Doula vs Midwife

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Updated Dec 13, 2024 | 10:00 AM IST

Doula vs Midwife: Is There A Difference?

SummaryYou must have heard pregnant women opting for a doula or a midwife. But, is there a difference? Read on to know what the major differences are and which one should you choose for a better pregnancy experience, as per your needs.

Pregnancy means you have to choose the right thing for your health as a mother and for your child too. Birthing can be challenging and so some people go for a trained person who can help you through it. The right support can really make all the difference. While some go for a doula, some go for a midwife. But is there a difference in their roles, training and responsibilities? What should you go for? Let us break it down here:

What is a Doula?

The word 'Doula' has its Greek origins, which means "woman's servant". Think of a doula as a supportive companion for an expectant parent, but someone who is not medical professionals but rather emotional and physical support providers who assist before, during, and after childbirth.

Types of Doulas:

There are two types of doula, a birth doula and a post-partum doula

Birth Doula:

A birth doula supports laboring parents with nonmedical techniques. These include breathing exercises, massage, and position changes. They provide emotional reassurance and advocate for the parent’s birthing preferences. Whether you opt for a natural birth, pain medications, or even an unplanned cesarean section, a doula helps you feel empowered and safe throughout the process. Studies, like a 2017 Cochrane Review, suggest that having a doula can reduce medical interventions and enhance satisfaction with the birthing experience.

Postpartum Doula:

After birth, postpartum doulas assist new parents with recovery, infant care, and lactation support. They also help families adjust, particularly in homes with older children.

Is there any certification or a training?

Doulas do not require certification, though many opt for formal training programs through organizations like DONA International or Childbirth International. Certification involves coursework and hands-on experience during births. It is always best to ask your doula if you have any doubts related to their qualifications. There are uncertified doulas too, they could be your supportive friends or family members. They too can still offer valuable help, though their knowledge may be more limited.

ALSO READ: Could You Be Pregnant And Not Know It?

What is a Midwife?

The main difference between a midwife and a doula is the professional medical training. A midwife is a trained medical professional specializing in pregnancy, childbirth, and postpartum care. Midwives can serve as independent healthcare providers for the entire prenatal and birthing process, and their training equips them to manage a variety of medical situations.

Types of Midwives:

Certified Nurse Midwives (CNMs):

CNMs are registered nurses with advanced degrees in midwifery. They can perform many of the same duties as doctors, including prescribing medications, monitoring fetal health, and delivering babies. CNMs often work in hospitals but may also practice in clinics, birth centers, or homes.

Certified Direct-Entry Midwives (CPMs):

These midwives do not need nursing degrees but undergo specialized midwifery training. They typically focus on out-of-hospital births, such as those at home or in birthing centers.

Roles and Responsibilities:

Midwives provide medical care, such as prenatal check-ups, labor monitoring, and postpartum evaluations. They are trained to handle complications and emergencies, including postpartum hemorrhages and neonatal resuscitation. While midwives encourage unmedicated births, they fully support parents who choose pharmacological pain relief.

Certification and Licensing:

Midwives must complete rigorous training and obtain certifications based on their specialization. CNMs are certified through the American Midwifery Certification Board, while CPMs are certified via the North American Registry of Midwives. Licensure requirements vary by state, but midwives must meet recognized educational and clinical standards.

Choosing a Doula, a Midwife, or Both

The most critical factor in choosing a doula or midwife is finding someone you trust and feel comfortable with. Both professionals can play unique and complementary roles in your birthing journey.

For Emotional Support: A doula offers continuous labor support and advocacy, making them a valuable addition to hospital and home births alike.

For Medical Expertise: A midwife is essential for managing prenatal care and addressing complications during childbirth.

Many parents opt for both, combining the emotional support of a doula with the medical expertise of a midwife for a well-rounded birthing experience.

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Research Finds What Is The Key To Favoritism Among Parents

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Updated Apr 28, 2025 | 05:00 PM IST

Parents Do Play Favorites - Research Finds What Is The Key To Favoritism Among Parents

Summary‘We love all our kids equally; there is no disparity among the way they are treated’ is a goal many parents hope they achieve with multiple kids. However, studies show that many parents do in fact have favorites. Are there factors that affect this?

While parents often claim they do not have a favorite child, sometimes their favor is evident. Sometimes it is the kid they depend on the most, other times it is the youngest kid of the family. However, is there a specific factor parents enjoy more in their kids? After analyzing factors like age, gender and behavioral pattern, researchers found what parents favored the most in their children

In a 2025 study published by the Psychological Bulletin, researchers found that parents favor daughters. They are more likely to be the favorite, across both mothers and fathers. Firstborn children also often receive more positive attention. Additionally, children who are described as conscientious – meaning they are responsible, organized, and do what they're supposed to – are also frequently favored. These findings suggest that certain personality traits and birth order can influence how parents interact with their children, even if unintentionally.

How Did They Find Parents Favored Certain Kids

Researchers looked at the results of many different studies. They combined the findings from over two dozen research papers, including articles, school projects, and large collections of data. This allowed them to see broader patterns in how parents treat their children differently. By looking at things like how much affection parents show and how they share resources, the researchers could draw more reliable conclusions than if they had just looked at one single study. This big picture approach helps us understand the common trends in parental favoritism.

Why Did The Parents Favor These Traits

Older Siblings

Parents tend to grant older children more freedom and decision-making power, likely due to perceiving them as more mature and responsible based on their age and experience. Having navigated earlier developmental stages, they've often earned more trust, leading parents to offer greater independence compared to their younger siblings who are still learning and growing.

Daughters

Social norms and potential emotional closeness might contribute to daughters being favored. Parents may have different communication styles or expectations, possibly leading to a stronger perceived bond. While conscientiousness and agreeableness play a role overall, a general inclination towards daughters could also stem from subtle societal influences on parental perceptions and interactions.

Conscientious and Agreeable Children

Children who are responsible, organized, cooperative, and kind often experience more positive parental interactions. Their agreeable nature leads to less conflict, creating smoother relationships. These traits can make parenting easier, resulting in more praise, trust, and overall favored treatment compared to siblings who may exhibit more challenging behaviors.

Avoiding Shows Of Favoritism For Kid’s Well-Being

When children feel like they are not the favorite, it can have a real impact on their well-being. It's not just about feeling a little sad; it can affect their mental health, their relationships with others, and even how well they do in school. To make sure all their children feel equally loved and valued, parents can try a few practical things.

It's helpful for parents to regularly think about how they interact with each child. Showing interest in each child's unique hobbies and asking them open-ended questions about what's important to them can make a big difference.

Spending dedicated one-on-one time with each child and avoiding comparisons between them are also key. Encouraging a positive relationship between siblings and openly talking about everyone's needs can create a more supportive and equitable family environment.

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Your Daily Dose Of Sunlight Could Boost Fertility And Ovarian Health After 30

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Updated Apr 27, 2025 | 10:21 AM IST

Your Daily Dose Of Sunlight Could Boost Fertility And Ovarian Health After 30

SummaryFemale fertility naturally declines with age, particularly after 30. Sunlight exposure and adequate vitamin D levels can enhance ovarian health and improve fertility outcomes, especially in women trying to conceive.

Trying to conceive in your 30s can feel like a race against time, but what if the secret to increasing your fertility was as easy as taking a walk outside for some sunlight? Yes, you heard that right! New studies indicate moderate sun exposure to have a crucial role in maintaining ovarian health and fertility, particularly for women past the age of 30. The quest for fertility and reproductive well-being assumes greater importance with advancing age for women, more so after passing the 30s. That biological functions change with age for women is not a secret, and with this comes the dip in fertility as well but what if something as easy as sunlight could improve those chances? Research indicates that moderate sunlight exposure may play a big role in ovarian health and fertility, particularly in women aged over 30.

We've known for years that sunlight improves our mood and mental health. Natural serotonin production while being exposed to sunlight is well-documented, but new studies are now connecting sunlight exposure with better fertility rates, especially among women aged over 30.

A study appearing in Steroids, authored by scientists at Tel Aviv University and the Sheba Medical Center, reveals how solar radiation exposure may impact fertility. The study, in particular, examined how sun exposure influenced the level of Anti-Müllerian Hormone (AMH) in women. AMH is an important marker of ovarian reserve—the amount of eggs a woman possesses in her ovaries, which determines her fertility potential.

The scientists followed 2,235 women aged 20 to 40 and discovered an interesting trend: women aged 30 to 40 who were exposed to moderate amounts of sunlight in spring and autumn had more AMH compared to those exposed to little sunlight in winter months. Surprisingly, those who were exposed to more solar radiation in summer had greater levels of AMH than those in the winter. Although the study does not create a direct cause-and-effect relationship, it does imply that moderate sun exposure can be good for ovarian reserve and therefore fertility.

Role of Vitamin D in Fertility

Vitamin D, or the "sunshine vitamin," is manufactured by our skin after exposure to sunlight. Vitamin D has been found to be very important for fertility, especially for women who are attempting to get pregnant. A deficiency in vitamin D has been linked to unfavorable fertility outcomes, such as lower IVF success rates and an increased risk of pregnancy complications.

For women attempting conception without medical aid, having optimal levels of vitamin D can maximize the possibility of conception. A number of studies establish that women with higher levels of vitamin D are likely to have better rates of implantation of the embryo and better success when undergoing IVF treatment. The relationship between vitamin D and fertility highlights the need to maximize exposure to sunlight or take supplements, especially for those attempting conception.

How Much Sun is Too Much?

While moderate sun exposure will improve fertility by increasing vitamin D levels and AMH levels, it's necessary to counterbalance this with the danger of too much sun. Long-term exposure to strong sunlight can cause sun damage, premature aging, and increased skin cancer risk. So, it's worth striving for safe, moderate sun exposure—usually, about 10 to 30 minutes a few times a week, depending on the type of your skin and sun intensity.

It's essential to pay attention to your body and not expose yourself to the sun during the strongest hours, usually between 10 a.m. and 4 p.m. Applying sunscreen to longer exposures and dressing in protective clothing is worth considering to avoid long-term damage to your skin.

Fertility-Enhancing Lifestyle Changes for Women Age 30 and Above

Sunlight exposure is only half the solution when it comes to enhancing fertility among women aged 30 and above. Embracing a healthy lifestyle can also contribute in a notable way to enhancing reproductive health. These are some of the most important lifestyle changes that can enhance fertility:

1. Eat a Balanced Diet

A healthy diet high in antioxidants, healthy fats, and whole foods may also contribute to improving fertility. Foods that are rich in nutrients such as folic acid, zinc, and omega-3 fatty acids play a critical role in maintaining reproductive health. Especially, consuming fruits, vegetables, lean protein, and whole grains can normalize hormones and make conception more likely.

2. Exercise Regularly, But Don't Overdo It

Physical exercise is essential for general health and fertility. Regular, moderate exercise—like walking, swimming, or yoga—can help normalize hormones, enhance blood flow, and alleviate stress. Excessive exercise, on the other hand, can have the opposite effect and harm fertility. Women who overexert themselves or have extremely low body weight can suffer from menstrual irregularities, which can prevent ovulation.

3. Stress Management

Chronic stress is a proven fertility killer, as it can cause hormonal imbalance and affect ovulation. Adding stress-reduction methods like yoga, meditation, or breathing exercises can help balance your body. Also, talking to a counselor or therapist can be helpful in resolving emotional and psychological stress that could be impacting your fertility.

4. Get Enough Sleep

Sleep is necessary for hormone balance and overall health. Lack of sleep can raise cortisol levels and interfere with your reproductive hormones. Get 7 to 9 hours of quality sleep each night to aid your fertility and overall health.

Although no one factor can promise fertility, sunlight exposure may be a natural and inexpensive means of aiding reproductive health. Along with a healthy diet, exercise on a regular basis, and stress management techniques, you can really boost your chances of conception, particularly if you're in your 30s. Fertility is a multifaceted process, and it's always a good idea to consult with a healthcare provider when changing your lifestyle or embarking on a family planning adventure.

Moderate sunlight exposure not only does your mood and mental health good but also has an unsuspected but possibly vital role to play in enhancing ovarian health and fertility beyond the age of 30.

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US Fertility Rate Remains Below Levels Needed To Sustain Population Growth

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Updated Apr 25, 2025 | 10:00 AM IST

US Fertility Rate Remains Below Levels Needed To Sustain Population Growth

SummaryU.S. birth rates remain low despite a slight rise in 2024, raising concerns about long-term population decline, economic impact, and future caregiving challenges.

The US is facing a long-term decline in the birth rates. As per experts, this raises a concern in terms of what this means for country's future, especially with regard to health of its population, economy, and caregiving systems.

A Slight Rise in 2024

As per the new data released by the US Centers for Disease Control and Prevention (CDC), more than 3.6 million babies were born in 2024. This is just a 1% increase from the previous year, which had been the lowest record in births. While this uptick may seem encouraging, it is not enough to reverse the troubling trend.

The US fertility rate remains around 1.6 births per woman. This is significantly below the 2.1 births that is required to sustain the population growth without immigration.

As per the demographers, this continuous drop began during the Great Recession in 2007. It has continued steadily since.

Shift In Teen Births

One of the biggest shifts is the steep decline in teen births. In 1991, about 62 of every 1,000 teenage girl had a child. This number has now fell to just under 13 by 2024. This is a historic low that reflects a positive shift, better education, access to contraception, and changing attitudes about early parenthood.

Similar trend is seen among women in their 20s, as the rates their too have dropped. In 2007, about 106 of every 1,000 women aged 20 to 24 gave birth. By 2024, the number has dropped to around 57. For women aged 25 to 29, the rate fell from 118 in every 1,000 women in 2007, to 91 in 2024.

Though there has been a slight rise in births among women in their 30s, experts say that it is not enough to offset the overall decline.

Are Births Being Delayed?

“One of the big questions is all these births that haven’t occurred—are they just being delayed?” asked Ken Johnson, a demographer at the University of New Hampshire. “Or are a lot of these births going to be forgone entirely?”

The answer has significant public health implications. A shrinking younger population could lead to fewer caregivers for an aging society, higher burdens on healthcare systems, and a smaller workforce contributing to national health programs like Medicare.

Why Are Fewer Americans Having Kids?

As per experts, while people still want children, there is a lingering financial burden and social barriers too that get in a way. High student loans, debt, and the rising coast of child care, unstable housing, along with limited access to paid parental leave are all major concerns.

“People don’t have kids when they don’t feel good about their own futures,” said Karen Benjamin Guzzo, a family demographer at the University of North Carolina.

Can Policies Help?

Some political leaders are proposing measures to encourage parenthood. Former President Trump, for instance, has suggested “baby bonuses” and scholarships for married couples or parents. However, Johnson believes that without stronger, systemic support, the U.S. birth rate is unlikely to bounce back to replacement level.

Immigration may help slow the effects of falling birth rates. Many immigrants move to the U.S. with plans to start families, Johnson noted. “They bring the potential for babies in the future.”

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