Pregnancy / Childbirth

Excess or necessity? Briefly about "private" midwives at delivery

Excess or necessity? Briefly about "private" midwives at delivery



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Many pregnant women face the same dilemma - should they give birth to "their" midwife or stay in the care guaranteed by the National Health Fund? Often, pregnant women cannot imagine giving birth without one, the only person recommended by their friends. Is it really worth it? Does it make sense to pay for private midwives, since perinatal care is guaranteed to all of us under NFZ care?

Why?

To begin with, it is worth answering the question: Why do so many women think about paying for a private midwife?
I think that this is mainly influenced by stories from Polish delivery rooms, which sometimes resemble Hitchcoc's horrors. Even worse, I believe that many of them are not made up or exaggerated. Pregnant women assume that childbirth is a unique and stressful situation that they do not want to "spoil" by stress caused by an unkind midwife. So the parents of the unborn child pay for the nice midwife they trust. Does that make sense?

The new standard of perinatal care says that the patient should be approached with respect, asked for permission for all procedures and informed her about the delivery. How it is? I think that if it were perfect, none of us would hear anything wrong about the care of the delivery room ...

In large hospitals, it may happen that without going to childbirth, we will be the only midwife's patient. Therefore, women giving birth pay for private care to guarantee their individual approach and continuity of care. The "private" midwife will not leave you at the end of the shift. Many women thus insure themselves in this way when two midwives receive delivery.
Another common reason why women pay for perinatal care is the belief that a "private" midwife will deliver the child faster and painlessly by giving mysterious medicines. Of course, this approach is wrong, because delivery does not depend on the midwife, but only on yourself.

Each delivery is different. This is influenced by both the size of the child, pelvic dimensions, uterine contractions, and most importantly ACTIVITY and SETTING UP for childbirth. Drugs such as Oxytocin, which speeds up labor and is administered in too many cases, and its effects often bring more losses than benefits. The only reasonable argument that confirms the "faster delivery" for women who have paid for the midwife is trust and relaxation, which is difficult to achieve at the midwife we ​​meet for the first time in the emergency room ...

We should also remember about the group of women who midwives pay out of necessity, because, for example, they choose childbirth at home or active labor, e.g. in water, for which a midwife with permissions is needed. I think that in these situations paying for a midwife is perfectly understandable. Usually, receiving a delivery by such a midwife is not only associated with spending a few hours of giving birth, but also involves several antenatal and postnatal visits, in which the parents of an unborn child meet the midwife, and she meets parents, their expectations, requests, problems ...

Whom?

If we already deal with the question of whether it is worth paying for a midwife, the next dilemma is who to choose ... Midwives are rarely advertised on billboards ...

It's best to get advice from friends who have already given birth and had midwives hired. This is the best source of information. Let's remember that it is best to meet the midwife before delivery and talk face to face. At such a meeting, we should feel a thread of sympathy and trust in this person. We cannot rely solely on the opinion of a friend. If your closest friends have not given birth yet, let's ask a question on the Internet forums.

Some hospitals (usually private ones) offer the care of private midwives themselves and information about them is available on the hospital's website or on the websites of individual midwives
For how much?

The costs of renting a midwife are very different. They depend on many factors such as the size of the city, the rights and courses possessed by the midwife, as well as her "popularity". We will pay more for a midwife from Warsaw, who is supposed to give birth to an English-speaking patient in water, less for a midwife from a smaller city.
Remember to ask the midwife about the payment method.

What is important?

When choosing a midwife with whom you will be giving birth, let's ask her if she accepts births in water (is it extra paid !!), does she accept births in a vertical position, will the CTG be performed only when necessary. Also ask if her care includes prenatal appointments or if she can help after delivery if needed. An important aspect is also what the situation looks like when the midwife will not be able to reach the hospital during delivery.

Why not?

First of all, because it costs money. The birth of a child is a time of considerable financial expenses, and for many people hiring a midwife is simply too much. The midwife's care during delivery is guaranteed to us.

Secondly, remember that by signing the contract with the midwife, we cannot guarantee her presence at delivery. Many women, having a paid midwife, cannot imagine giving birth without her, and when the situation does not go their way, they panic. The midwife is usually chosen a few weeks before giving birth, and she usually does not know if she will not be out of heavy duty or fall ill on the day of delivery. In addition, remember that we can belong to women whose delivery is very fast and the midwife will not be able to get there.

Is it worth it Does that make sense? What do you think Write!

Author: Paulina- I am a 3rd year obstetrics student at Collegium Medicum in Bydgoszcz. I chose the course by accident, but before I knew it, obstetrics became my passion. In the future I would like to work in a delivery room. My dream is for every woman to treat her childbirth and motherhood as the most beautiful period in her life. I hope that my articles will help future and young mothers to cope with the new situation in which they find themselves.