-Certified Nurse-Midwives who have training as nurses and as midwives. Usually CNMs have a master's degree in nursing as well as taking classes in midwifery. All CNMs are certified by the American College of Nurse-Midwives and tend to work in hospitals or in birth center settings.
-Direct-Entry Midwives who usually achieve their career as a midwife through training in apprenticeship or workshop programs. They often manage home births, but can also accompany you to your birth center or hospital birth to give you support.
Many studies have shown that women who use a midwife require less medical intervention such as episiotomies or cesarean deliveries.
Doulas who attend your child birth do not make any medical decisions. Most doulas only attend to the mother by providing emotional support, massages, encouraging and helping with relaxation. Doulas, like midwives can be very helpful in reducing the need for medical intervention and have been shown to reduce labor time for women by twenty-five percent.
Source:
-http://health.howstuffworks.com/pregnancy-and-parenting/pregnancy/labor-delivery/difference-between-a-midwife-and-doula2.htm
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