Childbirth Helped by a Obstetrician or Midwife?
Windowofworld.com – Some pregnant women may still be confused and not sure whether to give birth with the help of an obstetrician or midwife. Before making these choices, it is better if pregnant women find out in advance about the role of obstetricians and midwives during labor.
Determining the right place and health personnel to help pregnant women in childbirth later is an important thing that needs to be carefully considered. To make it easier to determine, first understand the tasks and health services that can be provided by midwives and obstetricians.
Furthermore, Bumil can make choices according to the planned delivery process that she wants to go through and of course Bumil’s pregnancy conditions.
Difference between obstetrician and midwife
The following are the different roles and services of obstetricians and midwives that pregnant women need to know:
1. Educational background taken
Obstetricians are specialist doctors who have graduated from general medical school and completed specialist education in obstetric and gynecological medicine and the health of the female reproductive system. Obstetricians are also often called obstetricians and gynecologists (obgins).
Whereas the midwife is not a doctor and does not undergo medical education. Midwives are trained medical personnel who have completed midwifery education, namely the study of prenatal care, pregnancy, childbirth, and postpartum care.
2. Authority in handling patients
Obstetricians have the authority to handle normal and high-risk pregnancies and childbirth or to experience complications, while midwives only handle normal pregnancies without interference or the risk of severe complications.
Obstetricians also have the expertise to perform cesarean section or childbirth assistance techniques, such as episiotomy, forceps, and vacuum. Obstetricians are also able to perform several other medical measures such as administering epidural anesthesia or drugs to treat labor pain.
Meanwhile, midwives only have the authority to assist in normal deliveries and take actions to assist in normal deliveries, such as episiotomy.
Because there are fewer fields and competencies for work, midwives will refer pregnant women to the obstetrician if they have problems during pregnancy that the midwife cannot handle.
3. Actions and checks carried out
In general, midwives can only carry out routine pregnancy checks on healthy and normal pregnant women and fetuses. For problematic pregnancies, the treatment is carried out directly by the obstetrician.
The following are some of the types of examinations and actions that can be done by obstetricians when handling pregnant women:
- Conduct pregnancy examinations to monitor the health of the mother and fetus, for example physical and supporting examinations, such as blood tests, urine tests, and ultrasound examinations during pregnancy until delivery
- Provide important information to pregnant women about the condition of their pregnancy as well as tips or education so that pregnant women stay healthy during pregnancy
- Overcoming complaints commonly felt during pregnancy, such as morning sickness, back and leg pain, heartburn, and fatigue
- Prescribe medicines and pregnancy supplements to overcome complaints experienced by pregnant women and help complete nutritional needs during pregnancy
- Provide an explanation and choice of the best birth planning plan for pregnant women
- Caring for and monitoring the condition of pregnant women and fetuses during pregnancy, childbirth, and after childbirth
4. Location and delivery costs
As a trained health professional, midwives can help with labor in hospitals, maternity homes, or at pregnant women’s homes. Meanwhile, obstetricians generally only serve the examination of pregnancy and childbirth in hospitals or maternity clinics.
This is because the doctor requires special equipment and equipment if at any time must take action when the delivery process is interrupted, for example in cases of fetal distress or prolonged labor.
The difference in competence as well as the handling and facilities required, making the cost of consulting services and delivery costs at midwives and obstetricians also differ. Generally, consultation fees and delivery costs at obstetricians are more expensive than midwives.
So, which is better?
In the end, the decision to give birth assisted by an obstetrician or midwife is in the hands of pregnant women. Whatever the decision, it should be adjusted to the needs and other factors, such as the delivery process that you want to go through, the condition of pregnancy, the hospital or clinic where your pregnant mother will give birth, and financial conditions.
If pregnant women are over 35 years old or have medical conditions such as high blood pressure, heart disease, or have experienced serious complications in a previous pregnancy, pregnant women should consult obstetricians so that the condition of the pregnancy can continue to be monitored until the time of delivery.
If pregnant women are in good health and the pregnancy is also proceeding normally, giving birth with the help of a midwife can be an option.
In certain conditions, pregnant women can combine between the two, namely by checking the pregnancy routinely to the midwife and occasionally carrying out more specific examinations to the obstetrician, for example an ultrasound examination.
If a pregnant woman decides to choose a midwife, the thing to note is that the selected midwife has a Midwife Work Permit or Midwife Practice License. Midwives must also have good and positive credibility.
Pregnant women can also find out in advance the background of the obstetrician and the midwife. The distance between the hospital or the place of birth is also important. Pregnant women pay attention for comfort during labor later.
So in essence, choosing to give birth assisted by an obstetrician or midwife needs to be adjusted to the conditions of pregnancy and the fetus. If pregnant and fetal conditions are healthy or there are no problems in pregnancy, pregnant women can give birth assisted by a midwife or obstetrician.
However, if the pregnancy condition is pregnant or the fetus has certain abnormalities or conditions, then the delivery process can only be assisted by an obstetrician.