Midwifery

We understand what a special time pregnancy is. At StoneSprings Hospital Center, we offer and encourage you to choose the delivery path that best suits your needs. If you decide using a midwife is right for you, we’ll help connect you with a midwife.

Your Care Plan

One of the most important people during your pregnancy will be your healthcare provider. Below are a few questions to consider when deciding between midwifery and traditional care.

  • Is a vaginal birth a priority for you?
  • Do you want maximum time with your provider during labor?
  • Are you interested in natural or medical pain management during labor?
  • Are long prenatal appointments important to you?
  • Is your pregnancy not considered high-risk?

If you answered yes to these questions, then your instincts may be pointing you toward midwifery care. Midwives often spend more time with their patients during appointments, counseling them on nutrition and parenting techniques, preparing for breastfeeding, and other areas of concern.

Midwifery Care at StoneSprings Hospital Center

According to the American College of Nurse-Midwives, Certified Nurse-Midwives (CNM) are registered nurses with graduate education in midwifery. They have graduated from a nurse-midwifery education program accredited by the Accreditation Commission for Midwifery Education (ACME). This education includes a university degree as well as hands-on clinical training by practicing CNMs. They also have passed the national certification exam of the American Midwifery Certification Board (AMCB).

Our Midwifery program includes:

  • Hydrotherapy with labor tubs
  • Wireless monitoring
  • Aromatherapy
  • Immediate skin-to-skin contact for mother and baby
  • Delayed cord clamping
  • Family-centered model of care with postpartum rooming-in
  • On-site lactation support

CNMs provide general women’s health care throughout a woman’s lifespan. These services include general health check-ups and physical exams; pregnancy, birth, and postpartum care; and well woman gynecologic care. CNMs are able to prescribe a full range of substances, medications and treatments, including pain control medications.

Meet the Midwives

Margie has been a practicing midwife since 1997. She received her Bachelor’s Degree in Nursing from The University of Phoenix, and completed her Master’s Degree in Nursing and Midwifery at UCLA. She loves working with women throughout their lifespan, and holds a special interest in adolescents. Since the loss of her sister Mary Pettys on Flight 3407 in Buffalo in February 2009, Margie has been instrumental in lobbying Congress for airline safety legislation. In her spare time, she loves to design and sew clothing and spend as much time with her granddaughter as she can.

Wendy Dotson is one of the founding partners of Loudoun Community Midwives. Wendy has many years of experience with midwifery and nursing in birth centers, homes and hospital settings since 1981. She earned a BSN from George Mason University, and a Masters in Nursing from State University of New York-Stony Brook. She has been a contributing writer in national midwifery publications and nursing texts. Other professional interests include teaching, legislation, natural remedies, and homeopathy. Wendy is a volunteer with non-profit Midwives for Haiti, and travels regularly to train Haitian midwives. In 2016, Wendy started a new job in Richmond working to bring midwifery options to more women. Wendy is married and has two grown sons.

Monica graduated from Frontier Nursing University with a Master’s Degree in October 2015. She has 20 years of experience in assisting women during labor and childbirth both in and out of hospitals. She has a passion for childbirth education and infant care. Monica lives in Fauquier County, VA with her husband and four daughters. She enjoys reading, playing the piano, and flower gardening.

Karen Foster-Anderson, received her Master’s Degree in Science from the Medical College of Virginia in 1988. She received her certification as a Nurse-Midwife from the Frontier School of Family Nursing and Nurse Midwifery in 1995. During the past 17 years, Karen has practiced in women’s health care in Northern Virginia and Martinsburg, West Virginia. She is able to care for our clients before, during and after the birth of their baby. She is certified by the American College of Nurse Midwives and is an ASPO Certified Childbirth Educator. Karen is actively involved in scouting and community sports while raising her 3 sons.

Beth received her undergraduate degree in nursing from George Mason University with a BSN. She worked in labor and delivery until she returned to school to study surgery from Delaware Community College in Pennsylvania, where she became a certified surgical first assistant. She began working for Fairfax OB/GYN Associates in 1990 as their first assistant, working with patients having cesarean sections and GYN surgeries. In 1998, Beth received her Master’s Degree from Georgetown University, completing her certification requirements in midwifery. She continues to act as first assistant in surgery as well as assisting couples in the birth of their babies. Beth has been teaching childbirth education for 25 years, as well as giving seminars to educate student midwives on cesarean delivery. Beth has numerous activities to enjoy, including white-water rafting, skiing, scuba diving and anything related to her grandchildren.

Courtney no stranger to Loudoun Community Midwives. The midwives have cared for her throughout the births of her four children. Courtney holds a BS in Molecular Biology from Grove City College as well as a BS in Nursing from Shenandoah University. She completed her Masters in Nursing from Shenandoah in 2009, then gained licensure as a Certified Nurse Midwife. Courtney is an educator at heart. Courtney shares teaching “Birth with a Midwife” class with Melinda. She loves taking time to teach her patients. When not at LCM, she enjoys home educating her children. Courtney also enjoys cooking and gardening with her family.

Juliann Lazzaro has been practicing Midwifery since 1997. She received her Bachelor’s degree in Nursing from University of New York at Buffalo, and earned her Master’s degree in Nursing from the State University of New York at Stony Brook. She enjoys working with women through their life span and has a special interest in holistic medicine. She enjoys teaching and helping women to be the best they can possibly be. She is so happy to be part of the Loudoun community and more importantly, a member of the Loudoun Community Midwives. Juli and her husband have two children, a son age 13 and a daughter age 10. She enjoys gardening, and bird watching.

Paula Senner obtained her BSN from University of Connecticut in 1988 and has enjoyed working in women’s health for over two decades. She holds a Certificate in Nurse-Midwifery from Frontier University and a Master’s Degree in Midwifery from Philadelphia University. Her professional interests include caring for women of all ages and diverse cultural backgrounds, with a special focus on the childbearing years. She has two active boys at home and enjoys running, biking, and hiking with them. She enjoys running and biking for charity, she also enjoys making her own precious metal clay silver jewelry in her spare time.

Heather Swartz obtained her Masters in Nurse Midwifery through Frontier Nursing University. She is thrilled to be a part of the Loudoun Community Midwives family and feels very fortunate to share in the miracle of meeting each of the newest family members. Heather is a firm believer that good, whole foods and regular physical activity are key to total body wellness for the entire family. She and her husband Joe put this belief into practice and are kept busy feeding and running around Bluemont with their four growing kids.

Amanda received her bachelor’s degree in nursing from Towson University. As a registered nurse, she worked in urgent care and as a mother baby nurse. Amanda’s interest in women’s health led her to pursue a graduate degree. She completed a Master’s of Science at Georgetown University as a Certified Nurse Midwife and a Women’s Health Nurse Practitioner.

She has a passion for educating and empowering women to feel confident and informed about their own healthcare. She believes that partnership with women is key in providing effective and personalized care. Amanda practices full scope midwifery seeing women from the prenatal period through birth and postpartum as well as providing gynecologic care across the lifespan.

In addition to midwifery and women’s health, Amanda enjoys being active, reading, spending time with friends and family, and is an avid sports fan.


Frequently Asked Questions

What is the difference between a Midwife and an Obstetrician?

  • The differences between midwives and obstetricians (commonly referred to as “Ob/Gyn”) are many, but both types of providers are completely focused on the health of you and your baby, and both want the very best experience and outcomes for you.
  • Ob/Gyn providers have generally completed four years of medical school beyond an undergraduate degree, a four-year residency during which they hone and practice their skills, and for many, a fellowship period during which time they hyper-specialize in a certain area of women's health such as fertility or maternal-fetal medicine. Certified Nurse Midwives (CNMs) are also highly trained and require Registered Nursing (RN) degree, as well as a multi-year master's degree program in midwifery. The majority of midwives also possess bachelor's degrees.

Who can use Certified Nurse-Midwives?

  • Our CNMs generally care for women who are experiencing a low-risk pregnancy. They will work with you and your prenatal care provider to determine if there are any risk factors that would exclude you from their care.

What if I need to be induced or decide I want pain medication?

  • Certified Nurse-Midwives can provide induction or augmentation of labor if necessary. Midwives know that each labor and woman are unique, and will continue to support women who choose pain medication.

What happens if I have a complication during my birth?

  • If you experience a rare unexpected complication, your CNM, prenatal care provider, and our team will work together to provide excellent care to you and ensure a safe delivery of your baby. Midwives stay with their patients even if the need for intervention arises.

Are there times when a midwife is not available?

  • No. StoneSprings Hospital Center has midwifery care available 24/7/365.