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Ellen Geske is thankful that she was able to avoid a cesarean section when she delivered her daughter Elise, now 18 months old, with certified nurse midwife Danielle Hoelter, left, and Dr. Rita Leard, right, from ABQ Health Partners Women’s Health. The medical group has one of the lowest c-section rates in the country. (Marla Brose/Albuquerque Journal)