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Midwife Services

Nurse Midwives in Lexington, Kentucky

JoAnne Burris and Melissa Courtney outside the UK Midwife Clinic
JoAnne Burris and Melissa Courtney outside the UK Midwife Clinic

UK Midwife Clinic is a practice unique in the Lexington area because we provide the support of certified nurse midwives along with access to experienced OB-GYN physicians and, should you or your baby need it, the region’s only high-risk obstetrics program and only Level IV neonatal intensive care unit. Our goal is to fully give the power of your birth experience to you. Our role is to support you in your choices and help facilitate safe passage for you and your baby during your pregnancy and birth.

About Us

We seek to provide superior midwifery (obstetrics), gynecology and primary healthcare to women across the lifespan in an environment that exudes kindness and compassion, leading to the empowerment of women.

You may request an appointment by filling out our secure online form.

We believe in the strength women embody in all aspects of their lives and strive to help them to accomplish their health goals. We offer a free consultation visit if you are considering our practice.

  • Locations

    Clinics

    UK Midwife Clinic

    Suite 200
    141 N. Eagle Creek Drive
    Lexington KY 40509
    Fax 859-257-0629

    Monday - Thursday: 8:30 am-5:00 pm
    Friday: 8:30 am-1:00 pm

    If you are an existing patient, please be aware that due to HIPAA privacy we will not be able to give advice at this time via e-mail response. Please call the office for questions or concerns or use the My UK HealthCare patient portal. If this is a medical emergency, call 911.

  • Services

    We offer care to female patients throughout their lives. We provide annual exams, problem gynecological care, hormone imbalance and replacement, basic infertility care, primary care, and more.

    Deliveries take place at the UK Birthing Center located on the third floor of UK Chandler Hospital. We encourage you to explore the hospital to discover how it is designed to accommodate all of your birth choices.

    Our role here at UK Midwife Clinic is to support your choices and work in partnership with you to achieve them. We are here to help facilitate a safe passage for you and your baby during your pregnancy and birth.

    Our care is time-intensive. We strive to schedule your appointments to allow for optimal time to be spent educating you, answering your questions and assessing you holistically.

    We are available for emergent matters 24 hours a day, seven days a week. Our practice shares call with UKHC Midwives and Maternal Fetal Medicine. We also offer a free consultation visit that allows you 15 minutes of our time to meet us and explore our practice to make sure we are right for you.

    Our primary goal is to exceed your expectations of care. We want to provide a practice that you will proudly recommend to your family, friends and acquaintances.

    Gynecological Services

    Call 859-323-9897 for a free consultation visit if you are considering our practice.

    • Annual exams
    • Pap smears
    • Gynecological problem visits
    • Birth control
    • Implanon, mirena and paragard
    • Pregnancy confirmation
    • Prenatal care
    • Postpartum care
    • Breast exam
    • Hormonal imbalance
    • Hormone replacement therapy
    • Weight issues

    Free Consultation

    We offer a free consultation visit if you are considering our practice. This allows you 15 minutes of our time to freely ask questions and become acquainted with us to see if our practice is right for you.

     
  • Patient Education

    Depression

    Depression is the No. 1 complication of pregnancy. Please contact us if you are experiencing any of these symptoms. We WILL NOT judge you; we are here to help.

    • Do you feel sad more often than happy?
    • Do you often cry?
    • Do you have trouble getting out of bed or accomplishing daily tasks?
    • Do you feel more irritated than normal with your spouse, children, family and friends?
    • Do you often feel anxious?
    • Do you have thoughts of suicide?
    • Do you feel angry about being pregnant or having a new baby?

    Nutrition in Pregnancy

    • Moderation is key. Try to exercise three to four times weekly for 45-60 minutes each time. This will help you balance your caloric consumption and physical well-being.
    • Eat six small meals a day.
    • Eat at least 60 grams of protein per day with a goal of 10 grams each for six small meals.
    • Reduce simple carb intake such as cookies, candies and cakes. Avoid excessive eating of pasta, rice and potatoes.
    • Increase intake vegetables.
    • Increase intake of fresh fruit instead of excessive fruit juice.
    • Drink mostly water and limit soda intake as well as sugary drinks. Aim for at least 80-90 ounces of water a day.
    • Limit caffeine intake to one to two servings a day.
    • It’s okay to eat seafood, but avoid fish with high mercury content such as mahi mahi, mackerel, shark and tile fish. It is okay to eat tuna and salmon.
    • Until 20 weeks of pregnancy, avoid cold lunch meat because of the possible contamination with listeria bacteria. You can heat meat in microwave, heat on a griddle or process it through a toaster oven.

    VBAC (Vaginal Birth After Cesarean

    • You must have routine office prenatal care.
    • Delivery by 41 weeks.
    • U.S. fetal weight estimate of less than 8 to 14 ounces.
    • History of no more than one previous low transverse C-section documented.
    • You must have a favorable cervix.
    • Cautions augmentation with Pitocin, amniotomy and intracervical catheter.
    • Cautions induction with Pitocin and amniotomy.
    • History of previous C-section more than 12 months prior.
    • Approval by backup physician Dr. Fadel Shammout.

    VBAC Risks

    • Include the same risks as a normal vaginal delivery.
    • Uterine rupture, or tear in the uterus (0.4 percent-1.2 percent)
    • There may not be sufficient time to operate and prevent death of or permanent injury to baby.

    Repeat Cesarean Delivery Risks

    • Need for blood transfusion.
    • Hysterectomy (removal of uterus).
    • Infection.
    • Blood clots.
    • Damage to the bladder, bowels and uterus.
    • Problems related to anesthesia.
    • Maternal death.
    • Fetal brain damage (approximately 1:1,000 TOLAC (trial of labor after cesarean) attempts).
    • Fetal death (6 percent of uterine ruptures).

    VBAC Benefits

    • Our success rate is 80 percent.
    • 73.3 percent for one previous C-section.
    • 71.1 percent for two pervious C-sections.
    • Lower morbidity than repeat cesarean delivery.
    • Fewer blood transfusions.
    • Fewer infections.
    • Greater psychological satisfactions.
    • Shorter hospital stay.
    • Greater chance of vaginal delivery in the future.
    • Fewer breathing problems for the baby.

    FAQs