"1 - My OBN is the doctor who coordinates my care. My obn is a group of 4 OBN doctors who are board certified which means they have gone through years of additional training after finishing medical school.
The hospital that my obn uses is a teaching hospital which means that a student doctor might perform a procedure on me but this is only done under the direct supervision of my obn. At my 20 weeks scan a 3rd year medical student was observing our sonogram which was initally performed by a technician and then everything was checked over by an obn (perinatal specialist).
As far as I am aware a midwife has had 3-4 years of education through a bachelor degree program. I do not think midwives should be coordinating care as, in my opinion, they do not have the education to care for the health of the mother and baby. My obn has had extensive medical training and experience to draw from. My obn has sung the praises of the work that the midwives do, which is run the classes, help with establishing breastfeeding, assist during labour and help identify mothers who show early signs of postnatal depression."
This is in the US and bears absolutely no relation to the maternity services we have here in the UK. Just taking the place where I work as an example, the majority of doctors, including those at consultant level have not seen a 'normal' delivery since they were in medical school. Yes they have the basic medical know how of how the normal mechanisms of labour work and how a normal delivery should happen and how a normal pregnancy progresses. However, in reality all they ever see is when things go wrong, when they are required to solve a problem, it gives them a very skewed picture of pregnancy and birth - that it is a 'dangerous thing'. Midwives spend 3 sometimes longer, years at university learning about pregnancy, birth and the postnatal period. 3 years on the one subject. Many SHO's you meet on the ward have no idea which end of a pregnant woman a baby comes out of. A lot of time the registrar will say to the midwife looking after the woman that they have been called to review "What do you think?" this is because a midwife knows a hell of a lot more than you have just given them credit for. We are a highly skilled profession not just glorified support workers!
Yes there are bad midwives as there are bad anaesthetists, bad obstetricians and bad nurses, there are also some flippin brilliant examples of the above and it really wouldn't hurt for us here to recognise that.
God I said I wouldn't come back, I couldn't help it....