At the heart of Frontier Nursing University is a talented community of students, graduates, faculty, staff, Couriers and preceptors. Spotlight blogs feature members of our FNU community who are focused on the mission of educating nurse-midwives and nurse practitioners to work with all people, with an emphasis on rural and underserved communities.

Frontier Nursing University (FNU) graduate Caroline Riegel, MSN, APRN, CNM, RNC-OB, C-EFM, had a truly once-in-a-lifetime experience to kick off 2026: delivering the first baby born on United States soil in the new year.
A resident of the Northern Mariana Islands, a U.S. Commonwealth, Riegel helped welcome the baby at 4:09 a.m. Chamorro Standard Time. Back on the East Coast, the clock read 1:09 p.m. on Dec. 31, underscoring just how early her New Year began.
“I will forever have bragging rights to catching the first baby born on U.S. soil in 2026, and I look forward to pulling that out as a conversation topic at parties,” Riegel said.
Riegel has served as a nurse-midwife with the Commonwealth Healthcare Corporation in the Northern Mariana Islands since 2023 and currently holds the role of Midwife Co-Chair for the Obstetrics Department. She earned the hospital’s “most babies caught” honor in both 2024 and 2025. In fact, she also delivered the first baby born at the hospital in 2025.
“2026 was especially exciting because I caught the very first baby to be born on U.S. soil, beating Guam,” she explained.
At Commonwealth Healthcare, Riegel cares for rural and underserved patients across the Northern Mariana Islands, a remote U.S. Commonwealth made up of a 14-island chain. While the southern islands of Saipan, Tinian, and Rota are the most populated, the majority of residents live on Saipan, home to the Commonwealth’s only inpatient hospital. Riegel noted that many of her patients rely on Medicaid, while others are uninsured due to their work-visa status.

In addition to her role as a hospitalist in the Labor & Delivery Unit, Riegel provides full-scope care at the hospital-based Women’s Clinic, serving patients from menarche through menopause. Her patient population reflects the diversity of the islands, with approximately 30% identifying as Indigenous Chamorro and Carolinian islanders, 30% Filipina, 20% Southeast Asian—including Chinese, Japanese, and Korean—and 20% of mixed heritage or other backgrounds. Riegel provides comprehensive well-woman gynecologic care, along with prenatal, intrapartum, and postpartum services for the local pregnant population. The hospital delivers approximately 500 babies each year.
“My favorite part will always be the moment at birth when the baby takes his/her first cry and the parents get to meet their new baby,” she said.
Riegel is also involved in the indigenous-based Latte Group Prenatal Care program, launched last year by her midwife colleague and fellow FNU graduate, Corie Parada. The program takes its name from the ancient Latte stones, massive pillars once used by the Chamorro people to support their homes, and reflects a culturally grounded approach to prenatal care.
In addition, Riegel serves as chair of the hospital’s STEPS team as part of the CHAMPS National initiative, a collaborative effort led by the Centers for Disease Control and Prevention and the Center for Health Equity, Education, and Research at Boston Medical Center. The initiative works to strengthen maternal and child health practices nationwide by supporting 100 hospitals. Through participation in CHAMPS, the hospital has significantly increased the number of families able to experience an uninterrupted “Golden Hour” after birth and has improved breastfeeding initiation rates, Riegel said.

Beyond her clinical work, Riegel is deeply committed to education. She serves as an adjunct instructor in the nursing program at Northern Marianas College, where she teaches skills lab and clinicals for the Maternal Child Health course. Riegel has also supported the next generation of midwives by serving as a preceptor for a Frontier nurse-midwifery student from October 2022 through January 2023.
Riegel earned her Master of Science in Nursing (MSN) in Nurse-Midwifery at Frontier in 2020 and is currently pursuing a Doctor of Nursing Practice (DNP), with plans to graduate in March 2027.
After graduating from nursing school in 2015, Riegel began her career as a Labor & Delivery nurse at a large hospital in the metro Atlanta area. She worked alongside several provider groups that included midwives, an experience she credits with inspiring her path into midwifery. Among those who influenced her were FNU graduates, Dr. Corie Abrams and Dr. Amanda Zimmerman.
Riegel said she ultimately chose to pursue her MSN at FNU for a combination of reasons, including the clinical skill and professionalism she observed in FNU graduates, the distance education model, and the institution’s values and ethos.
“Once I learned more about Mary Breckinridge and the Frontier Nursing Service, I realized that I held similar values in providing care in rural and underserved environments,” she said.
After earning her MSN, Riegel worked as a nurse-midwife for Geisinger Health System in Pennsylvania from 2021 to 2023 before taking on her current role in Saipan. She said when applying for both positions, she was recruited and interviewed by FNU graduates.
“I felt confident and assured in accepting each position knowing that I would be working with midwives who had been through the same rigorous program,” she said.
Riegel said she remains connected to the FNU community through social media.
“We still circle-up together for a midwife in need, and that’s a beautiful thing,” she said.

Riegel said she encourages those interested in becoming a nurse-midwife to be prepared to network extensively, advocate for their salary and benefits, and remain open to relocating in order to find the right opportunity.
“Midwifery is a lifestyle and you have to have a passion for it,” she said. “Sleepless nights, crazy schedules, and sometimes challenging outcomes are very much a reality.”
Outside of her professional work and studies, Riegel is deeply committed to animal welfare, with a particular focus on trap-neuter-release (TNR) efforts and cat rehabilitation on the island of Saipan. With no permanent veterinarian on the island, she described the stray cat and dog situation as “dire.” Since relocating to Saipan, Riegel has helped spay and neuter more than 40 cats and has placed 20 kittens into adoptive homes. She currently cares for two indoor cats and seven outdoor cats.
Riegel also enjoys traveling internationally, taking advantage of her location in the Western Pacific to explore destinations such as Japan, Korea, Hong Kong, Macau, Singapore, and Malaysia.
Thank you, Caroline, for the care, passion, and leadership you bring to your patients, your community, and the global midwifery profession.
To read more graduate stories, visit the FNU Alumni stories page.











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