Choosing a care provider

Whether pregnancy is a new adventure for you

or you’re an old hand at it, finding the right care

provider to help you prepare for childbirth can

make a big difference in your experience.

Plenty of options are available for obstetrical

care, birth locations and birth preferences. The

challenge sometimes lies in deciding which

options to choose. The nature of your pregnancy

and your own personal preferences can serve as

your guides. Take the time to think carefully

about your options. Once you’ve made the

decision, you’ll know that you chose your care

provider for a reason. Trust his or her abilities to

safely guide you and your baby through the

birthing process, and allow your provider to give

you the best possible care 먹튀검증.

There are many people who provide maternity

care. Here’s a brief look at each specialty.

Giving birth in a hospital

When deciding on a care provider, you might

also think about where you want to have your

baby. This decision is often closely tied to your

choice of a care provider and where he or she

practices. Most women in the United States have

their babies in a hospital. In many places, the

hospital birth experience is evolving, with

updated facilities and services to accommodate a

variety of birth preferences. Talk with your care

provider about choosing your birth location.

Most of today’s hospitals treat childbirth less like

a medical procedure and more like a natural

process. Some hospitals now refer to their

maternity unit as a birth center and offer a

relaxed setting in which to have your baby, with

options such as:

Birthing rooms. These are homelike suites

where you can labor and deliver. The father

or labor partner can be an active part of the

birthing team. In some cases, you may be

able to recover in the same room after giving

birth. Rooming-in. In this arrangement, the

baby stays with you almost all of the time

instead of being taken to the nursery.

Rooming-in is increasingly common for

healthy newborns. Experienced staff are

available to help you with feeding and

caring for the baby.

Obstetrician-gynecologists Doctors of

obstetrics and gynecology are commonly

referred to as ob-gyns. They specialize in the

care of women during pregnancy and also

provide general reproductive care, including care

of a woman’s reproductive organs, breasts and

sexual function. Ob-gyns generally have

advanced surgical training to deal with problems

in women that may require surgery. Because of

their emphasis on women’s health, ob-gyns are

the doctors women most frequently see.

Practice Ob-gyns often work in a group

practice consisting of various medical

professionals, including nurses, certified nurse-

midwives, nurse practitioners, physician

assistants, dietitians and social workers. Ob-gyns

may work in a clinic or hospital setting.

Advantages If you already see an ob-gyn for

your general health care, he or she may be a

natural choice for continuing to provide care

during your pregnancy and childbirth. Many

women choose an ob-gyn for obstetrical care

because if a problem or complication arises

during pregnancy, they won’t have to switch care

providers.

Issues to consider An ob-gyn can meet all the

needs of most pregnant women, except perhaps

those with extremely high-risk pregnancies. In

such a case, your ob-gyn may refer you to a

maternal-fetal medicine specialist.

You might choose an ob-gyn if:

-You have a higher-risk pregnancy. You may

be high-risk if you’re over age 40 or you

develop gestational diabetes or high blood

pressure (preeclampsia) during pregnancy.

-You’re carrying twins.

You have a pre-existing medical condition,

such as diabetes, high blood pressure or an

autoimmune disorder.

-You want the reassurance that if a problem

arises, you won’t need to be transferred to a

different provider.

Midwives Midwives provide preconception,

maternity and postpartum care for women at low

risk of complications. Throughout much of the

world, midwives are the traditional care

providers for women during pregnancy. In the

United States, the use of midwives is steadily

increasing.

In general, midwives follow a philosophy that

builds on the view that women have been having

babies for millennia, and they don’t always need

all of the technological intervention that’s

available with today’s health care.

Certified nurse-midwives have received formal

training in midwifery and well-woman care

beyond their nursing degree. Most nurse-

midwives at healthcare facilities and birth

centers in the United States are certified by the

American Midwifery Certification Board

(AMCB). Independent midwives may not have

any medical credentials.

Practice Midwives may work in a hospital

setting, in a birthing center or in your home.

They may practice solo, but they’re often part of

a group practice, such as a team of obstetric care

providers. Most midwives are associated with an

ob-gyn in case problems occur.

Advantages Midwifery care may offer a more

natural, less regimented approach to pregnancy

and childbirth than does traditional care. A

midwife may also be able to provide greater

individual attention during pregnancy and may

be more likely to be present during labor and

delivery than is a doctor.

If your child’s birth is attended by a midwife in

a hospital, you’ll have access to the pain relief

options available at the hospital.

Issues to consider When considering a

midwife, ask about the person’s training,

certification and licensure in your state. Most

midwives associated with a hospital are certified

nurse-midwives. If a midwife works

independently, also make sure she or he has a

backup arrangement with a hospital so that you

can have access to obstetrical skills and

equipment in case problems develop.

If you’re interested in giving birth outside of a

hospital, make sure you’ve discussed risks and

suitability with your care provider. (See

“Considering an out-of-hospital birth.”) It’s

important to be aware of the risks associated

with delivery outside of a hospital. You’ll also

want to create an emergency plan with your

midwife. Include details such as the name and

phone number of your midwife’s backup doctor,

the hospital you’ll be taken to, how you’ll get

there in a safe and timely way, and the name and

phone numbers of the people who need to be

alerted. This can reduce stress later if you need

to be transferred during labor.

You might choose a midwife if:

-You’re free of health problems and you

expect a low-risk pregnancy.

-You prefer a more personalized approach to

the birthing process.

-You desire a less regimented birthing

process.

-You desire fewer interventions.

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