Questions to Ask Your Midwife

I recently came across a wonderful article listing the questions one should ask one’s midwife. I personally did ask many of these, as I was a very nervous first time mama who didn’t want to end up at a hospital under any circumstances.  My experience with The Birth Place under Jennie Joseph was wonderful and most of these were answered without my even needing to ask.  The answers to these questions are going to depend on different factors which we can go over in future.  However, these will give you things to think about and help you with the interview process.

Original blog here: http://www.growingslower.com/2012/09/47-questions-i-should-have-asked-my.html

Midwife Jennie Joseph

Interview Questions…

Experience

1.   What is your philosophy regarding pregnancy and birth and your role in it?
2.   How many births have you attended?
3.   What percentage of women successfully have a natural birth under your care?
4.   What percentage of women need to transfer to the hospital (if planning a home birth or birth center birth)? What is the typical reason?
5.   What percentage of moms end up with a C-section?
6.   What percentage of moms end up with an epidural?
7.   What percentage of babies are transferred to NICU?
8.   What is the mortality rate for moms? For babies?
9.   Do you have hospital privileges? At what hospitals?
10. If you have children, what were your birth experiences like?
11. How many midwives or obstetricians are on the team? Who are your assistants? Will I get to meet all of them? What is their experience? Can I be sure that you will attend my birth?
12. Do you deliver breech babies naturally? VBACs? Twins?
13. How many births do you attend per month?

Pregnancy & Prenatal Care

14. What usually happens at prenatal appointments? How many? When? How long are they?
15. Are you available by phone or email for questions?
16. What is your philosophy on weight gain, nutrition, prenatal supplements, and exercise?
17. What factors would risk me out of your practice? How will you help me prevent these?
18. What child birth class do you recommend?
19. What prenatal testing to you encourage?
20. What type of gestational diabetes testing do you typically use?
21. Do you recommend ultrasounds? When? How many?
22. Do you typically do vaginal checks during prenatal appointments? When?
23. What happens if I go past my due date? How late can I be and still birth under your care (if a midwife)?
24. What testing do you do for a late baby? Starting at how many weeks?
25. Do you have any concerns about big babies being birthed naturally?

Labor

26. When do you do vaginal checks during labor?
27. What type of monitoring do you do during labor? How often? For how long?
28. Do you routinely use an IV or hep-lock?
29. Are there birth tubs in each room in the birth center? What if one is not available when I’m in labor?
30. Is a water birth available? If not, am I able to push in the tub at all?
31. How long do you recommend I stay in the water at one time? Do I need to get out for monitoring?
32. How many women are under the care of one midwife or doctor at a time? How much will you be with me throughout my labor?
33. Are you comfortable working alongside a doula? Do you have particular doulas you recommend?
34. How long can I labor without induction?
35. When would you recommend induction? Do you use natural induction methods first?
36. How long can I labor without intervention after my water breaks?
37. Who attends a birth? (Students, assistants, nurses, etc.)
38. When do you feel amniotomy is indicated?
39. Can I eat and drink during labor?
40. What’s your process for implementing a family’s birth plan?
41. What positions are available during labor? While pushing?
42. What are reasons you would initiate a transfer to a hospital (if a home birth or birth center birth)?
43. How long do you allow for delivery of the placenta? When do you cut the cord?

Postpartum & Newborn Care

44. What post-partum care do you provide? When? How many appointments? Where?
45. What does newborn care consist of? Under what circumstances would my newborn need to be taken away from me for treatment?
46. Are you comfortable with me declining bathing, vitamin K, heel poke, eye ointment, vaccinations?
47. Can you help me initiate breastfeeding?

What was your experience interviewing midwives and obstetricians? What was the most important question you asked?