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(TL;DR : Yes, yes you do need a Postpartum Doula and a Midwife. They are different.)
I get it: the birth & new parenthood world can feel like a completely different universe. It can be new and confusing. SO MANY NEW WORDS!! There is lots to learn. I hear you. So if I can help clear something up for you then that makes me very happy.
If you’re here, I’ll assume for now that the terms ‘Doula’ (in this case, Postpartum Doula) and ‘Midwife’ are causing some confusion. THAT’S PERFECTLY OKAY! In fact, I’ll discuss below why it may be COMMON to mix the two up.
Luckily, I have experience as both a Student Midwife and as a Postpartum Doula! Both professionals are wonderful, complementary, and are well worth your time learning about and considering.
I’ve also invited a great friend of mine, Vishali, who is a new Registered Midwife (RM) as a guest on this post, to also share her expertise on the subject. Welcome, Vishali!
Disclaimer: this is not a definitive or exhaustive comparison of the two professions. Just some main points we’ve come up with.
Great question. There are a few similarities, along with history, that Doulas and Midwives share.
See? You’re not alone or crazy for getting the two mixed up. In fact, it shows that the herstory of caring for perinatal persons isn’t forgotten! Yay. Now, let’s come back to the present and explore what makes them different professions nowadays (in the Ontario, Canada context!)
Thank you for asking me to talk about midwifery in your blog post! Midwives are primary health care providers specialized in low-risk pregnancy and birth. We have four years of university education during which 2.5 years is focused on rigorous clinical training, almost like a medical residency. We are publicly funded through OHIP and are regulated by the College of Midwives of Ontario. Midwives provide care to pregnant people in antepartum, intrapartum and 6 weeks postpartum.
Unfortunately, midwifery care ends after 6 weeks postpartum and our clients are discharged back to their family physicians and paediatricians. However, you can choose how long you would like support from your postpartum doula.
Although midwives come to your house few times within the first week of delivery, we are unable to spend more then an hour since we are providing care for about 120 clients per year who all need our time to either attend their labour or antepartum concerns. So we prioritize this hour to ensure you and baby are clinically stable. Postpartum doulas are experts in providing support for new moms who are transitioning into motherhood and learning to keep up with the demands of feeding their newborns every 2-3hrs while lacking sleep. They can especially be helpful on days where baby will be cluster feeding (constantly latched on to mom) when they are going through growth spurt (this can happen every 3-4days in the first 2 weeks).
The biggest difference, in my opinion, is TIME. Postpartum Doulas work with their clients to determine exactly what the client wants and needs, and what kind of support will work for the family. The client dictates the time committment. The Postpartum Doula’s scope and number of clients are smaller than a midwife’s, thus we are able to commit more time to each client.
And that’s an intentional difference! Remember, Midwives are health care providers. They make sure you and babe are healthy. Doulas want to make sure you feel supported. That typically takes more time!
For example, Postpartum Doulas can do light chores around the house. You will probably have a list ready of ways we can support you, and it’ll take some time to get that done for you, and we are MORE THAN HAPPY to. Please do not expect this from your midwife at their postpartum visits!!!!
Postpartum Doulas are hired to make space for you and your family to do the things that will make you feel good. Space and time are one in the same.
In Ontario, Postpartum Doulas are not regulated, and are privately funded. (Sometimes Postpartum Doulas are available through charitable and community organizations.) Thus, our scope extends beyond the 6 weeks postpartum of midwives. And each Postpartum Doula’s time scope may be different. At The Postpartum Nest, our time scope is 6 months postpartum. But if you need support and you are more than 6 months postpartum, feel free to contact us and we can still connect you.
Also, since Postpartum Doulas aren’t regulated by the government of Ontario (yet), there is more liberty in the services each Postpartum Doula can offer their clients. Each Postpartum Doula has complete autonomy over their business and services! Thus, it makes it easier for you, the client, to find a Postpartum Doula that meets you and your family’s needs. Yay!
Postpartum Doulas are not an either/or professional; they are an AND. Meaning, they are an addition to your support team/circle for the postpartum, and it does not exclude you from being able to access any other service. (Remember when I/Vishali explained that you can either have a Midwife OR an MD as your/baby’s health care during the first 6 weeks (unless it’s a consultation).)
In sum, the KEY takeaway I want you to have here is: Midwives are great. Postpartum Doulas are great. They are different professionals. The best case scenario is having BOTH! You can do that! And, I’ll argue till the end of my days, you should (and I DON’T usually use that ‘s’ word).
Midwives and Postpartum Doulas are complementary to each other. Both will hopefully and probably be fierce advocates for you. Happily, Midwives are covered by the Ministry of Health (Ontario). However, Doulas are not, but maybe one day? Who knows. It would definitely improve maternal mental health outcomes in Ontario, even Canada, but that’s a discussion for another day!
Look into midwives in your area and see if they might be a good fit as your perinatal primary health care provider. They are experts in normal pregnancy, birth, and postpartum health for you and your growing babe(s). If you need help finding a midwife, I might be able to help! Let me know.
And do yourself and your family a massive favour and invest in a Postpartum Doula! Ready? Book an appointment for a free discovery call with us today to continue the conversation. And share this blog post with someone else who you think should know about Midwives and Postpartum Doulas!
Thanks so much for reading!
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(TL;DR : Yes, yes you do need a Postpartum Doula and a Midwife. They are different.) I get it: the birth & new...
“We have three kids who were all under 2.5 years old during our time with the Doula. Naomi worked through the night a couple nights per week to give my husband and I some rest, as we had toddler twins and the newborn to look after through the day. We couldn’t have gotten through the days without the rest we got at night thanks to Naomi!” -B.F.
“Naomi saved us! We had twins and really needed sleep. She gave us a break! She was/is kind, caring, compassionate, and understanding. We felt very comfortable leaving our boys with her which is rare, given we are new parents. She exceeded our expectations tenfold! My husband, myself, and our two boys love her!” – A.F.
“…reminding me to hydrate; listening; trying to find some solutions; was very soothing, and the other kids also felt more cared for, I believe. For a third time mom, it’s so much more about the other children… It’s so difficult to find time for myself, whilst having to take care of a newborn and worrying if the older ones will be a little left behind… no mom of more than one would enjoy the pampering and the attention and care if she felt not all the children were being looked after. So when Naomi minded them, it was bliss. In this context, not usually having the time for myself, the nutrition part was especially important. I was constantly reminded that for the family to be well, I had to prioritize my own wellbeing.” – M.B.
Imagine: You’re in a pitch black room, and you know there is a door somewhere in that room. That door symbolizes sanity and wellness post-birth. Eventually, by feeling around, you will find the door– despite obstacles along the way. I believe in you. But imagine how much easier it would be to find the door if there was a little candle by the door, guiding you and making you feel a little less lost and disoriented, and more confident. That’s what a having a Postpartum Doula is like.