Advertisement'Where The Need Is': Tackling Teen Pregnancy With A Midwife At SchoolJune 11, 2018Selena Simmons-DuffinfacebookEmailSchool midwife Loral Patchen says that often it's during informal conversations like this one with Kiera, that important questions surface. Three years ago Patchen started working out of D.C. area high schools to reach students and prevent teen pregnancy. (Meredith Rizzo/NPR)