A growing number of women’s health medical practices are enhancing hands-on care with Certified Nurse-Midwives (CNM).

“A CNM begins as a registered nurse, gets a bachelor’s degree in nursing (BSN), completes a graduate program and, then, passes a certification exam,” says McLeod Certified Nurse Midwife Judy Fry. “We play a key role with pregnant women, but our function is much larger than that.”

HELPING PREGNANT WOMEN

• From the time a women’s pregnancy is confirmed, the Certified Nurse Midwife follows the patient through pregnancy, labor, delivery and even after the birth.
• During pregnancy, the CNM keeps an eye out for possible complications, including potentially dangerous pre-eclampsia and recommends treatment.
• One of the most important roles during pregnancy is offering women both practical and emotional support during the many physical and emotional changes she faces.
• Natural vaginal births can be performed by the CNM. If a C-section is needed or other problems crop up during labor, the CNM alerts and assists an obstetrician. CNMs support women in whatever birth choices they make. All pain relief options are available.

OTHER MEDICAL DUTIES
The Certified Nurse Midwife works with a physician as part of a woman’s health care team through the woman’s entire life. We:

• Perform physical exams,
• Conduct Pap tests,
• Insert IUDs and other contraceptive implants,
• Order lab tests and
• Deliver regular gynecological care.

In South Carolina, the CNM can write prescriptions and order labs.

THE RESULT
Formal studies report a high level of patient satisfaction as well as time spent with a provider and overall care when Certified Nurse Midwives are involved. CNMs also help contribute to reducing infant mortality, low birth-weight babies, C-section rates and episiotomies.

Sources include: McLeod, American College of Nurse Midwives, Midwives Alliance of North America, Journal of Midwifery