Midwife vs Obstetrician: What's The Difference Between Them And Whom To Choose

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In the past, pregnant women depended almost entirely on midwives and other local women with considerable experience in childbirth. But today, we have obstetricians (OB) and gynecologists who are preferred to midwives for delivery and prenatal care.

An OB and a midwife are both professionals in their own right and have different methods of dealing with pregnancy and childbirth. But who could be the best for you? A midwife or an OB? If you are in a dilemma about it and are not sure who to choose, this article is for you.

Momjunction explains the difference between the two care providers and helps you find the right one.

Difference Between An OB And A Midwife?

A midwife is a healthcare professional who focuses on sexual and reproductive care of women along with pregnancy, childbirth, and postpartum care. Some of them go through a three-year training program (in the US) after nursing degree. Some of them just go through a few weeks of training with another community midwife (called Lay midwives or unlicensed midwives).

OBs and licensed midwives are both trained professionals who assist pregnant women. But the difference lies in their level of education, method of training and approach towards dealing with the pregnancy until delivery.

The differences are further explained here.

ObstetriciansMidwives
They have scientific, evidence-based approach towards obstetric careLicensed midwives have similar approach but unlicensed midwives have holistic and faith-based approach.
Trained in performing surgical procedures like C-section or any other mode of delivery or gynecologic proceduresCannot perform surgical procedures
Perform circumcisions in certain geographic areasCannot perform circumcisions
Capable of handling pregnancy complications during deliveryCan handle only low-risk pregnancies
Attend deliveries only at childbirth centers or hospitals and not at homeCan carry out delivery at the hospital or home

The approach towards obstetric care varies from doctors to midwives. Read here to know about the different models of care.

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[ Read: Tips To Choose The Right Gynecologist ]

What Are The Different Models Of Obstetric Care?

There are two general models of obstetric care (1):

1. The midwifery model of care:

Midwifery considers pregnancy and birth to be a natural or biological process that should be supported with emotional and holistic measures. The approach focuses on non-medical obstetric care to reduce the likelihood of C-section and other medical interventions unless there is a complication that needs medical care.

The length of appointment with midwives is generally longer as they also attend to the social, spiritual, and emotional aspects of pregnancy.

2. Obstetrical management:

An obstetrician focuses on diagnosing, treating and preventing the complications during pregnancy. This approach also emphasizes on using medical interventions during labor. In general licensed midwives work alongside Ob/Gyn practitioner to take care of low risk visits and low-risk pregnancies.

But how do you know which one is ideal for your situation? Next, we answer a few questions that will help you determine whether you should choose a midwife, obstetrician or seek the help of both the professionals.

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List Of Questions To Help You Choose Between An OB And A Midwife

Here are few questions you can ask to figure out which medical professional is best for you.

1. How do you want to deliver your baby?

If you want to deliver your baby through the natural birthing process, then make sure that your care provider is supportive of that.

2. Do you need a caregiver with you during delivery?

Midwives spend a lot of time with the patient during labor as they are usually not overloaded with patients by design of the system. However, obstetricians may not be able to dedicate personal time to you, as they have other high risk patients to attend to.

[ Read: What Is Baby Crowning ]

3. How do you want to manage labor pain?

Obstetricians handle deliveries only in hospitals, where they can administer epidural for pain management. However, midwives encourage medication-free and natural methods to manage the labor pain.

4. What can you expect from the caretaker during labor?

The OB-GYNs may put you on IV and recommend continuous fetal monitoring especially with high risk pregnancies. However, with a low risk pregnancy a midwife might let you move around freely or stay in a comfortable position and perform periodic checks to monitor the progress.

5. What if you have a high-risk pregnancy?

In case of a high-risk labor, a midwife needs to take the help of an obstetrician to deliver the baby. If the need for a C-section arises, only an obstetrician, who is trained for it, can handle the case efficiently. In some institutions, midwives can assist obstetrician with cesarean delivery also. If the patient has serious medical conditions, then an obstetrician and a midwife together can handle the case during pregnancy and delivery.

6. Where would you like to deliver?

If you are in favor of home birth and have no pregnancy complications, then appointing a unlicensed midwife could be a choice for you. Most people consider this as a risky idea as any low risk pregnancy can become high risk at any time due to many labor risks (eg: umbilical cord related issues, postpartum bleeding risks)

If you need epidural and want to be in a hospital under the supervision of a doctor, then an OB or licenced midwive is the best choice for you. Note that obstetricians will only attend to childbirth cases at specific delivery centers.

7. Are you comfortable with the practitioner you are seeing?

If you have a good rapport with your practitioner and if you can reach out to her or him any time you have a concern, then go with that practitioner.

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[ Read: Enema During Labor ]

Make a note of how you want your delivery to be and what you might or might not need, considering your health. In the end, it boils down to who you think is capable and who you are comfortable with. If you still have doubts, talk to other mothers who have used either of the professional’s services.

Do you have any experiences to share with us? Tell us about it in the comments section below.

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