The midwifery model of care is a real thing. When I say that I mean that it is a PREDEFINED SYSTEM OF CARE FOR BIRTHING WOMEN. If you are not convinced and you still have the idea that a woman who has a home birth is expecting her midwife to show up with a hot towel and a pair of scissors, then you might want to read some definitions of midwifery…please, don’t be distracted by the lavender color of the website.
Having an empowered birth involves asking questions. Ok, there are really more than 20 as the title of this posts suggests. There are more like actually 30. Birthing moms ask these questions, and I strongly encourage birth partners to be present in this conversation. If that’s you, then you’ll want to know the answers to these questions, because it’s you who is advocating for the birth plan and the choices you’ve made when she’s deep in the experience of giving birth.
Legalities and businessy-type questions:
- Are you currently certified as a midwife and by what organization?
- Are you licensed?
- How many births have you attended?
- Which doulas have you worked with? Who would you recommend?
- If you are sick or otherwise unavailable during my labor, who will attend the birth?
- How many assistants do you normally bring to the birth?
- Who are your usual assistants and when can I meet them?
- What is your hospital transfer rate?
- Would you stay with me after the transfer and advocate for my decisions?
- How familiar are you with procedures in the hospital?
- What happens with your fee if I have to transfer out of your care?
- Do you file with insurance?
Pregnancy and Birthy-type questions:
- What conditions would cause me to be considered ‘high risk’? How would you treat these conditions before they make me ‘high risk’?
- Do you require that I take a childbirth education class?
- How often will you see me during the pregnancy and how long is a normal visit?
- What do you do during these visits? Where do these visits take place?
- How do you monitor and check the baby’s heartbeat during pregnancy and labor?
- Are you willing to use alternative protocols for Strep B positive?
- Have you had any experience with shoulder dystocia? Breech babies? Cord prolapse?
- Under what conditions would you artificially rupture the membranes?
- Do you do pregnancy and newborn screening blood tests, or will I need to see a doctor for this?
- At what point would you consider the artificial induction of labor?
- What are some of the methods you use for induction of labor?
- What happens if I go past 42 weeks?
- Do you have experience with water birth?
- What equipment do you normally bring to the birth?
- What do you normally do while I am in labor?
- During labor, how active are you in checking the client?
- What is your opinion about eating and drinking during labor?
- How long is it safe to wait for the placenta to be delivered before intervening?