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  • Laurel Lee CNM, MSN

    Certified Phytotherapist, Corresponding author
      Legacy Clinic at Emanuel, 2800 N. Vancouver, Suite 255, Portland, OR 97227.
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    • Laurel Lee is a certified phytotherapist (herbal therapist), an adjunct clinical professor at Oregon Health Sciences University and a nurse-midwife at Legacy Midwifery and at Everywomen's Health, a private OB/GYN practice in Portland, Oregon. Laurel received her certificate of herbal study from David Hoffman, an internationally known herbalist and author, and her MSN from Georgetown University in 1983. She has practiced nurse-midwifery since 1984, studied herbs for over 20 years, and has been a clinical herbalist since 1992.

Legacy Clinic at Emanuel, 2800 N. Vancouver, Suite 255, Portland, OR 97227.


Herbal therapy is one of several holistic therapies gaining recognition within the health care community in the United States. As a discipline, herbal medicine is in its infancy regarding educational standards for credentialling, standardization, and regulation of products and clinical applications within this health care system. This article discusses professional considerations for midwives who are interested in integrating herbal healing into their clinical practices, and offers examples of how to incorporate herbal medicine into midwifery care. Resources for practitioners including books, newsletters, journals, courses, computer sites, and databases are presented. The author offers guidance for creating an herbal practice manual for the midwifery office as well as the hospital setting and for documenting herbal healing in the medical record. Collegial support, barriers to practice, liability, and insurance issues are discussed. A clinical applications section includes specific herbal formulas for preconception health, pregnancy-induced hypertension, gestational diabetes, and postdates pregnancy.

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