3 Differences between Doulas and Midwives

One of the questions I am asked most often is, “How is a doula different from a midwife?”

So let’s jump right in.

Doulas and Midwives are both professionals that assist women before, during and after childbirth. Both roles are rooted in evidence-based practice to increase the positive outcomes of birth, but there are some key differences that set them apart.

Scope of Practice

The doula is a complementary role to the midwife and their main focus is the needs of the mother from the “waist up”. They provide continuous emotional, physical, and informational support, such as comfort measures, position changes and encouragement. They do not provide medical care and cannot be a substitute for a medical care provider.

A midwife is a primary care provider during pregnancy and birth and their main focus is the needs of the mother from the “waist down”. They provide medical assessments such as vaginal exams, pregnancy related medication and deliver babies. They provide all the medical care needed during a low risk pregnancy from prenatal to six weeks postpartum.

Training

There is no formal regulation requirements for doulas in Alberta however some hospitals do require doulas to be certified by a governing body. There are many different organizations that have specific requirements for certification, usually with a combination of academic and hands on experience.

Registered Midwives in Alberta hold a Bachelor of Midwifery degree or equivalent. To practice in Alberta, they must be registered through the College of Midwives of Alberta (CMA). The CMA preforms comprehensive qualification reviews with written and practical examinations.

Financial Investment

The financial investment of a doula is set by each individual or agency. This can range between approximately $400- $1500 depending on location, training, experience, and availability. Their services may be covered under a benefit package, with a health spending account, if they meet certain criteria so it is always good to check with your insurance provider. Many doulas will offer a payment plan or a birth registry to help offset the cost.

Midwifery services are 100% covered for anyone under Alberta Health Services (just as there is no cost to having an obstetrician or a family doctor). YAY! However, the demand for midwives in Alberta is high, so unfortunately, not everyone who applies for one will be able to have access to them.

If you want to know more about midwives and local practices in your area head over to The Alberta Association of Midwives. If you are interested in knowing more about doulas and labour support, message me and I would love to have a chat over coffee or tea.

From roots to fruits!  ;) Kristine