Searching For The Right Model of Prenatal Care

Written: 2/21/2018

First Impressions of Birth

Growing up I enjoyed hearing stories about how my mom gave birth to me and my siblings. When I became a teenager I was intrigued to learn more about the birthing process, what it was like being in the hospital delivery room, how long it took, and my dad’s reaction to the whole process. I then started to imagine what it would be like for me to give birth and have my own baby someday. But I never once thought about whether I would have my baby at home or in the hospital.

I knew about home births and water births when I was in my late teens, and I had even watched some reality TV shows where women gave birth at home. But if you had told me 8 years ago that one day I would be considering a home birth for myself, I would have said you were crazy.

Even though I grew up knowing about home births, I never thought that would be an option for me. It just wasn’t the “normal” model of birth you hear about in the United States. My mom had me and my 4 siblings in the hospital, and I had only ever heard stories about women giving birth in the hospital. All I really knew was that birth was supposed to hurt severely and that you needed to be in the hospital to have the help of doctors and their hospital equipment to have a safe birth.

Thankfully, my mom never painted birth as something to be fearful of. She said it hurt, but that it is so worth it and you forget about the pain once your baby is in your arms. Sadly, most young women hear horror stories from their mothers, mother-in-laws, friends, and even television shows about how painful labor and birth is. And that is their first taste of what birth will be like.

I didn’t start taking my health seriously until I was about 18 years-old. I wasn’t really into natural medicine back then, but I was skeptical of doctors and our modern healthcare system. Over the years I’ve become more educated on natural holistic medicine and herbalism, and I tend to shy away from doctors as much as possible. So when I started daydreaming more about becoming pregnant and having a baby of my own, I naturally started thinking about and researching midwives and natural birth.

Even before getting pregnant, I was very fascinated with natural birth and home births. I found myself following several different Instagram accounts of women who were planning on having a natural home birth and I even read a book called Pushed: The Painful Truth About Childbirth and Modern Maternity Care by Jennifer Block last summer, so I could do my research and get educated on the differences between a hospital birth and a home birth.

The Hunt For the Right Midwife

Finding the right prenatal care provider for this pregnancy has not been easy. I started searching for midwives and birthing centers in my area last summer before getting pregnant. I wanted to do my research and be prepared for when the time came. At this point, seeing an obstetrician was not an option for me. I knew I wanted to have a midwife for my prenatal care, whether I was to give birth in a hospital or at a birthing center. I knew of one birthing center that was about 15 minutes away from where I lived and it had good reviews. So, as soon as I found out I was pregnant I contacted the birthing center and set up a time to meet with the midwife there for a free consultation.

I was a bit nervous but mostly excited when I went to see the midwife at the birthing center. As soon as she took me back to a room to chat, she calculated when I was due. She said I was due right at the beginning of September, and unfortunately that was the one month that she didn’t take clients because she takes the whole month off for vacation. So, that was about it. There was nothing she could do for me. She gave me a couple names of other midwives in the area, but they only did home births, not a birthing center birth.

I left the birthing center trying not to be beaten down, but I couldn’t help but cry and feel defeated. I honestly didn’t know where to go from there. Thankfully, it was still very early on in my pregnancy, so I knew I had time to figure things out. Even though I was feeling very discouraged when I left the birthing center, there was a part of me that knew it happened for a reason.

At that point, I hadn’t told anyone that I was pregnant besides our close family, so I really felt like I didn’t know where to turn. I looked up a couple of other birthing centers that were about 30 minutes away from me, but I could just tell by looking at their website that it wasn’t meant to be. So, I decided to reach out to a girl that I had known in college who I knew was pregnant and was into natural birth and midwives, and she just so happened to live in the nearby area.

Even though I wasn’t close friends with this girl, she was so open to sharing with me and was so sweet and encouraging. God knew that I needed her in that moment, and I was so glad I decided to reach out. She told me of the midwife that she was using and said that she had been amazing thus far. Thankfully, this midwife lives in my area and was affordable.

Disappointment

In the meantime before I scheduled a visit to meet with this midwife, I decided to go ahead and schedule an appointment with a women’s center in Lynchburg to get a check up and an ultrasound (since I still hadn’t seen a health care provider at this point). I chose to go see a nurse midwife in Lynchburg instead of Roanoke because I had family that recommended the place to me. So, I figured it wouldn’t hurt to go ahead and visit this women’s center for one visit, even if I chose not to continue seeing them.

I just wanted to see my baby and to know that things were okay.

Well, I set up the appointment for my ultrasound and Brendan asked his manager to come into work later that day so that he could come with me to the appointment. Even though I wasn’t thrilled about going to a women’s center, we were both excited and looking forward to seeing our baby for the first time. So we got up and drove all the way to Lynchburg for our appointment at 11a.m. only to get there and have the receptionist tell me that they had called to let me know they had rescheduled my appointment for 9:30 a.m. and that I had missed it. We both couldn’t believe it. I told her that I had gotten a voicemail on Friday with a reminder that my appointment was at 11a.m. (I even had the voicemail saved on my phone), but that I had never received a call telling me that the time was changed. She sat there looking uninterested and said there were no more openings that day and there was nothing she could do for me but schedule me for a different day.

Me and Brendan walked out feeling angry, upset, and discouraged. I had taken off work to make this appointment, and Brendan had asked to come into work late, and we both took an hour out of our day to drive to Lynchburg for the appointment. And on top of that, Brendan then had to turn around and drive four and a half hours to get to his client for work. I couldn’t hold the hot stinging tears back any longer, and I let them flow. I felt so helpless. Here I was at the second appointment I had made to see a midwife, and it didn’t work out. I felt like I kept trying to do what’s best for the baby, to make sure he or she was okay, and I kept failing them.

I had planned on hanging out in Lynchburg for the rest of the afternoon, taking myself out to lunch and then going shopping. But all of a sudden I had no desire to do any of that. As I watched Brendan drive away on his way to work, I couldn’t help but feel lost. I drove to Goodwill to do some book shopping, but couldn’t find the motivation to get out of my car. I just sat in my car for an hour crying, and talking to Brendan, my mom, my aunt, and my second mama. I knew that there was a reason for the appointment cancelation and I knew that God would take care of everything. But I just needed a moment to sit and feel all of the emotions that were racing through my mind.

Falling Into Place

Thankfully things really started looking up for me and the baby later that week. After our disappointing appointment cancelation on Monday, Brendan made a few phone calls to find a good place for us to get an ultrasound in Roanoke. He ended up finding a place a few minutes away from where we live and the price was actually cheaper than what we would have paid at the women’s center in Lynchburg (even with our insurance). So I called the place and made an appointment for our first ultrasound! Unlike the people at the women’s center, this lady was so sweet and seemed genuinely interested and excited for me. I felt like it was God telling that He had orchestrated everything that happened on Monday for a reason – to save us money and to put us in the hands of someone who genuinely cares and is in our area.

The day after that I had a free consultation set up with a Certified Professional Midwife (CPM) in Roanoke (the one my friend had recommended to me). This consultation was to go over her model of care (the Midwife Model of Care), tell me about her studies and experience, and to go over everything she can and can’t do as a CPM. This midwife specializes in home births in the Roanoke and Lynchburg area.

The meeting went so well and I was so pleased with her. I loved how calm and friendly she was, how she made me feel like my baby and I truly mattered, and how she went over everything in such detail with me. She was very open and honest with me about the things she can and cannot do as a CPM, and I so appreciated her raw openness. She provided me with a lot of paperwork, articles on home brith, and nutrition information to take home and go over. I left feeling like things were finally falling into place and that everything was slowly coming together.

Brendan and I originally thought we wanted to give birth at a birthing center with a midwife. This seemed like the best in-between option for us since we knew we didn’t want to give birth at a hospital unless it was medically necessary, and a home birth with our first baby seemed a bit daunting. But the further along we got on this journey to find the right prenatal care, the more it became apparent to us that a home birth seemed to be in our near future.

I truly believe that things didn’t work out with the birthing center and women’s center I visited because we were meant to have a home birth. Some said that I should maybe plan on giving birth at a hospital since the first CPM I visited didn’t work out and since, after all, a hospital is probably safer for a first time birth. That didn’t sit well with me though and I continued to pray, trust my intuition, and keep searching.

It’s great to be open minded and listen to people’s advice, but in the end, you have to do what’s right for you and your baby, whether other people approve of that or not. Trust the process, trust the journey, trust your intuition, and above all trust God.

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