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Old 13.01.2015, 17:25
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Can I choose a midwife to stay with me during delivery???

I am at 30 weeks pregnant and this is my first baby, my due date is about middle of March. My Woman Doctor asked me to join a prenatal class with Midwives in the hospital (where she works and I will give birth there too).
However, that hospital said, I can not have a fixed Midwife for Prenatal, Delivery and Postnatal, they also dont allow Midwife from outside joins with me in my labor..

But I heard from another woman (who has 2 kids here) said she could have fixed Midwife before, during and after delivery in her area (Brugg).
I'd prefer to have a fixed Midwife like that to understand my body, moreover I dont speak German well and would like to have English speaking Midwife to communicate during labor.

Is there anyone have any advice to me for get a fixed Midwife? I am living in Bern.

Thank you.
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Old 13.01.2015, 17:28
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Re: Can I choose a midwife to stay with me during delivery???

Of course you can choose your midwife. Have you found an English speaking midwife yet? Then go to the hospital where she works.
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Old 13.01.2015, 17:46
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Re: Can I choose a midwife to stay with me during delivery???

But that case, I will have conflict with my Gynae Doctor
And, if I go the the hospital she instructed to choose an English speaking midwife, that Midwife also may not join my labor if I dont come at her shift

What can I do now????
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Old 13.01.2015, 18:05
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Re: Can I choose a midwife to stay with me during delivery???

Don't worry so much about which midwife you get - sometimes it is an advantage, as there is a broader range of knowledge to draw on.

It is quite an experience, within 5 minutes of meeting someone, who introduces themselves as "Frau xyz", they stick their fingers.... well - they check how much you've dilated
All your inhibitions fly out the proverbial window.

30 weeks is still a wee way to go.
By 42 you'll be begging people to get this uncomfotableness out of you, and for some people, even the taxi driver will do...
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Old 13.01.2015, 18:08
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Re: Can I choose a midwife to stay with me during delivery???

Do you have a list of midwives? Usually you choose the hospital visit the pre-natal classes and meet the midwife.

Your pre-natal doctor has no influence on your choice, maybe she made a recommendation? Does the doctor speak good enough English to choose an English speaking midwife for you?

You will always be up against the problem of having to take the first midwife, if the hospital will not allow outsiders to work there.

Why not go to the class, see how it is, and meet the midwives? Maybe you are worrying about nothing?

When my son was born in Germany, there were complications and the boy's heart was stopping. There was a midwife, a doctor, a doctor for the child, and a nurse, all running between four mothers in labour. You can't always plan for every possibility!
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Old 13.01.2015, 18:21
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Re: Can I choose a midwife to stay with me during delivery???

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But that case, I will have conflict with my Gynae Doctor
And, if I go the the hospital she instructed to choose an English speaking midwife, that Midwife also may not join my labor if I dont come at her shift

What can I do now????
The only way to have one guaranteed midwife who will stay for your entire labor, no matter how long or what time of day/night it is, is to employ one yourself. The ones who already work at the hospital have shifts just like doctors and nurses do. If 'yours' is off shift when you go into labor, they will not call her and get her out of bed to come and attend you.

We didn't really look into the possibility any further, so I can't advise you on how much it costs or how to go about finding one.

However:
1) Some of the midwives I knew in the hospital where I gave birth (and I stayed there for nearly three months of my pregnancy, so I met a lot of them!) spoke English and some didn't.... but they all had one thing in common: all of them were resourceful, caring people who would find a way to communicate with you even if it is hand gestures. They are completely used to helping women who speak only a little German, or none at all. Childbirth has its own pretty universal language.

2) All doctors speak English at least to some extent (they need to, since so much of the medical literature they have to study is in English). So if it really came to that, the hospital midwives could go grab a doctor to explain something for you.

Good luck for your delivery!
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Old 13.01.2015, 19:38
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Re: Can I choose a midwife to stay with me during delivery???

You will find a midwife to stay with you for the whole birth in a gerburtshaus. the midwives work from the geburthaus and the idea is that you go to the geburthaus to give birth. If things become a bit complicated, they transfer with you to the hospital where you will be under the care of a doctor but ideally with your midwife staying with you and assisting. You should check that a midwife in a geburtshaus has a contract to work at the local hospital. I do not think they are correct in saying that a contracted midwife cannot come in with you, at least that was not the case with the two geburtshaus that I spoke to before choosing one.

Even using this system, your midwife might not be available - ie ill (or in the case of my midwife, her teenage son became very very ill with measles bang on my 40th week - luckily for him and me, he had recovered by the time I gave birth a week later) so you will be introduced to another midwife before the birth who is your backup. For my first birth, my main midwife was busy at another birth (baby had come 2 weeks early) and I was 1 week late - but after the first couple of hours with the backup, she turned up.

I didn't choose the geburtshaus midwife system because of getting a pre determined midwife - instead it was the only way to have a birth at home. However, my midwife had trained in New Zealand and spoke perfect English - except when it came to last few minutes before the birth when it seemed that she lapsed into Swiss German as she concentrated on baby coming out. I certainly did not notice it - it was OH who reported this fact after the event!

All the best.
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Old 13.01.2015, 21:00
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Re: Can I choose a midwife to stay with me during delivery???

Similar advice to ecb, if you want a midwife-managed birth, you need to go to a birthing centre. It is a different model of care to the typical gynaecologist-managed birth.

I had three midwife managed births, the third one was born at home but with hospital-emoloyed miwdives. However, that was in Australia in a special model of care in a very large teaching hospital. It is actually possible to have the whole birth managed by midwives with limited or no contact with an obstetrician. My births, the only time i actually saw the obstetrician was the 'on call' specialist on arrival at the delivery rooms, and he did not actually set foot in the room as it was not necessary.

However, even with a personal midwife, there is not guarantee of the one you choose. My birthing centre births were managed in a team of four, with a backup team of four. And even then, my two hospital birth included over 12 hours in labour, which meant a shift change at some point in the process.

By serendipity, one of the midwives who delivered my first child also delivered the third one, 6 years later, but that was by total concidence and shift arrangements as she was not my 'main" midwife in either case.
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Old 13.01.2015, 21:04
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Re: Can I choose a midwife to stay with me during delivery???

Ps. I should add, it is very classic in any case that you go into hospital, into the care of unfamiliar midwives, who do support you through the stages, and your doctor may turn up only fairly late in the process...and take the credit...
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Old 13.01.2015, 22:52
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Re: Can I choose a midwife to stay with me during delivery???

Another option in addition to birthing centre is to give birth at home.
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