On being between a midwife and an obstetrician

It's an interesting experience being post-Caesarean. It really is!

On one hand there is midwifery, right - I don't know what your midwives have been like (both of mine have been pretty cool), but I have a feeling that midwives are almost by definition... natural labour "oriented".

Obstetricians, on the other hand, look pretty... medical "oriented" to me.

Maybe it's the background environment, too. Midwives meet their clients in a rather informal clinic setting, whereas obstetricians, on the other hand, meet their post-Caesarean ladies in a hospital, in between nurses and large waiting rooms.

With me being a woman that has once already had a(n emergency) Caesarean, I am worked with by both a midwife and an obstetrician: midwife does her regular midwifery care (meets, talks, measures, reassures, explains), obstetrician assesses any risk factors for the potential of ending up in a surgery again.

Miwife says things along the lines of, "Rest when you can. If you are getting tired it is your body's way of asking you to slow down. Have you noticed her being more active during certain times of the day, as opposed to others?"

Obstetrician, on the other hand, says things along the lines of, "Paracetamol will take away muscular pain, but not labour pain, so if you take a Paracetamol and it doesn't go away, you need to call a doctor. You can take 2 pills every 6 hours, 4 mg total in a day."

Both are very much right, and both make very valid points. There is nothing "wrong" with either approach, really - both speak about important things, and make important suggestions, but there's a subtle difference, I don't even know if you would pick up on that if you haven't been in this situation yourself.

Midwife, I think, approaches the pregnancy from a viewpoint of assuring about things that are common, normal, and going by the experience/knowledge that just as women are different, so are pregnancies of the same woman different; whereas obstetrician approaches from the viewpoint of looking for signs of trouble, of seeing if there's any reason why "what happened last time" is likely to be a repeat performance.

And I am not blaming either one for it. It is (part of) a midwife's job to reassure a woman that this one may be different, and it is (part of) an obstetrician's job to make sure nothing gets overlooked in assessing why surgical intervention was necessary last time, and what are the chances of surgical intervention this time.

But it's... interesting, being in the middle.

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