I came across this article in Canada Parent Expecting Spring Edition and wanted to share with you. Although it’s not the article in it’s entirety I wanted to give you my Cole’s notes on it’s contents.
MIDWIFE, OBSTETRICIAN OR DOULA, YOU PICK?
It used to be simple. You went to your family doctor, pregnancy was confirmed and then you were sent to an obstetrician - a physician specializing in the management of pregnancy and childbirth. Canadian women now have more options when it comes to their prenatal care and birthing experience.
Midwives, are trained to be experts in healthy, normal pregnancies and uncomplicated births. Though not all province’s have regulated midwifery, midwives are able to deliver babies at home or in birthing centres. Midwives are available 24/7 and get more personalized care. They will talk a woman through the birthing process, offering encouragement, a reassuring voice, aiding with massage and other methods of birthing without medication. If medication is needed, a hospital anaesthetist can perform an epidural and if unforeseen complications arise, a midwife will call for immediate medical consultation and/or intervention.
Midwives along with obstetricians can schedule prenatal visits at appropriate intervals, record medical history, perform clinical exams, check the health of mother and monitor fetal development. Both can arrange for routine lab and diagnostic testing and can order fetal screening tests.
Obstetricians, are trained to monitor high-risk pregnancies, women with medication complications and those carrying multiple babies. They are also able to prescribe medication and intervene to perform surgical procedures such as c-sections.
Doulas’ practices are not regulated in any province across Canada, though there is a world-wide doula organization, DONA International which certifies. Fees are set by the doula, meaning parents pay out-of-pocket for services. A doula is attendant at births as a non-medical, add-on professional support person. The doula provides emotional support, facilitates communication between caregivers and the birthing mom, and sees to a woman’s general physical comfort by managing all the non-technical, non-medical aspects of delivery. After delivery, a doula often stays with the new mom for a couple more hours to help her achieve success with breastfeeding.
Check out your options and what’s available in your community. Your medical and emotional needs are very important to ensure you and your baby will be in the best-trained hands.