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March 1, 2019

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Birth team roles

February 3, 2017

"If I have a midwife, do I really need a doula?"


"My nurse is going to be there the whole time, right?"


"Will a doula take over my partner's job?"


These questions, along with others, are ones that commonly come up during our consultations with prospective clients and lead us to  a discussion on the various members of the birth team that are available to you. 

1. Your doctor or midwife


Your doctor/midwife is responsible for your medical well-being and the well-being of your baby. You meet with your medical provider at regular intervals during your pregnancy and they monitor you and your babies health. It's their job to help you manage your health and to provide medical oversight for you and your baby's care throughout pregnancy, labor & delivery, and  early postpartum. When you think you are in labor, most providers want you to check in with them. During your labor, they may make medical suggestions based on the path your labor is taking. If there are any medical concerns they may order tests (such as ultrasound or blood work) or they may prescribe medicine (such as antibiotics or anti-nausea). In hospital settings, doctors/midwives may pop in and out of your room periodically to check your labor progress or make suggestions, but they don't stay in the room with you until you are close to delivering your baby. Then their focus turns to receiving your baby and making sure you and Baby are staying healthy. Your provider will watch for and manage any delivery related medical issues (such as those having to do with cord blood, placenta and blood loss.) Once your baby is born, her medical care will transition to a Pediatrician. During a home birth, your midwife will assume medical responsibilities that are kind of a combination of your your doctor and nurse's. She will provide medical oversight, monitor you and Baby, chart, remain with you during active labor, receive the baby, and stay with you during the immediate postpartum to make sure you're both doing well.


2. Your nurse


In a hospital setting, your nurse will usually be in your room much more frequently than your doctor/midwife. Your nurse is responsible for handling the logistics of your medical care, including getting you admitted the hospital, taking frequent blood pressures and temperatures, monitoring baby, getting you water/blankets/pillows, and doing a LOT of charting! Nurses are excellent care providers who have your best interest in mind, but the reality of their job doesn't typically allow for a lot of hands-on labor support. Depending on their patient load, they may or may not spend much time in your room during labor. Once you are ready to push, your nurse will usually be the one to work with you and monitor your progress and will call the OB when she thinks you are very close to delivering. Once Baby is born, a baby nurse will take primary responsibility for checking heart tones, performing apgar tests, etc. and your nurse will continue to monitor your recovery.


3. Your partner


Your partner is probably looking forward to being your primary support person and as doulas, we LOVE that! Sometimes a partner can't be present or has other limitations that they know will make labor support difficult for them and your doula will take a very primary role. More often, a doula will come on your team and work beside your involved partner to offer you continuous labor support. Whenever possible, we really do encourage partners to take a very active role in your labor su