A midwife is a trained health professional who helps healthy women during labor, delivery, and after the birth of their babies. Midwives may deliver babies at birthing centers or at home, but most can also deliver babies at a hospital.
Women who choose midwives usually want very little medical intervention and have had no complications during their pregnancy. Because giving birth to twins is more complicated than giving birth to a single baby, many doctors don't recommend using a midwife unless under the direct supervision of a doctor.
Midwives can have different levels of training:
- Certified nurse-midwives (CNMs) are registered nurses who have graduated from an accredited nurse-midwifery education program and have passed a national exam. They can practice in all 50 states and the District of Columbia.
- Certified midwives (CMs) are non-nurse midwives who have a bachelor's degree or higher in a health field, have completed an accredited midwifery education program, and have passed a national exam. Only a few states permit CMs to practice.
- Certified professional midwives (CPMs) are non-nurse midwives who have training and clinical experience in childbirth, including childbirth outside of the hospital, and have passed a national exam. Not all states permit CPMs to practice.
- Lay midwives are not certified or licensed but have apprenticed or received informal training.
What Does Your Midwife Do?
Like an obstetrician/gynecologist (OB-gyn), your midwife can provide care before, during, or after your pregnancy. Your midwife will:
- Provide family planning and preconception care
- Do prenatal exams and order tests
- Watch your physical and psychological health
- Help you make your birth plans
- Advise you about diet, exercise, meds, and staying healthy
- Educate and counsel you about pregnancy, childbirth, and newborn care
- Give you emotional and practical support during labor
- Admit and discharge you from the hospital
- Deliver your babies
- Make referrals to doctors when needed
How Your Midwife Works With Your Pregnancy Team
Midwives have a relationship with an OB/gyn, who provides consultation as needed. Your midwife may refer you to an obstetrician for care if a problem develops during your pregnancy. Your midwife also may team up with another midwife or doula to help with your labor and delivery. Make sure your midwife is in practice with a doctor.
Why You Might Want to Choose a Midwife
You may want to consider working with a midwife if:
- You want your childbirth to be as natural as possible with little medical intervention, such as an episiotomy, fetal monitoring, labor induction, etc.
- You want the emotional, practical, and social support that midwives provide.