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What is the Difference Between a Midwife and a Doula?

As birthing options have expanded for women, there has occasionally been some confusion about the difference between a midwife and a doula. Although we both care for women in labor and can both be incredibly beneficial to women seeking out low intervention birth, the roles and training required are very different.

The word midwife means “with women” which is what we provide across the lifespan. From puberty through menopause midwives provide obstetrical and gynecological care. We encourage women to take an active role in their health care and we provide information and support throughout the process. Another goal of midwives is to be “with women” as much a possible during labor, but this is not always continuous--which is why a doula can be so beneficial. Certified nurse-midwives have completed a graduate degree, specializing in midwifery, and are required to pass a national certification exam, which allows them to practice in hospitals, birth centers and homes depending on regional laws and regulations. All MAMA Certified Nurse-Midwives are nationally board-certified, and are licensed through the Massachusetts State Board of Nursing.

The word doula is a Greek word meaning “women servant”. Birth doulas provide continuous non-medical labor support to women throughout their birthing process. A doula will often meet with a woman a number of times before labor to understand her desires and wishes. Then when labor begins the doula will come to her house to provide the early labor support she needs. When it is time to go to the hospital, the doula will go with the woman and stay until the baby is born. A postpartum visit is usually also included. There are also postpartum doulas, or women who come assist during the transition to new motherhood, by helping with breastfeeding, cooking, laundry and generally being an extra set of much needed hands. Doula training ranges from three days to three weeks in length. No medical background is required. There are a number of different organizations that certify doulas.

As you navigate this new path of motherhood, it is helpful to know that there are a variety of options to get the support you need during labor and birth. Please ask your midwife if you have any questions.


Written by Clare Storck, CNM