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Special Delivery
Reviewed by
Charlotte E. Grayson Mathis, MD
Jan. 21, 2002 -- Pregnancy kicks off a new chapter in your
life, and one of the most important newcomers you'll meet during those nine
months -- besides your baby, of course -- is your doctor or midwife. It's this
expert who will demystify the incredible changes your body undergoes, answer
the gazillion questions you'll have at each visit, and help create the
childbirth experience you and your spouse want. That's why choosing a
practitioner is probably the biggest decision you'll have to make.
Most couples choose either an obstetrician, midwife, or family
physician. Individual styles and philosophies vary, but some basic generalities
about each group hold true. Obstetricians offer access to all the bells and
whistles that medical science has to offer. Midwives typically advocate as
little intervention and as natural a childbirth experience as possible. Family
physicians view pregnancy with the same holistic approach as midwives, but
since they're doctors, their background more closely resembles that of
obstetricians. They'll also continue to treat you and your child after
birth.
Think first about the kind of birthing experience you and your
spouse are hoping for, then find out which practitioners in your area can
accommodate it. Is giving birth in a homelike setting rather than a hospital
important to you? Do you want the option of receiving an epidural or cesarean
section without being moved? The answers don't always fit into nice, neat
categories: A certified nurse-midwife, for instance, might practice in a
hospital where anesthesiologists are also available to administer epidurals if
necessary; an obstetrician might encourage a woman to walk around and shower
during labor and monitor the baby's heartbeat only intermittently. However, the
provider and place of birth can narrow your options.
Above all, find someone with whom you feel comfortable, not
only because you'll get the most from your prenatal visits and discussions that
way, but also because you'll feel more secure during the birth. "You've got
to be able to trust that individual," says Cheryl Coleman, president of the
International Association of Childbirth Educators[title confirmed]. No matter
how scrupulous your birth plan, she says, "when push comes to shove --
literally -- during labor, your practitioner is the one to make the final
decision, either with you or for you. If you can't trust those decisions are in
your best interest, you won't have a good birth experience."
One of the best ways to find a practitioner is by
word-of-mouth, particularly from friends who shared your goals for childbirth.
Each professional association also provides names of physicians or midwives in
your area. Then visit the candidates and facilities with which they're
affiliated and ask questions about their track records and philosophies. The
fit between provider and patient is ultimately as unique and personal as the
individuals themselves. Here's a look at three women and the different -- yet
satisfying -- choices they made.
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