If you are delivering at home or in a birthing centre and have complications, you may need to transfer to a hospital, where your midwife will continue to work with you or, transfer your care to an obstetrician, depending on the circumstance and region. lol. However, in many other areas—including cities—the demand for midwives still exceeds the supply. “We’ve come a long way to achieve a safe system of care in Canada,” says Jennifer Blake, chief executive officer of, . The education plan for a Certified Nurse Midwife (CNM) is quite different. I'm glad that you were able to find a midwife and that you hit it off with her!! “The best model for safe care is one that looks at the whole team,” says Blake.  They might be *highly* recommended, but it becomes much more clear that YOU are in charge of your health. I had a midwife AND OB with my first. Keep an open mind, get recommendations from family and friends and meet a few experts in person if possible. I had one for both my pregnancies, and loved it. I had my first midwife appointment and it was fantastic! Therefore, midwife-led care in low-risk pregnancy could be applicable and recommended. 1997-2020 All rights reserved. Also, with a midwife it's made clear that tests are optional. There are also resources like Motherisk for advice, and if you check with your local hospital or birthing center you should be able to get a list of other local resources for support and information. Midwifery is a growing field. Thanks everybody! If the answer is yes, then you can take your pick of practitioners. The amount of time and advise given was just what I needed. If your pregnancy is healthy, you may feel most comfortable with your family physician, provided that they are among the 40 percent of family physicians in Canada who offer prenatal care (though only about 10 percent actually deliver babies). You’ve probably had a family doctor throughout your life, but you may not be as familiar with obstetricians and midwives. I feel like I am taken care of and am really pleased. First pregnancy. Their prenatal appointments are about 30 to 45 minutes long, they’re able to provide undivided attention during labour and delivery, and they often provide home visits in the early days after childbirth. You may find it difficult to get a midwife at this point in your pregnancy. If your pregnancy appears to be high risk or complicated, you will need to also see a perinatologist. This basket of services -- referred to as a "course of care"-- provides continuity, optimizing your safety and comfort. Continuity of midwife-led care was perceived by women to be beneficial and had no adverse outcomes. i think its just depends on the the kind of OBgyn or midwife you have. And she told me at that time that she would decide when and if I needed a doctor." “However, Prince Edward Island announced its intention to roll out funded midwifery regulation in 2020, and the Yukon is at the final stages of working out its policy framework as well,” says Brandeis. A midwife is a regulated health professional. “Usually, you’ll meet a small team of midwives and they are very likely to attend your birth,” says Elizabeth Brandeis, president of the Association of Ontario Midwives. You will feel more satisfied. Midwives are typically able to offer the most one-on-one care, including before, during and after delivery. However, according to the Provincial Health Services Authority, obstetricians attended 50.7 percent of births in British Columbia from 2015 to 2016, family physicians attended 32.1 percent, and midwives attended 15 percent. The number of midwifery patients who delivered by C-section in Ontario in the same year was much lower (, ), but the majority of those patients had low-risk pregnancies to begin with. Of course, you can also have a completely unmedicated, vaginal delivery in a hospital with a physician if there are no complications. This is my second pregnancy and I absolutely love my OBgyn. If you wish to go the midwife route, start contacting midwives or midwifery practices as early in your pregnancy as possible. A midwife is best likened to a nurse while an OB/GYN is a doctor. If you live in a rural area, you may not be able to access the services of an obstetrician without travelling and may be limited to a family physician. so bad that she swore not to have midwife again for her next pregnancy... on the contrary, i loved my obgyne, she entertained and accommodated every question i have, told me all the do's and donts...suggesting things that will make things easier, and when i have to go to the hospital for some issues late night, on my next appt she will ask me if i was treated nice etc...even after giving birth, when i visited her with my baby and told her my milk isnt enough, even if i dont have any appointment, she accommodated me and give me prescription. Hello can anybody tell me the biggest difference between a midwife and OBGYN?  They are responsible to advise you, to tell you about options, that kind of thing, but you take some responsibility. Midwives care for women and their newborn babies in hospitals, birthing centers and at home. 6, family physicians attended 32.1 percent, and midwives attended 15 percent. Choosing a midwife or doctor is an important step in having the birth you want. The services you receive from a midwife and OBGYN are identical. However, if you know you want to deliver in a hospital, you can choose any type of provider, including a midwife. Family physicians, obstetricians and midwives are skilled medical professionals who have hospital privileges, offer lab tests and ultrasounds, and maintain a standard schedule for prenatal visits. St. Joseph Communications uses cookies for personalization, to customize its online advertisements, and for other purposes. (You can also get drug-free pain management, such as water immersion, with obstetricians.)  With an OB, it's "do this test, lie here while I get this swab" that kind of thing. Some obstetricians and family physicians remain on-call for their patients or provide small call groups (meaning that you’ll probably be attended by one of a small number of doctors). For most women, the toughest decision is whose care to seek. “The rate of caesarean sections is the same whether you have an obstetrician, a family doctor or a midwife,” says Blake. "Have any questions" and they're out the door. I will say you will find it challenging to find a midwife at this point. Midwives also make continuity of care a central tenet of their practice. Humans beings regardless of their education can still have crappy personalities. I have dealt with a number of ob's, they have been short with me, and do not care about me or my baby, just getting the job done. We're pg with #2 now, due in Jan 2010. My first pregnancy was textbook boring. However, in many other areas—including cities—the demand for midwives still exceeds the supply. Pros and Cons of Midwives vs Doctors pose a serious question for mothers-to-be, especially if it's first time. Being a midwife can be a great career choice. Canada gives three options for primary caregiver: OB, family doctor or midwife (where available). Quelle quantité de lait pour votre bébé? These include exams, prenatal care, hospital and birth center access, and postpartum services. However, if you know you want to deliver in a hospital, you can choose any type of provider, including a midwife. In British Columbia, the number of midwifery patients who had C-sections was at 20.6 percent from 2015 to 2016. We then discussed the different courses of action and what I would like to have done. They book up very quickly, depending on where you are. I never have to wait in the office, appointments are quick but all my questions are answered. The #1 app for tracking pregnancy and baby growth. Salaries, however, are dramatically different. Midwives undergo a four-year bachelor of health sciences degree in midwifery and are experts in healthy pregnancies.  Still, can't hurt to try, and get on a waiting list at least. By Andrea Karr Here you'll learn the difference between the two and how to choose the perfect midwife or doctor for you. If you’re hoping for an obstetrician, you will probably have to venture to an urban centre. my family doctor did my care and blood Both midwives and OBGYN’s offer nonsurgical, gynecological, and obstetrical services. If you have a low-risk pregnancy and dream of delivering at home or in a birthing centre, choose a midwife because, in most cases, family doctors and obstetricians only practice in hospital settings. Honestly I didn't really care. :D. The midwife appointments are booked for a longer duration so they always have time to answer questions and discuss items that are important to you. I'm in Ontario and had ob care with my first child and I'm currently 36 weeks pregnant with kiddo #2 under midwife care. An OB appointment (for me at least) was typically 5. We'd wanted a home waterbirth. “Rural family physicians are far more likely to provide obstetrical care than their urban counterparts,” according to. Give me an obstetrician!”. “Wherever women enter the system, it’s designed to look after their safety and well-being.”. ), Of course, you can also have a completely unmedicated, vaginal delivery in a hospital with a physician if there are no complications. “We live in an era where medical interventions have become quite routine in pregnancy and childbirth,” says Brandeis. Registered midwives practising in Canada are autonomous health professionals offering high quality maternity care to clients and their families. © Copyright 2020 St. Joseph Communications. Obstetricians attend hospital deliveries, but there is no guarantee that Statistics vary greatly by source and province. Midwives are always able to consult with an OBGYN but sometimes time is a critical factor. You’ve probably had a family doctor throughout your life, but you may not be as familiar with obstetricians and midwives. “We’ve come a long way to achieve a safe system of care in Canada,” says Jennifer Blake, chief executive officer of The Society of Obstetricians and Gynaecologists of Canada (SOGC). It’s impossible to guarantee that the same provider that follows you throughout your pregnancy will also deliver your child, but certain practitioners work harder than others to promote continuity of care. “The midwifery model believes that, though those medical interventions are sometimes necessary, they certainly don’t need to be routine.” If you choose a midwife, you will first be offered natural methods of pain management, such as water immersion, position changes and counter-pressure massage. A team of up to four midwives will be responsible for your care throughout pregnancy. My doctor never seemed to have time to answer my questions and I became very frustrated very quickly! “It’s not a question of who is providing the care but whether or not a caesarean is the safer mode of delivery.” In Canada, about 28 percent of hospital deliveries were performed by C-section from 2016 to 2017.

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