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LittleBug View Drop Down
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    Posted: 12 October 2009 at 1:48pm
So I've been thinking heaps about my career choice, and thought I would ask all of you lovely (and experienced) mummies what you would like in a midwife? Because I want to be a good one.

So... what made you choose your midwife?
What do you think is important in being a midwife?
What did you like/dislike about yours?

Basically what qualities do you think makes a good one?

Thanks for any feedback

My midwife was awesome, and I'm going to catch up with her sometime to ask her lots of questions. But it would be interesting to see what other mums think.
Chloe (4 years) and Oliver (3 years).
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BugTeeny View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BugTeeny Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 1:55pm
Pfft, you dn't need help. You'll be great!

However, here's my answers.

My MW is married to a workmate of DH so I'd known her for a few years and we got on well.
But that wasn't my only criteria.
She was on a very similar track you have been. Studying medicine and wasn't sure which way she wanted to go (Cardiology was her other choice).

She has three kids and they're awesome, so I knew she was a great Mum herself.

What I like the most about her (as a MW) is that she's laid back, but on to it at the same time.
She has a sense of humour and never laughed at my stupid questions.
She was easily reachable and informative.

The only thing I didn't like was that she was on holiday when I went in to labour

You're going to be great!

*edited for spelling

Edited by MamaPickle

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Post Options Post Options   Thanks (0) Thanks(0)   Quote surfergirl Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 1:57pm

I (initially) choose my MW because my Dr. suggested her.

I think that for me (so far) the most important things have been –

Availability (although in saying that I've not needed to contact her at odd times, but I know she'd be OK with it.

Understandability (is that a word? LOL) - explaining things in a manner which suited me and DH - me more technical, DH more simply.

Flexibility - I've changed my mind since first meeting her about how I'd like this all to go - when we first meet I was all about the epidural, now I'm doing hypnobirthing. She's really gone with the flow.

Toughness - I know she'll be tough with me when it matters, which is good as I can be stroppy and I need someone to 'rein me in' sometimes. I know she'll be able to do this.

And finally Advocacy - I feel that she'll be able to advocate for me (and DH) if I am not able to communicate my feelings/wishes. She's done a good job of getting to know me and I know she'll 'stick up' for me if I need it.

Let’s see what I have to say AFTER the birth….

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Post Options Post Options   Thanks (0) Thanks(0)   Quote FreeSpirit Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 2:03pm
What I want in a midwife - somebody who will listen to me. I'm the pregnant one, and not all woman are the same, so please take me seriously and check things out, even if it doesn't sound "right" to you.

Tell the men what you expect them to do (in the birth and when mum comes home) and include them as much as possible - they have questions too, and haven't got a clue what they are supposed to do when the baby arrives.

Don't assume I know anything. Please show me what you mean (eg don't suggest I use a football hold without showing me how).

Tell me what's going on - don't just write your notes and tell me everything is as it should be. I want to know every measurement.

Don't be afraid to do internals. My MW didn't like doing them. I had one and was at 3 cms, And it was nearly a week before I had another (because labour hadn't changed) and I was at 7 and a half cms. If internals were done more often there's a good chance my daughter wouldn't have needed neonatal care.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kebakat Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 2:04pm
what made you choose your midwife?
Both MWs (I had different one for Daniel and Jared) were both from friends recommendations that I saw them initially and then it was just a personality thing, how easy they were to be around really.


What do you think is important in being a midwife?
- being approachable and easy to talk to
- being able to express your worries and have them taken seriously and not just brushed off
- not be a pushy bitch basically

I could go on forever on that one..


What did you like/dislike about yours?
I loved my first mw, she had a good sense of humour, she was a laid back type but took seriously every concern I had and did her very best at making me feel better about the ones I had. She didn't get all uptight over anything I ever said. She was flexible about anything I wanted or didnt want to do, she never pushed me on any issue (like BF for example).

My 2nd MW, I was really happy with her up until my 20 week scan. She did some little extra research on me that my first didn't do but it wasn't really necessary just nice. But the things I didn't like was that it seemed her shifts at hospital were more important than I was. That really peeved me off. Some of her comments felt like a major guilt trip to me and to DH when we were faced with the decision of whether to terminate at 20+ weeks or not. She left my induction up to the hospital staff so I felt like I had been ditched and that peeved me off. The hospital staff were fantastic on induction day but I felt like it should have been my MW there with me just like she would have been had it been an induction at full term. I didn't feel like I could express that opinion either which is not good IMO. But after all that process one thing I did like was that she did front up and ask us about the whole thing and helped us make a complaint to the hospital.

eta: I'm very firmly of the opinion that any medical professional should present you with all the information to help you make a decision but should not express their personal opinion on the matter to try and sway you. This is what my MW appeared to lack.

Edited by kebakat
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Post Options Post Options   Thanks (0) Thanks(0)   Quote peanut butter Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 2:08pm
My criteria first time round was that she must have had kids...preferably pushing them out.   I didnt want anyone rubbing my back telling me I am doing good who hasnt been there IYKWIM

In saying that, the MW that did my post natal care this time round is due her first baby in a few weeks and she was AWESOME.

My first MW was a down to earth, no nonsense, mother of 3 boys. That had to count for something. She was on a list recommended by my OB...another nice point. She was practical, realistic, caring and open to anything. she worked well with my OB (in fact they often would have a massive catch up while I was trying to pee on sticks).

my 2nd MW was basically the only one I could find at the time and a bad decision from day 1. she was very laid back to the point of seeming uninterested. She was anti medical births and didnt see why I wanted to birth in dunedin instead of at home 3 hours away from any help. She wrote inappropriate comments in my book (about orgasms and things which I dont want James to read at a later date) and I actually should have laid a formal complaint against her....most of my coffee group also had her and were not happy.

my 3rd MW (changed just before going into labour) was EXCELLENT!!! You will probably come across her, Lisa Wang. she was so knowledgable and capable. My OB trusted her implicitly and that is a good sign.

My 4th MW (post natal) was great. She was a new MW...only been out 6 months...but had been a nurse previously so I knew she had some medical background which is important to me. SHe listened to me, answered ALL my questions and most importantly...if she didnt know the answer she would say and then find out. that was huge!

I think you will be great! Good luck!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MummyFreckle Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 2:17pm

I think that the things that you "think" can change during your pregnancy, and certainly my list is different for when we have #2.

My 1st mw was quite staunch, not pushy, but not very warm and friendly. She was very knowledgable and very onto it, but sometimes came across as a little cold. DH liked her "matter of fact"-ness, and we both felt that she was a very good advocate for us, and when there were issues with Oli's heartrate during labour, she was keen to not muck around too much, but also made us feel comfortable when people around us were starting to panic a bit.

I think next time I would like someone a bit "warmer"..someone who will give me a hug, and be a bit more supportive with my breastfeeding challenges and be more aware of PND issues also.

 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Pinkygirl Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 2:36pm
My MW was great. She discussed things with the consultants, if she didn't agree she said what she felt in regards to my labour with them. She stuck by me and was right there when Travis was forcep delivered. She held me tight when they were using the suction cup thing so that the force of it wouldn't dislocate my hips (as the legs being in the stirrip things can casue this). She was calm and collected when baby was showing the signs of distress, she didn't tell me this until after the birth. She made sure I had some sort of dignity while my epi was being administered as my gown had fallen off my boobs. I didn't care who seen them by that stage but she made sure I was semi covered.
THis sounds gross but she measured every last bit of blood I had lost as the consultant didn't seem to care.
She had a sense of humour whihc was an important thing and you could have a gneral conversation with her about things. Being honest about what is going to happen was what I liked about her.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weegee Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 3:58pm
I absolutely adored my midwife. She's moving away so I won't be able to have her for number 2 which I'm really sad about.

What I loved about her? Like nzpiper I wanted someone who had had babies of her own, who had a range of experience to bring. She's vastly experienced, and has that warmth Sam mentioned - she's a very cuddly person iygwim. She has a wonderful sense of humour but is serious and down to earth when she needs to be. She goes into bat for her mums - she's a fearsome sight to behold when she goes on the warpath!

I asked her about her philosophy when I first met her and she was straight up and said to be perfectly honest she is a big fan of natural childbirth and parenting, but respects women's decisions no matter what, and that worked out well for me. She didn't bat an eyelid when I said I needed the epidural.

She can be a little disorganised and occasionally lost the odd bit of paper, but she warned me about that at the very beginning and I can be a bit scatter brained myself so it didn't bother me

Originally posted by kebakat kebakat wrote:

- not be a pushy bitch basically

I agree with this, but wanted to add that sometimes it's important for a midwife to be a pushy bitch on your behalf, whether that's to hospital staff (OBs/nurses/hospital mw) or your mother or even DH

Mum to JJ, 4 July 2008 & Addie, 28 July 2010
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weegee Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 4:02pm
Originally posted by nzpiper nzpiper wrote:

most importantly...if she didnt know the answer she would say and then find out. that was huge!

I agree that is sooo important - I'm the sort of person who needs to know EVERYTHING so asked tricky questions all the time (esp once I got classed as high risk cos of an abnormal anatomy scan and follow ups), and my mw never bluffed, she always said when she didn't know and then we found out together.

Mum to JJ, 4 July 2008 & Addie, 28 July 2010
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tarns Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 5:03pm
Gosh I didnt know where to start. I didnt understand the difference between Independent and Hospital midwives and felt like no one really wanted to explain it to me!

I was sent out a list of midwives to choose one. Great...a list of names and numbers....I may as well have pinned it on the wall and thrown a dart at it.

When I rang the maternity hospital with yet more questions the receptionist (who was lovely and very helpful) told me she had mentioned me to one of the MWs there and she was keen to take me on.
So..feeling very special I came for my first appointment.

LOL, I asked her why she had been keen to take me on and her reply was, well I was available at the time you are due. Deflated.
I found her dull and mechanical. Perfectly civil but without any spark or interest in me beyond the bump...IYKWIM.

While waiting for my 2nd appointment with her (decided maybe I was grumpy and hormonal the first time and would give her a chance). I spotted another MW breezing in the door and chatting and smiling with people including the girl waiting next to me. I asked her who she was and she said her name was Claire Eyes (LOL yes really!!!).

After my appointment I really couldnt cope with my MW anymore...I felt like a cardboard cutout and she kept calling me the wrong name....I had visions of me thumping her during labour at this point.

Anyway, I switched to Claire and she was sooo awesome. I cried my heart out after Nathan was born and we had our last appointment together..she was like a mum to me. Warm and inclusive with DP and yet strong enough to calm me when I wasn't calm at all. Amazing woman!

Sadly I have now moved so if I do manage to get PG Claire won't be my MW.

Sorry for the long post!! I think what I would have liked in the first place is more information than a list of names and phone numbers...some sort of introduction of the MWs...who are they, do they have kids etc etc, to help me choose.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lisa85 Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 6:13pm
One thing that really frustrated me about my midwife was she took on too many women which meant 9 times out of 10 when I called she was unavailable and blew me off on more than one appointment. She didn't even make the birth! All said and done it was an elective C/section but still She had apparently been up all night with another birth which is fine but the thing that peeved me off was she was leaving the same hospital that I was in at the same time I was arriving. Surely she could have spent 1 more hour at my birth.

Anyhoo I know she had taken on too many women and as a result didn't have much time to focus on me and I felt like I needed a little extra attention being it was my first pregnancy and it was high risk.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Caniry Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 6:27pm
I won't be able to have the same midwife if we have another child (moved locations) - but I think second time around I will be looking for:

- someone who doesn't take on too many ladies,
- someone who works with backups which I can meet so I know who to expect.
- someone who can help me avoid an induction next time around (if possible).
- someone who can help with pain management, i.e. suggestion different positions to aid labour, use of water....etc

As lots of others have said a midwife should be available, approachable, experienced (i.e. has kids so can relate), knowledgeable.

My midwife was great - the hospital staff we're keen to put me on the drip to speed my labour up (which could increase the chance of further interventions) - but my midwife talked them out of it as she knew I wanted a nautral labour - I felt as if I was in safe hands!
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I my MW, she was amazing

I wanted a natural birth and when things didn't go according to plan she talked me through every step.
When the hospital staff were pushing me into a direction I didn't want she made sure they backed off and gave me some breathing space (that happened about 4 times during the course of my labour).
When my DH went away for work when bubs was 3 weeks old she either rang or visited every day and when I started getting PND and she should have been discharging me she kept up the daily visits until she was satisfied that I was going to be okay.

What I liked most was she went above and beyond the role of midwife and became a friend, confidante and shoulder to lean on (in a professional manner IYKWIM).
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I loved my MW I had (managed to get her for both my boys). She like Kebakat (as it was the same woman), very laidback but when something did go wrong (I got pre eclampsia) she made sure I was seen to asap.

My number one thing for a MW is you must of had children yourself. I don't get how someone can be helping you through it all and saying things when they haven't been there - I really hated that when I had a student MW who had never had children was telling me what to do.

I was a puree feeder, forward facing, cot sleeping, pram pushing kind of Mum... and my kids survived!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MissAngel Quote  Post ReplyReply Direct Link To This Post Posted: 12 October 2009 at 10:01pm

I personally just see my MW as someone to visit once a month to make sure baby is doing good and to show up at the birth to make sure everything is all good. and to do what I need when I need help. I'm not fussy.

So... what made you choose your midwife?      She was the one they gave me an appointment with when I rang!

What do you think is important in being a midwife?     To back the mum up with whatever you want to do during labour, be supportive and understanding for ALL of your choices.. oh and one that will happly chuck people out of the room with no hesitation when theres too many people wanting a look! < real important :P

What did you like/dislike about yours? I actually ended up with the whole team from Rangiora Hospital because mine was on holiday when Thomas came. But they were all pretty nice really.
Alex, Thomas and Lily
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LittleBug Quote  Post ReplyReply Direct Link To This Post Posted: 13 October 2009 at 1:26pm
Thanks for the feedback, there are heaps of really good points here. Think I might print them off so I can refer back to them later on, when it matters

Any other advice appreciated! I agree with everything, so far, and the things people liked are the same things that I liked about my own midwife. It's nice to know that there are some consistent opinions so that I can try and do the right thing by everyone. If that makes sense.
Chloe (4 years) and Oliver (3 years).
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Post Options Post Options   Thanks (0) Thanks(0)   Quote T_Rex Quote  Post ReplyReply Direct Link To This Post Posted: 13 October 2009 at 2:20pm
I spoke to 2 MW before choosing mine. It was so easy to choose the one I went with over the other.

I felt from the first one that she was quite blaze about the whole thing. "Oh yeah, i've done hundreds of births blah blah" which is nice, experience helps, sure, but my MW didn't make it seem like an everyday thing, you know? She recognised that just because SHE'd seen hundreds of pregnancies, it didn't make my pregnancy any less new and exciting and scary to ME. Also, the day I met with her was probably my worst MS wise, and DH was away so I had to go by myself. I felt miserable and dizzy and nauseous and she CARED. She offered sympathy, and helpful suggestions, rather than just brushing it off as something I had to deal with.

Plus, of course, her ideas about birth agreed largely with mine (so far anyway). She has also been really good about targetting our discussions to the right level for me (I have high level veterinary obstetrics training, lol).
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ElfsMum Quote  Post ReplyReply Direct Link To This Post Posted: 13 October 2009 at 2:33pm
So... what made you choose your midwife?

she got recommended to me and so far is brilliant..pat of what i need is someone who can reassure me while not pandering to every little ache and pain i have:) my first mw fobbed me off a lot.

What do you think is important in being a midwife?

re above but caring and kind and sensitive and someone who listens

What did you like/dislike about yours?

like: how she listens and isnt rushed(well she is but you dont sense it) and how she discusses options and offers suggestions and how she is able to answer txts:)

didnt like about last one:until i got sick i was last in the queue so got fobbed off a lot and everything felt rushed..though her care when i got sick was brilliant.

Basically what qualities do you think makes a good one?

see above but caring, sensitive and can react when necessary and who listens.

oh and my first mw had millions of clients and that was mostly why her care in the beginning sucked. so important that they dont take on too much..
Mum to two amazing boys!
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