Prenatal Care 101: Understanding OBGYNs, Midwives, and Doulas

When you find out you’re pregnant (and the shock has worn off), one of the first decisions you’ll make is choosing your prenatal care team.

It can feel overwhelming to decide between an OBGYN, a midwife, or a doula — or even understanding how they all work together! The truth is, none of these options is inherently better than the other — it’s all about what feels right for you, your pregnancy, and your goals for birth. Let’s break it down:

What Is an OBGYN?

An OBGYN (Obstetrician-Gynecologist) is a medical doctor who specializes in pregnancy, childbirth, and reproductive health. If you choose an OBGYN, you’ll likely give birth in a hospital setting. (Which we did)

• Who it’s great for:
  If you have a high-risk pregnancy or want access to medical interventions like epidurals or C-sections, an OBGYN is the way to go.
• What they do:
  They handle prenatal check-ups, ultrasounds, and any medical complications that might arise during pregnancy or delivery.
• Why you might choose an OBGYN:
  • You feel most comfortable in a hospital setting.
  • You want the option for pain management or interventions during labor.
  • Your pregnancy is considered high-risk.

What Is a Midwife?

Midwives are trained professionals who specialize in low-risk pregnancies and natural birth. They focus on personalized, holistic care and can work in various settings, including hospitals, birthing centers, or even your home.

• Who it’s great for:
  If you’re hoping for a natural, low-intervention birth and want a more personal connection with your care provider, a midwife might be a perfect fit.
• What they do:
  They provide prenatal care, help with labor and delivery, and offer postnatal support. Midwives are also trained to recognize when medical intervention is needed and will collaborate with doctors if necessary.
• Why you might choose a midwife:
  • You want a more natural or holistic approach to childbirth.
  • You prefer giving birth in a birthing center or at home.
  • You want more time and personal attention during prenatal appointments.

What Is a Doula?

A doula isn’t a medical professional but rather a trained birth companion who provides emotional, physical, and informational support during pregnancy, labor, and postpartum. Think of them as your personal cheerleader and advocate.

• Who it’s great for:
  If you want extra support during labor or someone to help you navigate your options, a doula is an incredible resource.
• What they do:
  Doulas offer non-medical support like pain management techniques (think massage or breathing exercises), help you understand your birth plan options, and provide encouragement throughout labor.
• Why you might choose a doula:
  • You want someone by your side who’s focused solely on your comfort and needs.
  • You’re hoping to reduce the stress or fear associated with labor.
  • You want support regardless of whether you’re having a hospital, birthing center, or home birth.

How Do They Work Together?

Here’s the great news: You don’t have to choose just one!

• OBGYN + Doula: Many women who give birth in hospitals with an OBGYN also hire a doula for extra emotional and physical support during labor.
• Midwife + Doula: Midwives and doulas often work hand-in-hand to provide holistic care during labor and delivery.
• Collaborative Care: If you start with a midwife but need medical intervention, they’ll work with an OBGYN to ensure you get the care you need.

Which One Is Right for You?

The best choice depends on your preferences, health, and vision for your birth experience. Here’s a quick way to think about it:

• OBGYN: You want the full spectrum of medical care and interventions available if needed.
• Midwife: You’re planning for a natural birth and prefer a more personal approach to prenatal and delivery care.
• Doula: You want a supportive presence during labor, regardless of your birth setting or provider.

My Advice? Trust Your Gut

Every pregnancy is unique, and what works for one mom might not work for another. The most important thing is that you feel supported, safe, and empowered throughout your journey. Don’t be afraid to ask questions, interview potential providers, and find the team that feels right for you.

What type of prenatal care are you considering — or what did you choose? Let me know in the comments!