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If you’re having a hospital birth then the midwife will be under an OB most likely. Midwives are equipped for complications, the OB will really step in if there’s an emergency or if there’s a need for a cesarean since OBs are surgeons. The midwife doesn’t necessarily work under an OB but it depends on the midwife, the practice she’s at and how she works so you’d have to ask the midwife when you plan on hiring her. I also agrrr with the above comment, pitocin (used for induction) increases chances of PPD which is why it’s important to get induced for real medical reasons and avoid pitocin as much as possible
@Grai yes ! I read this and it truly makes sense in my head as you’re basically not allowing for the real bonding hormone to work. I really hope not to be induced but I was already 41 weeks and one day and he had pooped already and was huge so they decided it was the safest. Thanks for the information def going midwife then !
I’m using a home birth midwife this time (except I keep losing the pregnancy for who knows why) but I have gotten much much better prenatal care.
My midwife team works hand in hand with the hospital OBs. Early on in this pregnancy the midwife was struggling to find a heartbeat on the Doppler so she sent me straight to the OB to check. (Baby was fine, doing zoomies the whole time on the ultrasound 😂) Delivery at the hospital will be with a midwife but if there are any complications OBs are on the ward to step in. In terms of depression/care, the midwives have been so positive and feel much more caring than the OB I had the first time around. They even have a midwife who specializes in mental health, birth stories and PPD and they set me up with her right away. I feel very well taken care of.
so my midwife was in charge of all of my prenatal visits not under monitoring of an ob in the office but was at the hospital where she delivered. she was a wonderful woman and helpful during my pregnancy for basic pregnancy suggestions but not there for me at all emotionally and pushed antidepressants. she disregarded my preeclampsia symptoms which i strongly believe was due to her lack of medical knowledge. i had to be admitted to the hospital and had an emergency induction at 35 weeks and i was switched to the medical team at the hospitals care where they told me my midwife should’ve never let me go as long as she did. i would highly suggest doing research on how the midwife does with medical issues. this could’ve ended very badly for my baby or i. also if you’re looking for more emotional support look into doulas!!
My midwife was employed through my OB’s office. I saw them for each of my appointments. When my delivery got complicated, the doctor was there to assist. They’re great support :)
UK it is all midwifes and they are amazing doctors are always there for emergency but midwife are trained for emergency situations as well. I had a doctor when I pushing as she was coming quickly and I was high risk. Up until that point it was my midwife
So i had an out of hospital birth in a birthing center twice. Midwives that work out of hospitals here in texas can see newborn up to 6 weeks when you both get released into primary care physicians hands, but some do have other credentials or hire other credentials to see patients of all ages and stages. My midwives did not have extra credentials or hire those credentials. So my prenatal depression was advised to hire a postpartum doula. That time I didnt get ppd, butler 3rd pregnancy which was no prenatal depression but I did get post partum depression at 5 months post partum.
i had a midwife who worked in the hospital/with OBs and she honestly did not provide any more support than the OBs did. if i were you i would try for a birth center to find a midwife that will provide what you’re looking for
Not sure if this is different state by state, but I’m pretty sure midwife’s have to work under a doctor anyways. So I used a midwife with my most recent two and it made a world of a difference! So I would recommend a good midwife 100 times over. Also take into consideration the induction process. Using synthetic oxytocin does unfortunately have a leak to higher rates of PPD. So hopefully if that’s not the case for you this time around that will help as well.