Certified midwives in Richmond, Virginia

At The Women’s Hospital at Henrico Doctors’ Hospital, around 1,000 babies are delivered by our certified nurse midwives (CNMs) each year. Along with our obstetrician gynecologists (OB/GYNs) and other childbirth specialists, this team works to help you achieve your best birth. As part of that goal, our CNMs offer education and support during your pregnancy to help prepare you for the hard work of labor and birth.

For more information about Henrico Doctors' Hospital's midwifery services or for help finding a doctor, call our free, 24/7 Consult-A-Nurse line at (804) 320-3627 (DOCS).


For high-quality outcomes and care, The Women’s Hospital has received an Excellence Award from Healthgrades for labor and delivery.

Additionally, we were the first hospital in Virginia to earn The Joint Commission’s Perinatal Care Certification for providing safe, patient-centered experiences before and after birth.

Midwifery at our hospital

If you choose to use one of our midwives, your physician will continue to provide you with routine prenatal care. However, you will meet periodically with our CNMs to discuss low-intervention birth preparation, your birth preferences and the communication plan during labor. Throughout this process, you will have many opportunities for both individual and group meetings.

When you go into labor

When you are in labor, you will contact your CNM who will help guide you through the labor process. Our CNMs will care for you from admission through the birth of your baby, and afterwards during your postpartum stay. After you are discharged, you will return to your doctor or CNM for your postpartum follow-up visits.

Low-intervention birth

If you are interested in a low-intervention birth experience, our team of CNMs are available to provide high-touch, low-tech labor and delivery care. Your nurse midwife will provide guidance on laboring at home, when to come to the hospital and how to work with your body and contractions. They will help facilitate your low-intervention birth through:

  • Personalized support
  • Hydrotherapy
  • Wireless monitoring
  • Aromatherapy
  • Alternative labor and birthing positions
  • Skin-to-skin contact after birth
  • Delayed cord clamping

Midwifery-related classes and events

One of the ways you can start learning more about midwifery care at our hospital is by talking with your OB/GYN. You can also take advantage of our classes and events, including:

Low-intervention birth class

You can learn more by attending a low-intervention birth class offered at Henrico Doctors' Hospital. The class provides more information on what a low-intervention birth entails and includes a tour of our labor and delivery unit as well as the opportunity to meet some of our midwives. You do not have to currently be a patient at our hospital to attend.

To meet with our midwifery team, either at our event or one-on-one, please call (804) 661-8283 or email us.

Our midwives

Ashlie Buell, CNM, WHNP

Ashlie is the Director of the OB Hospitalist Nurse-Midwifery service at Henrico Doctors’ Hospital. She has a Master’s degree in Women’s Health from Suffolk University in Boston, Massachusetts, where she worked with the Massachusetts Coalition for Midwifery on improving access to midwife care. She trained in Boston as a full-spectrum doula and supported single parents, low-income families, and teens in both home and hospital births. Ashlie received her second Master’s degree from the University of California in San Francisco as a Certified Nurse-Midwife and Women’s Health Nurse Practitioner. She returned to Richmond, Virginia to be closer to her family and worked as a CNM at Chippenham Hospital before joining the hospitalist group at HDH.

Ashlie is an active member in the American College of Nurse-Midwives. She strives to provide evidence-based, trauma-informed, person-centered care for a diverse population and is particularly passionate about working to reduce the incidence of primary cesarean sections and supporting Vaginal Births after Cesarean (VBAC). Ashlie spends her free time with her husband and two daughters and loves to bake, read, practice yoga, hike, and go to the beach.

Elizabeth Markey, MSN, CNM

Elizabeth attended Georgetown University for her Bachelor of Science in Nursing, graduating summa cum laude in 2011. She then pursued a Master of Science in Nurse-Midwifery from Frontier Nursing University. Prior to joining the CNM Hospitalist Group at Henrico Doctors’ Hospital, Elizabeth practiced on Maryland’s Eastern Shore, where she provided full-scope nurse-midwifery care. She then relocated to Richmond to join the CNM team at VCUHealth, where she specialized in assisting women desiring natural childbirth.

As a midwife, Elizabeth knows that childbirth can be profoundly empowering, especially when women feel supported, informed and safe in the experience. Respecting that the path to achieving this is different for every person and every birth, Elizabeth’s joy is providing women with compassionate care tailored to their unique needs. She is passionate about physiologic labor support, improving maternal and neonatal outcomes and the therapeutic effects of maternal voice, positioning and provider presence on the labor process.

She is happy to join her colleagues at The Women’s Hospital in helping women and families attain a birth experience that they will cherish.

Brenda Radford, MSN, CNM

Brenda is originally from Canada, and has spent time living in Europe, Australia, and all over the United States. She has a love of normal physiological birth ignited by the experience of birthing her own children in Canada and Germany. She is excited to expand access to midwifery care and promote family centered care at The Women's Hospital.

Brenda received her Bachelor’s of Science in Nursing in 2002 from the College of St. Catherine’s in St. Paul, MN. She spent many years working all over the country in all sub specialties of maternal/child health. She has experience in the newborn ICU, postpartum, antepartum, newborn nursery and labor and delivery departments. While working as a nurse at VCU she started the skin to skin initiative immediately following child birth.

In 2013 she earned her Master’s of Science in Nursing from Old Dominion University with a midwifery endorsement from Shenandoah University. She began her midwifery career at a busy, privately owned practice in New York State. She encouraged more family friendly practices into the hospital culture, including hydrotherapy for pain relief in labor, use of birth and peanut balls, and placing infants, skin to skin with their mother immediately following delivery.

In her spare time Brenda enjoys spending time with her four adult children and grandson. She lives on a hobby farm with her husband of 37 years, her horses, chickens and cats. She loves to trail ride and camp with her horses. Brenda and her husband are avid home renovators, love to cycle and continue to travel as much as they can.

Barbara Royston, MSN, CNM

Barbara Royston graduated with an associate's degree in nursing from Piedmont Virginia Community College in 2002. She graduated with her bachelor's degree from James Madison University in 2012 and earned her master's degree from James Madison University/Shenandoah University in 2015. Barbara was born and raised in Albemarle County and has three daughters. Her family likes all things outdoors—sports, camping and fishing— and on the rare rainy day, she likes to read, sew and cook.

She decided to become a midwife after experiencing the quality care midwives provide. Before becoming a midwife, she was a labor and delivery nurse at UVA for 12 years. She enjoys providing relationship-based care and guiding women to have a satisfying birth experience. She is eager to continue to grow as a midwife while supporting the growth of Henrico Doctors' Hospital's midwifery program. When women feel empowered, they can move mountains.

Kim Caylor, MSN, CNM

A native from Ohio, Kim was a labor & delivery registered nurse for 17 years before returning to school to obtain her BSN in nursing from Bowling Green State University in Ohio and then obtaining her Master’s Degree in Nursing & Midwifery from Case Western Reserve University in Cleveland, Ohio. Kim has been board certified in nurse-midwifery since 1998. She is a member of the American College of Nurse Midwives and its affiliate Virginia Chapter and an Associate Member of American College of Obstetrics & Gynecology.

Kim has practiced a full scope midwifery experience for more than 20 years caring for women from all ages and walks of life, specializing in low intervention birth. Kim finds it a humbling experience to be with women and their families during the birth of their child. For Kim, it is such a privilege to provide high-touch/low tech midwifery care to women during this important time in their life.

In her spare time, Kim enjoys spending time travelling with her husband and visiting their three children and five granddaughters! She also has a passion for kayaking, hiking and camping in search of waterfalls.

Frequently asked questions about midwives

Who can use a CNM?

Our midwives typically care for women experiencing low-risk pregnancies. We will happily work with your OB/GYN to determine if there are risk factors that would exclude you from receiving midwifery care.

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

CNMs are able to provide induction or augmentation of labor if necessary. Our CNMs 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?

Your CNM, OB/GYN and our hospitalist physicians collaborate to provide excellent care to you and your baby. If you experience a rare or unexpected complication, this team will work together to ensure a safe delivery. Additionally, our CNMs stay with their patients, even if the need for intervention arises.

Do you accept my insurance?

Yes. There is no additional charge for midwifery care, and billing is handled through your prenatal care provider’s office.

Are there times when a midwife is not available?

No. Midwifery care is available 24/7, all year at Henrico Doctors’ Hospital.

Midwifery at HCA Virginia

Midwives are professionals who aid in the processes of labor, delivery and postpartum care. Midwifery minimizes the level of medical intervention during pregnancy and delivery. Midwives can be present during a hospital delivery.

Learn about Midwifery