Public health nurse, Chicago Department Health, Maternal and Infant Care Project, 1971-1972;nurse-midwife, Illinois Masonic Medical Center and Chicago Board Health, 1974-1977;instructor, U. Washington, 1977-1978, 83-84;co-founder, staff nurse-midwife, clinical coordinator, Birthplace, Seattle, 1978-1980;director midwifery services Group Health Cooperative of Puget Sound, Eastside Hospital, Seattle, 1980-1983;nurse-midwife, Healthcare for Women, Providence Hospital, Seattle, 1985-1988;nurse-midwife, Virginia Mason Clinic, Seattle, 1989-1991;clinical associate professor Sch Nursing, Pacific Lutheran U., Seattle, 1989-1991;locum tenens nurse-midwife, Virginia Mason Hospital, Community Clinic Svc., Seattle, 1991;staff nurse-midwife part-time, Highline Community Hospital Nurse-Midwifery Svc., Seattle, since 1991. Member of faculty community-based nurse-midwifery educational program Frontier School Midwifery and Family Nursing CNEP, Hyden, Kentucky, 1991-1996. Director special projects Institute Midwifery, Women and Health.
Research assistant U. Washington, 1984-1985. Clinical faculty member School Nursing, U. Washington, 1979-1993, School Medicine,1979-. Member of faculty Seattle Midwifery School, 1978-1988.
Member consultant board Preparation for Expectant Parents, 1978-1982. Member ad hoc committee birthctr. regulation development State of Washington, 1979-1981. Member access to maternitycare committee, 1990-1992.
Consultant in field.
Fellow American College Nurse-Midwives (board directors 1983-1985, member numerous committees, since 1983, vice president since 1996, Midwife of Year in Washington State 1986, Regional award for excellence 1992), Midwives Association of Washington State (board directors 1983-1986, 87-91, legislation committee 1989-1990, other committees, Midwife of Year 1987), AWHON (continuing education faculty 1974-1984), International Childbirth Education Association.