2. How early should I be making an appointment with the doc? I'm going back and forth about hospital or home birth and I have no idea where to start.
3. Has anyone used a midwife in the US? If I choose to find a midwife, would I still see my Ob/Gyn first?
I'm going back and forth between hospital and home birth too, but for me, its more like home birth or early cesarean. My first pregnancy was frank breech, face up, which was not a position that is very favorable for delivery. I was 10-12 days overdue (they changed my due date twice during the pregnancy...) and there was a low fluid level so we couldn't get him to turn. My second pregnancy, I wanted to vbac, but was unable to find a midwife practicing in my area (the two that I could find, one had retired and the other said I was outside of her coverage area) so I went with the ONLY OBs office that would allow it. They had this arbitrary rule that you were only allowed to go overdue by 1 week, no matter if everything was still healthy or not. They were my only option, so I went with them. They scheduled a cesarean for 8 days overdue, I couldn't get labor to jumpstart and there was no other office to turn to if I refused the cesarean and they got mad and declined to reschedule me. So I feel absolutely forced into the repeat cesarean, even though I had many signs of impending labor. I am 100% positive if they'd have just waited a couple days, it would've happened. So now, having had 2 previous cesareans, neither of which were for serious complications that are likely to happen again, NO doctors office around will even let me carry to term. They want me to do surgery at 39 weeks, no matter my personal history of going almost 2 weeks overdue. So for me, having a baby at 39 weeks is basically the equivalent of having a baby 3 weeks early. The baby may or may not be ready yet.
The doctors office that I'll most likely be making an appointment at likes to see you for the first time at I think 10 weeks, but I've never started a pregnancy with them so I'm not positive. I've spoken to two different midwives who do homebirth in my area and both of them need a copy of my surgical records before we go any further, and I'm having trouble getting the records dept. of the hospital to return my messages.
If you're using a midwife not working directly with a doctors group (many of the ones who deliver in hospitals have an OB group that they work specifically with), then you'll need to find a 'back-up' OB. That can be tricky, depending on your area. I haven't been able to find one so far that accepts my insurance and who is willing to work with someone planning a home birth, many OB's are dead set against it, even for women who have absolutely no risk factors whatsoever. It's really up to you if you want to see an OB or the midwife first. You can make an appointment with one for peace of mind, and then change later if you need to, or you can wait until you find a midwife and see if there are any OB's she could recommend.
I'll probably call by the end of the week to set up an appointment, I'm coming up on the 6 week mark and would like to have an u/s to confirm a healthy pregnancy by Christmas. But that dr doesn't support home birth or vba2c, so if I go the home birth route, I'll have to switch.
There are sooo many things to think about with home birth that don't apply to a hospital birth, like for example, if you want the Vitamin K shot for your baby at birth. They have it ready to go for you in the hospital, but at home, you have to procure it for yourself. If you're having a boy and you're going to circumcise, they do that at the hospital before discharge. If you're at home, you have to find someone willing to do it (sometimes a pediatrician, sometimes a Jewish Mohel, if I spelled that right). But the plusses are also numerous- Less interventions, more calm environment, delayed cord clamping/cutting which is very good for the baby, soothing water birth, being allowed to move and act however you want during labor, no one rushing you or trying to 'move things along' so they can go home, more postpartum and breastfeeding support at home, etc.
If you haven't already, or you don't have a lot of friends who have done it, try searching facebook for a homebirth group in your area. There are lots of private groups that you could join.
(Sorry for the massively long post, I really did not intend to write sooooo much!!
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