Certified Nurse-Midwifery

Certified Nurse-Midwives (CNMs) play an important role in modern women’s healthcare, and they don’t “just deliver babies!” 

At Reply we are fortunate to have an exceptional team of CNMs who together boast more than 70 years of experience in women’s healthcare, and who are passionate about providing truly patient-centered and individualized care to every patient:

• For our obstetrics patients, having a midwife gives you the best of all worlds: a highly-trained and board-certified healthcare provider delivering personalized and attentive care, and the opportunity to have your birth in the hospital setting. Our team of Reply CNMs and physicians provide labor and delivery services at WakeMed Cary Hospital.

• In clinic, our CNMs are highly trained in gynecologic care and take care of women across the lifespan, from adolescence through menopause. Services include general health and wellness; annual gynecologic exams; family planning counseling featuring fertility awareness; pre-conception, prenatal, and postpartum care; and care throughout the years of peri-menopause and menopause.

The Reply Midwifery Team

The Reply nurse-midwifery team, L to R: Amanda Meisel, MSN, CNM; Aleisa Carlson, CNM, WHNP-BC; Elizabeth Tyson, MPH, CNM; Samantha Ratcliffe, MSN, CNM, WHNP-BC; and Sara Fawson, DNP, CNM, WHNP-BC.


What is nurse-midwifery care?

Nurse-midwifery is grounded in evidence-based practice and professional standards, along with a deep understanding of the normal, natural events in a women’s lifespan. The American College of Nurse-Midwives (ACNM) has joined with other national health care organizations to develop and endorse principles for client safety in women’s health and childbirth. These principles promote care based on scientific knowledge, respectful coordination of care between different members of the health care team, active involvement of patients and their families, and a commitment to improving the quality of care. Together, these principles help promote the highest standards for quality and safety in women’s health and maternity care in the United States.

What are the qualifications of a certified nurse midwife (CNM)?

CNMs are registered nurses with masters and/or doctorate degrees in nurse midwifery. These graduate programs are accredited by the Accreditation Commission for Midwifery Education (ACME). This education includes a university degree as well as hands-on clinical training with practicing CNMs. They also have passed the national certification exam of the American Midwifery Certification Board (AMCB). CNMs are able to prescribe a full range of medications. All nurse-midwives at Reply meet these qualifications, with many holding additional advanced degrees.

How do nurse-midwives and physicians work together?

The Reply approach to care is highly collaborative and our CNMs work in close conjunction with our entire clinical team–physicians, nurses, educators, and support staff. Many of our patients may see a physician or a certified nurse-midwife for care at Reply, especially when receiving care for a pregnancy, so they may meet different members of our provider team prior to delivery.

Will my insurance cover care provided by a nurse-midwife?

Thirty-three states, including North Carolina, require private insurance companies to pay for services provided by Certified Nurse-Midwives (CNMs), and Medicaid coverage for CNMs is required in all states. Even in states that do not require private insurance coverage, many insurance plans still cover CNM services. We encourage you to check with your insurance carrier for specific plan details prior to scheduling your appointment. You may also visit our Insurance page for a list of approved insurance carriers, or call us at 919.230.2100 to discuss your options.

Become a patient

Our certified nurse-midwives have the expertise to tailor your health care based on current research and clinical best practices, and are truly passionate about delivering holistic and personalized care. Click here or call us at 919.230.2100 to learn more or to schedule an appointment.