Midwifery care models: Birthing or birth centers are separate from regular hospital care, but located close by the labour wards within the hospital. In a birth centre, midwives usually care for you during your pregnancy, the birth and after the birth. Often the same midwife or midwife team supports you through your pregnancy and birth.
Shared care:
Shared care generally takes place between a hospital-based medical or midwife team and a doctor (general practitioner).'Traditional' hospital based care:. Antenatal management takes place in the hospital setting generally in a dedicated outpatient clinic area. You may not see the same doctor or midwife through you pregnancy and those caring for you during the antenatal period may not be involved with either your birth or postnatal period.
Private care options If you have private health insurance, then you can choose your own care giver—such as an obstetrician, doctor (general practitioner) or independent midwife—and choose a private hospital or a public hospital for the birth.
Homebirth options paying for an independent midwife to care your pregnancy and birth at home.
In SA when you find out your pregnant and don’t choose private health you call a number and are referred to the local hospital for your care. The hospitals in the northern areas are zoned and when I called I was placed at Modbury although they don’t do birthing there they do the prenatal care and you have choice for birthing. The problem is the Modbury is run by the lyell McEwin so they get most women to go there.
MY OPTIONS AND CHOICES
Midwifery care models: due to the options given with the zoning I am not able to attend a midwifery clinic or birthing centre. Vey disappointing as would be great for me and my need for continuity.
Shared care: Due to being high care and wanting some support this is not an option. 'Traditional' hospital based care: Only cares being offered to me. A negative has no continuity and it very impersonal. Not good for me with the mental health issues.
Private care options: Don’t have private health cover.
Homebirth options: This is #1 option I want to do. I am going to contact a midwife to see if because I am high risk if I would be covered by insurance. See if due to compilations with Jake if I would be a good candidate.
I will explain my other birth soon so you can see my dealing with both choices of hospitals. I birthed Rachel at WCH and Jake at LMHS.
So far in my dealings with these hospitals they both have there benefits and negatives. Overall my issues are I am already high risk and was both times before because of this I don’t get to continue care at Modbury.
I have decided thought to contact a midwife to ask our questions. But we also have made contact with a doula though as I am pretty sure the midwife wont accept me and my conditions.
I have met a doula Jane which we will use to help Aaron and I have some continuity and support with our journey. She will help with pain relief and she has a huge interest in mental health and hypnosis so perfect for me (she is also an RN). She is very supportive and offers pre birth support as well and pre birth training and discussions on our wishes. She understands my conditions and my needs. I know from my last 2 births I am very dependent as I feel scared and in pain. With Rachel I laboured at home and found it so much easier but once I entered the hospital all I wanted was an epidural. I was scared and concerned, is a horrid feeling not to trust your body or anyone in the room. I with Jake had my own midwife who I trusted and I learnt on even though I was induced I know if I hadn’t have been we wouldn’t have the issues which arise. I trusted her judgment and knowledge especially when in pain. As I cannot have my own midwife like I did with Jake and her support I will employ someone to be my and Aarons guide.
Aaron has agreed and likes the idea of the doula to direct him how to help he knows I don’t want epidural again so he wants to know how to be part of the process as I know when I am in labour I wont want to or be able to explain it. His daughers birth he didnt have an ative part in so this time he wants an active part. including catching the bub.... So the idea of a doula means we birth together. We entered this together out of love we finish it together and with love. As Aarons says
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