Re: Future for specializing in infertility and IVF? Originally Posted by cardiacRN2006 
Studies have shown that fertility patients take far fewer risks when it comes to delivering their babies. When presented with the "c-section would be safer for your baby talk' they will choose the c-section far more times that regular moms- to-be.
In addition, some women who conceived via IVF or orher means are higher risk.
If you conceive via IVF your RE is your OB for the first 12 weeks or so. Then you transition back to whoever.
I guess what I'm saying is, If I conceived through my RE, I would want to take as few risks as possible and have this pregnancy and birth monitored to the hilt. There is a good reason most of us haven't gotten pregnant through traditional ways, and I would want to make sure that it woudn't affect the pregnancy.
The entire pregnancy started off as medical and non-natural as possible as it is.
So for me, I wouldn't choose a midwife. I'd want the monitors, the hosptial, the whole shebang.
Just my opinion...
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It's too bad your catching flames for your post. I think you'll find women in both camps....but for some to ignore that this specialization of care would be very limiting in terms of our client base- is putting our head in the sand.
My experience is just that, mine, but I had 5 people close to me give birth with the help of infertility treatments. 2 friends, 2 brothers, and 1 postpartum doula client went through infertility treatments- they were all hyper-careful, and not only were they seeing OBs, but absolutely were all considered high risk (in fairness, two were caring multiples) and absolutely considered it essential to the health of the babies. both my sister in laws had WEEKLY ultrasounds (one lives in IL, one in NY) for months. None had spontaneous vaginal deliveries. I don't want to debate those situations- I'm just sharing what has been my experience.
Additionally, even for months after the births, there was this period that seemed, to me, to be a little more watched than your typical postpartum period. The idea of being "careful" seemed to be a little extreme, even in my client situation.
I think a woman with a strong history of independent thinking, maybe having prior experience with midwives, etc might consider a CNM delivery, but I do agree with CardiacRN, I think that would be unusual. Having had 4 midwife attended births -and obviously being Pro-midwife, I would use a CNM w/ OB back up if it were me....but Women whose pregnancy is given to them by a doctor, have a feeling of indebtedness to him. It's not an issue of if the pregnancy
actually high risk, it's perceived high risk by the pregnant woman- and she's the one who gets to pick her provider.
Midwives fill a need, I don't think it's providing highly technical specialized obstetric care inside the medical model of birth (thank goodness).
Future for specializing in infertility and IVF?
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