Certified Nurse Midwife

Inspire health. Serve with compassion. Be the difference.

Provides comprehensive primary care services independently to essentially healthy women in accordance with approved and recognized standards for midwifery practice according to the Standards for the Practice of Midwifery developed by the American College of Nurse-Midwives and within the clinical guidelines for midwifery practice developed by Prisma Health and the Department of OB/GYN. This care is provided in both the outpatient and inpatient settings.

Provides care to women with selected medical complications in collaboration with Obstetricians‑Gynecologists according to established clinical practice guidelines.

• Provides comprehensive clinical care services independently to essentially healthy women during the antepartum and postpartum periods.
• Evaluates patients, performing complete history and physical examinations and develops a treatment plan for pregnancy and birth.
• Orders and interprets appropriate laboratory and diagnostic tests as indicated according to patient's condition and develops appropriate treatment plan.
• Performs selected diagnostic testing on obstetrical patients as indicated by maternal/fetal condition.
• Evaluates and manages care of mothers and newborns during immediate postpartum period. Assists and supports mothers during breastfeeding according to principles of the Baby Friendly Hospital Initiative. Evaluates and treats breastfeeding disorders. Collaborates with pediatricians when indicated in developing treatment plan for newborn.

• Diagnoses labor and admits and discharges low risk obstetrical patients to intrapartum, antepartum and postpartum obstetrical units.
• Performs admission and discharge history and physical examination.
• Develops treatment plan for triage, labor, birth and postpartum management.
• Evaluates patients and orders medications, treatments, and procedures for induction of labor. Places intravaginal prostaglandins for cervical ripening. Places foley bulb intracervically for cervical ripening.
• Provides continuous labor support throughout active labor, including physical, emotional and psychological support for the laboring woman.
• Performs amniotomy.
• Applies fetal scalp electrodes. Inserts intrauterine pressure catheters.
• Monitors and evaluates fetal heart rate tracing during labor and orders appropriate treatments and procedures as indicated according to fetal tolerance of labor.
• Administers local and pudendal anesthesia.
• Independently manages normal labor and birth. Performs uncomplicated vaginal deliveries.
• Initiates emergency procedures during obstetrical emergencies.
• Performs episiotomies. Repairs episiotomies and first and second degree perineal and vaginal lacerations.
• Provides first assisting at cesarean sections.
• Recognizes deviations from normal and provides care in collaboration with physicians to develop a treatment plan for patients with selected complications of labor and postpartum.

• Performs complete history and physical exams, on essentially healthy women from adolescence through menopause.
• Develops treatment plan for well-woman gynecological patient, including contraceptive management, pre-conception care, initial infertility evaluation, peri-menopause and treatment of common gynecological disorders and complaints.
• Prescribes and inserts intrauterine devices for contraceptive management and treatment of selected menstrual bleeding disorders.
• Prescribes, inserts and removes contraceptive implants.
• Performs diaphragm fitting and prescription for contraceptive management.
• Performs surgical or chemical destruction of simple gynecological lesions.

• Performs and interprets limited first trimester ultrasound for fetal crown‑rump length to establish estimated due date.
• Performs and interprets limited third trimester ultrasound for fetal surveillance and testing – obtains amniotic fluid indices, evaluates for placental location, fetal position and performs biophysical profiles.
• Performs and interprets fetal non‑stress…