Katherine S Puls, CNM

About Kathy What is a CNM? What does a CNM do? Why choose a CNM? The Practice The Office

What does a Nurse Midwife do?

Neonatal Care Neonatal Care

Nurse midwives follow the same sequence of visits and offer the same testing that physicians do. Initial prenatal visit is usually between 5 to 8 weeks after the last menstrual period. For the first 6 months, visits are once a month as long as everything is going smoothly. Visits during the 7th and 8th month are every two weeks. Visits during the last month of the pregnancy are every week.

Nurse midwives can explore life style issues and make recommendations to cope with changes as a women progresses through her life cycle. Nurse midwives encourage the use of preventative diagnostic tools such as self breast exams, mammography, bone density scans, and various laboratory test as indicated. Nurse midwives see women for their annual pelvic exam and pap smear. Nurse midwives can diagnose and treat such problems as vaginitis, urinary tract infections, etc.

Nurse midwives can prescribe methods of contraception:

Labor and Birth

When a patient being cared for by Kathy goes into labor and is ready to go to Evanston Hospital, Kathy also goes to the hospital. Kathy is available for support and monitoring of the labor. She does the physical examinations and makes decisions with the laboring woman and her family about interventions if they are needed.

There are a variety of options available to help cope with labor and birth.