Doula vs. Midwife – What's the Difference?

What does a midwife do?

A midwife is a medically trained professional responsible for the health and safety of the birthing person and baby throughout pregnancy, birth, and postpartum. They can:

• Monitor the baby’s heartbeat and the parent’s blood pressure
• Assess the progress of labour and perform medical procedures if needed
• Provide pain relief or call a doctor in case of complications
• Ensure a safe birth from a medical perspective

Midwives are typically part of the hospital team and have medical responsibility during birth.

What does a doula do?

A doula is a non-medical support person who provides emotional, physical, and practical support to the birthing person and their partner. A doula can:

• Help create a calm and safe environment
• Support with breathing, relaxation, and movement during contractions
• Be a constant presence, even when hospital staff change
• Offer information and guidance without giving medical advice

Doulas focus on the emotional and physical needs of the birthing person, and are often present from early labour at home until after the baby is born.

Key Differences: Midwife vs Doula

How do they complement each other?

Midwives and doulas have different roles, but when they work together, they provide holistic care. The midwife handles the medical and physical aspects, while the doula supports emotional well-being and presence.

Studies show that having a doula present can increase feelings of control and safety during birth, lower the need for pain relief, and even shorten labour.

Do I have to choose one?

No – it doesn't have to be one or the other. Many people choose both. A doula doesn’t replace medical staff but complements the care of a midwife. In some places, doulas are part of the healthcare system; in others, they are a private option.