Certified Nurse-Midwives

Nurse Midwives in the United States are health care providers who offer services to women of all ages and stages of life. With their advanced education and their focus on research and partnering with women, they are among the most modern, forward-thinking health providers in the United States today.

Sarah Bay, APRN and Certified Nurse-Midwife

Founder and Owner of Hearts & Hands Women's Care

I am a Certified Nurse-Midwife (CNM) and Advanced Practice Registered Nurse (APRN) licensed in New Hampshire and Massachusetts, accepting clients for well-woman and pregnancy care.


History: I’ve wanted to be a midwife for as long as I can remember. It’s not a stretch to say my journey into midwifery began with my own birth. I was born at home in the Netherlands, where the majority of births are with midwives and many still take place at home. As a child, I thought all babies were born at home. Only later did I learn from friends and classmates how unique my home birth was.


Education and Training: My roots in New Hampshire run deep. I attended Pine Hill Waldorf School and graduated from ConVal High School before attending the University of New Hampshire, where I earned a Bachelor of Science in Nursing. After working as a labor and delivery nurse in multiple settings (from New Hampshire to California, from small community hospitals to high-risk tertiary care centers), I enrolled at the University of Washington in Seattle, where I completed my studies to become a Certified Nurse-Midwife (CNM) and Advanced Practice Registered Nurse (APRN) in 2010. I moved back to the Monadnock Region, where most of my family still resides, in 2010 and have been providing care and support to patients here in Southern NH and into Northern MA since then. Read more about Sarah here.

Theresa Small, APRN, Certified Nurse Midwife

History: I am Certified Nurse Midwife (CNM) and Advanced Practice Registered Nurse (APRN) who has enjoyed caring for families with Sarah Bay over the past two years as a birth assistant and student throughout my midwifery program.  I am licensed to provide care for women through their pregnancy and delivery as well as routine gynecologic exams, menstrual problems, vaginal infections, STI testing, family planning, preconception counseling in New Hampshire and Massachusetts.

Education: I graduated with my BSN degree from Fitchburg State College in 1995 and began my nursing career on a medical surgical floor.  I found myself yearning to care for women and which lead to my placement on labor and delivery in the community hospital setting.  Over the next 23 years I provided perinatal care for women and children as a certified OB nurse at the bedside as well as in leadership roles.  I am a neonatal resuscitation provider instructor and have enjoyed working with peers to develop skills to provide high quality care to women and infants in the hospital setting.  Over these years I worked with many wonderful nurse midwives, who inspired me to pursue midwifery training.  I graduated in August of 2018 with my master’s degree in Nursing (MSN) from the University of Cincinnati and I am excited to begin caring for women in the community as part of Hearts and Hands Women’s care as well as at St Joseph’s in their hospital based practice. 

Personal Statement: I believe in empowering women through education and helping them make informed choices about their healthcare and the birthing process.  Caring for women in the out of hospital setting, with Sarah as a mentor over these past 2 years, helped me to see my real calling.  I gain strength and love from each mother that brings life into the world.  I feel blessed to have worked with families & honored that they have invited me into their homes & included me at their births. I am always in awe of the strength & ability that birthing women possess, and how the presence of loving support & gentle encouragement can empower them in childbirth.  

Tracey Bowman, APRN, Certified Nurse-Midwife - Available for Backup

Tracey Bowman will be joining the practice in the spring/summer of 2018 as the practice prepares to transition into a group practice. Home birth and Midwifery-led care are in high demand in this region, and we're excited to make the changes necessary to continue to provide this style of care to women and families in a safe and high touch manner. Tracey will attend clients in care based on the needs of the week.

If you want to set up an appointment time with Tracey, please contact her at tracey.bowman@icloud.com. She is doing phone/skype consulting on a case by case basis. 

Bio: Tracey started practicing midwifery in 1977 apprenticing with a home birth midwife. While attending births she went on to gain her BSN in nursing and then her MSN becoming a Certified Nurse Midwife in 1987. Tracey has attended births in home and hospital and has worked in several birth centers, including her own.


She has taught at the University of Rhode Island and Yale University while also having students learn clinical skills in her practice. Tracey attended the first water birth in hospital in 1992 and established criteria and education for nurses, midwives and doctors on the use of water in labor and birth. She has spoken nationally and internationally on water birth and delayed cord clamping. 


After taking time off for rest and renewal Tracey is now booking appointments for gynecological care and looks forward to seeing you. Select the Peterborough office to see her available clinic hours


Personal Statement from Tracey: I was lucky to find "my calling" early in life and there was never any question about "who am I?" or "what is my purpose?" I am a midwife.  Being with women in labor and birth is the most natural thing for me and I have spent my entire career focused on women's health issues.  After taking some time off for recovery from medical issues and enjoying time not being "on call" I am headed back to work, I may have a few good years left in me!  I will be available for gynecological appointments for women of all ages. I’m hoping to see many of my past patients as well as meet some new ones. From PMS to menopause to irregular bleeding, I can offer help with natural remedies using herbs, homeopathy and nutrition.

Birth Assistants

Jessica Nelson, Massage Therapist and Birth Assistant

Jessica has been a licensed massage therapist specializing in prenatal massage since 2008 and prior to that work she worked as a doula in southern NH. In 2014 she began assisting in deliveries with Hearts and Hands Women's Care and in early 2015 she completed the training in birth assisting as she moved into the role of the primary birth assistant. These three skills along with her gentle and supportive presence complement the skills of the primary midwife at each birth.  Jessica had three children, Eli, Emma, and Simon, all three were received into the care of midwives which deepened her trust and support of midwifery lead out of hospital birth.


Personal statement: I have always felt passionate about pregnancy and birth and was able to have three wonderful home births, each very different and empowering. Read more about Jess here.

Willow Graham, RN, MPH, CLC

Willow Graham has been a registered nurse since 2007. She has worked in several different care settings, but spent the majority of her time in the Intensive Care Unit (ICU), as both a nurse giving direct patient care and in various leadership roles. She left the hospital setting to complete a graduate degree in Health Policy in New York City, and spent the next few years working for a health care advising firm doing quality and compliance work all over the country.


Personal Statement: Seeing our health care system through this lens made me realize the importance of a strong, caring, human connection that is often lacking, so when I moved to New Hampshire to start my family, I sought out a midwife to deliver my daughter and help guide me through the process of becoming a mother. Aspen was born at home, and I fell in love with a different model of care than I was accustomed to. It is empowering to trust your body and see what it is capable of! Understanding the importance of support, not only throughout the pregnancy but also after, led me to become a Certified Lactation Counselor and I’m currently working on becoming a Board Certified Lactation Consultant. This process includes both additional classroom education time and clinical hours through working with Sarah. I will also be assisting at births and being part of the practice both before and after the baby is born.

What is a Nurse Midwife?

Midwives focus on what is most important to each woman’s unique situation and values and often work with other members of the health care team. 


Read more here

Is a Nurse Midwife right for you?