You have many decisions to make now that you are expecting a baby. One of the first things you will have to decide is what kind of health care provider you would like to care for you during your pregnancy and the birth of your baby. You may choose an:
- Family practice doctor
- Certified nurse-midwife
Each of these health care providers is described below. Each one has different training, skills, and outlooks about pregnancy and childbirth. Your choice will depend on your health and the type of birth experience you want to have.
Think about these things as you decide what kind of provider you want to see during your pregnancy and the birth of your baby:
- Risk factors you may have for problems during pregnancy and childbirth
- Where you would like to deliver your baby
- Your beliefs and desires about natural childbirth
An obstetrician (OB) is a doctor who has special training in women's health and pregnancy.
Obstetricians specialize in both caring for women during pregnancy and labor, and delivering their babies.
Some OBs have advanced training in caring for high-risk pregnancies. They are called maternal-fetal medicine specialists, or perinatologists. Women may be advised to see an OB specialist if they:
- Had an earlier complicated pregnancy
- Are expecting twins, triplets, or more
- Have a pre-existing medical condition
- Need to have a cesarean delivery (C-section), or had one in the past
The family physician (FP) is a doctor who has studied family practice medicine. This doctor can treat many illnesses and conditions, and treats men and women of all ages.
Some family doctors also take care of women who are pregnant.
- Many will care for you during your pregnancy and when you deliver your baby.
- Others provide prenatal care only and have an OB or midwife care for you during the birth of your baby.
Family doctors are also trained to take care of your newborn after delivery.
Certified Nurse-Midwives (CNM)
Certified nurse-midwives (CNM) are trained in nursing and midwifery. Most CNMs:
- Have a bachelor's degree in nursing
- Have a master's degree in midwifery
- Are certified by the American College of Nurse-Midwives
Nurse midwives care for women during pregnancy, labor, and delivery.
Women who want to have as natural a childbirth as possible may choose a CNM. Midwives view pregnancy and childbirth as normal processes, and they help women safely limit or deliver without the following medical treatments:
- Pain medicines
- Vacuum or forceps
Most nurse midwives work with obstetricians. If complications or medical conditions develop during pregnancy, the woman will be referred to an obstetrician for a consult or to take over her care.
Joint statement of Practice Relations Between Obstetrician-Gynecologists and Certified Nurse-Midwives/Certified Midwives. ACOG-ACNM. Accessed Nov 25, 2014.
Williams DE, Pridjian G. Obstetrics. In: Rakel RE, ed. Textbook of Family Medicine. 8th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 21.
Update Date 11/19/2014
Updated by: Cynthia D. White, MD, Fellow American College of Obstetricians and Gynecologists, Group Health Cooperative, Bellevue, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.