Finding midwife for elective caesar?
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Topic: Finding midwife for elective caesar?
Posted By: CarrieMum
Subject: Finding midwife for elective caesar?
Date Posted: 07 September 2011 at 8:07pm
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How difficult is it to find a midwife if you're planning an elective caesarian? Do you have to ring around quite a few and just take what you can get? Seems a bit rough that you can't get the best pre and post natal care because you have to have an elective caesar?
Thanks. |
Replies:
Posted By: BrightSilverstar
Date Posted: 07 September 2011 at 8:58pm
| Where in NZ are you :-) |
Posted By: CarrieMum
Date Posted: 07 September 2011 at 11:54pm
| Will be in Hamilton :-) |
Posted By: newme
Date Posted: 08 September 2011 at 9:29am
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What is your history? If you have had a previous c-section, or difficult birth/pregnancy, I don't think it is very difficult at all to find one. Most are supportive and understanding of your own circumstances.
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Posted By: choco69
Date Posted: 08 September 2011 at 10:09am
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i know in parts of auckland it can be hard to get a midwife to take you on if you are looking to have a c-section and/or are higher risk of needing interventions (ie are over 40) - it is a personal preference thing for the midwife so suggest you ring around ------------- http://lilypie.com">  
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Posted By: InthemiddleMummy
Date Posted: 08 September 2011 at 12:49pm
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I had no issues and no questions from my MW or OB, but in TImaru we have shared care between OB/MW so our GP refers us to OB visit at 12/13wks then wee meet MW at 15/16wks and alternate between them even if planning a vaginal. If you want a home birth/no scans in Timaru there is a seperate centre of MW's you can go to,.
I would think its higly unprofessional to be rude or not want to take you on if you want an elective c/s, vaginal births are not the best outcome for every mum |
Posted By: Greenery
Date Posted: 08 September 2011 at 2:11pm
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i had to have an elective c sect in hamilton (didnt know till later on) but i went to the hospital midwives.. i mean if you dont mind going there. i usually had appnts with 2 of the 4 midwives.. hell i didnt meet one till after i had Seth lol, and that was cause someone was sick... one of them has gone to Waterford and i will be going through her next time if shes free but otherwise i didnt mind going thru waikato hospital. they were nice and they will take ya cause you need a c sect. ------------- http://lilypie.com" rel="nofollow">  http://lilypie.com" rel="nofollow"> 
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Posted By: MissAngel
Date Posted: 08 September 2011 at 5:20pm
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I wasnt aware that they can deny you for not having a VB? ------------- Alex, Thomas and Lily http://lilypie.com" rel="nofollow"> 
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Posted By: Plushie
Date Posted: 08 September 2011 at 7:41pm
| I was under the impression independant midwifes didnt get paid (at all or only a part i'm not sure) if the outcome is a c-section, so they would be doing all your prenatal care and not getting all the money for it. Also i went with the independant midwifes in Timaru (who are not homebirth no scan hippies but could be if thats what you like) and they were very supportive of me wanting an elective c-section when i brought it up right at the start so perhaps ringing around independents rather then hospital midwifes might be a go-er? Though i had a natural birth in the end so not sure 100% on all the details. |
Posted By: WestiesGirl
Date Posted: 08 September 2011 at 8:17pm
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Ohhh Congrats Carrie!!! When do you plan on returning to NZ? Gosh exciting. ------------- Our Angel July 08  Gone but not forgotten
And to complete our family, our princess has arrived 
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Posted By: AandCsmum
Date Posted: 08 September 2011 at 9:12pm
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Midwives get paid for the pre-natal care but they get paid more for the actual birth. ------------- Kel http://lilypie.com"> 
A = 01.02.04 & C = 16.01.09 & G = 30.03.12 |
Posted By: CarrieMum
Date Posted: 08 September 2011 at 10:36pm
Last time I had a very prolonged labour ending in an emergency caesarian. My baby was taken away immediately and I hate that he had an IV needle insterted into his arm as his introduction into the world. Both us us required triple IV antibiotics for days after the birth due to the infection caused by my waters breaking so long before the birth. It was all quite traumatic for me and my DH and probably my DS Im sure too! My uterus infection continued on for weeks afterwards (unknown to me) which made me feel pretty unwell. My DH and I discussed it all recently and decided that after what happened last time that an elective caesarian would be best for us next time. Im not familiar with the maternity system in NZ as I had my 1st baby in Australia. I just visited the hospital midwives in Oz. I didn't know that was an option in NZ. I thought everyone had to have their own midwife. I had heard that since the midwives don't get paid for a caesarian birth they they often won't take on mothers who request one from the beginning. I hope this isn't the case but Im happy to see the hospital midwives if that's what needs to happen. |
newme wrote:Posted By: Plushie
Date Posted: 09 September 2011 at 8:13am
| I am almost 100% sure if you have had a previous c-section you get the choice of one for your second baby without problems. I think you are under a midwifes care but see an OB towards the third trimester and they book you in. Don't take my word on it though just going on what i learnt in my lurkings around the board and what friends have said. |
Posted By: Isabella
Date Posted: 09 September 2011 at 9:03pm
I asked my MW about the payment thing because I was concerned a MW may push the birth to a dangerous extent to avoid an OB stepping in with surgery... In her words "this is a load of rubbish" and they get paid the same amount per patient regardless of the number of appointment or outcome.. 
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Posted By: mum2ollie
Date Posted: 09 September 2011 at 9:20pm
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Isabella I was just going to say the same thing lol.
If you have had a C section you can have another one electively without a problem. -------------   
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Posted By: Hopes
Date Posted: 10 September 2011 at 7:28am
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I can understand a MW saying perhaps not if you wanted a birth that didn't really fit with their philosophies. I mean, if you were a MW who leaned towards home births and no drugs, I don't think you could honestly say you could do justice to a lady who fronted up expecting her first and intent on having a c-section because that was what she felt most comfortable with. Obviously not the case with you, though.
I was also told by my GP (because we were looking a bit late and at a bad time of year (Jan)) to emphasise that my first pregnancy / labour had been very straightforward as a MW who's already pretty full might be more likely to fit someone in who's not as likely to have complications, so I guess you're in the boat where if a MW was already pretty full up she might think she can't do you justice. On the other hand, I don't think you should have any trouble finding one. There's plenty of other ladies having babies in similar situations, and plenty of MWs that are well used to elective c-sections  -------------   
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Posted By: newme
Date Posted: 10 September 2011 at 8:38am
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If you have had a previous c-section, you have the choice to vbac or have an elective. No cost involved with either, unless you go private.
You shouldn't find it hard to find someone at all. Good luck - there is a c-section support thread that you should check out. Very helpful. And for the record - having had one emergency and one elective, electives are so much better - nice, calm and afterwards you don't feel so terrible!! |
Posted By: Plushie
Date Posted: 10 September 2011 at 4:05pm
Ahhh i thought as much, esp when my midwife went on to care for two of my friends (who were from brazil and both left the country towards the end of their pregnancy to birth at home) when she knew that they would be leaving right from the start. Still if you dont put these things out there you never get corrected, right? 
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Posted By: Plushie
Date Posted: 10 September 2011 at 4:06pm
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Ahhh i thought as much, esp when my midwife went on to care for two of my friends (who were from brazil and both left the country towards the end of their pregnancy to birth at home) when she knew that they would be leaving right from the start. Still if you dont put these things out there you never get corrected, right?
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Posted By: Richtea
Date Posted: 11 September 2011 at 8:55pm
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Midwives get paid more for attending vaginal birth than for a c section, the payments is they receive are one for each trimester of care and a birth payment. The birth payment is much more for a VB than c section due to the time involved. Having said that, if you experience just one contraction under the Mw's care they can claim the larger payment, hence no pushing for VB if things start to go wrong! In theory a Mw should like it if you want an elective c section as they gat paid for all your care but with no long unexpected hours
Edited cos I missed a word! ------------- http://lilypie.com">  
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Posted By: Raspberryjam
Date Posted: 11 September 2011 at 11:36pm
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I had an elective after my first was emergency. Was expected id have a section (thats north shore hospital for ya) but independant Midwife offered natural too.
She still got paid Next time I hope I can stay home too long ;) ------------- http://lilypie.com] 
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