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Professional Contributor
Name: Denise Snow
Professional Titles: JD, RN, CNM, NP
   
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Contact: denisesnow@verizon.net 

 

 
Denise Snow
is a Certified Nurse-Midwife. As a midwife, she worked in a variety of settings- a free standing birth center, a private practice, a clinic practice and a large HMO multispecialty practice. During that time she saw thousands of pregnant patients and safely delivered over 800 babies. Currently, she is an Associate Clinical Professor of Midwifery and Women's Health Nurse Practitioners at Stony Brook University. She is also a practicing public interest attorney assisting people with their health related legal needs.
 
 
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  OB-GYN Review
 
Here is list of areas of interest that have been compiled through the shared experiences of pregnant women and their families. Some of these questions may be very important while others are of limited concern.

The most important areas to look at first are the issues of who takes care of you when you need to be seen, and how do you get in touch with someone after the office is closed. There is nothing more frustrating than to place an anxious call to your doctor or midwife and then wait hours for a return call.

The philosophical questions are very important since you want a provider who matches your personality. As a midwife, I focused on normal and variations of normal in pregnancy and kept a low tech, high touch approach for safe and satisfying care. However, this approach would not suit a woman who places high value on technology.

Personality is very important in the doctor/ patient relationship. For example, would you want your doctor/provider to remain calm under all circumstances? For some patients, that translates into "she is not taking me seriously". While some patients feel protected and safe when their provider calmly and cautiously explains the pros and cons of management options, other patients feel more protected if their provider demonstrates a sense of urgency.

The prospective patient should keep in mind that obstetricians and midwives are generally stretched thin with time. This is because they have office hours and they are on call to deliver babies around the clock. Even the best run office sometimes runs late with appointments because of emergencies. But even in cases where you may be kept waiting to see the doctor or midwife, you should be rewarded by having your questions answered and achieving a sense of empowerment about yourself and your pregnancy!
 
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  List Referral Questions
1. Are the people at the "front desk" friendly?
2. How long is the usual wait to see the provider?
3. Does the provider listen to your concerns and take the time to discuss problems with you?
4. Do you feel exams with the provider are rushed?
5. Does the practice seem organized and well managed?
6. How long does it take the provider to call back regarding non-emergency questions?
7. Do you feel you were well taken care of during your labor and delivery?
8. What do you dislike the most about the provider?
9. What do you like the most about the provider?
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