Luna Midwifery

Luna Midwifery My name is Degra Nofsinger and I am a Certified Professional Midwife – serving the Roanoke, Virginia

Luna Midwifery, LLC provides prenatal care, home birth services, in-home postpartum, and newborn care from certified professional midwives in Virginia and the surrounding area. At Luna Midwifery, we believe that pregnancy and birth are normal and that empowering mothers and their families to make their own choices for care leads to the best outcomes. We believe that being in the mother's own home environment makes the process of birth go smoothly and is a safe and low-intervention choice for women with normal, low-risk pregnancies. (Lead Midwife) Degra Nofsinger, CPM
(Midwife) Elissa Orr, CM

02/20/2026

Midwives = Excellent Care + VA Savings!
Virginia, let's make sure our legislators include Items 295 and 295 in the budget.

Huge thanks to Adrianna Ross, CPM, LM, our health equity intern, for creating this awesome graphic that breaks down the impact of midwives in Virginia!

Client Testimonial! “Degra, Danielle, and Rachel are amazing! They have now helped deliver both of our boys at home and...
02/19/2026

Client Testimonial! “Degra, Danielle, and Rachel are amazing! They have now helped deliver both of our boys at home and it’s been great! Super competent and they take their time. No appointment is ever rushed and they really care to know you! Can’t recommend them more 🙌🙏”

We have loved getting to know this family during 2 pregnancies! Repeat clients are very treasured. It’s a true blessing to witness a family grow and to be invited into the sacredness of birth. Thank you for trusting us! Xoxo

📷 Crystal Fink at Roanoke Birth and Perinatal Center.

02/16/2026

Labor prep: practice taking slow, deep breaths. We recommend 16 second counting: inhale for 4 seconds, hold for4 seconds, exhale for 8 seconds. You will feel your whole body begin to relax when breathing like this. Here’s a beautiful 1 minute 5 seconds long video to give you inspiration!

(🎥 taken by Degra on vacation at Goat Rock Beach, California, January 2026.)

02/16/2026

Studying neonatal resuscitation. 10% of all newborns require help breathing at birth. We are always prepared to help babies breathe at every birth. Some of our team members are taking Karen Strange’s Neonatal Resuscitation Program this Thursday. We re-certify in this certification every 2 years. Astoria and I have been watching many hours of online content in preparation. And today we finished the online class!

02/16/2026

Affirmations for pregnancy, labor, birth, postpartum, parenthood, and LIFE! All of these times are miraculously amazing! And they can also be hard! Take a pause. Go outside. Take off your shoes and get grounded. Take in your surroundings. Be in awe of your higher power. Practice gratitude. Breathe. Photos by Degra and Kelly, in the redwood groves of Northern California, January 2026.

02/16/2026

At Luna Midwifery, we are all about affirmations! We strive to give all clients an affirmation card or prayer card at each visit. (If we forget, please remind us!) Affirmations and positive self-talk have the power to change our thoughts and our reactions to life. They have to power to uplift us when labor gets intense and strong. Read affirmations! Write them down and hang them up around your house! Decorate your birth space with them! (Here is a secret: You don’t have to 100% believe them all the time! They will still uplift you, just by saying them!) Words are powers. Photo- taken by Degra - Cascades Falls mostly frozen, Pembroke, VA. February 2016.

01/05/2026

The American College of Nurse-Midwives mourns the devastating death of Dr. Janell Green Smith, CNM, who died from complications of childbirth. Dr. Smith was a respected midwife, scholar, and advocate whose life and work reflected a deep commitment to respectful, evidence-based, and equitable care.

That a Black midwife and maternal health expert died after giving birth in the United States is both heartbreaking and unacceptable. Her death underscores the persistent and well-documented reality that Black women—regardless of education, income, or professional expertise—face disproportionate risks during pregnancy and childbirth due to systemic racism and failures in care.

We grieve Dr. Smith’s loss and recognize it as a profound failure of the systems meant to protect birthing people. In her honor, ACNM commits not only to reaffirming our values, but to intensifying our actions to dismantle racial inequities in maternal health, strengthen accountability in care systems, and work alongside Black midwives, clinicians, and communities to prevent future tragedies.

We extend our deepest condolences to Dr. Smith’s family, loved ones, and the midwifery community. We carry her legacy forward with urgency, humility, and resolve.

We started celebrating Christmas this morning with a Christmas Eve morning birth! What a precious gift to receive! We ho...
12/25/2025

We started celebrating Christmas this morning with a Christmas Eve morning birth! What a precious gift to receive! We hope that everyone is safe and cozy with their families and friends on this holiday. Blessing to you all! 🎄 ✨ ❤️ ❄️

On October 20th, Degra was awarded the Community Recognition award from the VNPC. Unfortunately, she was unable to atten...
11/25/2025

On October 20th, Degra was awarded the Community Recognition award from the VNPC. Unfortunately, she was unable to attend the reception and receive the award in person. BUT it was for a very important reason, she was at a birth! This first photo is the sweet family whose birth she was at!

Part of the community collaboration work that Degra has been working on is having good relationships with our local hospital’s staff so that we can have safe, smooth and respectful transfers when we need to utilize the hospital. We are so grateful for these growing relationships!

From Degra “Thank you to my sisters at Carilion Midwives, for celebrating with me and gifting me these beautiful flowers and gluten-free homemade brownies! (They were so awesome, I ate all of them up before we could photograph them!)”

Thank you to the VNPC for this recognition and award!

If you don’t know who the VNPC is, here is a bit about them.

“The Virginia Neonatal Perinatal Collaborative started as a volunteer organization in 2017 and has since become the 42nd statewide perinatal quality collaborative (PQC) charged with improving outcomes for mothers and babies across the Commonwealth.”

For more information visit https://govnpc.org/

11/23/2025

Are you getting ready to fly this holiday season? Here’s a quick and handy overview of TSA guidelines for traveling with breast milk. You can find more information on Traveling with Children via the TSA website.

We see this rest period in some labors!
11/23/2025

We see this rest period in some labors!

11/23/2025

Anchored in the right to respectful, autonomous, and racism-free care, midwifery practice, midwives and the ecosystems we work in must ensure that all birthing people are heard, valued, and empowered throughout the perinatal experience, advancing a model of care that promotes dignity, safety, and optimal outcomes for everyone.

Address

1950 Electric Road , Lower
Roanoke, VA
24018

Telephone

+15403120099

Website

Alerts

Be the first to know and let us send you an email when Luna Midwifery posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Luna Midwifery:

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category

About the Midwife

I am a Certified Professional Midwife licensed to practice in Virginia – serving Roanoke and the surrounding areas. I went to midwifery school at Maternidad La Luz (MLL) in El Paso, Texas which is a Midwifery Education Accreditation Counsel (MEAC) Accredited school as well as a Texas state licensed birthing center. While at MLL, I completed an academic program in midwifery, provided prenatal and postpartum care, and attended births. I received the CPM credential in 2009. For further information about MLL, visit: www.maternidadlaluz.com.

After completing the midwifery program at MLL, I returned to my native Roanoke, Virginia. I have been attending home births in Roanoke, Lynchburg, and the surrounding areas since 2009, and since 2007, I have attended approximately 300 births, 200 as the primary midwife.

I participate in quarterly peer review, continuing education and retain credentialing in CPR and NNR (Neonatal Resuscitation). I am an active member of local, state, and national midwifery organizations: VMA (Virginia Midwives Alliance), MANA (Midwives Alliance of North America), NACPM (National Association of Certified Professional Midwives) and ACNM (American College of Nurse Midwives). I have served as Secretary and President for VMA from 2012-2018 and am currently serving in a more relaxed capacity as the Past-President for VMA. I am continually involved in volunteer midwifery work in Virginia, and focus on establishing and improving relationships between midwives and various other practitioners and organizations. In 2016, I volunteered for 2 weeks in Haiti with Midwives for Haiti.