What is a Midwife vs. OBGYN: How to Choose the Right Provider for Your Pregnancy

One of the first major decisions you’ll make during pregnancy is choosing your care provider. And for many, that decision comes down to one big question: midwife or OBGYN?

cesarean delivery in hospital

There’s no universal right answer—just what’s right for you. Your provider plays a key role in shaping your prenatal care, birth experience, and postpartum support. Whether you’re newly pregnant, planning for the future, or a birth professional guiding others, understanding the difference between midwifery care and obstetric care is essential.

Let’s walk through the key differences and considerations—so you can feel confident making the choice that fits your needs and values.

Midwife vs OBGYN: Key Questions to Help You Decide

Not sure which provider is the right fit? Ask yourself the following:

1. What kind of birth experience are you envisioning?

If you're hoping for a natural birth in a home-like setting with minimal interventions, a midwife may align more closely with your preferences. If, on the other hand, you are high-risk and epidural is a must, a hospital setting equipped with the medical technology and OBGYN care may be your ideal choice.

2. Is your pregnancy considered high-risk?

Chronic health conditions, pregnancy complications, or carrying multiples may require the expertise of an OBGYN. While the term high-risk may be over used in some clinical settings, some examples of this consist of:

• Chronic hyper-tension

• Pre-gestational diabetes (type 1 or 2)

• Heart disease

• Blood clotting disorders

• Kidney or liver disease

• Preeclampsia or eclampsia

• Placenta previa or placental abruption

Midwives typically provide care for low-risk pregnancies and will refer out if severe complications arise.

3. Do you value longer, more personalized prenatal visits?

Midwives often spend more time during appointments, focusing on both physical health and emotional well-being. If relationship-centered care is important to you, this may be something to consider.

4. What's your comfort level with medical interventions?

If you're planning to use pain medication or want the option of cesarean delivery, an OBGYN can offer those choices.

Midwives tend to support physiological birth and will usually recommend non-pharmacological comfort measures first.

5. What options are available in your area?

Access to midwives and birth centers can vary by location. Some regions have robust midwifery networks, while others are more hospital-centered. Availability may help narrow your choices.

midwife using a fetoscope

Can You Combine Both?

Yes, and many people do. In hospital setting, Certified Nurse Midwives often work alongside OBGYNs in collaborative practices. This allows for midwifery care during a low-risk pregnancy, with the option to consult or transfer care to an OBGYN if needed.

For Birth Workers and Medical Professionals

If you're a doula, childbirth educator, or health care provider, understanding the different models of care can help you guide clients making informed decisions. Supporting someone in finding a provider that reflects their values, risk profile, and vision for birth is one of the most impactful things you can do.

Final Thoughts: Your Provider, Your Way

Whether you choose a midwife, OBGYN, or a combination of both, the most important thing is that you feel supported, heard, and safe. Your care provider should be someone who respects your preferences, communicates clearly, and partners with you throughout your journey.