Providing Concierge Women's Health Services, Minor Urgent Care, And Telemedicine Services For Certified Professional Midwives And Their Clients

Certified Professional Midwifes (CPMs), known in Arkansas as Licensed Lay Midwives, are extensively trained and certified in home-birth and provide care for healthy families during pregnancy, birth, postpartum, and lactation. They are experts in normal birth and in recognizing abnormalities. They offer personalized support in the comfort of your own home.

While I no longer attend women in labor or birth, as a CNM/APRN, my mission now is to assist the Midwives in Arkansas and their clients in achieving their desired home birth. My services are more convenient than visiting the health department or waiting for an in-person physician appointment. I am very homebirth-friendly and believe in the power of birth. Telemedicine makes this process much easier; there is no need to take time off work, hire a babysitter, or be confined to 9-5 hours. Telemedicine enables a private, comfortable visit from your home.

My role is consultative and co-management-focused, working alongside CPMs/LLMs to strengthen care while honoring the midwifery model and a woman's right to choose how, where, and with whom they will give birth. My services are designed to complement — not replace — the care provided by your chosen midwife.

I do this by providing initial, 36-week, and 42-week risk assessments. I will co-manage low-moderate risk clients along with their midwife with a written plan of care to ensure a safe home birth. Because I am an independent provider with prescriptive authority, I can provide both uncontrolled and controlled medications in schedule III-V that the client may need during pregnancy, labor, or postpartum. I coordinate with CPMs/LLMs to obtain diagnostics, labs, consultations, iron infusions, and referrals to higher levels of care, as needed.

I do not operate a traditional brick-and-mortar office. Most services are provided via telemedicine, allowing timely consultations without the delays, travel, or waiting times of office-based care. I work from a home office in Cave Springs, Arkansas.

The Arkansas Department of Health (ADH) regulates the practice and Licensure of CPM/LLMs. Many other states have different rules, but in order to have a home birth with a CPM/LLM in Arkansas, you must have an initial risk assessment early in pregnancy and another at 36 weeks. The risk assessments can be done by a physician (although they usually do not take clients desiring home birth due to liability insurance issues), or you can see a Nurse Practitioner at the Department of Health, or you can see a Certified Nurse Midwife. The benefit of using my service is that you never have to sit in a waiting room, arrange for childcare, or be “required” to do all the "standard testing.” As long as your midwife informs you of the risks and benefits, and you make an informed decision -- Your body, your choice.

As a CNM/APRN, I offer comprehensive, collaborative care designed to support midwives and families planning home births in Arkansas.

My role is consultative and co-management-focused, working alongside CPMs/LLMs to strengthen care while honoring the midwifery model and a woman's right to choose how and where she will give birth. I can order labs, diagnostics, genetic screening, prescribe medications, obtain ultrasounds, durable medical equipment, authorize FMLA leave, and provide employers with restrictions during pregnancy so you may still work if you desire, safely.

I can treat complications in pregnancy or refer to specialists if needed. My services are designed to complement--not replace--the care provided by your chosen midwife.

No.  My role is to provide the clinical documentation and medical support necessary for your home birth journey during the antepartum period.  

While your primary midwife (CPM/LLM) manages your pregnancy, labor, birth, newborn care, and postpartum care, I provide the essential medical services you may need to remain a candidate for a home birth.  I work as a consultant with your birth team by providing faxed risk assessments and clinical recommendations to ensure you have the medical resources you may need to remain a low risk client for home birth with your chosen midwife.  

As a Certified Nurse Midwife, my scope of practice is defined by the ACNM Core Competencies, which encompass comprehensive medical care throughout the lifespan.  My practice is gender-based rather than "place-of-service" based, meaning I provide expert care regardless of whether you are planning a birth or are just needing womens' healthcare services .  My services include:

• Reproductive & Fertility Health: support for fertility optimization and managing complex conditions like PCOS, anovulation, and thyroid regulation.

• Hormone & Endocrine Support:  Specialized care for menopausal weight gain, perimenopause, and hormonal replacement therapy.   

• Preventative & Acute Care:  Treatment of minor illnesses, depression, and management of infections (including STIs and expedited partner therapy).