although PCOS is considered by some as a high risk PG, I have had a very easy pregnancy with no complications. I decided to go with a MW but if at any stage I had had any bleeding or any issues whatsoever, we would have switched quite quickly back over to the OB.

I think if you're low risk, there's probably not too much difference in the antenatal care you get. The OB I went to had Audis parked out the front, a chandelier in the reception area and better magazines, but apart from that, I don't feel I'm getting any less of a service from my MW!

I have also been told that you do see more of the hospital MWs than you do of your OB during the birth, too. DH was told that this is because the OB is there to care for the baby, not you. Not sure if this is true, but it was another reason for us to go with a MW. I want someone who is there for bubs AND me. Oh, and DH!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LucysMummy Quote  Post ReplyReply Direct Link To This Post Posted: 25 March 2010 at 9:34pm
Tricky subject everyone is quite strong dependent on what they did.

We used Origins OBGYNs for our first baby (now 2y) and now going back for this pregnancy (twins!).

They are $3900 ... $200 at first appointment then half at 20 week appointment and balance after birth.

They include a midwife post natal care as well for 6 weeks.

I cannot rate OBGYNs highly enough, they not only have more experience but from my experience they can get you the better rooms (both hospital and birthcare) and if you need a c section or emergancy assistance there is no waiting or hanging around.

The Origins guys also do ultrascans every appointment as they have the machines in the rooms and for me personally it was such a comfort to see my baby each visit.

Good luck choosing at the end of the day you will choose what is best for you and everyone is different so do not feel there is a right or wrong.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kaybeecbe Quote  Post ReplyReply Direct Link To This Post Posted: 27 March 2010 at 10:21pm
Hiya, from experience from friends, an OB costs a lot of money, and well, does very little
Twice I have been told by friends(2 different ob's) that they paid thousands, saw him as often as a m/w, and he turned up at the hospital to deliver, then left again.
So they paid extra money to still deliver in a hospital, to still be attended 99.9% of their labour by a m/w, and postnatally too.
I think if you have an exisiting medical condition that requires specific care, you would be referrred to a high risk team, and seen at a local clinic.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote kaybeecbe Quote  Post ReplyReply Direct Link To This Post Posted: 27 March 2010 at 10:25pm
oh - also, this is from my current study, not any personal experience, but stats have shown that births attended by OB's have a higher intervention rate than those attended by m/w's, and higher use of opiod pain relief.
Thats things like drugs to speed up labour, artificial breaking of membranes, episiotomy, vetouse, forceps and c section.
Theory is that they are 1) too scared to let labour progress normally in case 'something' goes wrong 2) they have a schedule to keep!

I would ask for their opinion on things like intervention, drugs and if they are ok for you to labour the way you want (out of bed etc) or if they are a 'get on your back on the bed' type of DR before you make your mind up.

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Treen View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Treen Quote  Post ReplyReply Direct Link To This Post Posted: 27 March 2010 at 10:51pm
Originally posted by LucysMummy LucysMummy wrote:



I cannot rate OBGYNs highly enough, they not only have more experience but from my experience they can get you the better rooms (both hospital and birthcare) and if you need a c section or emergancy assistance there is no waiting or hanging around.

The Origins guys also do ultrascans every appointment as they have the machines in the rooms and for me personally it was such a comfort to see my baby each visit.


Yikes! Do they have more experience? That would depend on the individual, wouldn't it? As for the rooms, I thought it was just first come, first served, basis? Especially Birthcare who to me seem quite MW / natural birth focussed. I am paying for one of their premium rooms, but they obviously can't guarantee me one. I'll be pretty annoyed if I find out I'm in shared room just because I chose the public healthcare opinion for my antenatal care!

And will I really have to wait around if I need an emergency C-section or medical assistance just because I chose not to pay for an OB? Now I'm really worried!

As for the ultrascans, I was told that if your baby is healthy, the less ultrascans you have the better? Can't remember why, though. Anyone know?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote maya22 Quote  Post ReplyReply Direct Link To This Post Posted: 28 March 2010 at 3:21pm
Originally posted by LittleBug LittleBug wrote:


You may not end up with a good midwife, but then again, you may not end up with a good obstetrician. The important thing is that if you are not confident in the care that you are receiving, you are absolutely entitled to change your lead maternity carer, and your LMC is legally entitled to help you find another LMC that will fit your needs.


This theory is all very well but:
in many parts of NZ you have no choice about a midwife, so if you aren't happy then there is not much you can do, eg smaller towns.
In many parts of NZ te midwives are so stretched that to swap midway through the pregnancy means that there is noone to switch too, ie they are all booked up.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bobsta Quote  Post ReplyReply Direct Link To This Post Posted: 29 March 2010 at 10:39am
Thanks everyone for all your comments, it's been great to get comments from you all and I appreciate all your advice and support.

I have chosen to go with a midwife, Christine Ealson from Epsom Midwives. So far we have only chatted but she seems to be very experienced, not all airy fairy, and very open with her communication which is what I like.

I was recently in hospital for hyperemsis and all the doctors and midwives there knew her so she seems to have a very good reputation and be well respected and liked by the hospital staff. I think that's a good thing as I plan to deliver there too.

Good luck to everyone and thanks again for your support
Me 34
Him 35
DD almost 2 years old and...
Baby #2 on it's way!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Rachael21 Quote  Post ReplyReply Direct Link To This Post Posted: 30 March 2010 at 11:25am
Originally posted by Treen Treen wrote:

Originally posted by LucysMummy LucysMummy wrote:



I cannot rate OBGYNs highly enough, they not only have more experience but from my experience they can get you the better rooms (both hospital and birthcare) and if you need a c section or emergancy assistance there is no waiting or hanging around.

The Origins guys also do ultrascans every appointment as they have the machines in the rooms and for me personally it was such a comfort to see my baby each visit.


Yikes! Do they have more experience? That would depend on the individual, wouldn't it? As for the rooms, I thought it was just first come, first served, basis? Especially Birthcare who to me seem quite MW / natural birth focussed. I am paying for one of their premium rooms, but they obviously can't guarantee me one. I'll be pretty annoyed if I find out I'm in shared room just because I chose the public healthcare opinion for my antenatal care!

And will I really have to wait around if I need an emergency C-section or medical assistance just because I chose not to pay for an OB? Now I'm really worried!

As for the ultrascans, I was told that if your baby is healthy, the less ultrascans you have the better? Can't remember why, though. Anyone know?


Its because ultrasounds have not been proven to be safe, they haven't been proven to be unsafe either they just don't really know 100% they are harmless. So although the risk of adverse effects are low a lot of people think its best to limit the use of ultasounds unless medically indicated. Also babies don't particularly like them. Dopplers (the thing to hear the heart beat) use ultrasound waves as well which is why some midwives/women prefer to use a pinard/fetoscope.

I'm glad you found a mw you like Bobsta.
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