Interviewing a
midwife or a number of midwives may at first
appear to be a daunting task. However, aside
from the general intuitive feeling you may get
in the presence of a prospective midwife, here
is a list of questions that may provide an
insight into each particular midwife's
philosophy of practice and experience:
* How long have you been involved in birth?
(Many midwives were doulas or childbirth
educators before attending births formally as a
primary midwife)
* How many births have you attended as primary
midwife?
(This number excludes births attended as part of
the apprenticeship / learning process)
* How did you make the decision to become a
midwife?
* Who attends births with you? Do they also come
to the prenatal appointments? Do I have a choice
in who assists you at my birth?
* Do you have a relationship with a physician
should we need to transfer care or arrange a
consult?
* What kind of childbirth education programs do
you recommend?
* Are there any sort of birth scenarios that you
would be uncomfortable attending at home?
* What is NOT included in your fee?
(Many times labwork, including ultrasound,
is not included, as well as birth kits or other
supplies)
* How are payment arrangements made?
* Do you accept insurance?
* What are your feelings on waterbirth? Do you
have a tub that clients can use?
* What do prenatal visits consist of? Where do
these visits take place? How often?
* What is your opinion of father/partner/family
involvement in birth?
* How do you feel about fathers/partners
catching the baby?
* What is your protocol if a client goes past
her due date?
* What equipment, supplies, etc., do you bring
to births?
(This includes resuscitation equipment and
medications for hemorrhage, etc.)
* What sort of monitoring of the baby do you use
during labor?
(Some midwives will use a fetoscope, others a
doppler, while others will use both. If it is
important to you that a doppler is NOT used, you
may want to state your feelings and get input
from the midwife on how she feels about it)
* How
often do you listen to baby during labor?
* What happens if you have two clients in labor
at once?
* What are your expectations of clients during
prengancy and birth?
* Do you assist women with Vaginal Births After
Cesarean (VBAC)?
* What complications require a transport to the
hospital? What happens during a transport and
once we're at the hospital? (Some midwives in states where midwifery is
illegal cannot risk accompanying a client to the
hospital - this is important to know!)
* Do you have a limit on the number of clients
you accept a month?
* How do your clients get in touch with you?
* Do you have books and videos that clients may
borrow?
* How do you feel about siblings at birth?
* What do you provide as far as postpartum
services (breastfeeding support, newborn care,
etc.)?
* What is your basic philosophy about birth?
* How do you feel about having a doula at a
homebirth?
* Do you have any former clients that could be
called about your services?
I strongly recommend ALL parents interview as
many people as possible - physicians,
naturopathic doctors, and midwives - in the area
to get a solid understanding of the different
philosophies and options available.
As a provider, I recognize that not every
prospective client will choose me to attend
their birth. What is very important is that
these families choose the RIGHT person to fit
within their beliefs, expectations, and
philosophies. I trust that families have the
ability to make a decision that is perfect for
them. It is my hope that the competitiveness
that occurs between providers dissipates as we
all work together to preserve CHOICE and safe
birth.
After interviewing midwives, if you still have
questions, feel free to call them - getting
things cleared up, or asking for further
information, is welcomed! Once you have made a
decision, it's nice to send a card or make a
phone call letting the other providers you
interviewed know about your final decision.
(However, you don't have to reveal which
provider you hired)
Listen to your heart, ask the questions that are
important to you and how you see your birth, and
take as much time as you need - This is an
important decision!
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