OB-GYN vs. Midwife: What’s the Difference?

If you’re pregnant or planning to be, one of your first big decisions is choosing a care provider. You’ve probably heard of OB-GYNs and midwives—but what’s the difference, and how do you know which is right for you?

OB-GYN (Obstetrician-Gynecologist):

An OB-GYN is a medical doctor who specializes in pregnancy, birth, and reproductive health. They are trained to manage high-risk pregnancies, perform surgeries (like C-sections), and treat complex medical conditions.

Midwife:A midwife is a trained professional who specializes in low-risk pregnancy and birth. Midwives take a more holistic, client-centered approach, often spending more time with you during visits and focusing on education, emotional support, and informed choice. They can practice in hospitals, birth centers, or at home, depending on their credentials and your preferences.

Key Differences:

• Medical Scope: OB-GYNs handle both low- and high-risk pregnancies; midwives specialize in low-risk care.

• Philosophy of Care: Midwifery is typically more relationship-based and less intervention-focused.

• Birth Setting Options: Midwives often support out-of-hospital births; OB-GYNs usually practice in hospitals.

Can I have both?

Yes! Many families choose collaborative care—seeing a midwife for prenatal visits and an OB-GYN if complications arise.

The best choice is the one that aligns with your values, health needs, and birth preferences.

Not sure where to start? I’m here to help you explore your options.