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University of Nebraska Medical Center

Certified Nurse-Midwives

Welcome to the Midwifery Team at UNMC

The midwifery team at UNMC provides patient-centered care and shared decision-making for pregnancy, birth, postpartum, and gynecologic needs. Our certified nurse-midwives specialize in supporting low to moderate risk pregnancies with a focus on natural, physiologic birth and holistic care.   

While our goal is always a smooth, healthy pregnancy and birth, we understand that unexpected challenges can arise. If risk levels change, our midwives work closely with our physician team to co-manage care. This collaboration ensures our patients receive the safest, most personalized approach possible—while still honoring parent preferences and helping them feel supported every step of the way. 

Learn More

  • Provide prenatal care during pregnancy, including regular checkups and education 
  • Support labor and birth, focusing on natural, physiologic processes and patient preferences
  • Offer the option of labor and birth in the routine labor and delivery area or The Holistic Birth Place, an in-hospital birth center, which promotes undisturbed, physiologic birth 
  • Offer postpartum care, including recovery support and breastfeeding guidance 
  • Provide immediate newborn care for our Holistic Birth Place babies with routine follow up
  • Perform gynecologic services, such as annual exams, Pap smears, contraception counseling, and family planning
  • Provide whole-person support, addressing physical, emotional, and family needs throughout the reproductive journey
  • Promote shared decision-making, ensuring patients are informed and empowered in their care choices
  • Collaborate with physicians and health care teams when higher-risk situations arise, providing safe, coordinated care

Our midwifery section plays a vital role in training future physicians and advanced practice providers: 

  • Medical students gain exposure to physiologic birth and patient-centered communication during clerkship rotations and simulation-based learning. 
  • Residents learn collaborative care principles and develop confidence in managing low-risk deliveries, enhancing their ability to provide comprehensive obstetric care in any practice setting. 

Learners leave with: 

  • A strong foundation in normal labor management and physiologic birth principles
  • Skills in patient education and shared decision-making
  • Confidence in interdisciplinary collaboration and continuity of care 
  • A commitment to promoting maternal wellness and respectful care practices 

Meet the Certified Nurse-Midwife Team

Alyssa Fischer, APRN-CNM

Certified Nurse-Midwife
Adjunct Instructor (Clinician)

Alyssa Fischer

April Nelson, APRN-CNM

Certified Nurse-Midwife
Adjunct Instructor (Clinician)

April Nelson

Heather Ramsey, DNP, APRN-CNM

Certified Nurse-Midwife
Adjunct Instructor (Clinician)
APP Supervisor, OB-GYN

Heather Ramsey

Kathleen Scott, DNP, APRN-CNM

Certified Nurse-Midwife
Adjunct Instructor (Clinician)

Kate Scott