Midwives, physicians and healthcare professionals working together to deliver exceptional, patient-centered care. Our dedicated team provides high-quality, personalized services, ensuring you are at the center of everything we do.
Midwives, Physicians and Health Care Professionals: A Collaborative Approach for Top-Notch, Patient-Centered Care
Welcome to Central Vermont Medical Center, where we are committed to delivering exceptional care, tailored to your needs.
Whether you’re visiting us for routine wellness screenings, during pregnancy, or for a specialized consult, our goal remains the same:
High-quality personalized care that puts YOU at the center of everything we do.
We are a dedicated team that lives and works in the community we serve.
We prioritize individualized care for all our patients and respect the unique needs of our transgender, gender non-conforming and non-binary patients.
Routine Wellness Visits
Regular check-ups and preventive care. These exams typically involve a history, physical examination and discussion of your overall health and well-being.
Midwives and obstetricians offer guidance and support while monitoring the health and development of you and your pregnancy.
These visits typically occur once a month during the first and second trimesters and increase in frequency to every 1-2 weeks during the third trimester, and include:
- Birthing plan discussions: We listen and ask follow-up questions to understand your preferences for care during pregnancy, labor and delivery. We’ll help address concerns and clarify potential outcomes so you can make informed decisions throughout the process. And we will always be advocates for your desired birth experience, ensuring that your choices are respected and honored within the bounds of safety and medical necessity.
- Emotional and mental health support: Pregnancy-related care can also involve addressing concerns or changes in your emotional well-being or mental health. Our in-practice mental health counselor is a resource for you.
- Lab tests: routine lab tests are performed during pregnancy to monitor your health and screen for potential complications.
- Nutrition consultation: We also encourage you to schedule a meeting with our Registered Dietitian Nutritionist (RDN) at least once for personalized guidance. The consult covers weight gain, nutritional needs and common pregnancy symptoms. You can always request additional visits and we sometimes recommend more based on your pregnancy or the concerns we hear during our check-ins.
- Physical examinations: These examinations may include measuring your abdomen to estimate the fetal size and listening to the baby's heartbeat using a Doppler device or fetoscope.
Labor and Delivery
Midwives and obstetricians provide 24-hour local coverage, working closely with CVMC’s Birthing Center nurses and your support team throughout labor and delivery. Together, your birthing team will provide:
- Advocacy: Ensuring your preferences and wishes are known and respected by your health care team.
- Comfort: We strive to be a partner in your birth experience, offering reassurance, encouragement and guidance throughout the challenges of labor. Pain management may include holistic techniques and medications based on your birth plan.
- Managing changes: Your health, your baby's well-being and your birth plan are at the forefront of our care. If a change in the plan or a medical intervention is needed, we always strive for ongoing, open communication, so you are well-informed and part of the decision process.
After delivery, we continue to provide care to you while a pediatrician or family medicine physician begins caring for your baby.
- Recovery from labor: begins in the birthing center and continues with office visits to check in on your recovery and mental well-being.
- You are not alone! Postpartum mood adjustments (also known as “The Baby Blues”) are common after delivery. For some, this can become more serious and requires more support. Our practice is committed to bringing awareness to these issues and helping our patients who experience these challenges.
Mental Health Resources
Your emotional health matters to us, and we're here to support you every step of the way. That’s why we offer in-house mental health counseling alongside our medical care. Our licensed mental health professional provides personalized care to address common concerns like anxiety, depression, stress, relationships, body image and pregnancy-related challenges.
Family Planning and Preconception Care
- Preconception evaluation: to assess overall health (sometimes of both partners) and identify any pre-existing medical conditions or factors that may impact fertility or pregnancy outcomes. This may include reviewing medical history and lifestyle factors, performing physical examinations and ordering lab tests.
- Contraception: Discussion of different birth control methods and recommendations based on specific needs and preferences, including office procedures. Some examples include:
- Intrauterine Device (IUD) insertion and removal
- Nexplanon insertion and removal: Nexplanon is a long-acting contraceptive implant placed under the skin of the upper arm.
- Injection, pills, patches and rings
- Chronic condition management: Preconception care may involve ensuring conditions are well-controlled before pregnancy. This may involve adjusting medications, initiating specific treatments, or consulting with specialists to address any potential risks associated with the condition
- Genetic counseling and testing: Depending on family history or background, genetic counseling and testing may be used to identify any potential genetic disorders or risks, allowing for informed decisions, further testing or interventions.
- Reproductive choices and family planning: We support you in your reproductive journey and provide resources and education as needed.
Common Office Visits
- Menstrual irregularities: For those experiencing irregular or heavy menstrual bleeding, severe menstrual cramps (dysmenorrhea) or other menstrual issues.
- Menopause and perimenopause: Patients approaching or experiencing menopause often seek guidance and support for managing symptoms such as hot flashes, night sweats, mood changes and vaginal dryness. Hormone replacement therapy (HRT) or alternative treatments may be discussed
- Pelvic pain or discomfort: Evaluation and management of pelvic pain, which may be caused by conditions like endometriosis, ovarian cysts, pelvic inflammatory disease (PID) or uterine fibroids. In addition, pelvic pain is often multifactorial, and we work closely with your primary care provider, when appropriate.
- Sexually transmitted infections (STIs): We provide testing, treatment and counseling for STIs, as well as general reproductive health education and guidance.
- Urinary tract infections (UTIs) and other gynecological infections: Evaluation and treatment for gynecological infections, such as yeast infections or bacterial vaginosis, as well as UTIs.
- Colposcopy: This procedure involves examining the cervix, vagina, and vulva with a specialized instrument called a colposcope to evaluate abnormal Pap smears or detect abnormalities.
- Endometrial biopsy: A procedure to obtain a sample of the lining of the uterus (endometrium) for diagnostic purposes, often to investigate abnormal uterine bleeding or evaluate suspected uterine conditions.
- Vulvar biopsy: A procedure to take a sample of your vulva or skin.
- Saline Infusion Sonohysterogram: A pelvic ultrasound is performed on the abdomen while a catheter is used to inject saline through the cervix into the uterus. This allows a more detailed view of the inside of the uterus than a standard pelvic ultrasound.
- Hysteroscopy: A thin camera is inserted through the cervix into the uterus. This provides a direct view of the uterine lining and can facilitate removal of a retained intrauterine device or a small polyp.
- Insertion of Intrauterine Devices and Contraceptive Implants
- Dilatation and Curettage (D&C): Involves dilating the cervix and scraping the uterine lining to diagnose or treat various conditions, such as abnormal uterine bleeding, pregnancy problems, or endometrial pathology.
- Hysteroscopy: A minimally invasive procedure that uses a thin, lighted instrument called a hysteroscope to visualize and examine the inside of the uterus for diagnostic or operative purposes, sometimes including the removal of polyps or fibroids.
- Laparoscopy: Involves making small incisions and inserting a laparoscope (a thin, lighted tube with a camera) to visualize and perform various gynecological procedures, such as tubal ligation or removal of ovarian cysts..
- Hysterectomy: This surgical procedure involves removing the uterus for conditions related to bleeding and other conditions. We strive to be minimally invasive, when appropriate, to improve patient outcomes.
- Oophorectomy and Salpingectomy: Oophorectomy is the surgical removal of one or both ovaries, while salpingectomy is the removal of one or both fallopian tubes. These procedures may be performed for various reasons, including ovarian cysts, tubal pathology, or as part of preventive measures in high-risk patients.
- Perinatal Mental Health Counselor
- Gynecologist and Obstetrician
- Certified Nurse Midwife
- Gynecologist and Obstetrician
- Family Medicine Physician
- Gynecologist and Obstetrician
- Certified Nurse Midwife, Women's Health Nurse Practitioner
- Certified Nurse Midwife
- Gynecologist and Obstetrician
Jennifer Auletta, MA, LCMHC, BC-DMT
As a mental healthcare provider, I have the opportunity to do preventative and intervention-level work around various mental health and substance use issues as well as helping patients and pregnant patients connect to community resources.
We know that early screening, treatment and connection to community resources yield better outcomes for patients and families with infants. I honor CVMC’s Gynecology, Midwifery and Obstetrics clinical team and leadership and their vision to integrate mental healthcare into their offerings for patients and families in our community.”
Colleen Horan, MD
One of the things I find most rewarding about practicing medicine is the opportunity to use shared decision-making. It is an honor when patients feel comfortable sharing their values, concerns, and goals with me. Then I bring my medical knowledge and experience, and together we come up with a plan.
That might be simple education and reassurance or include some testing, medical therapy, hormonal therapy or surgery. There are often several options, and I like tailoring the plan to the individual person.
As an obstetrician-gynecologist at CVMC, I feel fortunate to work with a great team of professionals who feel passionate about providing quality care to our local community. Over recent years, we have expanded our team to include certified nurse midwives, nutritionists, psychotherapists, and family practice providers.
Furthermore, we partner with others in the central Vermont community, such as the visiting nurses from Central Vermont Home Health and Hospice, the doulas from Washington County Mental Health, and the angels from Good Beginnings of Central Vermont – to name just a few. Team-based care allows us to expand the breadth and depth of care beyond what we can provide alone. It also helps me feel connected and continue growing as a provider.
Molly Flanagan, MD
I chose to work at CVMC because of our fantastic team and our patient population. Focusing on patient-centered care through wellness visits, challenging gynecologic concerns and pregnancy is inspiring.
Our community team is multifaceted, passionate, and engaged. When working with our patients, this allows a breadth of opportunity to focus on their needs and goals. I also feel fortunate to live and work in the same community as my patients. It is a gift to work together to improve individual health and the well-being of our entire community.
Callie Linehan, MD
My favorite part of working in medicine is offering patients the opportunity to be heard, respected and engaged in their own healthcare. I want to give them the information they need to make the right decisions for themselves and their families. It is an honor to be there for patients during some of their most vulnerable experiences, see them through these times, and know that I have helped them.
As a family doctor providing obstetric care, one of the greatest gifts is caring for the whole family before, during and after pregnancy. I am thrilled to be able to offer office gynecology and perinatal care at CVMC and to extend many of those patient-provider relationships to my outpatient Family Medicine office at Green Mountain Family Medicine.
I love the continuity for my patients who become pregnant and decide to continue their care with us at CVMC, and I love that I can see parents, babies and siblings for their other healthcare needs, too. Having both a healthcare home and pregnancy care with us facilitates comprehensive and personalized care, with access to our specialists whenever needed.
I am grateful to work with our diverse team – we have a real breadth of knowledge and experience, from our skillful midwives and OB/GYNS to our approachable behavioral health providers, compassionate nursing team and attentive administrative staff. Everyone seems to care deeply for our patients and their well-being. I want to share with our patients that all of us are there for you!
Women’s Health wants to make the process for refilling prescriptions as easy and efficient as possible. We want you to get the prescriptions you need with as few phone calls as possible.
Here are suggestions that we think will help us reach this goal:
Call Your Pharmacy First
Even if your bottle says no refills, call your pharmacy first. We work with them daily to make sure that you have the medications you need when you need them.
To prevent patients from running out of their medications, most pharmacies fax a refill request to us when your prescriptions need to be refilled. This happens behind the scenes automatically in some pharmacies. Therefore your new prescriptions may be at the pharmacy already.
If you call the prescription line at Women’s Health: 371- 4611
You must leave your name, date of birth, medication name, dose and frequency, and a phone number to reach you so we can insure the correct medication is processed for the correct patient.
Please Allow 24 Hours to Process Refills
We receive many requests daily so we must have at least 24 hours to process prescription refill requests.
Call your pharmacy and let them know if you are out of medication and ask them to request a refill.
Sometimes We Cannot Refill Your Medication
- You may be overdue for an appointment. Our policy is that anyone taking medications must be seen once a year at least (more if recommended by your provider).
- Your insurance may require a Prior Authorization, which takes a minimum of 2 business days.
- It may be too soon for a refill. If it is not time to get a refill, your insurance company may not cover the cost.
Picking up written prescriptions
PLEASE notify us if a friend or relative is picking up your written prescription.
That person may need to know your date of birth and have an ID.
As our valued patients, we welcome your suggestions and/or
comments about how the process works for you. Thank you.
CVMC Women's Health
If you are in labor, please call the main office line at 802-371-5961. In case of medical emergencies, please dial 911 or proceed directly to the Emergency Department.
Closed each day from Noon to 1:00