BirthKeepers, Doulas, and Midwives – Who are they?

2–3 minutes

In the intricate tapestry of childbirth support, three key roles emerge as pillars of guidance and care: BirthKeepers, Doulas, and Midwives. While these titles may seem synonymous at first glance, each plays a distinct yet complementary role in bringing new life into the world.


Midwives: Historically revered as guardians of birthing knowledge, midwives have walked alongside women through labour and delivery for centuries. Trained healthcare professionals and midwives provide comprehensive prenatal care, attend births, and offer postnatal support. They advocate for natural childbirth, often prioritising minimal intervention and empowering women to trust their bodies’ innate ability to give birth. Depending on local regulations and individual preferences, midwives can work in various settings, including hospitals, birthing centres, and home births. Historically, however, midwives weren’t medical professionals for many nations like Haiti but the community’s aunties, grandmas, and elder mothers. These women themselves have birthed, witnessed, and guided many children on the earth. I understand that the Western educational experience is one of many ways to become a professional in a field. 

Doulas: Unlike midwives, doulas do not have medical training and do not deliver babies. Instead, they offer emotional, physical, and informational support to expectant mothers before, during, and after childbirth. Doulas advocate for the birthing person’s preferences and desires, offering continuous support to help navigate the often overwhelming journey of labour and delivery. Their role encompasses providing comfort measures, assisting with birth plans, offering education, and being reassuring throughout the process. Doulas can complement the care midwives or obstetricians provide, enhancing the birthing experience through personalised support.

BirthKeepers: BirthKeepers encapsulate a broader spectrum of individuals with space for birthing people and their families. While this term can encompass midwives and doulas, it includes other supportive figures such as childbirth educators, lactation consultants, and holistic practitioners. BirthKeepers focuses on nurturing a positive and empowering birth experience, fostering an environment of trust, respect, and informed decision-making. They honor the sacredness of birth as a transformative journey, acknowledging the physical, emotional, and spiritual aspects of bringing new life into the world.

Like Blissful Births, we are an Afro-Indigenous BirthKeeper and Student Midwife and Midwife assistant. I have certifications and training for spiritual and wellness, indigenous practices and traditions, Reiki, breastfeeding and lactation, and newborn health and development (emotional and psychological). I am also in the process of becoming a community elder/leader.

While midwives, doulas, and BirthKeepers each play unique roles in childbirth support, they share a joint commitment to promoting holistic well-being and empowering birthing individuals to make informed choices. Whether providing clinical expertise, emotional guidance, or spiritual nourishment, these dedicated professionals and companions serve as beacons of support, honoring the sacred journey of birth with compassion, respect, and reverence.

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