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How are midwives different from a gyn?

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2boys4me
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How are midwives different from a gyn?

DH asked me and I wasn't quite sure how to answer him. I mean, I know that a lot of people who want to have a natural childbirth go with a midwife but I know anyone can go with one, even ladies who are having a planned c-section because it's their second. What are some other differences between the two?

Sorry if this is a dumb question

Posted 7/18/11 6:46 PM
 
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FlowerWife
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Re: How are midwives different from a gyn?

i highly doubt that most midwives are also surgeons so i doubt you can use one for the birth if you are having a planned c-section. obs can perform surgery so they can do c-sections. most midwives these days have doctors that back them up in case a c-section or other medical intervention was warranted.

the other differences usually are that midwives are lower intervention than obs. they dont do as many invasive tests or sonos and they use more natural remedies for pregnancy issues and for birthing. you can def use a midwife and get an epidural too, but in general if you were hoping for a natural birth a midwife will utilize many more coping techniques for pain management. also if you wanted a home birth you would need to utilize a midwife.

Posted 7/18/11 8:04 PM
 

Erica
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Member since 5/05

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Re: How are midwives different from a gyn?

If you want to think about it in other medical situations...midwives are Nurse Practitioners. They started at RN's and got their graduate degree to be an NP.

I personally like NPs for all my medical needs. I feel like nurses are more compassionate and are less clinical or at least try to not be clinical.


I had a scheduled c/s for my second and my MW was in the operating room assisting my OB with the surgery and she was the one who brought him to me and actually gave him his nickname!


She just moved OOS and I am crushed that she won't be there for #3.

Message edited 7/18/2011 8:09:59 PM.

Posted 7/18/11 8:09 PM
 

Shorty
.

Member since 5/05

30390 total posts

Name:
really

Re: How are midwives different from a gyn?

http://stonybrookmidwives.com/

The FAQ tab on the left side is very informative Chat Icon

Posted 7/18/11 8:10 PM
 

2boys4me
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Re: How are midwives different from a gyn?

Posted by Erica

If you want to think about it in other medical situations...midwives are Nurse Practitioners. They started at RN's and got their graduate degree to be an NP.

I personally like NPs for all my medical needs. I feel like nurses are more compassionate and are less clinical or at least try to not be clinical.


I had a scheduled c/s for my second and my MW was in the operating room assisting my OB with the surgery and she was the one who brought him to me and actually gave him his nickname!


She just moved OOS and I am crushed that she won't be there for #3.



So you CAN use a midwife if you had a previous c-section... I thought so.

Who did you use? I hope a midwife will still take me even though I had a c-section with my first. Obviously I know that the midwife can't perform the section but I would like to be in the hands of a midwife for prenatal care if at all possible.

Posted 7/18/11 8:38 PM
 

MrsKelly
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Krista

Re: How are midwives different from a gyn?

Posted by Erica

If you want to think about it in other medical situations...midwives are Nurse Practitioners. They started at RN's and got their graduate degree to be an NP.




this actually isn't true... not all NP's are midwives. i worked for an ob... my current ob now... when i was younger. i see the NP for almost everything and have no complaints. i just happen to know that when i used to work there, she was an NP and NOT a midwife... she went for more schooling in recent years and is now an NP & a midwife. i hope to have her deliver my baby... with an epidural Chat Icon

Posted 7/18/11 9:32 PM
 

FirstMate
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Re: How are midwives different from a gyn?

Posted by MrsKelly

Posted by Erica

If you want to think about it in other medical situations...midwives are Nurse Practitioners. They started at RN's and got their graduate degree to be an NP.




this actually isn't true... not all NP's are midwives. i worked for an ob... my current ob now... when i was younger. i see the NP for almost everything and have no complaints. i just happen to know that when i used to work there, she was an NP and NOT a midwife... she went for more schooling in recent years and is now an NP & a midwife. i hope to have her deliver my baby... with an epidural Chat Icon



This is true. A mid-wife is an RN who is certified in mid-wifery. Some, but not all, are nurse practitioners.

In terms of differences between them and an OB...obviously, there's the whole MD degree thing. Usually, mid-wives do not have admitting privileges at a hospital - they have to do it through a supervising physician. I can't imagine that a mid-wife can do a VBAC or would attempt to do so. Many OB's frown upon that type of procedure so I can't imagine a nurse would be gung ho to do it.

If a mid-wife is someone you are considering using, make sure they carry medical malpractice insurance for your protection. Many do not as they are not required to since they don't have admitting privileges. It's very important. If they do have admitting privileges, then they would be required to be insured. All of your OB's will have insurance.

Message edited 7/18/2011 11:10:35 PM.

Posted 7/18/11 11:03 PM
 

Kidsaplenty
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Stephanie

Re: How are midwives different from a gyn?

Posted by FirstMate

Posted by MrsKelly

Posted by Erica

If you want to think about it in other medical situations...midwives are Nurse Practitioners. They started at RN's and got their graduate degree to be an NP.




this actually isn't true... not all NP's are midwives. i worked for an ob... my current ob now... when i was younger. i see the NP for almost everything and have no complaints. i just happen to know that when i used to work there, she was an NP and NOT a midwife... she went for more schooling in recent years and is now an NP & a midwife. i hope to have her deliver my baby... with an epidural Chat Icon



This is true. A mid-wife is an RN who is certified in mid-wifery. Some, but not all, are nurse practitioners.

In terms of differences between them and an OB...obviously, there's the whole MD degree thing. Usually, mid-wives do not have admitting privileges at a hospital - they have to do it through a supervising physician. I can't imagine that a mid-wife can do a VBAC or would attempt to do so. Many OB's frown upon that type of procedure so I can't imagine a nurse would be gung ho to do it.



MANY midwives will attend a VBAC< many women who want a VBAC will go straight to a midwife because they know they have a much better chance of achieving one than with an OB

Also, I think what the PP was trying to say was that a certified nurse midwife has a similar amount of schooling as a NP. Not that all NPs are midwives.

Posted 7/19/11 8:35 AM
 

Erica
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Member since 5/05

11767 total posts

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Re: How are midwives different from a gyn?

Posted by 2boys4me

So you CAN use a midwife if you had a previous c-section... I thought so.

Who did you use?



Yes, my office is a solo OB and a MW. I didn't see him at all for my second pregnancy until the operating room (Of course I knew him from before from #1, but even with #1 I saw the MW mostly).

My MW was open to the idea of VBAC, but I couldn't go that way b/c of size (DS#2 was 10 pounds and most likely #3 will be close to that so VBA2C is probably out if I don't go into labor on my own in the next 2-3 weeks).

My MW just moved OOS, but there is also a PA (Physician's Asst) there who I like too.


Posted by Kidsaplenty
Also, I think what the PP was trying to say was that a certified nurse midwife has a similar amount of schooling as a NP. Not that all NPs are midwives.



yes, thank you - just making a comparison of sorts...an RN with additional training/schooling.

Posted 7/19/11 10:00 AM
 

vintagegirl
LIF Infant

Member since 12/07

167 total posts

Name:
Laura

Re: How are midwives different from a gyn?

Don't make the same mistake I did.. do yourself a favor and get a Midwife who works with a doctor. .. My midwife who was obsolutely a nightmare ( email me if you need the name) .. did figure out I had the beginnings of pre eclampsia .. which i am grateful that she figured out.. but unprofessonial, sloppy, missing paperwork.. didn't show up for my birth didn't even know I was having a boy and girl. no backup nothing.. do mucho research.. no backup plan.. she was to busy moving and she didn't send me another midwife to replace her. Luckly I had a excellent doula named Vicky Moody who I highly recommend :)

After my experience in May of this year.. I found a new doctor Dr. Seraji who works with a nurse midwife (hopefully my next experience is better) who is there with the birth and works with doctor.. After my birth experience.. there are reasons for medical intervention and reasons .

Posted 7/20/11 12:11 AM
 

vintagegirl
LIF Infant

Member since 12/07

167 total posts

Name:
Laura

Re: How are midwives different from a gyn?

Posted by FlowerWife

i highly doubt that most midwives are also surgeons so i doubt you can use one for the birth if you are having a planned c-section. obs can perform surgery so they can do c-sections. most midwives these days have doctors that back them up in case a c-section or other medical intervention was warranted.

the other differences usually are that midwives are lower intervention than obs. they dont do as many invasive tests or sonos and they use more natural remedies for pregnancy issues and for birthing. you can def use a midwife and get an epidural too, but in general if you were hoping for a natural birth a midwife will utilize many more coping techniques for pain management. also if you wanted a home birth you would need to utilize a midwife.



OH When I had the signs of pre-eclampsia my midwife told me to do yoga and drink tea.. and lower my salt intake.. yeah that didn't do anything.. just sort of done.. and i was such a low risk case before this happenend

Posted 7/20/11 12:13 AM
 
 

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