My midwife and I have a relationship that predates Medicare, so it hasn't affected us. I don't remember how much you get back, but it's just for pre and postnatal not for birth. I will let you know when I get to Medicare in the next few days!
I think I would be uncomfortable with breech at home, so yes I'd want a care provider that matches my values. I think having a good relationship means you trust them implicitly and if they said go to hospital you wouldn't question it for a second- that's how I feel about my midwife.
I am a pretty conservative homebirther though. I think acting before 42 weeks is important, twins and breech need extra care and other risk factors need to be looked at carefully.
Yeah, DH and i were just saying that we probably wouldn't be comfortable with breech, however last time when DS was so mobile, and was transverse at 37+ weeks, breech at 40 weeks - he moved before labour started, it was nice to have a midwife who would support us if he was breech and we wanted to stay home.
I recently investigated breech hospital policies, and it was really scary. If you actually found a hcp to support you, then you often had to 'agree' to all sorts of interventions. in some ways, you had more options if you went for the c section.
i'm not planning a breech baby, but i am a realist and know that my tummy muscles are shot, and if an almost 11lber could do somersaults are full term, i don't have a lot of faith that this bub will be cephalic and in position early.
I'm not a renegade, but i do want to be the person making decisions for me and my baby. I do want my midwife to share her expertise, and opinion but i wouldn't want her to say "it's time to go to hospital", or do x, y, z. even though i most probably would follow her opinion ITMS?
Hoti: I had DD with MW before she had Medicare, since she's had Medicare it hasn't changed the relationship at all. Although she now has a clinic locally so most appointments are attended there, which I kind of prefer when they were in my home. She also has more clients now and it makes it feel different (lol struggling to think of the word I want to describe it lol).
As for breech birth I would be happy to be at home. As for a MW that didn't feel comfortable it would depend on why, if because of the current legal issues surrounding homebirth then yes ok can accept that. But if due to experience type feeling comfortable then that would probably be a deal breaker. Where I live I don't have choice of another midwife so haven't really thought much about what would be deal breakers. I find my midwife to be quite confident though and she's pretty upfront so know if she had issues with anything I'd kind of know about them.
Yeah, restrictions, epis, etc, seem counterintuitive for what we do know about breech birth. Ass-covering, to say the least.
I read a birth story in the latest HAS mag on a breech birth with Dr Bisits and his philosophy is very hands off. I'm pretty sure if you went in with an IM and clear birth plan you'd have a better shot at Westmead too, since I know our m/ws have collaborated with that ob before too.
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