Certified Nurse Midwife

Advanced Practice Provider (APP) – Obstetrics and Women's Health

The Advanced Practice Provider (APP) – Obstetrics and Women's Health provides comprehensive obstetric and women's health care in collaboration with obstetricians and the interdisciplinary healthcare team. The APP supports the delivery of safe, patient-centered care across the perinatal continuum including prenatal care, labor and delivery services, postpartum care, and inpatient obstetric evaluation.

APPs within the obstetrics service may function in distinct operational roles depending on credentialing and departmental staffing needs, including:

• Certified Nurse Midwife (Labor Management and Delivery)
• Labor and Delivery Triage APP

Certified Nurse Midwives who are appropriately trained, credentialed, and privileged may independently manage active labor, perform vaginal deliveries, and provide postpartum care consistent with ACNM standards and institutional practice agreements.

APPs functioning in the Labor and Delivery Triage role perform evaluation and management of patients presenting to Labor and Delivery for obstetric assessment, including evaluation of labor symptoms, pregnancy-related complaints, and urgent obstetric concerns.

While Certified Nurse Midwives may perform the triage role, only APPs credentialed and privileged for intrapartum management may independently manage active labor and perform vaginal deliveries.

All APPs practice within the scope of professional licensure, national certification, institutional credentialing, and delineation of privileges in accordance with applicable state regulations, hospital policies, and collaborative practice agreements.

The Labor and Delivery service operates under a 24-hour, 7-day-per-week staffing model, and APPs participate in scheduled shifts including days, nights, weekends, and holidays as determined by departmental staffing needs.

Education and Experience

1. Graduate of an accredited Certified Nurse Midwifery program required for midwifery roles.
2. Current and unrestricted licensure as a Registered Nurse and Certified Nurse Midwife in the state of practice required for midwifery roles.
3. Current national certification as a Certified Nurse Midwife through the American Midwifery Certification Board (AMCB) required.
4. Current Basic Life Support (BLS) certification required.
5. NCC Electronic Fetal Monitoring certification required within 3 months of employment.
6. Completion of first assist certification for cesarean sections preferred prior to start date and required by completion of orientation.
7. Minimum 2 years of prior clinical experience in labor and delivery or obstetric care preferred.

Knowledge, Skills and Abilities

1. Knowledge of obstetric physiology, labor progression, and management of common obstetric complications.
2. Ability to perform comprehensive obstetric assessments and triage evaluations.
3. Proficiency in fetal monitoring interpretation and intrapartum clinical decision-making.
4. Ability to recognize obstetric emergencies and escalate care appropriately.
5. Knowledge of sterile technique and operative assisting principles for cesarean section procedures.
6. Strong communication and interpersonal skills when interacting with patients, families, and healthcare teams.
7. Ability to function effectively in a high-acuity Labor and Delivery environment.
8. Ability to prioritize and manage multiple patient care responsibilities in a fast-paced obstetric setting.
9. Proficiency in electronic medical record documentation and adherence to regulatory and compliance standards.