After getting my nursing degree, I worked as a labor and delivery nurse for five years. I worked in a variety of settings, including Darthmouth-Hitchcock Medical Center (in Lebanon, NH), Monadnock Community Hospital (in Peterborough, NH), UCLA and Kaiser Permanente hospitals (in Los Angeles, CA), Providence Medical Center (in Everett, WA), and as a homebirth assistant with Cindy Dunleavy, CPM (Southern NH). During this time, I attended hundreds of births and learned through experience many of the technical, labor support, breastfeeding, and postpartum skills needed for full scope midwifery care. I also built relationships with many local physicians and nurses, and gained a solid understanding of the values and procedures of the hospital setting. These experiences have strengthened my commitment to evidence-based medicine and help me anticipate and prepare for the unexpected.
I returned to school and earned a Masters of Nursing in 2010 from the University of Washington, where I spent most of my clinical time in out of hospital settings, including two birth center practices and a solo midwifery practice. I began my own full scope solo midwifery practice shortly after the arrival of my own daughter, delivered in the care of a midwife at home in Peterborough.
Certified Nurse-Midwives, or CNMs, are licensed health care practitioners educated in the two disciplines of nursing and midwifery and are certified by the American Midwifery Certification Board. In New Hampshire, CNMs are licensed as Nurse Practitioners (NPs), or Advanced Practice Registered Nurses (APRNs), as well as Certified Nurse Midwives.
Certified Nurse-Midwives provide primary health care to women across generations, including: prenatal care, labor and delivery care, care after birth, gynecological exams, newborn care, assistance with family planning decisions, preconception care, menopausal management, medical prescriptions, and counseling in health maintenance and disease prevention.
See a great infographic timeline on the history of nurse-midwives here.
For more information about CNMs, visit: www.mymidwife.org or check out this video.