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Parenting
Decisions, decisions: doctor or midwife?
Many women with low-risk pregnancies may be attended by a qualified midwife or a general practitioner (GP). A number of expectant mothers want to be delivered by a specialist (obstetrician/gynaecologist) of their choice. A midwife or GP can refer a woman to an obstetrician if the previous medical or obstetric history reveals a possible complication to develop during the confinement or when a high risk situation occurs during the course of the pregnancy.

 
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When the expecting mother is making contact with the medical attendant, who is going to look after the antenatal care and the delivery, here are a few points to consider:

  • Do you feel comfortable with your attendant?
  • Do you feel you can ask the attendant any questions without feeling embarrassed?
  • Does the attendant practise close by?
  • Are you happy with the hospital at which the attendant does deliveries?
  • Does the attendant practise alone or in a group practice?
  • Are you happy with the other doctor/midwife who will stand in if the attendant is not available?
  • Are the practice hours convenient for you?
  • Are the staff members and nursing sisters friendly?
  • What is the attitude of the attendant and approach to different birth options (e.g. home birth, water birth) you have chosen?
  • Are you comfortable with the attendant’s preference for natural birth or assisted modes of deliveries?
  • Does the attendant have access to ultrasound facilities at the practice?
- (Ilse Pauw, Health24)
 
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Fascinating facts
Sweden has the lowest birth rate in the world, 1 in 100. Malawi, in Africa, has the highest, namely 5.3 in 100.

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