The medical focus is much like a physician would give to the woman. They would do the necessary exams and check for any problem areas and ensure that both the mother and baby are healthy. This is something that has to be done, regardless of where the mother goes to get prenatal care. It can ensure that the pregnancy and delivery are going to be healthy and happy. Sonograms, as well as special tests can be performed during this time at the mothers discretion. The fetus is able to be charted on how much it is growing within the womb and if it is reaching healthy levels throughout the various months of the pregnancy.
On top of the medical focus that goes along with widwifery, the midwife also has to focus on the spiritual and emotional aspects as well. This is something a physician does not normally provide to an expecting mother. Childbirth and pregnancy are normal occurrences for women and they need to be supported and treated as a person. A midwife is able to provide the right amount of care and support during the pregnancy that wouldn't normally be found in a clinical, hospital or other medical setting. The woman is able to choose how she wants to birth, where and what she wants to do during it as well. This provides her with the power needed to go through her birth as painlessly as possible since she is in charge of all the decisions, but the midwife is there to support those decisions that she makes.
After both of these considerations – a midwife has to pay attention to a few different aspects in order to make a difference. However, every midwife feels that this is necessary and rewarding with each and every baby that they help the mother deliver. It is ultimately the woman's choice on which she would prefer to have deliver her child.