A midwife is a health care provider who specializes in female reproductive health care needs. This includes prenatal care, labor, delivery, postpartum care, and newborn care for low-risk pregnancies without complications. It may also include other aspects of women’s health, such as birth control, family planning, and menopause.
There are different types of midwives with different levels of training. Midwives often work together with doctors, but in some states they might work independently.
In the United States, the type of care midwives offer depends on their education, their credentials, and where they practice.
Some midwives have not gone through formal training and are not certified. They are sometimes called “lay” or “traditional” midwives. They may have learned midwifery by studying on their own, by shadowing another midwife as an apprentice, or in other informal ways. They can be licensed in some states, and usually only provide care during home births.
Pregnancy care can involve an OB-GYN, a family doctor who does obstetrical care, or a certified midwife (or a midwife and a doctor). People may choose a midwife because the training and philosophy of care of a midwife more closely aligns with their desires.
Midwives care for women who are in good health and not likely to develop problems during pregnancy and delivery. Someone whose pregnancy is considered high-risk is not a good candidate for midwife care. This can include anyone who has health conditions like high blood pressure, diabetes, or heart disease. It can also include a pregnancy with multiples, a fetus in the breech (feet- or bottom-first) position, or a previous C-section.
In the U.S., pediatricians (doctors who specialize in children’s health) and OB-GYNs (doctors who specialize in pregnancy and childbirth) recommend giving birth in hospitals or birth centers. Research has shown that these are the safest places for babies to be born. U.S. pediatricians and OB-GYNs believe that the best pregnancy care involves doctors and certified midwives working as a team.
In some other countries, midwife services are more common for reasons that can be historical, cultural, or related to improving access to care.
Reviewed by: KidsHealth Medical Experts
Date Reviewed: Apr 1, 2024
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