Meow: in all honesty it simply sounds like you guys dont really know eachother that well yet (ie. she doesnt know the how, whys, what and wherefores of you and your journey) and is still in that early infancy of a relationship stage. I think that you guys might need to book in some appointments on a more regular basis over the short term. It seriously just sounds like the relationship of trust and knowing you and how you operate isnt there yet ITMS. and if, on top of it all she is still getting her bearings in the new system it's probably all compounding. My only concern is that she doesnt seem to be confident within the system and it might be worth thinking about how this might affect her continuity of care if somewhere along the journey there was a decision that had to be made in terms of transfer or hospital monitoring. It might be worth thinking about your last HB journey and thinking how nic or helen might be handling this situation with the bleeding and then that might give you a platform in which to form a relationship with this IM ITMS. You need to be able to feel that you can talk candidly and not have to make all those decisions of your care for yourself...having an IM is a relationship where, together you guys make sure that you get the best birth possible...this is not about you simply 'informing yourself' and making all those calls on your own. yes, ultimately you have the veto if you decide not to go, but you need to have a level of trust in your IM that she will make a call and that you can trust the call that she is making. I know that i am rambling but as an example...when i was in threatened PT labour with Miss E i called Nic. she isnt one to panic and hit the Big Red Button, but she also knows that i downplay stuff Big Time. so she came around, had a cup of tea with me, watched me, asked me what i wanted to do (which i said, I HAD NO IDEA hahaha), she then told me my options, then told me what she suspected might be going on (early labour or TPL). She knew my history of PTSD and knew that it was a big trigger to go to hospital so she got our student IM to stay with me for a couple of hours and monitor me intermittently over that time while i rested (to see if contrax stopped). when they didnt, she told me that it might be time to get checked out... she told me that based on how i was presenting there was also an outside chance that an abruption might be on the cards (due to the way i explained the pain). When she made that call i trusted her implicitly as she never left me alone in terms of information, support etc. So when she made the call, I was only a step behind her in thinking the same thing ITMS. for me, this is an ideal situation. you need guidance and trust that they know when to make a call that takes into consideration not just the 'medical' (because of course, you could always just say, 'hey, no harm in getting it all checked out') but also the dynamic of emotional/mental space.

Sorry, i know that i am rambling, but i get how important it is to have that trust, and although i reckon you guys could get there, it might just take a bit more work and rather than wait for the monthly appointment, might be worth throwing a couple extra in and see where it takes you.

I can also ask my peeps if you want if they know anyone in your area or if they know your IM. i might know someone that has used her and can recommend her...as HotI mentioned sometimes it is really nice knowing how other families have had a great experience etc to tip you over the edge...i know that's how i chose Nic and Helen in the first place...a recommendation

in the short term...might be worth sending an email to Helen and asking about the spotting...see what she says and weigh it up with what your IM reckons.