Midwifery vs OB care - what’s normal, should I consider switching?
I’m under the care of midwives for my pregnancy, and I’m curious what others think of the frequency of visits. I’m 30 + 4 right now, and have been seen at 12, 20, 27 and 30 weeks. I was told the next time I’ll be seen is 34 weeks, and during that conversation I got the sense that the next time after that would be 38 weeks. I was followed by FM-OB for my previous pregnancies who saw me according to what I believe is a typical prenatal schedule (every 4 weeks between 12-28 weeks, then every 2 weeks until 36 weeks, and every week until delivery). I’m in Canada, if that helps for context.
The main reason I chose to go with the midwives this time around is two fold: 1) last time I had a precipitous labour that ended up in an accidental home birth, and I’m worried about that happening again. With midwives at least they can come to me if I get in that situation again 2) the only real option where I live is a midwifery team or OB. My family physician does deliveries, but I got the sense from her that it is not very frequent, or at least varies a lot. I like knowing that I’ve met who will deliver my baby at least once, which I know I would get with a FM-OB or midwifery team. Around here anyway, if you are taken care of OB, the person delivering is just going to be whoever the OB on call is that night.
Should I just ask the midwives to be seen more frequently? Is this a yellow/red flag (ie should I see if I have other prenatal/birth options open to me/can transfer my care)? Or am I making too big of a deal about this?
Thanks for any advice - the infrequency of visits makes me a bit nervous, especially because I am a bit older (38, 39 in two months) and have a history of birth trauma… just want to make sure myself and baby are well cared for. ❤️