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Midwives, Doulas, and Obstetricians: What are the Differences?

December 28, 2020

Medical practitioner holding pregnant woman's hand
When creating your birth plan, one of the most important decisions you’ll make is choosing who will play the biggest role in delivering your baby. While the majority of women choose to use an obstetrician, midwives and doulas are becoming increasingly popular choices. Some women opt for a hybrid plan that incorporates more than one of these childbirth professionals. The decision is very personal for each expecting mother and should not be taken lightly. Below we’ll explore the roles of obstetricians, midwives, and doulas to help you make an informed decision.

Obstetricians

Obstetricians (OBs for short) are medical doctors who have years of education and training in the fields of pregnancy and childbirth. While some family medical doctors can also provide prenatal care and deliver babies, OBs specialize in this field. OBs can prescribe medications and conduct routine lab tests and ultrasounds to help monitor your pregnancy and your baby’s health and development. OBs can deliver your baby in a hospital setting and manage your care with a team of nurses, other doctors, and sometimes midwives1 (more about them later).

If you need help finding an OB, start by requesting a list of providers from your insurance plan. You can probably access this list online or call a representative from your insurance company and request the list by email. If you do not have insurance, you can check to see if you qualify for a government program through the Health Insurance Marketplace. You also may be able to access free or low-cost prenatal care from a Planned Parenthood facility in your area.2-3

Midwives

Midwives are not medical doctors, but they are skilled professionals who must complete a thorough education and training program to practice their profession. Most midwives begin their careers with a registered nursing (RN) credential and then get a Master of Science in Nursing degree with a midwifery program.4

Aside from having different credentials from those of a medical doctor, midwives differ from OBs in how they treat patients. Midwives take a more nurturing and emotionally supportive approach to treating their patients, focusing on the mother’s wellness and comfort in all aspects of her care, including social and mental. Midwives also help communicate with family members or birth partners and provide support throughout the entire labor and delivery journey, not just the birth.1

To find a midwife, you can check with your insurance provider to see if it covers midwifery services (many do, but some do not). You also can conduct an Internet search for either a certified nurse midwife (trained in nursing and midwifery), a certified midwife (has similar training but is not required to have a nursing degree), or a certified professional midwife (a skilled independent professional trained in many different settings). You can also check with the North American Registry of Midwives or the American College of Nurse-Midwives.1

Doulas

Doulas are similar to midwives in their focus on the comfort of the mother. However, doulas also play a big role in communicating between the mother and the other members of her birth team (doctors, nurses, birth partner, and family.) Doulas can help a mother find the most effective positions and breathing patterns, look for ways to make her comfortable, inform her and her support group of different options, help her make decisions, and involve the mother’s partner or support team at whatever levels they are comfortable with.1

Doulas will also continue to support a new mother after she gives birth. DONA International, the world’s largest doula certifying agency, describes the role of a doula as similar to a travel guide in a foreign country. For a new mother who is giving birth for the first time, a doula may offer an extra layer of comfort and guidance.5 For a mother who has given birth multiple times, a doula can help ensure that each experience is as comfortable as possible.

Deciding Which Option Works Best for You

Some expecting moms feel most comfortable going the traditional route with an OB in the hospital. Other moms decide on a home birth with a doula but have an OB ready as a backup. Whatever you decide, just make sure it feels right for you. It’s best to do your research well in advance and begin forming your birth plan by the second trimester. It’s recommended that you put your birth plan in writing, sometime between the 32nd and 36th week of pregnancy. That way, even if there are some unexpected turns or surprises, you’ll have a document that clearly states your preferences. You can send copies to your doctor, midwife, doula, family members, and birth partner, so everyone is on the same page.

No matter what type of birth professional you work with, make sure they hold all the appropriate and required credentials, and are a good fit for your needs.

 

Prenate® Vitamin Family
This post is sponsored by the Prenate® Vitamin Family, a line of prescription prenatal supplements designed to enhance preconception, prenatal, and postpartum nutrition in women. Talk with your doctor about how taking a daily prescription prenatal or postnatal vitamin could help support a healthy pregnancy and postpartum wellness.

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IMPORTANT SAFETY INFORMATION

WARNING: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately.

WARNING: Ingestion of more than 3 grams of omega-3 fatty acids (such as DHA) per day has been shown to have potential antithrombotic effects, including an increased bleeding time and International Normalized Ratio (INR). Administration of omega-3 fatty acids should be avoided in patients taking anticoagulants and in those known to have an inherited or acquired predisposition to bleeding.

This site and its contents are an information resource only, and are neither intended to nor should be used in replacement of your doctor or other prescribing professional’s medical guidance, recommendations or advice. Neither this site nor its information should be used or relied upon for any diagnostic, medical, treatment, nutritional or other purpose. All aspects of pregnancy, including whether pregnancy is right for you, and the nourishment and care of your child, should be made with your doctor and other appropriate medical professional, and in consideration of your and your child’s particular medical history. Avion Pharmaceuticals, LLC (“Avion”) makes no representation, warranty or other undertaking that this site or its information are appropriate for you or your child’s specific needs or issues, and further expressly disclaims all damages, losses, injuries or liability whatsoever incurred or alleged to have been incurred in consequence of your reliance on the information on this site. Avion does not endorse any test, procedure, treatment, remedy, therapy, cure, nutritional regimen, method or other activity or undertaking that you and/or your doctor or other medical professional may elect or recommend. By visiting this site you agree to these terms and conditions and acknowledge that you have read and understand the same. These terms and conditions, together with any information on this site, may be amended, restated or otherwise changed from time to time and at any time by Avion within the sole, absolute and uncontrolled exercise of its discretion. You acknowledge and agree that Avion has no duty or obligation to keep you informed of any amendments to, restatements of or other changes to these terms and conditions or this site, and that you are solely and exclusively responsible for apprising yourself of the same.

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