20 Questions

Questions to Ask Midwife at First Appointment

Essential questions for your first midwife appointment to establish a trusting relationship, understand their approach to care, and ensure you're comfortable with their philosophy and practices.

1

What's your philosophy on pregnancy and childbirth?

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Why this works

Establishes their approach to care and helps you understand if their philosophy aligns with your values and preferences for your pregnancy and birth experience.

2

How do you handle routine prenatal care and what can I expect at each appointment?

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Why this works

Clarifies the structure of your care and helps you understand what to expect throughout your pregnancy, including appointment frequency and procedures.

3

What's your approach to pain management during labor?

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Why this works

Reveals their philosophy on pain management and helps you understand your options for comfort during labor and delivery.

4

How do you handle complications or high-risk situations?

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Why this works

Shows their experience with complications and helps you understand how they manage situations that require additional medical intervention.

5

What's your policy on interventions like inductions, episiotomies, and cesarean sections?

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Why this works

Reveals their approach to medical interventions and helps you understand when and why they might recommend or perform these procedures.

6

How do you support natural birth and what are your thoughts on different birthing positions?

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Why this works

Shows their support for natural birth options and helps you understand their approach to facilitating a natural birth experience.

7

What's your experience with different types of births and what's your cesarean rate?

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Why this works

Reveals their experience and statistics, helping you understand their track record with different types of deliveries.

8

How do you handle emergencies and what's your backup plan?

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Why this works

Shows their preparedness for emergencies and helps you understand how they manage situations that require immediate medical attention.

9

What's your approach to postpartum care and how do you support new mothers?

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Why this works

Reveals their commitment to postpartum care and helps you understand what support you'll receive after delivery.

10

How do you involve partners and family members in the birth process?

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Why this works

Shows their approach to family involvement and helps you understand how your partner and family can participate in your birth experience.

11

What's your policy on continuous monitoring during labor?

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Why this works

Reveals their approach to fetal monitoring and helps you understand how they balance safety with mobility during labor.

12

How do you handle different cultural or religious preferences for birth?

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Why this works

Shows their cultural sensitivity and helps you understand how they accommodate different cultural or religious practices during birth.

13

What's your approach to breastfeeding support and education?

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Why this works

Reveals their commitment to breastfeeding support and helps you understand what education and assistance you'll receive for breastfeeding.

14

How do you handle different birth settings and what are your thoughts on home birth?

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Why this works

Shows their experience with different birth settings and helps you understand their approach to home birth and alternative birth locations.

15

What's your policy on visitors during labor and delivery?

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Why this works

Clarifies their approach to visitors and helps you understand what to expect regarding family and friends during your birth experience.

16

How do you handle different types of pain relief and what are your thoughts on epidurals?

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Why this works

Reveals their approach to pain relief options and helps you understand their philosophy on epidurals and other pain management methods.

17

What's your approach to prenatal testing and screening?

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Why this works

Shows their philosophy on testing and helps you understand what tests they recommend and how they approach prenatal screening.

18

How do you handle different types of births and what's your experience with VBAC?

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Why this works

Reveals their experience with different birth types and helps you understand their approach to vaginal birth after cesarean.

19

What's your policy on different types of birth plans and how do you support them?

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Why this works

Shows their support for birth plans and helps you understand how they work with you to achieve your desired birth experience.

20

How do you handle different types of birth complications and what's your approach to emergency situations?

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Why this works

Reveals their experience with complications and helps you understand how they manage emergency situations and when they might need to transfer care.

Best Practices for Midwife Conversations

Expert tips and techniques for getting the most out of these questions.

Best Practices

Show Genuine Interest in Their Philosophy and Approach

Midwives appreciate when you demonstrate understanding of their role and show interest in their philosophy of care. Ask questions that reveal their approach to pregnancy and birth.

Be Open About Your Preferences and Concerns

Share your birth preferences and any concerns you have. This helps the midwife understand your needs and how they can best support you.

Ask About Both Routine Care and Emergency Situations

While most births are normal, it's important to understand how they handle complications and emergencies. Balance questions about routine care with questions about emergency management.

Question Sequences

The Philosophy and Approach Sequence

1
What's your philosophy on pregnancy and childbirth?
2
What's your approach to pain management during labor?
3
What's your policy on interventions like inductions, episiotomies, and cesarean sections?

The Experience and Safety Flow

1
What's your experience with different types of births and what's your cesarean rate?
2
How do you handle emergencies and what's your backup plan?
3
What's your approach to different types of birth complications and what's your approach to emergency situations?

Common Pitfalls

Don't Focus Only on Natural Birth

While natural birth is important, also ask about their approach to medical interventions and emergency situations. You want a midwife who can handle all types of births.

Avoid Being Overly Rigid About Your Birth Plan

While it's important to discuss your preferences, be open to their professional judgment and recommendations. Birth is unpredictable and flexibility is important.

Don't Ignore Their Experience and Credentials

Ask about their experience, training, and credentials. You want to ensure they have the necessary qualifications and experience to provide safe care.

Conversation Templates

The Philosophy and Care Approach

1
Step 1: Start with: "What's your philosophy on pregnancy and childbirth?"
2
Step 2: Continue with: "How do you handle routine prenatal care and what can I expect at each appointment?"
3
Step 3: Finish with: "What's your approach to pain management during labor?"

The Experience and Safety Assessment

1
Step 1: Begin with: "What's your experience with different types of births and what's your cesarean rate?"
2
Step 2: Follow with: "How do you handle emergencies and what's your backup plan?"
3
Step 3: End with: "What's your approach to different types of birth complications and what's your approach to emergency situations?"

Further Reading

"The Midwife's Guide to Pregnancy and Birth" by Ina May Gaskin
"The Birth Partner" by Penny Simkin
"Natural Childbirth the Bradley Way" by Susan McCutcheon

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