The Advanced Practice Provider (APP) service at Duke is an integrated part of the Divisions of Maternal-Fetal Medicine and Gynecology. APPs, which include Nurse Practitioners, Certified Nurse Midwives and Physician Assistants, focus on women’s health, including routine and abnormal gynecologic care, prenatal and postnatal care, as well as personalized delivery in a hospital setting.

APPs render comprehensive care at the Duke University Hospital Birthing Center and the Birth Place at Duke Regional Hospital in all aspects of pregnancy. From high-risk antepartum care, to delivery and postpartum care, an APP will be there to help incorporate the most up to date and personalized care. Education regarding gynecological care, prenatal care, childbirth, nutrition and exercise, breastfeeding, and parenting are regarded as a high priority for our patients.

 Certified Nurse Midwives are experts at low risk birth. They provide copious amounts of education for Ob/Gyn and Community Medicine & Family Medicine first-year residents, medical students, PA students, midwifery students and nursing students regarding labor management, birth expectations, procedural skills, vaginal exams, AROM, insertion of IUPC and FSE, use of local anesthesia, episiotomy and laceration repair, and postpartum hemorrhage management. They provide personalized delivery care in a hospital setting, effective approaches to pain relief and breastfeeding support. The CNMs at Duke do not accept private patients.  

Nurse Practitioner/Physician Assistants render comprehensive care at Duke University Hospital and Duke Regional Hospital in all aspects of pregnancy, from the Emergency Room to triage and beyond. From high-risk antepartum care, to delivery and postpartum care, an APP will be there to help incorporate the most up to date and personalized care. Education regarding gynecological care, prenatal care, childbirth, nutrition and exercise, breastfeeding and parenting are regarded as a high priority for our patients. 

APP’s provide education for Ob/Gyn and Family Medicine & Community Health Residents, medical students, physician assistant students, midwifery students and nursing students. Providing education is an imperative aspect of the role of a nurse practitioner and physician assistant.