Understanding the Difference Between a Doula and a Midwife

When it comes to childbirth, the terms “doula” and “midwife” often come up, but many people still confuse the two. Both play vital roles in supporting expecting families, but their functions, training, and responsibilities are distinct. Understanding these differences can help you make informed choices about the kind of support you want during pregnancy, labor, and birth.

What is a Doula?

A doula is a trained professional who provides continuous emotional, physical, and informational support to a birthing person before, during, and after childbirth. The role of a doula is primarily supportive and non-medical.


Here’s a breakdown of what a doula does:

Emotional Support: Doulas offer reassurance, encouragement, and a calming presence. They are trained to help you manage stress and anxiety, making the birthing experience less overwhelming.

Physical Support: They assist with comfort measures such as breathing techniques, massage, and positioning to ease labor pains and support your physical comfort.

Informational Support: Doulas provide evidence-based information about childbirth and can help you understand your options and make informed decisions. They can also facilitate communication between you and your healthcare team.

Postpartum Support: Some doulas offer postpartum support, helping with early infant care, breastfeeding, and adjustment to new family dynamics.

Doulas DO NOT provide medical care or deliver babies. Instead, they work alongside your medical team, including obstetricians or midwives, to enhance your birthing experience. They can be present in various birth settings, including hospitals, birthing centers, or at home.

What is a Midwife?

A MIDWIFE is a highly trained medical professional who specializes in providing prenatal, labour, and postpartum care. Midwives are trained to handle a range of medical situations and deliver babies.
Here’s what you need to know about midwives:

Medical Care: Midwives provide comprehensive prenatal care, including monitoring the health of both the birthing person and the baby. They perform physical exams, order and interpret tests, and manage complications that may arise during pregnancy and labor.

Labour and Delivery: Midwives are trained to deliver babies and can handle various aspects of childbirth, including emergency situations. They are skilled in managing labour and delivery in various settings, such as hospitals, birthing centers, and home births.

Postpartum Care: Midwives offer postpartum care to ensure both the birthing person and the newborn are healthy. This includes monitoring recovery, assisting with breastfeeding, and providing guidance on infant care.

Midwives typically work within a medical model of care and collaborate with obstetricians when specialized medical intervention is needed. Their focus is on providing holistic, personalized care and supporting natural childbirth.

Key Differences

Scope of Practice: Doulas provide non-medical support and are not involved in the clinical aspects of birth. Midwives, on the other hand, provide medical care and are responsible for delivering babies and managing any medical issues that arise.

Training and Certification: Doulas receive training in labour support techniques and childbirth education, but they do not have medical training. Midwives have extensive medical training and are certified to provide prenatal, labour, and postpartum care.

Role During Birth: Doulas focus on emotional and physical support, while midwives handle medical care and deliver the baby.

Choosing The Right Support For You

Deciding whether to hire a doula, a midwife, or both depends on your individual needs and preferences. Some people choose to have both a doula and a midwife for a well-rounded support system. For example, a midwife can manage the medical aspects of childbirth, while a doula can offer additional emotional and physical support.

In conclusion, both doulas and midwives play essential roles in the childbirth process, but their functions are complementary rather than overlapping. Understanding their distinct roles can help you create a support team that aligns with your birth plan and ensures a positive and empowering birth experience.

Jessica Connor

Birth and Postnatal Doula