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Amy G. MacDonald, CNM, MSN, founded the Duke Midwifery Service in 1999. As the first nurse midwife at Duke to provide full-scope care for obstetrics and gynecology (OB/GYN) patients, she grew the Service in the following years to include ten midwifery providers. In this role and throughout her career at Duke, MacDonald provided care for patients, while also mentoring and providing didactic content for Duke medical, nurse practitioner, (NP) and physician assistant (PA) students, as well as residents from Emergency Medicine, Family Medicine, and OB/GYN in Duke's large teaching hospital setting. MacDonald was the Director of Duke Midwifery Service until 2013, and remained at Duke as a Certified Nurse Midwife until 2021 while also serving in roles including Medical Instructor for Duke School of Medicine and Director of Duke Centering Practice Programs. This collection contains 1 oral history interview conducted on September 27, 2022 by Josephine McRobbie as part of the Duke Midwifery Service and Durham Maternal Health Oral History Project, which was funded by The Josiah Charles Trent Memorial Foundation Endowment Fund. In the interview, MacDonald discusses the Duke Midwifery Service, hospital-based midwifery practices and nurse-led education, and then Centering Pregnancy program facilitated by Duke midwives. The themes of this interview include midwifery, pregnancy, childbirth, postnatal education, and medical training.