Obstetrician and Midwifery Care

a pregnant woman holding her belly

You’ll make many choices when it comes to pregnancy, but who you choose for your prenatal care is one of the most important choices of all. Fortunately, at TP4W, we are able to offer full-service OB/Gyn care providing you with the best of what both obstetricians and midwives have to offer. To help give you an idea of the skills and specialties provided by nurse-midwives and obstetricians, we’re taking the time to explain these healthcare providers’ key differences and benefits. 

The Difference Between an Obstetrician and a Midwife

The main difference between obstetricians and midwives comes down to schooling. Midwives hold master’s or doctorate degrees in nursing and focus on family-centered maternity care, along with annual gynecology care and family planning. Midwives tend to provide education and support for non-interventive and medicinal options in pregnancy and birth. In addition, all of the nurse-midwives at TP4W have graduate degrees, have passed a national certification exam, and are certified through the American Midwifery Certification Board. Obstetricians are trained to offer medical and surgical care and are certified by the American Board of Obstetrics and Gynecology. Because of their background in surgery, obstetricians perform C-sections and gynecologic surgeries, which midwives do not perform. 

The TP4W Difference

Thankfully, at TP4W, you don’t have to choose between obstetrician and midwife. We are proud to be a collaborative practice with a nurse-midwife and physician on call 24/7. This approach is what makes Triangle Physicians for Women both unique and well-loved in our community. Our team is well-rounded and consists of board-certified obstetricians and gynecologists, certified nurse midwives, registered nurses, sonographers, lab technicians, and mammography technicians. Collaboration is key, especially when it comes to prenatal care. By working together, our doctors and midwives are better able to address your health needs and provide you with the best of both worlds of care. If you’re interested in expanding your options when choosing an OB/GYN, contact TP4W and set up an appointment with the only practice in Cary, NC, that offers collaborative care from both obstetricians and midwives. 

The Benefits of Obstetrician Care

Obstetricians are typically the safest option if you require management of a gynecological issue or are planning to have a cesarean section. Some other benefits of choosing an obstetrician include:

  • Specialized training to manage complications such as preeclampsia or placenta previa
  • Access to medical technology 
  • Specialized surgical training if a cesarean birth becomes necessary

The Benefits of Midwifery Care

Midwives offer expert care during pregnancy, delivery, and even after birth. Midwives also tend to provide more support during the delivery process, and many continue to help you adjust to parenting by offering education on nutrition, exercise, and emotional wellness. At Triangle Physicians for Women, our nurse-midwives provide the following services:

  • Preconception counseling
  • Early pregnancy education
  • Nutrition counseling
  • Routine prenatal visits
  • VBAC support and counseling
  • 24/7 labor and delivery support at WakeMed Cary
  • Postpartum care
  • Well-woman annual care
  • Family planning services

Contact Triangle Physicians for Women

The team at Triangle Physicians for Women is here for you in all stages of your life. If you have any questions regarding our doctors, midwives, or our collaborative approach to prenatal care, please reach out. If you would like to schedule an appointment with Triangle Physicians for Women, you may do so by calling (919) 678-6900 or requesting an appointment electronically under the Contact Us tab.

Dr. Pearce was attentive, listened well, and provided a comfortable experience for me. My recent vaginal exams have been very uncomfortable and she provided a very comfortable exam this time.

Dr. Pearce was AMAZING! She answered all my questions and didn’t make me feel rushed. Best experience I’ve had at Triangle yet! She really put my worried first-time mom mind at ease.

I think Dr. Grana and her assistant (Mandy) are the best. I have been going to TP4W for years – at least 20, and I have never been disappointed with the level of care I have received. I can be a challenge as my level for pain tolerance is low and they put up with me! I can’t help but highly recommend the practice to anyone looking for exemplary women’s healthcare.

Love love love Dr. Grana and her crew. Love going to Holly Springs office. The girls are the best from Lisa at the front desk to all the girls in the back. Your music and atmosphere is great. Thanks for making these appointments fun!! Yes believe it or not, fun!!!

Dr V and the office staff were all very professional, understanding, caring and very efficient. I would be happy to recommend this practice to friends, family and associates. – Barbara M. Lucas

My visit was great! & my past visit have all been great.Kristy helped me even with me being a bit stressed & in a hurry because I had to be seen & my job is super strict. Her urgency to get me seen was phenomenal. I even got to see Heather, she’s awesome & amazing. She helped deliver my baby girl a year ago. My whole family loves her and Dr Sheshadri. We actually can’t wait to get pregnant again hahaha. Everyone treats you with respect and always makes sure your okay & answers whatever questions you have before you leave. Even leaving a message for the nurses,they get back to you so quickly.  This practice really makes you feel taken care of.  We appreciate you all!  – Erika Hooks

My experience with the TP4W staff has been top of the line.  They helped me through three pregnancies and coached me through every step of the way.  Eternally thankful I chose TP4W.  – Britney

TP4W have such amazing doctors, midwives and nurses.  I cannot say enough about Dr. Grana and the rest of the staff for all the help, advice, guidance and medical care they provided me with all of my kids.  She made me feel safe and calm through both c-sections.  My routine care and pregnancy care have always been top notch and I would recommend them to anyone looking for an OBGYN.  – Brooke

We were honored to receive a hand written note..

Dr. Grana, Angie, Jessica, Heather, April, Sarah and the rest of the staff –

Thank you all so much for taking such good care of me through both of my pregnancies and births, especially my latest one on 10/29! most of yall know how nervous I was from having gone through a lot (to say the least) with my first in 2016. You all made me feel so comfortable and at ease before, during and after. And going through a touch year with my dad, you guys always asked how he was doing at every appointment, which was so thoughtful and beyond your job description. I know that you all see many women go through what i did each and every day and deliver many babies and perform many c-sections. But I hope you know how special Ruby’s delivery was to me. You all have amazing jobs! I cannot thank you all enough. Merry Christmas!

Love, Lucy

I have been going to TP4W since 2010/11 and could not be happier.

The staff, nurses, midwives, and doctors are all amazing. I have 2 sons, both delivered via cesarean by Dr. V. Every visit and every provider did everything in their power to give me the birth experience I wanted, and also ensure that myself and my babies were safe and healthy. Dr. V even did everything in his power to help me avoid my first c-section and VBAC with the second, but that turned out to be out of his hands and he was the absolute best surgeon. With my two pregnancies, I experienced a few scares and some unusual circumstances that would be too long and too private to write in a review, but every single hurdle was handled with grace, honesty, and professionalism. I am so thankful for the recommendation from a friend to come to this office. I can’t imagine ever going to another practice.