Here at Modern Ob/Gyn, we are happy to have midwives as part of our team to enhance our care of pregnant women. At Modern ObGyn, we offer a partnership of excellence with a shared model of care between midwives and Ob/Gyns. These disciplines complement each other to implement a team approach to each family's care by incorporating midwifery care, Ob/Gyn expertise, as necessary, combined with our patient's goals and preferences.
Who are Modern Ob/Gyn's Certified Nurse-Midwives?
Nuria Nelkin, CNM
Kortney Rogers, CNM
Emily Dixon, CNM, FNP
Elizabeth Coleman, CNM, FNP
What do midwives do?
Midwives provide a continuum of care across the lifespan. From childhood, throughout pregnancy, delivery, and beyond, a midwife will be there to educate and empower you to be a proactive part in your own health and wellness. They work closely with obstetricians to ensure safe and effective care. Our midwives are here to see you through pregnancy, deliveries, annuals, and other problem visits that may arise in your health. Midwives are able to perform annual well-woman exam, provide counseling and prescription for birth control, place LARCS such as IUDs and Nexplanon, provide STD testing and counseling, as well as evaluating and managing general gynecologic concerns. Our midwives may refer you on to one of our doctors for continued management of other gynecologic issues.
How are midwives different from doctors?
Midwives expertise is in providing care that focuses on less intervention, higher touch, and in the ability to spend more time with patients during the labor process providing coaching and one on one encouragement during the delivery process.
Our goal at Modern Ob/Gyn is to make sure that patients experience the absolute best all-around delivery experience and we feel that the midwife model of care is able to provide that time and attention. If you need higher levels of medical care for complications with your pregnancy or delivery, or if you need to be delivered by C-section, our physicians are well-prepared to care for you.
What are your midwives' qualifications?
Our midwives are Certified Nurse-Midwives. This means that they must be trained as a nurse (typically a 4-year college degree) and then receive training as an advanced practice registered nurse (APRN) by attending a 2-3 year graduate program (MSN). After completing a graduate degree, a national certification exam is taken and certifications must be maintained through continuing education. They maintain their licenses as both a registered nurse and Certified-Nurse Midwife in the state of Georgia.
What is the "midwife model of care"?
The midwife model of care highly values the role of education, partnership in care, personal autonomy, and shared decision making all while using Evidence-Based Practice. The role of a Certified Nurse-Midwife includes primarily care of low-risk pregnancies (which is what the majority of pregnant women experience) while co-managing complications during pregnancy, labor, and birth with physician care. As an advanced practice nurse, a Certified Nurse-Midwife is an independent provider who works in partnership with physician care to provide patients the best combination of education, empathy, low-intervention and high-touch care along with the technology of intervention, when necessary or desired.
What is the history of midwifery?
Midwives have been around for thousands of years, with documented cases of them delivering babies in biblical times. Midwives began delivering babies in North America when they first came over on the Mayflower. Since the 1920s, training in Nurse-Midwifery has become accepted by the medical community as both necessary and desired for the health of women. Every decade shows midwives gaining presence in the health of women, during the management of pregnancies, as well as through the whole health life-span. Use of midwives as obstetric providers has been proven to decrease the risk of maternal mortality and morbidity, allowing further access to care and imperative education. In many countries, midwives are the front-lines of obstetric care and this model of care has been shown to have the best pregnancy outcomes.
Who will be delivering my baby?
At Modern Ob/Gyn our main focus is the best and safest medical care possible. Our midwives provide the majority of "first-call" so most patients will be delivered by one of our excellent midwives. Most pregnant patients are considered low risk and will benefit from having our midwives attend to their prenatal care, their labor and ultimately their delivery. If there are any high risk factors or any concerns about the labor process, the midwife will consult with the physician who will co-manage the labor. If a C-section is needed, the physician would then perform the C-section. We are proud of our low C-section rates of 15% for first time moms.
If you prefer to see only physicians for your care, we are happy to accommodate that request. During your prenatal care, we will identify any risk factors and if necessary ask you to see the doctors as well during your care to ensure all high risk factors are fully attended to.
Only our midwives and doctors cover call for our practice, so there are no surprises when it comes time for delivery. Our goal is that you have met and have a strong relationship with the doctor or midwife delivering you. We are helping you create your family and we enjoy the relationship of that experience just as much as we enjoy making sure it is a safe and healthy experience.
At Modern Ob/Gyn, we are proud to have a midwifery team here to support you in all aspects of care, not just pregnancy. We look forward to having you meet our midwives!