The advanced practice provider service at Duke is an integrated part of the Divisions of Maternal Fetal Medicine and Gynecology. Advanced practice providers, which include nurse practitioners, certified nurse-midwives, and physician assistants, focus on women’s health from routine and abnormal gynecologic care, prenatal and postnatal care, as well as personalized delivery in a hospital setting.

Advanced practice providers render comprehensive care at Duke University Hospital in all aspects of pregnancy at the Birthing Center. From high-risk antepartum care, to delivery and postpartum care, an advanced practice provider 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 Midwife Services 

Certified Nurse Midwives offer centering prenatal care at the Durham County Health Department, which provides prenatal care through a shared and empowering approach. Nurse Midwives are experts at low risk birth. They provide copious amounts of education for OB/GYN and Family Medicine first year residents, medical students, physician assistant 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 Nurse Midwives at Duke do not accept private patients.  

Nurse Practitioner/Physician Assistant Services

APPs render comprehensive care at Duke University Hospital in all aspects of pregnancy, from the Emergency room to the Birthing Center 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 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.