Obviously, I can only speak for myself here, and I'm aware that circumstances vary, but I’m hoping to bring awareness to some things you may not be aware of that are part of planning an out-of-hospital birth. 1. Your midwife can’t be your doula. Midwives wholeheartedly support unmedicated, out-of-hospital birth, and we have a LOT of ways to help you achieve that. But we can’t be your pain relief and be your midwife, too. It’s important to understand that the midwife has to be