If I have a midwife does that mean I cannot have pain medication?

While pain medication is available to you in the same manner that it is available to women under physician care, many women in midwifery care find that they do not require medication for their labour. Studies show that continuous one-to-one support by a skilled supporter, such as midwifery care, reduces the need for pain medication as well as the need for intervention in labour. Throughout the prenatal period there are opportunities to discuss options. Your midwife will not suggest medication in labour unless it is deemed medically necessary or you request it. If you are labouring outside the hospital setting it will become necessary to move into the hospital if pain medication is needed.