A midwife is there to perform medical procedures and evaluate you and your baby’s well being. A doula is there exclusively to support you emotionally and physically. A doula works for you so is not bound by hospital policy.
A doula is an excellent choice if you are unable to have continuous midwifery care. Your doula will be there with you continuously and just for you, whereas a midwife may need to check on other patients in labour or even change over shifts after a certain time so sometimes you’ll have multiple midwifes coming and going in your room. Plus part of their role as well is filing out paperwork which can take up a lot of time unfortunately that takes away from that one-on-one support.
A doula will help facilitate communication between you and your care provider and advocate for you. Having a familiar face with you is reassuring and calming.
A doula will come to your house to help you labour if you choose to spend early labour at home. She will ensure your partner is looked after and supported as well.