Hi catherine. Usually you are seen first by your GP. Many women go thru pregnancy only ever being cared for by the GP and a comunity midwife. But if things start to go wrong you are refered by your GP to an OB at the local hosp. So that is down to who your GP thinks is best. Of course you can request to change to a different Ob. But of course, we put our trust in them.
In my first pregancy & experience of PE I saw an Ob who didn't really seem to know what was what. Mishandled the whole thing. I saw him about 75% of the appointments I had. It was after that I requested to see the APEC doc in london for a pre pregnancy counciling appointment. It was then I started to get assertive, got involved with APEC and started doing stuff for them, and set up my PE website.
When I fell pregnant with my second child, I talked to a midwife at the hosp. She was also a memembr of APEC and I asked her recomendation. (APEC have training days just for midwives and that is such a good idea as they are right in the middle of the care) The OB she recomended was brilliant. Well up on PE. He would only see me, he wouldn't hear of another doctor taking the appointment, and one of the times I was admited he made a point of coming to see me. Also when I turned up at the hosp, not to well, he came to see me straight from surgery. He still had his little white wellie boots on even! And of course he was there for the section. So I saw him for my 3rd child also.
So I think it is pot luck who you see as an Ob. I am a strong believer of educating women so they are aware of the standard of care they are getting, and what to watch out for signs/symtoms, and if they are not happy with it, then to do something about it! The hospitals here are always close, but I guess thats because we are a squashed up country! There is the option of going private and paying for your care, but the hospitals are sparse, and I understand the docs are the same! But once you are under a docs care, you generally stay with him unless you request otherwise.
I think at the hosp they thought I was a trouble maker, but only because I pushed the PE thing, posters, leaflets and such. For some reason they don't want the women to know the signs and symtoms, because they might get scared. In my first pregnancy, the first time I was adnited to hosp with PE I asked about PE as I knew nothing. I was told not to worry, there was no danger to me, if there was any anger it was to the baby. What a statement! Firstly, yes I was in danger, secondly I was supposed to not worry, the danger was only to the baby??!! Unfortunatly I dont drive and have now divorced. So I lost my lift to the hosp, where I used to set up info stands and talk to patients waiting to see the Obs.
I am sorry for spelling mistakes here, its very late here in the UK and I should be asleep! Hope I didn't waffle on to much