Medical Services


The Women's Health Center and Maternity Services at Phelps County Regional Medical Center (PCRMC) now offers a midwifery program in tandem with its established, world-class women's health services. Certified Nurse Midwives, Heather Wildebrandt, CNM, WHNP, and Karen Ulrich, CNM, MSN, APRN, are part of this innovative program at PCRMC and care for women through every stage in life.


What is a Certified Nurse Midwife?

There are varying types of midwives from lay to professionally trained, but certified nurse midwives (CNM) and certified midwives (CM) are the most educated. Since 2010, CNMs and CMs are required to have a master's degree to practice midwifery. Wildebrandt and Ulrich are CNMs, which means they are skilled in both nursing and midwifery disciplines.

CNMs provide a wide spectrum of primary healthcare to women of all ages. They care for women during adolescence to post-menopause; through pregnancy, birth and postpartum care; establish well woman gynecologic care; provide sexual health and education; and prescribe medications, including all forms of pain control medications and birth control.

Midwifery care is available to all women, though some may need additional physician support or co-management. At PCRMC, each case is tailored to the individual, and the patient's wishes and desired outcomes are placed at the forefront of each care plan.

Is Midwifery a New Profession?

No. Midwives have been assisting women in labor and delivery as long as women have been having babies. In the United States, the practice of obstetrics began in the mid-1800s, and at that time obstetricians (in addition to midwives) began attending births. As the popularity for hospital deliveries, pain management during labor and obstetrician providers increased, the number of midwives attending births decreased. By the mid to late-1900s, midwifery was almost nonexistent in the United States, but today midwifery is resurging into the American healthcare system.


How do CNMs work with Obstetricians and Gynecologists?

CNMs work with all members of the obstetrics healthcare team, which includes Ob/Gyn physicians and nurses. There are many successful and thriving examples of joint obstetrician and midwife practices in the United States. In these practices, some patients choose sole obstetrician care and some choose sole midwifery care. Still others may start with midwifery care and need to see an obstetrician periodically or have their care transferred. A joint midwifery and Ob/Gyn practice increases the availability of prenatal services in a community, improves communication between providers and improves overall patient satisfaction and outcomes.

Midwifery care differs slightly from traditional, physician-led care throughout pregnancy and birth. Certified nurse midwives are educators that work with patients and their families toward specific goals; the education centers on health promotion, optimal outcomes and disease reduction. Perhaps one of the biggest differences is that throughout labor, a nurse midwife is a constant presence. They assist women and their families to have the birth experience that is best for them by focusing on high touch, low intervention and constant support.


For More Information

For more information about The PCRMC Women's Health Center and Maternity Services, please call 573-426-2229(BABY) or visit