Winnipeg Doula

Winnipeg Pregnancy: Finding A Care Provider

By on November 28, 2017

Staring at two little pink lines? Not sure what your next step is for your Winnipeg pregnancy? We’ve got you covered.

The first concern on most families’ minds after getting that positive pregnancy test is to find a care provider that aligns with their views. If you are looking at a Winnipeg pregnancy, you have a couple options. Lucky you!

1. Find an OBGYN

Winnipeg is home to some fabulous doctors who specialize in Obstetrics, commonly known as an OBGYN or an OB. Most will practice out of only one of our birthing hospitals- Women’s Hospital at Health Sciences Centre, or St Boniface Hospital. Make sure that if you have a preference, you choose a doctor who delivers at that hospital. To find an OB in Winnipeg, you can go to your family doctor and ask for a referral, or you can call an office yourself if you have an idea of whom you would like to use for your Winnipeg pregnancy.

2. Find a Family Doctor

A great option bridging the gap between an OBGYN or a midwife is to have a family doctor continue your care during pregnancy and birth. While there aren’t a ton, there are some family doctors in Winnipeg who still provide pregnancy and delivery care. Family doctors tend to see only patients who are lower risk, and can be a great choice for someone in Winnipeg experiencing a normal, low risk pregnancy and wanting a hospital birth with perhaps lower intervention, and a higher chance of having your own provider at the delivery. If your own family doctor does not attend births, you can use the Family Doctor Finder to put you in touch with one.

One particular Family doctor that gets a lot of attention for families with a pregnancy in Winnipeg is Dr Reynolds. Dr Reynolds practices out of Women’s Hospital Outpatient Department at Health Sciences Centre, and is lovingly referred to by many as a “midwife in a white coat”. Dr Reynolds is well known for his gentle, low key demeanor and his openness to allow the birthing person to trust their intuition and labor and birth as they feel comfortable. I have heard stories of him allowing dads to catch baby, of assisting deliveries on the floor, and even just spending a labor sitting quietly in the rocking chair, holding space for the family. If you would like to contact him for your Winnipeg pregnancy, Dr Reynolds can be reached at 204-787-1781.

3. Apply for a midwife.

Midwives are awesome. They are also in high demand! If you are considering midwifery care, I highly suggest you reach out as early as you can! Midwifery in Manitoba is covered under provincial health. That means that if you qualify to see an OB under your Manitoba Health plan, you also qualify for a free Winnipeg midwife. There are no extra fees associated with this service! In addition, you do not need a referral from another health care professional. Your Winnipeg midwife will provide care during pregnancy, birth and for six weeks postpartum to both you and the baby.  Find more information about midwives here: http://midwivesofmanitoba.ca/what-is-a-midwife/

In Winnipeg, please call the Centralized Intake Line at (204) 947-2422 ext 307. This will direct you to the Birth Centre, who will call you back to do a full intake. They will distribute your midwifery intake information to all the Winnipeg midwives to determine if someone can accept you. There is no need to call all the midwifery sites, and no need to continue to call back repeatedly.

You should hear back whether you have been accepted or denied a midwife in Winnipeg within 2-6 weeks. Sometimes it may take longer if they are very busy. Please be patient and remember that each midwife generally takes the time to read through your intake form- this takes time!

Once you have been accepted into care for a Winnipeg midwife, you will be assigned a midwife team and will book for your first meeting.

You can see a list of all registered midwives in Manitoba at the following link: http://www.midwives.mb.ca/Register%20of%20Practising%20and%20Non-Practising%20Midwives%20May%208%202017%20je.pdf  If you are considering entering into care with a midwife who is NOT on that list of registered midwives, please contact the college directly. It is very important that you make sure your midwife has been properly educated and registered, and the college can help you to determine if this is the case. The college of Midwives of Manitoba can be reached at (204) 783-4520 or emails sent General Inquiries: admin@midwives.mb.ca

After you’ve chosen your medical care provider, don’t forget to hire your doula too 😉 Doulas are professionals who specialize in physical, emotional and informational support during pregnancy and birth, and are able to be with you each step of the way throughout. They’re passionate about assisting families in labor to feel supported and satisfied with their birth outcomes. For more information, stop by my Services page today!

 

 

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Uncategorized | Winnipeg Doula

The Benefits of A Winnipeg Midwife | Winnipeg Doula

By on November 18, 2017

While almost everyone has heard of a midwife, I find that few people truly understand what midwifery care includes- and why having a Winnipeg midwife is so awesome! Before going into the process of how to obtain a midwife in Winnipeg, I think it’s important to explain how their care differs and why you want one- even if you don’t know it yet!

A midwife in Winnipeg provides the same professional medical care during both the prenatal period and birth that you would receive if you were to choose an obstetrician or family doctor to attend your birth. As a client of midwifery you can receive all the same testing and access to resources that you would normally expect. Midwives are highly trained professionals with expertise in birth. Fortunately- with midwifery you get so much more than just a medical provider!

 

Informed consent.

One of the basic and yet most important tenets of midwifery care is informed consent. In my experience this has gone so far beyond a simple “This is happening, ok?” to a true desire to ensure that the family understands all options presented and makes the best decision for themselves. Appointments with midwives are filled with information and dialogue about the existing and newest research and evidence based practice- and how that may effect you and your pregnancy and birth.

Long Appointments.

During my second pregnancy, I LOVED having extra long appointments with my midwife. It was a breath of fresh air compared to the experience with my previous OB where a “long appointment” only referred to the amount of time I spent sitting in the waiting room. This extra time with my Winnipeg midwife meant that we had a chance to go over not just my weight and blood pressure (Actually, many midwives won’t even worry about your weight, focusing more on other markers, but that’s another blog), but could delve into how I was feeling emotionally, and to help me prepare for the upcoming birth and changes. I left each appointment feeling heard, and more confident, more supported.

Stronger Relationship With Those Likely to Attend Your Birth.

One of the wonderful pros of working with a Winnipeg midwife is that you have a far greater chance of actually having met the care provider who ends up being there at your birth. When you choose to work with a Winnipeg OB, your doctor typically works in a call group of 6-8 doctors, any of whom may be the one to actually attend your birth. It’s common to have all your appointments with one doctor throughout your entire pregnancy and then only have one or two five minute appointments with a second doctor from the practice at the very end. This means there’s still 4-6 or so doctors who have an equal chance of being there for your delivery whom you have never met before, or sometimes even heard their name.

I loved during my pregnancies to have a chance to meet and get to know each midwife on my team. I felt fully supported and comfortable with any of the midwives who might show up on my birthing day.

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Choice of Place of Birth

While many people under the care of midwives still prefer to give birth in the hospital, there are many who love being able to take advantage of two other options- a homebirth in Winnipeg, or a midwife attended birth at the Women’s Health Clinic Birth Centre. Both are a wonderful and safe option for low risk individuals who desire a more natural experience for their labor. Your midwife will go over all the safety measures in place for you (It can seem daunting until you realize how well trained and equipped they are!), and you are free to choose whichever place of birth appeals most to you (barring medical changes which would require you to change to a hospital birth). Since many studies now have shown that homebirth is just as safe as hospital birth, it is so great to be able to have the choice to birth where you prefer.

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Postpartum Care

It’s almost difficult to put this point into a brief paragraph. When I speak with women who are considering midwifery care, one of the things I always bring up is the level of postpartum care that you experience with a Winnipeg midwife. In Winnipeg, you remain under the care of your OB until 6 weeks postpartum, and your infant transfers to the care of your pediatrician or family doctor. Once you are discharged from the hospital, you typically won’t see your doctor again until your 6 week discharge visit. This visit is often fairly quick, focuses on your healing from vaginal or cesarean birth, and if no immediate concerns are raised, you are sent on your way until your next pregnancy or pap smear. While some awesome providers out there do inquire more into your healing process both physically and emotionally, it doesn’t seem to be standard practice.

In contrast, Winnipeg midwifery care follows both parts of the mother/baby dyad for a full six weeks. During these weeks you will receive several visits at home, and at the midwifes office. To me, this aftercare makes all the difference in recovery from birth, considering not just your physical recovery, but also the emotional adjustment to all the changes that have occured! My midwives were an amazing resource with breastfeeding, stress management, reassurance daily when needed about normal healing processes, and any other questions I could come up with regarding having a new baby at home. The switch to a level of care that covers both mother and baby is an important one– so much in these first weeks affects both parts of your little team!

 

Have I convinced you yet? Stay tuned for a blog about how to get a Winnipeg midwife. I want to take a second as well to acknowledge that Winnipeg is also home to some -amazing- family doctors who attend births, (I’m looking at your Dr Reynolds and Dr Schneider!) and Obstetricians. There are absolutely some gems out there! If you find your experience a little lacking though, don’t forget about the amazing complement of having a doula at your birth as well! Doulas work wonderfully alongside midwives and other care providers to tend to your positive experience. Visit my services page for more information about what I offer as a doula.

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