Midwives/Advanced Practice Providers
The advanced practice provider service at Duke is an integrated part of the division 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.
Maria Domingo, WHNP-C
Ever since becoming a nurse, Maria has had a passion for women’s health, which is a main reason why she became a women’s health nurse practitioner. For Maria, it’s not just merely the absence of their disease of their infirmity that’s important, but their whole or complete physical, mental, and social well-being. Maria’s number one priority is taking care and spending quality time with her family. She is so in love with them! In her free time, Maria enjoys playing tennis, shopping of course, and traveling.
Estela DiFranco Field, CNM
Specialty Area: Birthing Center
Education: Oberlin College, Bachelor of Arts in Biology
University of Pennsylvania, Bachelor and Master of Science in Nursing
Estela received her Bachelor of Arts in Biology with a minor in Women’s Studies from Oberlin College. She trained at the University of Pennsylvania to become a midwife, earning both her Bachelor and Master of Science in Nursing. She worked as a nurse in the Intensive Care Nursery at Pennsylvania Hospital and went on to start her midwifery career at the same institution, a busy obstetric hospital in the heart of Philadelphia. There she served a diverse clientele of women throughout their lifespan. as part of a 24/7 well-established midwifery practice. She attended births in the hospital as well as in their affiliated birth center across the street. She worked with a team in a South Philadelphia clinic to initiate a Centering Pregnancy program in English and Spanish. She joined the Duke Midwifery Service in 2011 after moving to North Carolina to be closer to family. Here she has helped guide numerous students (nursing, medical, CNM, NP) and residents (OB, family practice) in the care of women in pregnancy, labor, birth, and the postpartum period. In addition to Centering Pregnancy, her professional interests include family planning and working with Spanish-speaking immigrant populations. She enjoys cooking, baking and the great outdoors. She lives in Chapel Hill with her husband and their three children.
Abigail Haberman, NP-C
Specialty Area: Birthing Center
Education: The University of Kentucky, Bachelor of Science in Nursing 2008, Western Kentucky University, Master of Science in Nursing, focus Family Nurse Practitioner, 2015
Abby started her career in nursing at The University of Cincinnati in a high-risk labor and delivery unit. There she gained experience with many high risk maternal and fetal complications during pregnancy. She then moved to Nashville, TN to work at Vanderbilt University in the high-risk labor and delivery unit. While at Vanderbilt, Abby became a permanent charge nurse, and attended graduate school to obtain her Master’s degree as a Nurse Practitioner, focused in Family Nurse Practitioner. She has a passion for caring for women during one of the most important time of their lives. During her free time, Abby enjoys spending time with family and friends, cheering on her favorite sports teams, and traveling.
Eve Hammett, CNM
Specialty Area: Birthing Center
Education: University of North Carolina, Bachelor of Arts in Biology 2001, North Carolina Central University, Bachelor of Science in Nursing, 2006, East Carolina University, Master of Science in Nursing, Midwifery concentration 2010
Eve truly enjoys watching families grow and change and is delighted that she can help families through pregnancy and birth. She views each birth as a celebration and an important journey for women, their partners, and their loved ones. A well-known fact about Eve is she still cries when babies are born!
Amy MacDonald, CNM
Specialty Area: Birthing Center
Education: Antioch College, Bachelor of Arts in Biological Science, 1984
Yale University School of Nursing, Nursing Diploma, Masters of Science in Nursing with certificate in midwifery, 1991
Amy, received her BA in Biological Science from Antioch College in 1984. She attended Yale University School of Nursing and obtained her nursing diploma, Masters of Science in Nursing and certificate in midwifery in 1991. Amy has held multiple positions in public, private and academic settings. She began her career as a nurse midwife by opening a freestanding birth center affiliated with a community health center in rural West Virginia. She worked for a busy private practice in Boston where she was involved in the education of midwifery and medical students and family practice residents. Upon moving to North Carolina in 1996, she provided prenatal care at Lincoln Community Health Center. Amy then developed a collaborative OB/GYN/Midwifery service at Kaiser Permanente in Chapel Hill where she attended births at UNC hospital and Durham Regional Hospital. Amy started the Duke Midwifery Service within the Department of Obstetrics and Gynecology in 1999 mentoring learners from two residency programs, medical, PA and NP students while providing patient centered care to a diverse population of women. She has lead a successful Centering Pregnancy Program for English and Spanish-speaking patients since 2004. Amy has received numerous awards including the Kaiser Permanente Excellence in Patient Care Award in 1999, the Duke Friends of Nursing Award for Excellence in Women’s Health and The North Carolina Great 100 Nurses Award in 2011. She has served as Faculty for the Duke School of Nursing since 2003 as a Clinical Instructor. Since 2008, Amy has been a faculty member of Centering Healthcare Institute, leading Centering Pregnancy and Centering Parenting trainings nationally and more recently in Malawi, Africa and Rio de Janeiro, Brazil. Amy joined the Duke School of Medicine Practice Course Faculty in 2014. Her special interests include Centering Model care and inter-professional education.
Education: Appalachian State University, Bachelor of Science in Business Administration, 2002
Rhiann earned a Bachelor’s of Science in Business Administration from Appalachian State University in 2002. After a brief stint working in special event production in Nashville, TN she moved to Durham to earn a Bachelor’s in Nursing at Duke University. She began her high risk OB career in 2007 when she joined Duke Labor and Delivery. During her seven years as a staff nurse she filled many roles on the unit and earned a Master’s of Science in Nursing. Following a global health rotation in St. Vincent and the Grenadines she returned to the Duke Birthing Center to establish the first Nurse Practitioner role. In 2014 she became the first Nurse Practitioner in the state of North Carolina to perform neonatal circumcisions Some of Rhiann’s professional passions are interprofessional education, perinatal mood and anxiety disorders, opioid use in pregnancy, contraceptive counseling, and vaccination education. Rhiann enjoys travel, running, and good food!
Kim Nolte, PA-C
Specialty Area: GYN/Oncology
Education: University of North Carolina, Chapel Hill - BS in Biology 2000
Duke University Physician Assistant Program - Master of Health Sciences 05/2006, PA certification 08/2006
Kim started with Gyn Oncology in September 2006. She is very involved in Survivorship Care for women after completion of cancer treatment. She is a sub-investigator on the clinical trials available at Duke for the treatment of gyn malignancies. Kim has been an instructor with the Duke PA program for the past 9 years.
DeEtte Reel, CNM
Specialty Area: Birthing Center
Education: N.C. State University, Bachelor of Science in Zoology, 1998
East Carolina University, Masters of Science in Nursing, Midwifery concentration
DeEtte graduated from N.C. State University with a B.S. in Zoology in 1998. She then spent several years at East Carolina University studying Molecular Biology with a focus on embryology. After the birth of her daughter where she received wonderful care with midwives, she decided to switch her focus to women's health. She went to East Carolina University and received her RN and MSN with a concentration in Midwifery. DeEtte then spent 8 years working in private practice in the Greenville, NC area before coming to Duke University in spring of 2016. DeEtte appreciates the multidisciplinary team approach to labor and delivery and enjoys teaching residents and medical students.
Jill Sergison, CNM
Speciatly Area: Birthing Center
Education: Wake Forest University, Bachelor of Science in Biology, 1999
Marymount University, Associate Degree in Nursing, 2002
New York University, Masters of Art, Midwifery, 2005
Jill is an associate scientist for FHI 360’s Contraceptive Technology Innovation Department and is also a practicing Certified Nurse-Midwife at Duke University. She has spent over a decade in clinical practice in the public sector, providing comprehensive women’s health care with an emphasis on family planning services. At FHI 360, she serves as the pharmacovigilance lead for clinical research studies across Phases I-IV in the field of contraception. She has also worked to increase access to long-acting family planning services both domestically and internationally. She holds an MA from New York University.
Kim Sniffen, CNM
Education: Sweet Briar College, Bachelor of Arts in Biology, 1989
John Hopkins University, Bachelor of Science in Nursing, 1990
Old Dominion University, Masters of Science in Nursing, 1996
Kim originally received her BA in Biology from Sweet Briar College in 1989 and went directly in Johns Hopkins University's Accelerated BSN program which she completed in 1990. She worked in the Neonatal ICU for many years and then while living in Montana cross trained to L&D and fell in love with midwifery! She then returned to school in 1995 and obtained her MSN in Advanced Perinatal Nursing from Old Dominion University in 1996. At this time she was starting her family, working in L&D/NICU and began teaching in an ADN program. However, always wanting to become a Certified Nurse Midwife she returned to school again and received a postmasters Certificate in Midwifery from Frontier School of Midwifery in 2003. Kim has practiced full scope midwifery for nearly 15 years and has been here at Duke since January of 2015. She completed her DNP from Frontier University in the Fall of 2010 to expand her career options. Kim loves to catch babies and teaching. Meeting residents and students with various clinical and life experiences from all over the world is the best part of an educators job. This dovetails nicely with her other passion – Haiti! Kim volunteers as the Maternity Program Coordinator for the Hope for Haiti Foundation. She has traveled to Haiti about 2 times a year or so to a tiny village up in the Sud-Est department called Zorange. So if you ever want to experience Global Health - let her know! Kim is originally from Virginia Beach, but has called North Carolina home for 16 years. She stays active with her two boys and daughter.
Penni West, CNM
Penni had plans to work in the state park system and started with a job tagging sea turtles in Hammocks Beach State Park. Family sidetracked the plans and at the delivery of her second child with a midwife, she knew she wanted a new career path. She went back to school for her graduate degree after both of her children were in school. After graduation with her MSN, she moved to Nebraska to work as a midwife with Hispanic immigrant women at One World Community Health Center from 2009 to 2017. She also had the opportunity to work with the Creighton University residents and accompanied the medical students to the Dominican Republic in 2015 to assist with gynecologic care of women in the ILAC center and in the bateyes. She recently moved back to NC to work in the Duke Birthing Center and to be closer to family. She is enjoying being able to hike in the forest again with her dog, Basilio.