Today women are more educated about their birth options, and while most opt to deliver in a hospital rather than at home or a birth center, many women aren’t aware that using someone other than and OB/GYN is an option.

The question is not whether to choose between a doula or a midwife but to realize that you can actually use both!

A midwife performs actual pre and post natal medical care and delivery.
A doula is there to support the mother and meet her needs.
An OB/GYN is a medical doctor that can perform the pre and post natal medical care and vaginal delivery, as well as handle any emergency birth situations such as would require a Caesarian section.

Your options are:
Just your OB/GYN
Just your midwife
A doula & OB/GYN
A doula and midwife

In a hospital setting an OB/GYN will be available if an emergency should arise.

There are varying levels of Midwifery – Lay Midwifery, Certified Midwifery and Certified Nurse Midwifery.
If you are foregoing an OB/GYN it is important to make sure you have a Nurse-Midwife. More info on this topic.

Midwives and doulas encourage a natural (non-medicated) birth and tend to be medically as hands-off as possible. Doulas are better known as a birth coach, they are there to support the mother as much as possible and both help to assist in postpartum care and breastfeeding.

Many midwives can perform doula services.

Most major insurance companies cover midwifery services– typically at a reduced “out-of-network provider” rate. Your lab charges, as well as physician charges, if needed, are additional and usually covered by insurance plans even if you choose an out-of-network provider.

Doulas are rarely covered by insurance and most require a up front one time fee. Often this fee can be paid or reimbursed from your Flex Spending Account.

1. Don’t get induced unless medically necessary

Years of study have shown that inducing labor often leads to a C-section.

2. Labor at home until you’re approximately 3 centimeters dilated

Consult your DR if your water breaks, they may want you to come into the sterile hospital environment to avoid infection. Also many hospitals start the 24 hour to birth clock when you check in, and your body may need longer than that.

3. Choose your hospital, and your practitioner, carefully

If having a vaginal birth is important to you, shop for a doctor and a hospital with low C-section rates.

4. In the delivery room, ask questions if your practitioner says you need a C-section

Some situations are true emergencies, and a C-section is necessary within minutes to save the baby’s life. That’s not a time to negotiate. But in other situations, parents should ask questions about whether a C-section is absolutely necessary – such as if the Dr says the baby is too ‘big’ or the DR is following a time table.

5. Get a doula

Doulas, or birth assistants, can help advocate for a mother when she’s in labor.