Between Two Worlds

I’ve discovered this year that midwives really do practice between two worlds. Our schooling is structured within a particular culture, one of teachings passed on by grandmothers of the profession but also filled with rigorous scientific method and evidence-based practice.

We speak midwifery to our clients but speak traditional obstetrics when we consult.

We fiercely protect our clients from harm and are sometimes bullied for holding their space sacred.

We can use a pinnard to listen to a baby’s heart rate between contractions and can assist in surgery.

This is what I think the third year of the midwifery program is about: shapeshifting between two worlds.

We spend an entire eight months jumping from one interprofessional placement to the next. I spent time with ultrasound technicians, lactation consultants, nurses, obstetricians, and social workers. I learned about other professions’ scopes of practice and how we can work together as a part of the same team. I respect what they do and hope that our interactions have contributed positively to the midwifery image.

Some people might wonder: why don’t other professions do this? Isn’t this important? Shouldn’t they shadow us? I would argue that of course, it is but it’s more important for midwives, we don’t exist in a vacuum. We need to learn how to situate ourselves within these two worlds: midwifery and obstetrics. We need to learn how to survive tough conversations with people that don’t believe we’re smart enough and how to appropriately and respectfully challenge differences of opinion. We need to learn how to be well-rounded midwives, knowing what interventions and technologies are available but also when they are appropriate. This year is also about learning what aspects of midwifery are important to you and reminds you why you are so excited to start midwifery practice again in the summer.

Going into senior year, we might need to learn how to trust birth again. We may need to reinvigorate our passion after feeling alone and defenceless in the face of intense opinions and scrutiny of midwives and homebirth. We need to be reminded that midwives are the answer to gaps in obstetric care and that we make a difference and that we are extremely lucky to do the work that we do.

Going into senior year, we should also know that we’re ready.


6 thoughts on “Between Two Worlds

  1. This is such a great post! I definitely agree that midwives must learn to practice in two different worlds. In your opinion, what makes a midwife differ from a doula (excluding the obvious fact that midwives are medical practictioners and doulas are not)?


    1. This is such a great question! Aside from the obvious like you mentioned, I feel like were more like two sides of the same coin. Doulas facilitate midwives ability to practice within these two worlds. Midwives have to chart, mind medications, and continuously evaluate maternal/fetal status and wellbeing. When doulas assist parents midwives are free to do those things and also support their clients emotionally and physically. We work well together as a team. What do you think?


      1. Sorry for the late reply, I didn’t notice your response! I like your way of putting it. They’re definitely part of a team that facilitates both aspects of birth (emotional and physical) of being fulfilled. As a future midwife, how do you see yourself balancing the two if you’re the only caregiver at someone’s birth?


      2. Sorry for the late reply, I didn’t notice your quick response! I definitely agree with your point on working as a team. Having a doula and a midwife definitely allows both aspects of birth, the emotional and physical, to be fulfilled. As a future midwife, how do you see yourself balancing both worlds at a birth where you’re the sole caregiver?


  2. Also, sorry for the glitch. I was sure that my comment didn’t go through the first, which is why there are two versions up there haha


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