What is a certified nurse midwife?
Certified Nurse Midwives (CNMs) are registered nurses with advanced training and education in the art and skill of midwifery. Nurse midwives must complete a training program, most are Master’s prepared, demonstrate clinical competence and pass rigorous certification examination. They also must participate in yearly training and education to maintain certification.
CNMs are independent healthcare providers who provide care to women throughout their lifespans. Nurse midwives perform physical exams, prescribe medications including contraceptive methods, order laboratory tests as needed, provide prenatal care, gynecological care, labor and birth care, as well as health education and counseling to women of all ages. All CNMs are committed to individualized, patient (woman)-centered care and encourage patient involvement in all aspects of health.
Our nurse-midwives provide care at three office locations: Durham Women’s Clinic, Chapel Hill OB/GYN, and Brier Creek. As CNMs, we work collaboratively with the board-certified OB/GYN’s who practice out of these offices, we also work very closely together while on call at Duke Regional Hospital. This relationship allows for streamline collaboration both in the office and during hospitalization. We also are able to provide consultations on an as needed basis. With this collaborative environment we are able to ensure you get the highest level of care you need while guaranteeing medical or technological interventions are used only when necessary.
We provide high quality, holistic, individualized care to women throughout their lifetime. We serve women in the triangle area in our Brier Creek, Chapel Hill, and Durham office locations, as well as hospital services at Duke Regional Hospital.
Many expectant mothers want a provider who offers a more personal approach to having a baby. Our certified nurse midwives establish a close relationship with our patients and their families. You can have midwifery care for your prenatal visits, throughout labor and birth, and for your postpartum care.
A nurse-midwife is on-call at Duke Regional Hospital 24/7/365.
Our midwives never have office patients when they are on call, so you are guaranteed the attention and support you need. We care for low-risk moms, and routinely manage common risk factor including advanced maternal age, VBAC, gestational diabetes, thyroid disorders, IVF pregnancies, overweight moms, and others. Our attending physicians are always present and available for collaboration should
complications arise. A healthy mom and baby is always our priority, but we honor your birth experience and strive to help you have the best experience possible.
Well Woman Care
"Midwives are with women for a lifetime" (American College of Nurse-Midwives).
Regular screening examinations focus on wellness and are an important part of preventative care. Well-woman care includes comprehensive annual exams, pap smears, referrals for mammograms, and counseling on lifestyle choices.
We offer family planning education, counseling and services. We commonly prescribe all methods of family planning including IUDs and Nexplanon. With the most current information, and thorough discussion of your options, you will be able to choose the method best for you.
Midwives don’t just deliver babies! We are skilled at providing gynecological services for women from adolescence through menopause. Some of the conditions we can treat include vaginal infections, STD testing and treatment, preconception counseling, perimenopausal care and counseling, heavy or painful periods, polycystic ovarian syndrome, PMS, and more.
Our office also has offers streamlined consultations, lab and ultrasound services, so when specialized care is indicated, it is readily available.
We offer group prenatal care designed to engage mothers and partners through the journey of pregnancy. This model of care follows a similar traditional prenatal course, but your visits last 90 minutes, so you have plenty of time to address concerns. Women develop self-confidence and self-care skills. Many of our families develop life long friendships.
All our midwives are skilled (both personally and professionally) in the art and science of breastfeeding. Along with the staff at Duke Regional, we will help you get off to the best start possible, and are available if struggles arise. We offer breastfeeding classes, in-office consultations and guidance, and frenotomy (release of tongue-tie) procedure for type 1 and 2 ankyloglossia. We routinely work with skilled lactations consultants in the community to help our moms meet their breastfeeding goals.
Midwifery Philosophy of Care
We believe every person has a right to:
Equitable, ethical, accessible quality health care that promotes healing and health
Health care that respects human dignity, individuality and diversity among groups
Complete and accurate information to make informed health care decisions
Self-determination and active participation in health care decisions
- Involvement of a woman's designated family members, to the extent desired, in all health care experiences
- We believe the best model of health care for a woman and her family:
- Promotes a continuous and compassionate partnership
- Acknowledges a person's life experiences and knowledge
- Includes individualized methods of care and healing guided by the best evidence available
- Involves therapeutic use of human presence and skillful communication
- We honor the normalcy of women's lifecycle events. We believe in:
- Watchful waiting and non-intervention in normal processes
- Appropriate use of interventions and technology for current or potential health problems
- Consultation, collaboration and referral with other members of the health care team as needed to provide optimal health care
(American College of Nurse-Midwives)