El Rio Community Health Center




Clinic Information

El Rio Congress Midwives

839 W. Congress St.
Tucson, Arizona 85745
(520) 670-3909
OB Coordinator 670-3769
en español

Congress Midwives

The El Rio Nurse-Midwifery Service was one of the first of its kind in Tucson. More than 16,000 babies have been born with the Midwives. Health care to women and childbearing families is provided by Certified Nurse Midwives (CNM's) at El Rio Health Center. Our clients give birth at Tucson Medical Center, in modern birthing rooms.

The El Rio Nurse-Midwifery Service Provides...

Prenatal Care
The El Rio CNM's provide regular checks of mother and baby. This includes office visits, sonograms, laboratory tests and prescriptions for vitamins and medications, if needed. We offer education and counseling regarding the many physical and emotional changes of pregnancy and are available to discuss questions and concerns. Family members are welcome.

Labor and Birth
NewbornWe encourage each pregnant client to develop a "birth plan" that is both personal and flexible. Part of a good birth plan is choosing a person(s) who can provide the emotional and physical support you need during this special time.

When a woman is admitted to TMC in labor, the CNM stays with her as much as needed, to provide support and guidance throughout the labor and birth process. We offer natural methods of support for the woman who desires an unmedicated birth, as well as medication for the woman who chooses it.

We are experienced in recognizing and managing complications and have physician back-up available.

Our primary C-section rate has remained at or under 8%

Postpartum Care
Mom and BabyDuring the hospital stay after delivery, the CNM continues to provide care and teaching. Your baby will be seen by a pediatrician in the hospital and follow-up visits will be arranged. Your care includes a postpartum checkup, at which time the CNM will provide a family planning method, if desired.

Well Woman Care
Women who are not pregnant can come to the El Rio CNM's for routine gynecological care, including annual exams, pap tests, breast exams and treatment of minor problems. We provide a wide choice of birth control methods, as well as pre-pregnancy counseling. We offer education about how to stay healthy now, and in the future.

Philosophy of Care
The CNM's of El Rio share the belief that women are entitled to safe, satisfying health care, and that pregnancy and childbirth are healthy, normal experiences. Childbirth can be one of the most creative, exciting times life has to offer. We are committed to enhancing your families experience by involving you in the entire range of care. We believe in forming a "team" with our clients, with the goal of achieving a healthy pregnancy and baby.

Payment and Insurance
El Rio Community Health Center is committed to providing accessible and affordable comprehensive and midwifery care. We have financial counseling available to help you pick out a payment plan. For the types of insurance and payment options available, visit our Accepted Insurance web page. Need insurance assistance? Read our Pima Community Access Program (PCAP) information.

We provide free pregnancy tests. In addition, registering early for prenatal care will qualify you for prenatal health incentives.

What is a Certified Nurse-Midwife?

A Certified Nurse-Midwife is a specialist in normal childbirth. We are Registered Nurses who have completed a Master's level program in Nurse-Midwifery. We are certified by the American College of Nurse-Midwives and licensed in the State of Arizona.

A CNM is a highly skilled professional that provides personal, family-centered, understanding care. The CNM is an expert in helping the natural process of pregnancy and birth within the limits of safety. We have the most specialized technology available, should it become necessary.


To see a midwife, call our OB Coordinator, Adrianne Medina
at 670-3769


With Woman

This I Believe

Midwife means “with woman”. I am a midwife. The first babies I birthed are now 26 years old; they now return to me with their own gravid bellies so that I may in turn assist their children into this world. But my clinic serves the low income and disadvantaged, and many of the mothers are still girls, the fathers-to-be yet boys of 16 or 17 years. I have watched these children struggle together to make a family, and often he is gone when she returns in a few years for another baby.

When I was a new, young midwife, I loved the births when there wasn’t enough time...
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