Prenatal care - health care provider; Pregnancy care - health care provider
You have many decisions to make when you are expecting a baby. One of the first is to decide what kind of health care provider you want for your pregnancy care and the birth of your baby. You may choose an:
Each of these providers is described below. Each has different training, skills, and outlooks about pregnancy and childbirth. Your choice will depend on your health and the type of birth experience you want.
Here are some things you need to consider when you decide on the type of provider you want:
An obstetrician (OB) is a doctor who has special training in women's health and pregnancy.
OB doctors specialize in both caring for women during pregnancy and labor, and delivering their babies.
Some OBs have advanced training in caring for high-risk pregnancies. They are called maternal-fetal medicine specialists, or perinatologists. Women may be advised to see an OB specialist if they:
The family physician (FP) is a doctor who has studied family practice medicine. This doctor can treat many illnesses and conditions, and treats men and women of all ages.
Some family doctors also take care of women who are pregnant.
Family doctors are also trained to take care of your newborn after delivery.
Certified Nurse-Midwives (CNM)
Certified nurse-midwives (CNM) are trained in nursing and midwifery. Most CNMs:
Nurse midwives care for women during pregnancy, labor, and delivery.
Women who want to have as natural a childbirth as possible may choose a CNM. Midwives view pregnancy and childbirth as normal processes, and they help women safely deliver without treatments or minimize their use. Treatments may include:
Most nurse midwives work with OBs. If complications or medical conditions develop during pregnancy, the woman will be referred to an OB for a consult or to take over her care.
American College of Nurse-Midwives. Joint statement of practice relations between obstetrician-gynecologists and certified nurse-midwives/certified midwives. www.acog.org/-/media/Statements-of-Policy/Public/87ACNM-CollegePolicy-Statement---June-2018.pdf?dmc=1&ts=20190917T1451321866. Updated April 2018. Accessed November 12, 2018.
Gregory KD, Ramos DE, Jauniaux ERM. Preconception and prenatal care. In: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Normal and Problem Pregnancies. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 6.
Williams DE, Pridjian G. Obstetrics. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 20.
Review Date: 9/25/2018
Reviewed By: John D. Jacobson, MD, Professor of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda Center for Fertility, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. 09-17-19: Editorial update.
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