Duke Midwifery Service Records, 1989-2021

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Summary

Creator:
Duke University. Department of Obstetrics and Gynecology. Division of Maternal Fetal Medicine.
Abstract:
The Duke Midwifery Service (DMS) provided obstetric and gynecologic services to low-risk pregnant women and education to first-year residents, medical students, physician assistant students, midwifery students and nursing students. The Service was established in 1999 under the Division of Maternal Fetal Medicine in the Department of Obstetrics and Gynecology at the Duke University School of Medicine. This collection contains materials from Amy MacDonald, CNM, and former DMS Director from 1999 to 2013. Types of materials include administrative records, birth logs, grant information, correspondence, curriculum materials, clinic forms and handouts for patients in English and Spanish, photographs, digital files, and a lab coat. Materials date from 1989 to 2021.
Extent:
6.05 linear feet (3 cartons, 1 flat box, 1 map folder, 1 map tube) and 1.42 GB and 1 textile.
Collection ID:
AR.0180

Background

Scope and content:

Collection contains the administrative records, birth logs, grant information, Centering Pregnancy curriculum, El Centro clinic forms, patient handouts, and the professional papers of the programs first Certified Nurse-Midwife, Amy MacDonald. Also included are photographs, news clippings, digital files, posters, and a lab coat. Materials date from 1989 to 2013.

Biographical / historical:

The Duke Midwifery Service (DMS) was initiated in 1999 to provide services to low-risk pregnant women and education to OB-GYN and Community and Family Medicine first-year residents, medical students, physician assistant students, midwifery students, and nursing students. The service was first organized within the Division of Maternal Fetal Medicine under the Department of Obstetrics and Gynecology. In 2014, the name changed to Duke Women's Health Services Teams when the Duke Midwifery Service integrated with Nurse Practitioner/Physician Assistant Services to create the Advance Practice Provider Service (APPs) under the Divisions of Maternal-Fetal Medicine and Gynecology.

As the service expanded, it employed certified nurse-midwifes across regional inpatient and outpatient clinics. The Certified Nurse-Midwife's (CNM) practice was supervised by Phil Heine MD, Director of Maternal of Fetal Medicine. At the Duke Medical Center, CNMs provided daytime triage, labor, and delivery inpatient care in the Duke University Hospital Birthing Center. At Birth Place at Duke Regional Hospital, CNMs provided triage and intrapartum inpatient care for patients from Durham County Health Department (DCHD), Franklin County Health Department (FCDP), and Person County Health Department (PCHD). Outpatient care was provided at the Duke Maternal Fetal Medicine (MFM) Clinic and the Duke Resident Postpartum Clinic. DMS was contracted in 2001 to provide prenatal cares services at DCHD Prenatal Clinic at Lincoln Community Health Center, and, in 2004, the first site of Centering Pregnancy, a model program for group prenatal care. Later in 2009, an award from the North Carolina Healthy Start Grant would create a clinic and expand Centering program to Spanish speaking women at El Centro Hispano, a center for Latino advocacy in Durham, North Carolina. As of 2012, the service had attended to approximately 3000 births.

The materials were collected by Amy MacDonald, CNM, former DMS Director, from 1999 to 2014. She was the first CNM to be hired and remained on staff with the program until she left her position in November 2021. MacDonald received a Bachelor of Arts in Biological Science from Antioch College in 1984, and her Nursing Diploma and Master of Science in Nursing with certificate in midwifery from Yale University School of Nursing in 1991. She began her career as a nurse midwife by opening a freestanding birth center affiliated with a community health center in rural West Virginia. MacDonald later worked for a 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, MacDonald provided prenatal care at Lincoln Community Health Center in Durham. She 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. MacDonald 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 joined the Faculty for the Duke School of Nursing as a Clinical Instructor in 2003. She later joined the Duke School of Medicine Practice Course Faculty from 2014 to 2016. Since 2008, Amy has been a faculty member of the Centering Healthcare Institute, leading Centering Pregnancy and Centering Parenting trainings nationally and internationally in Malawi, Africa and Rio de Janeiro, Brazil.

Acquisition information:
Accession A2021.084 (gift by Amy MacDonald, November 2021)
Processing information:

Processed by Carter Hulinsky under the supervision of Lucy Waldrop: March 2022.

Arrangement:
Organized into the following series: Administrative Records, 1989-2013; Centering Program Materials, 1997-2016; Amy MacDonald Professional Papers, 1997-2019; Photographic Materials, 2003-2014; Digital Files, 1998-2021.
Rules or conventions:
DACS

Contents

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Restrictions:

This collection may contain materials with sensitive or confidential information that is protected under federal or state right to privacy laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA). Researchers are advised that the disclosure of certain information pertaining to identifiable individuals represented in this collection without the consent of those individuals or IRB approval may have legal ramifications (e.g., a cause of action under common law for invasion of privacy may arise if facts concerning an individual's private life are published that would be deemed highly offensive to a reasonable person) for which Duke University assumes no responsibility.
Contains Medical Center Administrative records. These include records of the officers of the University, as defined in the Bylaws, the deans of schools and colleges, and departments, institutes, and other offices as designated by the President. For a period of twenty-five years from the origin of the material, permission in writing from the director of the office of record and the Medical Center Archivist is required for use. After twenty-five years, records that have been processed may be consulted with the permission of the Medical Center Archivist. (Issued by the Office of the Chancellor, December 1, 1975).
Collection must be screened for sensitive or confidential materials before being accessed. For further information consult with the Medical Center Archivist.

Terms of access:

Copyright for Official University records is held by Duke University; all other copyright is retained by the authors of items in these papers, or their descendants, as stipulated by United States copyright law.

Preferred citation:

[Identification of item], Duke Midwifery Service Records, Duke University Medical Center Archives.