A trusting relationship with your healthcare provider is perhaps the single most important factor that you can control in ensuring a positive childbirth experience for you and your family. So, how can you determine who will be the best fit for you? While many people choose their OB/GYN or CNM based on insurance coverage, proximity, or prior gynecological experiences, you may wish to include the additional considerations in your selective process:
1) Is their personality a fit for you? It doesn’t matter how ‘good’ a provider is at their job if your personalities clash and you can’t communicate well. Try this: List 5 words describing the kind of care you would hope to receive from your provider, as well as any other traits you would like them to possess (such as male or female, outgoing or quiet, etc.). Keep those words in mind as you move into your search.
2) Are their beliefs a fit for you? List your preference for religious persuasion, as well as any beliefs that are important to you, such as nutritional concepts, and “how” you want your baby to be born. Add this to your list of preferences.
3) Word of mouth. What have been other people’s experiences with providers you are considering? Using the words on the list you created, you can now open it up to social media to see who is recommended. Try to be specific about what you are looking for (such as, ‘I really want a natural-minded, female CNM with a patient and quiet demeanor in the delivery room’), and avoid being too general (as in, ‘Who likes their doctor?”). Online reviews are another great way to get a feel for a provider’s personality and style of care before you even meet them.
Keep in mind that all healthcare providers are likely to have a bad review or two. But if a provider consistently receives complaints about the same issues and concerns, consider it a red flag. Also, you may see complaints about things not important to you, which you certainly have the right to ignore if you desire.
4) Education and experience. Not all healthcare providers are created equal! While all physicians or CNM’s have been through rigorous testing and are required to meet a certain standard of care, you might also consider such things as where they attended school and how long ago. Keep in mind that sometimes the trade-off for years of experience can be a more old-fashioned view on childbirth (note that I said sometimes, not always). Another consideration is that a specialized degree in high-risk obstetrics would probably indicate that the provider is more focused on testing, statistics, and loss prevention and less on encouraging a ‘natural’ birth. (If you are more ‘natural’-minded, it can help to ask a provider about their current c-section rate). Take the time to think through the provider’s education and what it would likely mean for you. Then make your decision based on what is important to you.
5) On-call rotation. Unless a provider is part of a very large practice with multiple other providers, then it is likely that your doctor shares their on-call rotation with a few other practices. It is good to know ahead of time who your chosen provider shares call with, so that you can research the other practices and possibly even meet them.
6) Interview. This may sound a bit tedious, but it is amazing what can be revealed about the provider and their staff by simply stopping in for a quick little chat. Are they friendly? Punctual? Do they listen? Smile? Is their office clean and organized? How do you feel after leaving? Did they possess the traits you are looking for? Do you feel like they meet your criteria? Then go home and schedule a real appointment once you’re sure. It’s totally worth the 20 minutes.
Once you have chosen your provider and have started attending appointments, there are a few ongoing questions you should continue to consider:
7) How long are your appointments? Too long? Too short? Just right? Do the provider and their staff value your time, and make time for you in their day as well?
8) How is your relationship coming along? Are you growing more comfortable with your provider with each appointment? Do they sit down and talk to you like you are a real person, or do they treat you like just another part of their busy day?
9) Do you feel heard? Is the provider answering your questions and addressing your concerns, or do they just minimize them and move on?
10) Do you trust them? At the end of each appointment, ask yourself: do I trust that my provider is knowledgeable and capable? Do I believe that they care about me and will do what is best for me? If the answer to this is ever a ‘no,’ then perhaps they are no longer a good fit.
If, at any point during your pregnancy you should wish to find a different provider, it is totally within your rights to do so. It also bears noting, however, that it is also within the rights of a provider to opt not to bring you on as a new client—particularly if you are very close to delivery. By taking the time to do your research in the beginning, you will ensure that you are choosing a provider with staying power, whom you trust to work well with you in the delivery room, understand your values, and provide the amazing care you deserve.
This post was exerpted from the Expectant Parents Workshop Study Guide, written and used by Colorado Springs Doula Jennifer DeBrito in her Expectant Parents Workshop Childbirth Classes.
Jennifer DeBrito, CCLD, CCBE is a Colorado Springs Doula and Private Childbirth Educator. She is the author of Expectant Parents Workshop:Devotional, and the proud owner of Eden’s Promise, LLC. In addition to coaching expectant parents toward a Christ-centered childbirth, Jennifer also specializes in prenatal and postpartum wellness coaching. Jennifer is also a featured blogger for My719Moms.com. To learn more about Jennifer, go to EdensPromiseLLC.com