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Certified Nurse Midwives

certified nurse midwives

The certified nurse midwives (CNM) at Signature care for both gynecological and obstetrical patients. The CNMs provide extensive education on preconception counseling, family planning, nutrition and overall health and wellness. Additional services provided by our CNMs: 

  • Routine gynecologic care - including well women visits, diagnosis of urinary tract infections and other vaginal infections.
  • Family planning and contraception guidance - our certified nurse midwives can prescribe the full scope of contraceptive options and also insert IUDs.
  • Obstetrical care - including management of the pregnancy the entire time. IF there are complications, one of our certified nurse midwives will team up with a physician to provide the most comprehensive care possible.
  • Labor management - including alternatives to pain medication during labor. Some of our patients do elect to have traditional pain management therapies, including epidurals. We encourage our patients to find the best pain management strategies for them during childbirth.
  • Menopause management - provide care during this time of change in a woman's life.

We are the only practice in Howard County that has a team of midwives who work collaboratively with physicians to provide excellent care.

Hospital births with our Certified Nurse Midwives

Our certified nurse midwives support the safety and sanctity of birth in a hospital setting. For those individuals and families who choose to give birth in a hospital environment, our nurse-midwifery practice is an added source of support in creating a positive birth experience. During labor and birth, our certified nurse midwives provide many services that enhance the birth process.

Our obstetricians and certified nurse midwife providers

  • Perform the delivery of your baby
  • Offer support and encouragement to both you and your partner
  • Evaluate your labor process and help you make any decisions, should intervention be necessary
  • Help your partner or family member take an active role to whatever degree is desired
  • Maintain ongoing communication and consultation with the backup physician as necessary
  • During the postnatal period, you will have a six week office visit

Your physical and emotional well-being continue to be of the utmost importance to our certified nurse midwives. During the postnatal period, you will have a six week office visit with a CNM.

As you prepare for the rewarding work of motherhood and parenting, our certified nurse midwives can also provide you with information on breastfeeding, infant care and self-care. 

Your physical and emotional well-being continues to be of the utmost importance to our Certified Nurse Midwives. During the post-natal period, you will have a six-week office visit with a CNM.

As you prepare for the rewarding work of motherhood and parenting, our Certified Nurse Midwives can also provide you with information on breastfeeding, infant care and self-care.

View our Obstetrics Resources

Our Certified Nurse Midwives

Jackie Notes

Jackie Notes, CNM

After graduating from Indiana University Medical Center Nursing School, Jackie was a labor and delivery nurse at Rush Presbyterian St. Lukes Medical Center in Chicago. She earned a certificate in nurse-midwifery at the University of Mississippi Medical Center in 1978.After serving in a number of positions that included prenatal clinic director and staff member in the Midwifery Education Program at Stanford/EPA and in private practice, Jackie joined our Midwifery Service in 1988.

Jeanne Prins

Jeanne Prins, CNM, MS

Jeanne received her BSN from the University of Vermont in 1984, and worked as a registered nurse in Boston, and numerous African countries, working to improve health care services to refugees and displaced people. She earned her Masters in Nursing and Midwifery degree from Georgetown University in 1997. Jeanne worked as a midwife in Charles Town, West Virginia and Frederick, Maryland before joining our practice in early 2004.

Janine Sayles

Janine Sayles, CNM, MS

Janine started her obstetric experience working as a labor and delivery nurse and childbirth educator for fifteen years. Wanting to do more for women's health, she attended Georgetown University where she graduated from the School of Midwifery with her Masters Degree in 1996. After graduating, she worked in a private midwifery practice and birthing center before joining our practice in 2006.

Nora Molloy

Nora Molloy, CNM

Nora Molloy, CNM joins Signature OB/GYN with over 15 years of experience as a Certified Nurse Midwife and an additional 10 years of experience as a nurse in Labor & Delivery. Most recently, she joins us from the Johns Hopkins University, Baltimore, where she was a clinical instructor in the School of Nursing. Nora’s experience includes varied roles in many different places. She has provided OB/GYN care to women with high risk factors in both practice and hospital environments. While serving in the Army at the Bassett Army Community Hospital in the early 1990’s as a Charge Nurse in the Emergency Room, she earned her certification in Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS).>

Nora is comfortable in an advanced practitioner role where she can be part of the patient’s care team, providing her patients with the best of care. She looks forward to working as a full scope midwife at Signature OB/GYN, while providing gynecologic, antepartum, and obstetric care to patients of all ages.

Tammy Senn

Tammy Senn, CNM, WHNP, RNC

Tammy Senn, CNM, has been actively involved with childbirth and family-centered care, first as a registered nurse and later, as a certified nurse midwife, since 1996. Tammy's most recent position was with the Williamsport OB/GYN in Pennsylvania. Her responsibilities encompassed a full scope of women's care, including IUDs, Nexplanon birth control, and obstetric services involving both low and high-risk pregnancies. Tammy is certified as a Women's Health Nurse Practitioner on a post-Masters degree level, as well as being a Certified Nurse Midwife. She has been a clinical instructor of the Pediatrics/Childbearing program at Salisburg University and is a member of the American College of Nurse Midwives. Tammy's patients say that she is a good listener and that she explains things in a way that is easily understood.

Rhea Williams

Rhea Williams, CNM

Rhea studied nursing at Johns Hopkins University and continued her midwifery studies at Shenandoah University. She is board certified and a member of Sigma Theta Tau honors nursing society. Additionally, she is a Lamaze certified instructor. Prior to midwifery, she earned a degree in Nutrition and Food Science and focused her career on nutrition especially education and intervention. She now combines midwifery and nutrition intervention in her care process with her patients throughout the lifespan. She believes every woman has the potential to have a healthy enjoyable pregnancy if empowered and educated. She speaks limited Spanish and is currently working toward fluency. Her focus areas in women's health include health prevention and maintenance especially diabetes.