Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“…Why Should I Take Time Out Of My Life & Stay With You At Your Home…While You Labor?”
“I always ask my clients the reason why they want a home birth. Sell it to me. Why should I take time out of my life, and stay with you at your home for potentially more than 24 hours while you labor?” – Midwife to mother during a “home inspection” to see if the situation was suitable for a home birth.
So, basically…you expect your clients to show you that they’re “good enough” to hire you? If you don’t want to attend home births, then…don’t be a home-birth midwife. The career choice hasn’t been forced on you.
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cathiwim Reply:
May 21st, 2012 at 10:51 am (Quote)
Yeah, this! PULEEESE! If the midwife feels that way about homebirth, she should be working in a restaurant somewhere, and spare the clients that attitude! Clients should not have to sell themselves, or anything else to have a safe birth at home.
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If YOU would like to pay ME, then I’d be happy to “sell” it to you.
But since birth choices aren’t about a sales pitch, how about you just leave?
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Obviously this was upsetting to the OP, however, my doula asked a similar question regarding why I wanted a natural birth. Knowing a woman’s reasons can help the care provider to offer the right support. Of course it was not well put.
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Pam Reply:
May 21st, 2012 at 12:53 pm (Quote)
I think it might’ve been well-intentioned, but inappropriately worded.
If a person is unsure, maybe not convinced themselves, a question like this could point that out now. But I think the phraseology is off-putting.
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Bonita Reply:
May 21st, 2012 at 12:54 pm (Quote)
I highly doubt that this was just to find out how to support the woman. The midwife is setting the tone of authority in this situation. After this, she will probably pull the same power play stuff for every decision. The best way to make sure that someone is always under your thumb is to make them crave your approval.
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I’m totally confused. I thought either midwives kept in touch during labor and as the birth got closer, then they came. Sometimes a birth assistant has been there for part of labor with the friends of mine who’ve had home births. Someone educate me.
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C.Pratt Reply:
May 21st, 2012 at 11:38 am (Quote)
A good midwife comes when mom feels she needs her there. Many homebirthers would rather not be disturbed by someone new coming in too soon, or don’t want to “waste” their midwifes time if they aren’t in active labor yet. But if they are having back labor, or it is progressing quickly there may only be one contact of “please come now”. A birth assistant could provide support and monitoring for early labor in many cases. It really just depends on the situation.
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“Sell it to me. Why should I take time out of my life, and stay on the line with you for 40 minutes while we attempt to fix your computer together?”
“Sell it to me. Why should I take time out of my life, and work in your kitchen all day long catering your reception?”
“Sell it to me. Why should I take time out of my life, and drive all the way to your farm to provide veterinary care to your lambing ewes?”
Nope, doesn’t work. If the question really was, “Why do you want a homebirth?” then the midwife should have stopped right there and waited for an answer. If she wants somebody to plead for her attention, she should go get a dog.
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Home inspection? So what, if my home is not nice enough for you, then I don’t deserve a home birth? I think a woman has a right to “home birth” wherever she wants, whether its a house, an apartment, RV or in the middle of a field! If a stable was good enough for Mary, then my humble home is good enough for Miss hoity toity midwife.
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SuzyHomemaker Reply:
May 22nd, 2012 at 12:40 am (Quote)
Before I read the OP’s post below, I almost pictured this midwife checking to make sure the tv was a large flat screen with surround sound and that the fridge was well-stocked with her favorite yogurts.
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arzt4empfaenger Reply:
May 22nd, 2012 at 1:48 am (Quote)
I don’t mind the home inspection as such – before our birth we talked to a hb midwife as well, and the home inspection would have aided her to know what the home is suited for (i.e. how much space for a birth pool, are there steep stairs to reach the apartment in the first place – steep steps for transport should something go wrong etc.).
What is annoying in this post is the wording, the “take time out of my life” part really makes me think that this is not a midwife I’d want anywhere close to me during birth. The why question in general is fine, but the tone makes the music.
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arzt4empfaenger Reply:
May 22nd, 2012 at 1:49 am (Quote)
And with “why part” I meant the “why do you want/ why did you decide for a homebirth here, and with me”.
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Rachel Reply:
May 22nd, 2012 at 7:46 pm (Quote)
making sure the home is suitable is fine! Asking why mom wants a home birth is fine! This is the rudest wording for that question I’ve ever seen :/ My midwives have all verified that the home is suitable for birthing. Criteria included: working phone (cell is fine, we dont have a landline), running water, heat, electricity, and reasonably clean, aka not squalor. They don’t expect a home with small children and a very pregnant/tired mom to be sparkling clean and organized
One midwife has said she has attended births in tiny studio apartments and giant “mansions” and that the births are beautiful no matter what.
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This is mine. Here we have home inspections to make sure it is a safe home, that the ambulance drivers can bring in a gurney, and within X distance from the hospital. That is fine. This question came AFTER she had already asked why we wanted a homebirth. Our answer of this is where i am comfortable and i dont want to leave for the hospital or birthcenter while in active labour wasn’t good enough. She wanted to hear that we thought it was best for baby.
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sara r. Reply:
May 22nd, 2012 at 12:14 pm (Quote)
One would hope that this would be a given. I know that I always thought in my head that having a homebirth would be best for the baby, but in explaining it I always said “because I don’t want to have to interrupt labor to leave…etc”. It always seemed to me that what was best for the baby was best for mom and visa versa.
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I met a nutter like this, she was a homebirth midwife who was also a qualified GP, what that meant was that she could bill all appointments to medicare as GP visits, giving a homebirth almost completely covered by medicare or insurance, the only way some people can possibly afford it. (Australian system here). She is well aware that beggars can’t be choosers, and that she is the only chance of an assisted homebirth for many low income families.
But it was her way or the highway. I wasn’t to tell any family we were homebirthing in case they showed up and caused problems for her during my labour, I would labour with the religious ‘extras’ that SHE believed in, all while belittling me for my own (I wear a headcovering in some situations, birth would have been one of them, she constantly made passive aggressive comments about it. In fairness she made clear from the begining she only worked with christians, so she wasn’t forcing her beliefs on athiests at least). She instructed me to ignore medical advice from other specialists regarding issues she had little knowlege about, and she herself had no knowlege about complications in pregnancy, including HG (she informed me the only reason I could possibly still have any sickness after 13 weeks was that I was too stressed out). She shamed me for not excersizing enough (while suffering HG, wtf!). She even perscribed me a natural medication, but in an entirely unsafe dose because the lower dose didn’t work.
I could deal with her craziness on religious stuff, she practiced it differently to me but if I had to sit through a half hour ‘worship time’ every appointment I could deal with that to be able to afford a homebirth. But when she told me I COULD NOT have a healthy vaginal birth if I did not have my completely seperate and irrelevent medical issue fixed completely before I went into labour, despite being told treatment in pregnancy was dangerous and could lead to miscarriage, I decided we were not safe in her care. (Her theory was the only way to have a safe natural vaginal birth was to start with a safe, whole, healthy body)
BTW, I’m not the OP lol, this comment just reminded me of her so much, because she told me my home enviroment was not suitable and I would need to stay with someone pro-homebirthing or rent a hotel room when I went into labour. Nutter.
It’s a shame though, because fact is, many people including myself cannot afford a homebirth any other way, the cost would be a 6th of our annual wage and local midwives are run off their feet as it is because there’s so few of them, so there’s no batering around here. No homebirth for me
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Wow, you guys are really harsh on this one. Most of birthing at home has to do with attitude. A midwife can’t want it more than you do. And, an emergency transport is way more dangerous if the mom was sitting on the fence.
I wonder if the midwife was worried that the OP might not be fully committed. Maybe there was a difference of personalities and she was trying to find the level of commitment.
Midwifery is not like OB. The midwife has to accept you as a client just as much as you have to want her at your birth. It’s not like hiring a plumber. She has to trust you just as much as you have to trust her (but for very d
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(but for very different reasons).
It scares me a little that some comment of mine like this would end up here. I’m a doula, but I try to engage my clients in dialogues all the time. I would hate to be told to GTFO for trying to help a mom define her choice of birth locale.
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Kristy Reply:
May 22nd, 2012 at 10:34 am (Quote)
Then be careful not to tell mom she has to ‘sell’ you on the idea of lowering yourself to her level and consenting to be hired by her.
There is a big, big difference between asking her why she wants this for herself and her child and behaving as if… well, in fact *stating outright* that she is wasting your time by asking to hire you if she doesn’t ‘measure up’.
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Tee Reply:
May 23rd, 2012 at 2:30 pm (Quote)
I understand what you’re saying. As a midwife or doula, it is very important that you understand what is driving your client’s desire to have a home/natural/birth center/whatever birth. I think the problem here comes in with what I see to be a very rude and inappropriate attitude and tone of voice. “Why should I take time out of my life” makes it come across as if the laboring woman is nothing but an inconvenience. “Sell it to me” is just downright wrong. The client is hiring the midwife, not the other way around! That kind of thing…
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I am HOPING the midwife mentioned was trying to make sure her client had the right reasons for wanting a home birth (as in not “well it’s what all my friends are doing and I’m sheep who always follows the crowd”) and had the emotional maturity to handle it (most women old enough to have children do) but boy did she choose the wrong words.
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Aaaaand you’re fired. I will decide if the situation is suitable, you OB in midwifes clothing.
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