Compassionate Women's Health, Pregnancy & Fertility Care

As a Certified Nurse-Midwife (CNM) and Women's Health Nurse Practitioner (WHNP), I provide personalized care through Genesis Family Health in Liberal, Kansas.

From routine women's health visits to pregnancy and fertility care, I'm here to support your health at every stage of life.

GYN services

Nora
Midwife
CNM
GYN

Women's Wellness & Preventive Care

Your health and well-being matter at every stage of life. During your wellness visit, we'll focus on preventive care, recommended health screenings, healthy lifestyle habits, and any concerns you may have.

Together, we'll discuss your personal health goals, review recommended screenings, and create an individualized plan to support your long-term health. This may include counseling about nutrition, physical activity, weight management, and referrals when appropriate.

Gynecologic Care & Procedures

Whether you're experiencing irregular periods, pelvic pain, hormonal changes, or other gynecologic concerns, I'm here to help you understand your symptoms and explore your treatment options.

I provide evaluation and management of conditions such as endometriosis, polycystic ovary syndrome (PCOS), abnormal menstrual bleeding, and perimenopause or menopause symptoms.


In-office diagnostic procedures may include:

  • Limited gynecologic point-of-care ultrasound
  • Endometrial biopsy
  • Colposcopy

Additional testing or specialist referrals may be recommended based on your individual needs.

Family Planning

Your reproductive health decisions are personal, and I'm here to help you explore your options with confidence.

Whether you're planning a pregnancy, considering birth control, or looking for a different contraceptive method, I provide personalized counseling to help you make informed decisions that fit your health needs and lifestyle.


Family planning services include:

  • Contraceptive counseling and birth control management
  • IUD insertion and removal
  • Nexplanon contraceptive implant insertion and removal
  • Preconception counseling and pregnancy planning

Together, we'll discuss your options and develop a plan that supports your reproductive goals.

Sexual Health

Your sexual health is an important part of your overall well-being. I provide confidential, compassionate care in a welcoming environment where you can feel comfortable discussing your concerns.


Sexual health services include:

  • Sexually transmitted infection (STI) screening and treatment
  • Evaluation of vaginal infections and symptoms
  • Counseling about safer sex and STI prevention
  • Evaluation of painful intercourse and vaginal dryness
  • Sexual health education and counseling

My goal is to help you feel informed, supported, and confident in making decisions about your sexual health.

Perinatal services

Nora
Midwife
CNM
Newborn
Fertility
Prenatal Care

Preconception counseling

Thinking about becoming pregnant? Let's plan for a healthy start.


Preparing for pregnancy is an important step toward supporting your health and your future baby's development.

During a preconception visit, we'll review your medical history, discuss your reproductive goals, and identify opportunities to optimize your health before pregnancy.


Topics we may discuss include:

  • Existing health conditions, such as diabetes, hypertension, or thyroid disorders
  • Prescription medications, over-the-counter products, and supplements
  • Prenatal vitamins and folic acid
  • Recommended immunizations and health screenings
  • Nutrition, physical activity, and healthy lifestyle habits
  • Emotional well-being and mental health
  • Family history and optional genetic carrier screening

Whether you're planning to conceive soon or simply exploring your options, I'm here to provide personalized guidance and help you prepare with confidence.


Recommended by the American College of Obstetricians and Gynecologists (ACOG) and the American Society for Reproductive Medicine (ASRM).


Prenatal Care

Supporting you through every stage of pregnancy.


Pregnancy is a unique journey, and my goal is to provide compassionate, personalized prenatal care that supports your health and your baby's development.

From your initial pregnancy evaluation through regular prenatal visits, we'll monitor your progress, address concerns, and work together to make informed decisions about your care.


Prenatal services include:

  • Initial pregnancy evaluation and routine prenatal visits
  • Prenatal laboratory testing and recommended screenings
  • Genetic screening options, including noninvasive prenatal testing (NIPT)
  • Nutrition, prenatal vitamins, and healthy pregnancy education
  • Monitoring maternal health and fetal development
  • Counseling about pregnancy symptoms, labor, and birth preparation
  • Coordination of additional testing or specialist referrals when needed

Noninvasive Prenatal Testing (NIPT)

I offer counseling about prenatal genetic screening options, including:

NIPT is a blood test that screens for certain chromosomal conditions during pregnancy. It is a screening test, not a diagnostic test. Results and available options are discussed based on your individual needs and preferences.


I believe prenatal care should be a partnership where your questions are welcomed, your concerns are heard, and you feel supported throughout your pregnancy.

Prenatal care is defined as early and regular health care while you are pregnant. It’s recommended to start prenatal care as soon as you know you're pregnant. 


Each prenatal visit is aimed at ensuring your pregnant is progressing well while discussing the best recommendations for managing your care. We discussions maternal physiological changes, prenatal nutrition, prenatal vitamins, routine prenatal care including lab work and available prenatal screenings. 


The initial visit is important to confirm your pregnancy, plan your level of care, and discuss the need for referral as needed.


Postpartum care

Supporting your recovery and well-being after childbirth.


Your health matters just as much after delivery as it does during pregnancy. The postpartum period brings physical, emotional, and hormonal changes, and I'm here to support you through this important transition.


I provide postpartum follow-up visits at 2 weeks and 6 weeks after delivery, with additional evaluation when needed.


Postpartum services include:

  • Physical recovery and healing after childbirth
  • Postpartum depression screening at both the 2-week and 6-week visits
  • Emotional well-being and mental health support
  • Breastfeeding and infant-feeding support
  • Birth control counseling and family planning
  • Evaluation of postpartum bleeding, discomfort, and other concerns
  • Guidance on returning to physical activity and sexual activity
  • Coordination of additional care or referrals when needed

Postpartum care is more than a single appointment. My goal is to ensure you feel heard, supported, and confident as you recover and adjust to life after childbirth.


Perinatal Mental Health Services

Supporting your emotional well-being during pregnancy and beyond.


Pregnancy and the postpartum period can bring significant emotional and hormonal changes. While some mood changes are common, persistent sadness, anxiety, overwhelming worry, or difficulty coping may be signs that additional support is needed.


I provide compassionate, personalized evaluation and management of perinatal and postpartum mental health concerns through Genesis Family Health - Behavioral Services.


Services include:

  • Screening and evaluation for perinatal depression and anxiety
  • Postpartum depression screening at both the 2-week and 6-week visits
  • Individualized treatment, including medication management when appropriate
  • Ongoing monitoring and follow-up during pregnancy and postpartum recovery
  • Education and emotional support for patients and families
  • Coordination with behavioral health specialists when additional or longer-term care is needed

A Team Approach to Mental Health


At Genesis Family Health, patients also have access to a supportive behavioral health team, including mental health providers and support groups.


When additional services or ongoing specialized care are needed, I help coordinate a smooth transition to the appropriate behavioral health provider.


My goal is to ensure you feel heard, supported, and connected to the care you need throughout your pregnancy and postpartum journey.


When to Seek Immediate Help


Postpartum psychosis is a medical emergency. Symptoms may include hallucinations, delusions, severe confusion, or unusual behavior.


If you or someone you know is experiencing these symptoms, seek immediate emergency evaluation. Call 911 or go to the nearest emergency department.


Additional Mental Health Support


National Maternal Mental Health Hotline
Call or text 1-833-852-6262 for free, confidential support during pregnancy and postpartum. Available 24/7 in the United States.


988 Suicide & Crisis Lifeline
Call or text 988 for immediate emotional or mental health crisis support. Available 24/7 in the United States.


Postpartum Support International (PSI)
Provides education, support groups, and resources for individuals experiencing perinatal mental health concerns.

https://www.postpartum.net/get-help/


These support resources do not replace emergency medical evaluation when postpartum psychosis or immediate danger is suspected.


GET HELP


Newborn Care

Compassionate care for your baby during the first 30 days of life.


Welcoming a newborn is an exciting time filled with questions and new experiences. I'm here to support you and your baby during those important first weeks.


I provide in-office newborn care during the first 30 days of life at Genesis Family Health in Liberal, Kansas.


Newborn care may include:

  • Newborn physical examinations and routine follow-up visits
  • Monitoring growth, weight, feeding, and development
  • Breastfeeding and infant-feeding guidance
  • Evaluation of common newborn concerns
  • Education about newborn safety, sleep, and everyday care
  • Review of recommended newborn screenings and immunizations
  • Coordination of additional testing or referrals when needed

Continuity of Care


After the first 30 days, I help families transition their baby's ongoing healthcare to another provider.


My goal is to help you feel supported and confident while ensuring your baby receives appropriate care during the newborn period and beyond.


Fertility Evaluation & Treatment

Nora
Midwife
CNM
Newborn
Fertility

Fertility Consultation

Whether you're just beginning your fertility journey or have been trying to conceive for some time, I'm here to help you explore your options with personalized, compassionate care.

I provide comprehensive fertility evaluations for individuals and couples, including an assessment of both partners when applicable. During your consultation, we'll review reproductive and medical histories, menstrual cycles, ovulation patterns, lifestyle factors, and any previous fertility testing or treatments.


Depending on your individual needs, your fertility evaluation may include hormonal testing, ovarian reserve assessment (including AMH), pelvic ultrasound, ovulation assessment, and semen analysis to evaluate sperm health. Semen analysis specimens are collected on-site at Genesis Family Health and sent to an outside laboratory for testing.


Together, we'll develop a personalized treatment plan that may include ovulation induction (OI), ultrasound monitoring, intrauterine insemination (IUI), or referral to a reproductive endocrinology and infertility (REI) specialist when advanced treatment, such as IVF, is needed.


Fertility consultations and clinical treatments are provided through Genesis Family Health in Liberal, Kansas.

Ovulation Induction

Ovulation induction (OI) is a fertility treatment that uses medication to help stimulate or regulate ovulation, improving the opportunity for pregnancy.


Depending on your individual fertility evaluation and treatment goals, I may recommend oral medications such as letrozole (Femara) or clomiphene citrate (Clomid). These medications help support follicular development and ovulation.


Treatment may include ultrasound monitoring to evaluate follicle growth and determine the appropriate timing for intercourse or intrauterine insemination (IUI). When appropriate, an hCG trigger injection may also be prescribed through an outside specialty pharmacy to help time ovulation.


Throughout treatment, I'll monitor your response, discuss potential benefits and risks, and adjust your care plan as appropriate.


Ovulation induction services are provided through Genesis Family Health in Liberal, Kansas.


Intrauterine Insemination (IUI)

Intrauterine insemination (IUI) is a fertility treatment in which specially prepared sperm is placed directly into the uterus around the time of ovulation to increase the opportunity for fertilization.


I currently offer IUI using partner sperm, with sperm preparation (washing) performed at Genesis Family Health before insemination.


Depending on your comprehensive fertility evaluation, treatment may be performed during a natural menstrual cycle or combined with ovulation induction medications, such as letrozole or clomiphene citrate.


Your individualized treatment plan may include ultrasound monitoring and, when appropriate, an hCG trigger injection to help determine the best timing for insemination.


Before treatment, we'll discuss the procedure, expected benefits, potential risks, and realistic chances of success based on your individual fertility factors.


IUI consultations, sperm preparation, and insemination procedures are provided through Genesis Family Health in Liberal, Kansas.


Limited Point of Care Ultrasound: OB/GYN

As a Certified Nurse-Midwife (CNM) and Women's Health Nurse Practitioner (WHNP), I hold the ARDMS Midwife Sonography Certificate and a Point-of-Care Ultrasound (POCUS) certification.


I provide transabdominal and transvaginal ultrasound examinations as part of gynecologic, fertility, and prenatal care at Genesis Family Health in Liberal, Kansas.


Gynecologic Ultrasound


I use ultrasound to evaluate the uterus, endometrium, and ovaries, including concerns such as abnormal uterine bleeding, pelvic pain, and ovarian cysts.


Fertility Ultrasound


Point-of-care ultrasound plays an important role in fertility evaluation and treatment. I perform transvaginal ultrasound examinations to assess the uterus and ovaries, evaluate antral follicle count when appropriate, and monitor follicular development during ovulation induction.


Depending on your individualized treatment plan, ultrasound monitoring may include baseline, mid-cycle, and follow-up evaluations to assess follicular growth, monitor your response to medication, and help determine the appropriate timing for ovulation or intrauterine insemination (IUI).


These evaluations allow me to personalize treatment and monitor your progress throughout your fertility journey.


Pregnancy Ultrasound


I provide ultrasound evaluations throughout pregnancy, including early pregnancy confirmation, viability assessment, gestational dating, fetal growth assessment, and evaluation of fetal well-being.


I also perform biophysical profiles (BPPs), which use ultrasound to assess specific indicators of fetal well-being. When indicated, BPP findings are considered alongside other clinical assessments to help guide prenatal care.


Point-of-care ultrasound complements your overall clinical evaluation. When comprehensive diagnostic imaging or specialized assessment is needed, I coordinate additional imaging or referrals as appropriate.


All clinical ultrasound services are provided through Genesis Family Health in Liberal, Kansas.

Nora
Midwife
CNM
Newborn
Fertility
POCUS
Ultrasound