In my last post I talked about choosing a care provider being an important decision in your childbirth experience. In that article I mentioned interviewing several care providers. Today I would like to talk more about interviewing a care provider.
The first step to choosing a care provider is to become clear about what type of birth you want. Think about the experience you want to have. What does the end result look like? How do you want to feel about your experience? Become really clear about what is important to you and your partner as you begin this life changing event. If you decide you want a medicated birth in a hospital, you can eliminate home birth midwives from your list of care providers to interview.
The next step to choosing a care provider is to find some care providers to research and interview. This can be accomplished in several ways; receive recommendations from friends and acquaintances, ask for recommendations on social media, ask your current care provider for referrals and recommendations, you can search the internet. When asking friends and acquaintances for recommendations on a care provider make sure to ask them about their childbirth experience. You will know their care provider would make a good match for you, if their childbirth experience is similar to the one you hope for. If they had a wonderful medicated birth in the hospital and you would like to have an unmedicated birth without medical interventions, their care provider may not be the right one for you. Ask them how their care provider made them feel. I have heard several women talk about their care providers who say they were really nice, but they didn’t feel like their questions were important or the care provider didn’t spend much time with them. These points are important to know when receiving recommendations from friends and acquaintances. Searching online for a care provider can be very helpful. Several sites online have a rating and feedback system. You can read about other’s experiences with a particular care provider and see their overall rating. This can help you narrow down your list of care providers to interview. Keep in mind when hearing or reading feedback about care providers that birth is an emotionally charged event which creates strong feelings (positive and negative) toward those involved. Many times when things do not go how the birthing family had planned the care provider is seen as responsible and the negative emotion is directed solely toward the care provider. It also happens in reverse, when a birthing family has a positive experience, the positive emotion can become directed at the care provider. This is why many women have strong positive emotions toward their care provider and you may hear many say “I LOVE my OB” or “I LOVE my midwife”. Make sure to ask them why! What did they do to earn such a strong emotion?
The next step to choosing a care provider is to compile a list of care providers to interview. After you have become clear on the childbirth experience you want to have and have asked for recommendations, you are ready to compile a list, narrow it down and setup interviews. Take the recommendations you have received and use the information you gathered to determine which care providers can help you accomplish the type of childbirth experience you want to have. Make a list of these care providers. I suggest having at least 3 different care providers (as well as different types) and not more than 5. If a natural birth in a hospital is part of your ideal childbirth experience, I would suggest speaking with at least one licensed home birth midwife. You may find you can have the best of both worlds with a greater chance of having the childbirth experience you want. Make sure to ask questions about the safety of home birth and what she does in the case of certain emergencies (get specific!).
The next step to choosing a care provider is to setup and conduct interviews. Some women wonder why in the world you would interview a care provider. For most it doesn’t make sense, because it is rarely done. We usually just go to whomever is covered by insurance or whoever our mom or best friend go to. However, the care provider that attends your birth is a very important element to the type of experience you will have. If you want to have a natural birth with few medical interventions in a hospital and the OBGYN you choose is not supportive of natural birth your likelihood of having the experience you want is very low. If you want to reduce the risks of having a cesarean section and your OBGYN has a high c-section rate, your risk of cesarean is increased just by the care provider you chose. Choose carefully! Take your time! And if the one you choose isn’t supportive of the experience you want to have, fire them! Go to a new care provider who is supportive. I have known women you have fired their care provider during labor. They work for you!
The final step is to conduct interviews. Call the care provider’s office and setup a “consult” appointment. Tell the receptionist you would like to discuss different birth options with the care provider. This will help them know how much time to give you for the appointment. On my next post I will discuss how to interview a care provider.