Long story short: thought I was going to keep on top of the morning sickness with the ol' Unisom+B6 this time around. I was wrong. By the weekend I was in the death spiral. Not keeping anything down, weeping without really having the energy to weep, a total apathy and disinterest in everything. Pretty much the only form of entertainment I could bear to keep me from the brink of brain death was watching our Jane Austen dvds...

Then Monday, *insert sound of angel chorus here*, I called the midwife who I had not yet seen. Told her I was falling apart and asked if she could call me in a prescription for ondansetron (Zofran) so that I could pick it up and maybe make the one hour drive to her office. Amazingly, she did. Compared to the hoops I had to jump through to get Zofran from my OB office, I'm ready to scrap the OBs on this offense alone.

So I made it to the midwife. And she was lovely. And here I am, seriously, seriously considering a home birth.

But I have lots of time to make that particular decision.

Right? Right.

My dad thinks I should schedule an interview with my assigned OB to talk about my questions and concerns. I probably should, even though I don't want to. Though in the next week or so I need to make the decision of whether I'm using the OB office or the midwife for my pre-natal care. Here's where I currently am in that decision:

OB office: if I call with a question or prescription request, there is a 30% chance I will get to talk to a nurse, 70% chance I will get to talk to a machine. If I talk to the machine, there is a 90% chance that it will be 4:45 pm before my call is returned or my prescription is called in.

Midwife: I call the midwife, I get the midwife. When I requested the Zofran, I called the pharmacy ten minutes later to confirm that I could pick it up that afternoon, they'd already gotten the order.

OB office: pretty much told me I had to have a 12-week sonogram (which I do not want to pay for), but that I could skip the 20-week sonogram if I really, really wanted to.

Midwife: Told me all tests are always my choice, though did a nice job of explaining the reasoning for wanting the 20-week sonogram.

OB office: Fee for prenatal care and delivery (minus facility and hospital charges): ~$4000.

Midwife: Fee for prenatal care and delivery (minus sonograms): $2300.

OB office: Makes me feel like a faceless lump of clay to be pressed through their series of molds.

Midwife: Already had a lengthy discussion about how Jefferson's large (for a first baby) size was more than likely due to my high-glucose diet, in my desperate attempt to regain weight after all the many many pounds I lost to morning sickness. She has suggested trying a low glycemic index diet for this pregnancy, which makes me cranky, but strikes me as reasonable and proactive.

I think it's fairly clear which side I'm leaning towards.