Certified midwives in Fredericksburg, Virginia

At Spotsylvania Regional Medical Center, we understand that every expectant mother's preferences are different when it comes to maternity care and childbirth. That is why we have Certified Nurse Midwives (CNMs) on our medical team to offer midwifery care for women interested in natural or alternative delivery options. CNM's have attending privileges at our hospital and work in collaboration with our obstetrician gynecologists (OB/GYNs) and other childbirth specialist at Spotsylvania Regional Medical Center to help you achieve your best birth. As a part of that goal, we also offer education and support during your pregnancy to help prepare you for the hard work of labor and birth. To find out who our current midwives are at Spotsylvania Regional Hospital, please see below, Our midwives.

For more information about Spotsylvania Regional Medical Center’s midwifery services or for help finding a doctor, call our free, 24/7 Consult-A-Nurse line at (888) 685-1610.

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

If you are interested in a low-intervention birth experience and receiving care from one of our CNMs, they will provide you with guidance about your birth experience. The CNM, along with our nursing staff on the labor unit will coordinate your care to provide you with the birth options of your choosing that are safe and memorable. We want you to feel confident in your choices. The CNM will be notified when you are admitted to the hospital, and your labor will be attended by a CNM. Our labor and delivery medical team also staffs OB Hospitalist that provide 24/7 coverage to support any additional needs that should arise during your pregnancy. The OB Hospitalists will work together with your CNM in support of your best birthing experience.

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
  • Alternative labor and birthing positions
  • Skin-to-skin contact after birth
  • Delayed cord clamping

One of the ways you can start learning more about midwifery care at our hospital is by talking with your OB/GYN or our perinatal navigator.

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 all year at Spotsylvania Regional Medical Center

Our midwives

Amy L. Frederick, MSN, CNM


Amy attended WV Wesleyan College where she received a Bachelor’s Degree in Nursing. She has cared for women and children since 1999 in various Virginia hospitals. While working with these families, she realized the value of allowing women to have choices in their healthcare. She decided to pursue a career in midwifery in hopes to advocate for women and families to have the birth they truly desire. After attending Frontier Nursing University, where she earned a Master’s Degree; Amy began her midwifery career in Pennsylvania. As a provider, she was able to help many women, not only with childbearing but with many aspects of their healthcare. Her approach centers holistic and safe care for each woman she serves.

Evette M. Hernandez, CNM, MSN, RN


Evette is originally from Buffalo, N.Y. and has lived in the Washington D.C. metropolitan area since 2015. She earned her Master of Science in Nursing from New York University in 2011, where she graduated at the top of her midwifery cohort, and a Bachelor of Nursing from the University at Buffalo. Evette believes every woman can benefit from the care of a midwife and that midwives are essential to addressing maternal health disparities in the U.S.

Evette is Latina of Puerto Rican heritage and speaks Spanish fluently. Prior to completing her education as a midwife she worked as a registered nurse in oncology and general medicine for seven years. She is a strong proponent of evidence based medicine and social justice and equity in healthcare.

Throughout her career as a midwife, Evette has provided care to women in hospitals, private practice, and community health centers. She has also attended births in a freestanding birth center and at home. Evette provides well-woman exams, prenatal care, antepartum and birth care, postpartum care, and contraception including intrauterine device and implant insertion.

In her free time she enjoys spending time with her partner and family, nature, hiking, yoga, dancing, live music, and traveling.

Annie Kownack, MSN, CNM, WHNP


Annie was born and raised in Virginia Beach, Virginia. After receiving her Bachelor’s Degree in Nursing from Old Dominion University, she worked in the Pediatric Intensive Care Unit for five years. She greatly values the time she spent as a Registered Nurse providing care for critically ill children and being there for many families during difficult times. During her time as a nurse, she realized her true passion was women’s health, so she decided to pursue a career as a Midwife and Women’s Health Nurse Practitioner. Annie received her Masters of Science in Nursing from Georgetown University and graduated in 2020. She has cared for women in many settings including hospitals, birth centers, and underserved international areas. Annie enjoys providing holistic and family centered care for women throughout their lifespan but is especially excited about helping women navigate pregnancy. She believes in providing individualized care to each client and making sure they feel empowered and informed about their care.

In her spare time, Annie likes to drink coffee, travel, go to the beach, hike, hangout with family and friends, and cuddle with her golden retriever, Jordy.

Melissa Morton, MS, RN, CNM, WHNP-BS


Melissa Morton is a board certified Nurse Midwife and Women’s Health Nurse Practitioner. She received her BSN from the University of North Carolina at Wilmington in 2008 and MSN from Georgetown University in 2018. Melissa is a member of the American College of Nurse-Midwives, as well as the ACNM Virginia-affiliate. She is passionate about empowering women through education, allowing women to feel confident making informed decisions about their healthcare and birth. She enjoys building a trusting professional relationship with her patients, their families, and partners, in order to provide a holistic approach to each individual’s health care and the birthing experience. She is a native of eastern North Carolina and began her career as a labor and delivery nurse in Greenville, NC and continued on to labor and delivery assignments in Charlottesville, NYC, and Fredericksburg. Her Midwifery career began serving the women of the greater Fredericksburg area and wishes to continue to bring the women and their families, in our community, compassionate care. The Fredericksburg area is her home and she resides with her husband and their two dogs Scarlett and Butler.

Carla Scott, MSN, CNM


Originally from Pittsburgh, PA I have been able to live and travel all over the United States. After earning my Bachelors of Science in Nursing from Gannon University in Erie, PA I was commissioned into the Army Nurse Corps where I served on active duty for more than 9 years. There I was able to gain diverse experiences in Emergency Nursing, Case Management, and Labor & Delivery where I found my passion in Women’s Health Care and Advocacy. From there I went on to study Midwifery at the Texas Tech University Health Sciences Center in Lubbock, TX and obtain my Masters of Science in Nursing and Certification as a nurse Midwife though the American Midwifery Certification Board.

A proud mom of 4 kids ranging from 10-25 years old, I understand the joys and complexities of a blended family. I love spending time in nature, hiking, biking, and skiing.

In many ways, I see my role in Midwifery as a tour guide. Pregnancy is a journey that many women think about, but understanding how to navigate your pregnancy journey can be complicated. I am here to learn about your goals, understand your needs, and work with you to plan a route to that destination. And as with all expeditions, I will plan for and help you navigate any bumps in the road.

An advocate for Reproductive Justice, I also seek to provide you with a full range of contraceptive options, allowing you to decide to grow your family how, when, and if you choose. Whether you’re looking to have 1, 2, or 10 (or 0) children… I would love to be your Midwife!

Julie Weathers, CNM


Julie has been a Certified Nurse Midwife since 2004. She graduated from West Virginia University in 1992 with a Bachelor of Science Degree in Nursing. Early in her career, Julie found obstetrics and gynecology to be her calling. She worked as a labor and delivery nurse in a small community hospital until she enrolled in Frontier School and Midwifery and Family Nursing. She completed the program in 2004 and has been practicing full-scope midwifery ever since with the majority of that time being right here in Fredericksburg.

Julie loves attending birth and feels that assisting women who are delivering their babies is a rewarding experience every single time. When asked “How many babies have you delivered?” Julie will always answer 2 (her sons). She has attended well over 2000 births but is adamant that she does not deliver babies; moms do!

Attending birth is only a portion of what Julie has to offer women. Midwifery care is centered on listening to women whether for a first-time gynecology visit or desire to discuss the ever-changing needs women face.

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