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Some pregnant women may still be confused and not sure whether to give birth with the help of an obstetrician or midwife. Before making this choice, it is better for pregnant women to find out first about the role of obstetricians and midwives during the delivery process
Determining the right place and he alth workers to help pregnant women during childbirth is an important thing that needs to be considered carefully. To make it easier to determine, first understand what tasks and he alth services can be provided by midwives and obstetricians.
Furthermore, pregnant women can make choices according to the delivery plan they want to undergo and of course the condition of pregnant women.
Differences between Obstetricians and Midwives
The following are the different roles and services of obstetricians and midwives that pregnant women need to know:
1. Educational background taken
An obstetrician is a specialist doctor who has graduated from general medical school and completed specialist education in obstetrics and gynecology as well as women's reproductive system he alth. Obstetricians and gynecologists are also often referred to as obstetrics and gynecology specialists (obstetricians).
Meanwhile, the midwife is not a doctor and has no medical education. Midwives are trained medical personnel who have completed midwifery education, namely the study of pre-pregnancy care, pregnancy, delivery, and postpartum care.
2. Authority in handling patients
Obstetricians have the authority to handle normal pregnancies and deliveries as well as those with high risk or complications, while midwives only treat normal pregnancies without any disturbance or risk of serious complications.
Obstetricians also have the expertise to perform caesarean sections or delivery assistance techniques, such as episiotomy, forceps, and vacuum. Obstetricians are also able to perform several other medical procedures such as administering epidural anesthesia or drugs to treat labor pains.
Meanwhile, midwives are only authorized to assist normal deliveries and take measures to assist normal deliveries, such as episiotomy.
Due to fewer fields and work competencies, midwives will refer pregnant women to obstetricians if pregnant women have problems during pregnancy that the midwife cannot handle.
3. Actions and checks carried out
In general, midwives can only perform routine pregnancy check-ups on pregnant women and he althy and normal fetuses. For problematic pregnancies, treatment is carried out directly by an obstetrician.
The following are several types of examinations and actions that can be carried out by obstetricians when dealing with pregnant women:
- Conducting prenatal check-ups to monitor the he alth of the mother and fetus, such as physical and supporting examinations, such as blood tests, urine tests, and ultrasound examinations during pregnancy up to delivery
- Providing important information to pregnant women about the condition of their pregnancy as well as tips or education so that pregnant women stay he althy during pregnancy
- Overcoming complaints that are commonly felt during pregnancy, such as morning sickness, back and leg pain, heartburn, and easy fatigue
- Prescribing medicines and pregnancy supplements to overcome complaints experienced by pregnant women and help complete nutritional needs during pregnancy
- Providing explanations and options for the best delivery plan for pregnant women
- Caring and monitoring the condition of pregnant women and fetuses during pregnancy, childbirth, and after childbirth
4. Location and cost of delivery
As trained he alth professionals, midwives can assist the delivery process in hospitals, maternity homes, or at home for pregnant women. Meanwhile, obstetricians generally only serve pregnancy check-ups and delivery processes in hospitals or maternity clinics.
This is because doctors need special equipment and equipment if at any time they have to take action when the delivery process is disrupted, for example in cases of fetal distress or prolonged labor.
There are differences in competence as well as the handling and facilities needed, making the cost of consulting services and delivery costs at midwives and obstetricians also different. Generally, consultation fees and delivery fees at obstetricians are more expensive than midwives.
So Which is Better?
In the end, the decision to give birth with the help of 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 you want to undergo, the condition of the pregnancy, the hospital or clinic where the pregnant woman will give birth, and financial conditions.
If pregnant women are more than 35 years old or have medical conditions such as high blood pressure, heart disease, or have experienced serious complications in a previous pregnancy, it is better for the pregnant woman to see a gynecologist so that the condition of the pregnancy can continue to be monitored until the time of delivery arrives.
If the pregnant woman is in good he alth and the pregnancy is also going normally, giving birth with the help of a midwife can be an option.
Under certain conditions, pregnant women can combine the two, namely by routinely checking their pregnancy with the midwife and occasionally carrying out more specific examinations to the obstetrician, such as ultrasound examination.
If pregnant women decide to choose a midwife, the thing to pay attention to is to make sure the selected midwife has a Midwife Work Permit (SKIB) and a Midwife Practice Permit (SIPB). Midwives must also have good and positive credibility.
Pregnant women can also find out in advance the background of the obstetrician and midwife. It is also important for pregnant women to pay attention to the distance from the hospital or delivery place for comfort during delivery later.
So basically, choosing to give birth assisted by an obstetrician or midwife needs to be adjusted to the condition of the pregnancy and fetus. If the pregnant woman and the fetus are he althy or there are no problems in pregnancy, the pregnant woman can give birth assisted by a midwife or obstetrician.
However, if the pregnant woman's condition is problematic or the fetus has certain abnormalities or conditions, then the delivery process can only be assisted by an obstetrician.