Doula vs. Midwife

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Physicians, midwives and nurses all play their own important part in the clinical health of the mother and baby. Doulas compliment this care by providing non-medical care. While most people think they have similar functions, doulas and midwives actually have different training, duties, and certifications. A doula and a midwife offer different types of services.

Both doula and midwife support the childbirth experience. They are at the labouring mother’s side. They bring a spirit of connection that includes all the members of the childbearing family in the big event.

A doula differentiates herself from a midwife in the following way:

  • Doulas are not healthcare practitioners. They do not have medical training and cannot replace a midwife or doctor, but rather add additional services.

  • Doulas “mother the mother.”  They are trained individuals who can provide continuous mental, physical, and emotional support for the labouring mother.

  • They have deep wisdom, comfort and encouragement to offer.

  • They serve as educators, advocates and cheerleaders for the labouring mother.

  • They look for ways to make the mother feel comfortable.

  • They can guide the labouring woman in breathing, relaxation, movement and positioning.

  • Doulas inform the couple about their birth options and help them identify their preferences.

  • Doulas act as a link between the mother and the medical care team. They keep lines of communication open between them.

  • They help families get the answers to their questions so they can make informed decisions about their care.

  • They not only focus on the needs of the mother but also on the needs of the childbearing family.

  • They try to keep the family calm.

  • They involve the partner to labour and birth at the levels they are comfortable with.

  • They assist families in gathering information about the course of their labour.

A midwife’s characteristics on the other hand are:

  • Midwives have medical training and during the birth process, focus on delivering a healthy baby.

  • Midwives can anticipate problems and do continual assessment on the mother and baby.

  • Certified nurse-midwives can do many of the same things as doctors, including:

    • Perform gynaecological exams

    • Provide prenatal care

    • Administer pain medications

    • Give labour-inducing drugs

    • Monitor the fetus using electronic equipment

    • Order an epidural

    • Perform an episiotomy

    • Deliver a baby vaginally

    • Resuscitate a baby

    • Stitch tears

    • Work with you and your family to manage your physical, social, and mental care throughout your pregnancy and afterward

    • Provide personal counselling and education

    • Be at your side to help during your entire labour and delivery, not just the birth if possible

    • Help you give birth with less technology and sometimes fewer medications

    • Refer you to an OB or other specialist if you need more medical attention at any time

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23 Questions to Ask a Doula

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