Labor and Birth

During labor, Certified Nurse-Midwives (CNM) provide comfort measures and emotional support, as well as evaluate the progress of labor.  We encourage your partner/support person to assume as active a role as possible in the labor and birth process. 

We make every effort to facilitate the natural forces of labor in a non-interfering manner and to ensure that you have the birth experience that you want. 

However, certified nurse-midwives are prepared to intervene and consult with a physician should the course of labor deviate from what is considered safe for mother or baby.  Nurse-midwives can provide pain-relieving medication as appropriate for the needs of women in labor.

During the birth process, nurse-midwives perform normal vaginal birth and may, when necessary, cut and repair an episiotomy.  The CNMs examine and evaluate the newborn after the birth.

If an operative delivery is indicated, the Fletcher Allen obstetrician performs the procedure while the nurse-midwife maintains a supportive role.