TRANSFORMING FROM DOULA TO MIDWIFE

Abstract

The roles of doulas and midwives converge in some areas, yet their divergences are vast. Transitioning from doula to midwife has given me an insider’s view, enabling me to reflect on the advantages and challenges of these vocations and the benefits of merging these skills. Providing continuity and woman-centred care in an emotionally-safe environment is a skill both doulas and midwives can develop. However, the variations in responsibilities and regulations can create discord, interfering with a woman’s experience, autonomy in decision-making and empowerment. When women’s voices are heard and philosophies align, doulas’ and midwives’ skills in supporting physiological birth are protective against over-medicalisation and iatrogenic trauma.