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
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
-You want the reassurance that if a problem
arises, you won’t need to be transferred to a
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
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
-You desire fewer interventions.