Midwifery Care

Our Approach to Birth

We believe that our holistic, patient-centered philosophy and midwife-led model of care help support safer, lower-intervention births. By emphasizing education, shared decision-making, continuous labor support, and evidence-based practices, we aim to promote physiologic birth whenever possible while maintaining the highest standards of safety.

Our outcomes reflect this commitment. In 2025, our primary cesarean rate was 12.8% and our overall cesarean rate was 24.3%— both significantly lower than the national averages of 22.8% for primary and 32.3% overall cesarean deliveries in the United States.

For higher-risk or complex situations, we proudly collaborate with Dartmouth Maternal-Fetal Medicine. Their specialists interpret all second- and their-trimester ultrasounds and are available for consultation whenever additional expertise is needed, ensuring patients have access to advanced care close to home.

We are proud to offer an approach that prioritizes healthy pregnant people, healthy babies, and avoiding unnecessary surgery whenever it is safe to do so.

Services Include:

  • Personalized prenatal care and birth planning
  • 24-hour obstetric triage visits at our Birthing Center
  • Management of pregnancies complicated by:
    • History of preterm birth
    • Gestational diabetes
    • Hypertensive disorders
    • Past or current substance use disorders
    • Other medical or obstetric conditions
  • Consultation for patients planning home birth and co-management with community midwives, when appropriate
  • Planned, unscheduled, and emergency cesarean deliveries
  • Vaginal birth after cesarean (VBAC)
  • External cephalic version (ECV) for breech presentation

Our goal is to provide personalized, safe, supportive care during pregnancy, birth, and postpartum. We honor and collaborate with patients in order to provide a personalized birth experience.

Midwifery Gynecologic & Reproductive Health Services

In addition to pregnancy care, our certified nurse midwives provide comprehensive reproductive and sexual health services for patients across the lifespan.

Services Include:

  • Routine gynecologic wellness exams
  • Family planning and contraceptive counseling and care
  • Menopause and perimenopause management
  • Evaluation and treatment of how- and moderate-risk gynecologic conditions

We are committed to creating a comfortable, respectful environments where patients feel heard, supported, and empowered in their healthcare decisions.

Certified Nurse Midwife Staff

Left to right: Rachel Schneider, Kate Lucy, Emily Martyn, Meghan Arthur, Madison Jackson, Emily Grose.