Historically, the definition of “midwife” has been used to describe a woman who is with a woman at birth. In modern times, however, a midwife's education, qualifications and responsibilities are far greater than this. Providing supportive care and scientific knowledge, certified nurse-midwives (CNMs) are educated in both nursing and primary health care for women from puberty through menopause. In addition to the labor and delivery support, CNMs offer prenatal care, postpartum care, gynecological exams, newborn care, family planning, preconception care, menopausal management, and counseling in health management and disease prevention.

Whether a delivery is taking place in a hospital, birth center or home, midwives have the opportunity to provide personal, individualized care to the mother. During labor and delivery, the vigilant midwife provides calm, nurturing support; instills confidence and empowerment; and displays exceptional clinical skills and judgment. She reassures the laboring mother that her body naturally knows what to do. Studies have demonstrated that women under the care of a midwife experience fewer invasive procedures such as caesarean sections and episiotomies, and report a greater satisfaction with their birth experiences.

Doulas are an exceptional complement to the CNM. While a CNM must continuously monitor the health of the mother and baby, a doula's primary responsibility is to comfort the mother and father. As a team, a CNM and a doula assist the parents in having a rewarding birth experience.

Colleen Brezine, CNM, MSN, has six years experience as a certified nurse-midwife and four years experience with water immersion for labor and birthing. She has her own practice called All About Women in Westlake, Ohio and can be reached by calling (440) 827-5390. For more information on Certified Nurse-Midwifes go to www.acnm.org/focus/thinking/difference.cfm.