Since she was young, Frontier Nursing University (FNU) alumnus Kari Reimann, CNM, has always been fascinated with the science of conception, pregnancy, and birth. Now, she is using that passion to fill a significant need in the St. Louis, Mo., birthing community.
While the area has many options for home births and birth center births with a certified nurse-midwife (CNM), few options are available for women seeking an in-hospital delivery with a CNM. Reimann is looking to change that, as the first nurse-midwife in the area providing care for planned hospital births with 24/7 CNM coverage.
In June 2021, Reimann became a member of the BJC Medical Group, a well-established, multi-specialty provider group with over 100 locations in greater St. Louis, mid-Missouri, and Southern Illinois. Reimann’s practice is located in a county just south of St. Louis that is currently underserved by medical professionals, particularly those providing OB services. She has a second office in Festus, a rural town 40 minutes south of St. Louis. Through her work, Reimann is helping fulfill part of FNU’s mission to “prepare competent, entrepreneurial, ethical, and compassionate leaders in primary care to serve all individuals with an emphasis on women and families in diverse, rural, and underserved populations.”
In addition, Reimann is the only full-scope CNM with delivery privileges at Missouri Baptist Medical Center. Her new position enables her to serve women seeking whole-person, time-intensive midwifery care who may not meet low-risk criteria for an out-of-hospital birth or simply prefer the hospital setting.
“We have an excellent out-of-hospital, free-standing birth center and an in-hospital birth center in St. Louis,” said Reimann. “Now, we can provide quality midwifery care for some higher-risk patients who are planning a hospital birth.”
By working with a collaborating physician, Reimann is able to support women facing special cases such as TOLACs (trial of labor after cesarean) and TOLAC2s (trial of labor after two caesareans). A TOLAC is an attempted vaginal birth in a patient who has had a previous Cesarean section. Frontier recognizes that it is provider collaboration like Reimann is implementing that will create effective change in the health care system and ultimately lower maternal mortality rates.
Improving maternal health, specifically maternal mortality, is an urgent task set before women’s health care providers. As cited by the National Vital Statistics System, the 2018 maternal mortality rate was 17.4 maternal deaths per 100,000 births – meaning 658 women died either during pregnancy, at birth, or within 42 days of birth.
With Reimann’s support and her collaborative structure, women who may be labeled “high risk” are able to still safely deliver under the care of a CNM. Her patients range from women whose hopes for home birth were prevented by medical risks, to women simply preferring a hospital setting. Whether her patients are hoping for a natural birth or plan to use an epidural, Reimann seeks to be a partner in the journey, which is an important aspect of nurse-midwifery care.
When it comes to delivering quality care, Reimann says her primary motivators are the shared decision-making model and allowing her patients to make an informed choice.
“As a woman who has been a patient in the general healthcare setting, I know what it is to leave the office visit feeling like I was rushed and didn’t get my questions answered,” Reimann said. “That’s why I try to make sure women feel informed and good about their plan when they’re leaving my practice.”
Her practice’s scheduling system reflects this, giving new patients 60-minute appointment slots while returning patients have 30 minutes to ensure plenty of time for questions and full participation in shared decision-making.
Reimann, who graduated in 2018, credits Frontier for much of her critical thinking skills.
“I encounter new medications or conditions often, but because I was equipped to read the research well, I’m able to go seek those articles and educate myself on an ongoing basis,” she said.
Her expertise and education enable her to better share in the joys and hardships women and families experience during the pregnancy and labor/birth journey.
“It is an honor and privilege to be a part of such an impactful time in people’s lives,” said Reimann. “I want to promote confidence in women that pregnancy, birth, and postpartum are most often normal healthy processes in a woman’s life. I approach their care through that lens though always careful to ensure that things stay healthy and low risk.”
Thank you for your dedication to serving women and families, Kari. We are proud to have you represent Frontier!
Are you interested in becoming a certified nurse-midwife? Frontier Nursing University offers a graduate Nurse-Midwifery specialty track that can be pursued full- or part-time while completing a Master of Science in Nursing or a Post-Graduate Certificate. After earning an MSN or certificate, you have the option to transition to the Companion Doctor of Nursing Practice program via a direct admission process. Learn more here.
Carrie Belin is an experienced board-certified Family Nurse Practitioner and a graduate of the Johns Hopkins DNP program, Johns Hopkins Bloomberg School of Public Health, Georgetown University School of Nursing, and Johns Hopkins School of Nursing. She has also completed fellowships at Georgetown and the University of California Irvine.
Angie has been a full-scope midwife since 2009. She has experience in various birth settings including home, hospital, and birth centers. She is committed to integrating the midwifery model of care in the US. She completed her master’s degree in nurse-midwifery at Frontier Nursing University (FNU) and her Doctorate at Johns Hopkins University. She currently serves as the midwifery clinical faculty at FNU. Angie is motivated by the desire to improve the quality of healthcare and has led quality improvement projects on skin-to-skin implementation, labor induction, and improving transfer of care practices between hospital and community midwives. In 2017, she created a short film on skin-to-skin called 
Justin C. Daily, BSN, RN, has ten years of experience in nursing. At the start of his nursing career, Justin worked as a floor nurse on the oncology floor at St. Francis. He then spent two years as the Director of Nursing in a small rural Kansas hospital before returning to St. Francis and the oncology unit. He has been in his current position as the Chemo Nurse Educator for the past four years. He earned an Associate in Nurse from Hutchinson Community College and a Bachelor of Science in Nursing from Bethel College.
Brandy Jackson serves as the Director of Undergraduate Nursing Programs and Assistant Educator at Wichita State University and Co-Director of Access in Nursing. Brandy is a seasoned educator with over 15 years of experience. Before entering academia, Brandy served in Hospital-based leadership and Critical Care Staff nurse roles. Brandy is passionate about equity in nursing education with a focus on individuals with disabilities. Her current research interests include accommodations of nursing students with disabilities in clinical learning environments and breaking down barriers for historically unrepresented individuals to enter the nursing profession. Brandy is also actively engaged in Interprofessional Education development, creating IPE opportunities for faculty and students at Wichita State. Brandy is an active member of Wichita Women for Good and Soroptimist, with the goal to empower women and girls. Brandy is a TeamSTEPPS master trainer. She received the DASIY Award for Extraordinary Nursing Faculty in 2019 at Wichita State University. 
Dr. Sabrina Ali Jamal-Eddine is an Arab-disabled queer woman of color with a PhD in Nursing and an interdisciplinary certificate in Disability Ethics from the University of Illinois Chicago (UIC). Dr. Jamal-Eddine’s doctoral research explored spoken word poetry as a form of critical narrative pedagogy to educate nursing students about disability, ableism, and disability justice. Dr. Jamal-Eddine now serves as a Postdoctoral Research Associate in UIC’s Department of Disability and Human Development and serves on the Board of Directors of the National Organization of Nurses with Disabilities (NOND). During her doctoral program, Sabrina served as a Summer Fellow at a residential National Endowment of the Humanities (NEH) Summer Institute at Arizona State University (2023), a summer fellow at Andrew W. Mellon’s National Humanities Without Walls program at University of Michigan (2022), a Summer Research Fellow at UC Berkeley’s Othering & Belonging Institute (2021), and an Illinois Leadership Education in Neurodevelopmental and related Disabilities (LEND) trainee (2019-2020).
Vanessa Cameron works for Vanderbilt University Medical Center in Nursing Education & Professional Development. She is also attending George Washington University and progressing towards a PhD in Nursing with an emphasis on ableism in nursing. After becoming disabled in April 2021, Vanessa’s worldview and perspective changed, and a recognition of the ableism present within healthcare and within the culture of nursing was apparent. She has been working since that time to provide educational foundations for nurses about disability and ableism, provide support for fellow disabled nursing colleagues, and advocate for the disabled community within healthcare settings to reduce disparities.
Dr. Lucinda Canty is a certified nurse-midwife, Associate Professor of Nursing, and Director of the Seedworks Health Equity in Nursing Program at the University of Massachusetts Amherst. She earned a bachelor’s degree in nursing from Columbia University, a master’s degree from Yale University, specializing in nurse-midwifery, and a PhD from the University of Connecticut. Dr. Canty has provided reproductive health care for over 29 years. Her research interests include the prevention of maternal mortality and severe maternal morbidity, reducing racial and ethnic health disparities in reproductive health, promoting diversity in nursing, and eliminating racism in nursing and midwifery.
Dr. Lisa Meeks is a distinguished scholar and leader whose unwavering commitment to inclusivity and excellence has significantly influenced the landscape of health professions education and accessibility. She is the founder and executive director of the DocsWithDisabilities Initiative and holds appointments as an Associate Professor in the Departments of Learning Health Sciences and Family Medicine at the University of Michigan.
Dr. Nikia Grayson, DNP, MSN, MPH, MA, CNM, FNP-C, FACNM (she/her) is a trailblazing force in reproductive justice, blending her expertise as a public health activist, anthropologist, and family nurse-midwife to champion the rights and health of underserved communities. Graduating with distinction from Howard University, Nikia holds a bachelor’s degree in communications and a master’s degree in public health. Her academic journey also led her to the University of Memphis, where she earned a master’s in medical anthropology, and the University of Tennessee, where she achieved both a master’s in nursing and a doctorate in nursing practice. Complementing her extensive education, she completed a post-master’s certificate in midwifery at Frontier Nursing University.
Dr. Tia Brown McNair is the Vice President in the Office of Diversity, Equity, and Student Success and Executive Director for the Truth, Racial Healing, and Transformation (TRHT) Campus Centers at the American Association of Colleges and Universities (AAC&U) in Washington, DC. She oversees both funded projects and AAC&U’s continuing programs on equity, inclusive excellence, high-impact practices, and student success. McNair directs AAC&U’s Summer Institutes on High-Impact Practices and Student Success, and TRHT Campus Centers and serves as the project director for several AAC&U initiatives, including the development of a TRHT-focused campus climate toolkit. She is the lead author of From Equity Talk to Equity Walk: Expanding Practitioner Knowledge for Racial Justice in Higher Education (January 2020) and Becoming a Student-Ready College: A New Culture of Leadership for Student Success (July 2016 and August 2022 Second edition).