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Thursday | Friday | Saturday | Sunday

  • Sessions marked with an * will receive MEAC CEUs
  • Sessions marked with a + will receive ACNM CEUs
  • Sessions marked with a # have received conditional ACNM approval pending receipt of more information on the session. We cannot guarantee those sessions marked with a # will be accepted for ACNM CEUs.

Remember, you must purchase the CEU packet in order to receive a CEU certificate for sessions you attend.

Thursday October 24, 2013, Pre-Convention Day

Full Day Sessions, 8 am to 6 pm. Note, there is a 2 hour break for lunch from 12-2 pm.

  1. *+ Brains, Midwives, and Hope; Understanding Interpersonal Neurobiology through Nonviolent Communication
    Celeste Kersey CPM, LDM; Sarah Peyton CNVC (Certified Trainer of Nonviolent Communication)
    Price: $170
    Morning begins with an introduction to Non Violent Communication and Interpersonal Neurobiology.  We will begin to experience a language that connects instead of separates while finding ways to honestly and compassionately express ourselves. We will explore the brain’s functions and the impact of the amygdala on our relationships with clients, our partners, and with ourselves. We will practice this new language and find the depth of life-enriching needs which aid us in rewiring the brain and bringing greater capacity for healing and for creating satisfying careers and relationships. Sarah Peyton will join us for the afternoon to explore our nervous system’s role in giving and receiving empathy. How can we communicate with clarity and ease when we are triggered by anger or fear or worry? We will see firsthand the effects of calming the amygdala and engaging the prefrontal cortex as we demonstrate in front of the group and allow time to practice in pairs. Sarah will touch on Diversity and Cultural Competency as part of our learning and the brain’s response to “Otherness”.  We will discover the universality of needs that cross all cultures, races, sexual identity, genders, etc. and how to identify these with an eye of compassion.
  2. *+ The Importance of Core Strength
    Kelly Dean MPT
    Price: $170

    This one-day course will provide midwives with an in depth understanding for the conditions and complications related to core weakness in the prenatal client.  The correlation with diastasis recti and difficult deliveries will be highlighted.  Education on proper evaluation of core weakness, postural alignment issues and diastasis recti will be discussed.  Practical application of evaluation techniques and proper use of the core muscles in delivery and recovery will be covered.  Upon completion of this course, midwives will have a thorough understanding of the causes, prevention and treatment of diastasis recti and will be able to effectively evaluate the condition and related complications.

  3. *+ How Does Being White Impact Midwifery Practices? Working Toward a More Inclusive Profession and Greater Equity in Maternal and Infant Health
    Annie Menzel CPM, PhC; Wendy Gordon CPM, LM, MPH; Gretchen Spicer CPM, LM; Laura McNeill; Elizabeth Bruno,Marijke van Roojen, LM, CPM
    Price: Free

    Many North American midwifery groups, as well as individual midwives, are struggling to confront the complex impacts of racism and white privilege on birth and birth work, including racist social structures, inequalities of access, and disparities in birth outcomes, as well as the marginalization of people of color, microaggressions, and exclusionary elements within our own organizations and practices. This full-day pre-convention workshop offers an opportunity to achieve a deeper understanding of these interlocking harms and work together with experienced anti-racism facilitators to learn how to work for racial justice in midwifery. Facilitators will help the group define prejudice, racism, institutional vs. individual racism, and white privilege, and cite examples of racism and white privilege within U.S. society. Participants will identify how white privilege affects the practice of midwifery through analysis of case studies and group discussion. Reading and analyzing narratives from a history timeline, participants will identify key themes within the history of racism in the U.S. and how it continues to shape their lives, U.S. society, and the practice of midwifery today. Through role-playing exercises drawing upon participants’ real life experiences, facilitators will help participants practice responding to racist speech and situations. Together, participants will generate a vision for inclusion and equity in reproductive care; identify how white privilege is currently obstructing this vision; and make a practical and sustainable plan of action for moving midwifery toward addressing white privilege, becoming allies for midwives and midwifery organizations of color, and working toward authentic inclusion and equity.

  4. *+ Suturing in a Real Midwifery Practice
    Lynn Arnold CPM, LM
    Price: $170

    ‘Suturing in a Real Midwifery Practice’ is a ‘hands on’ workshop designed for students and primary practitioners who want to learn a simple and straightforward approach to suturing. It is perfect for practical application in a real midwifery practice, for refreshing existing skills, and preparation for exams! Some of the workshop topics include preserving the perineum, episiotomy, evaluating the wound, informed consent, choosing supplies & equipment, choices for anesthesia, current trends in repair, postpartum care and more. The participant will observe and practice hand & instrument ties, interrupted sutures, running sutures, subcutaneous sutures and learn their application to pelvic floor wounds; perineal, labial & periurethral wounds, bleeders. All supplies are included.

    Please note, there will be a $35 supplies fee for this workshop, to be collected by the instructor on site

  5. *+ The Preceptor as Educator
    Suzy Myers CPM, LM, MPH; Carol Nelson CPM; Ida Darragh CPM; Wendy Gordon CPM, LM, MPH; Illysa Foster CPM, LM, M.Ed; Justine Clegg CPM
    Price: $170

    Originally presented at MANA 2012, this day-long Preceptor Workshop will cover all aspects preceptors need to know to provide successful clinical supervision to midwifery students, including a framework for determining students’ levels of progress using the Dreyfus model of skill acquisition, qualities of “best” and “worst” preceptors and students, NARM requirements for preceptors in formal education programs and for PEP students, completing NARM documentation to qualify students for CPM examination, assessing student readiness, evaluating performance, meeting challenges, clarifying goals, expectations and power differentials, applying ethical principles to the preceptor site, establishing contracts with students, creating an anti-racist culture in midwifery, and supporting student diversity.   Offering this workshop at the MANA convention each year will prepare preceptors to facilitate student midwifery clinical education and successfully complete all NARM’s requirements  for the CPM examination, whether a student-preceptor dyad following the PEP process or a student placed through a formal educational program in a preceptor’s clinical practice.

  6. NARM Written Exam
    Contact NARM for eligibility

Half Day Morning Sessions, 8 pm to 12 pm

  1. *+ Vaginal Ecology and Vaginal Infections for Midwives
    Silke Akerson CPM, LDM
    Price: $90

    Come learn about vaginal health and balance!  In optimal health the vagina is a resilient and self-balancing organ with a strong colony of beneficial bacteria, but physical and emotional stresses can lead to occasional or chronic imbalance, infection, and pain.  This workshop will cover the bacterial ecology and pH of the vagina in health and in sickness as well as holistic and allopathic treatments for infections.   In this workshop we will use detailed health histories along with hands on work with microscopic examination of vaginal smears (wet mounts) to evaluate vaginal infections and create individualized treatment plans.  Case studies will be used to cover assessment and remedies for some of the most common vaginal imbalances or infections including bacterial vaginosis, yeast, and group B strep.  Whether you are a new student or a seasoned midwife, this workshop will bring new depth and skill to your understanding of vaginal health.

  2. *+ MEAC Training for current and potential MEAC Accreditation Reviewers
    Sandra Bitonti Stewart CPH; Jessica Shaieb JD; Karin Borgerson MBA
    Price: Free 

    In 2013, MEAC adopted new standards for programmatic and institutional accreditation.  This overhaul of MEAC standards includes the addition of many of the global education standards being promoted by the International Confederation of Midwives.  The new standards also introduce a new MEAC Curriculum Checklist for Essential Midwifery Competencies, based largely on the ICM global competencies, the MANA competencies and the NARM skills, abilities and knowledge list.  Finally, the new standards include many benchmarks designed to improve the cultural versatility of the graduates of MEAC accredited schools. Currently accredited midwifery schools will need to show compliance during their next scheduled reaccreditation cycle.  MEAC is working to develop a cadre of trained midwives who can serve as peer reviewers on a committee that will review each of these schools and new applicant schools working towards accreditation. This workshop will provide: 1. a basic orientation to the new standards; 2.  training on the role and responsibility of accreditation review committee members; and 3. case study discussions and group work. At the end of this workshop, participants will be eligible to join an accreditation review committee.

Lunch Break from 12-2pm.

Half Day Afternoon Sessions, 2 pm to 6 pm

  1. *+ Female Pelvic Health for the Childbearing Year: Anatomy, Physiology and Cultural Understanding
    Candace Garrett ERYT, RPYT
    Price: $90

    Female pelvic floor anatomy and function is a misunderstood and often overlooked part of female health, particularly in the childbearing year. Most prenatal women will not have any pelvic follow-up care in the postpartum and are taught that incontinence is not only normal, but can be treated with Kegels, an exercise which is also misunderstood. The function of the pelvic floor is sexual, sphinctoric and supportive and failure in any of these three areas signals dysfunction. It is critical to understand how upbringing and experiences lead to anatomical distress and why women don't ask for help when things go wrong "down there." We will discuss the complex anatomy of the female pelvic floor and how it relates to birth, the postpartum, menopause, and urino-genital and sexual health. We will discuss what Kegels are (and what they are not), explore new pelvic floor exercises and discover the difference between a “hyper-tonic” and “hypo-tonic” pelvic floor. Female pelvic floor education faces challenges of standardized care, and a cultural unease in teaching girls and women about their own anatomy. In order to broaden the conversation, we also have to understand the impact of both sexual trauma and traumatic birth, past experiences and cultural upbringing so that we can develop a language that is inviting to all women.

  2. *+ Birth Dance
    Marina Alzugaray MS, midwife, Jacquelyn Aurora, student midwife  
    Price: $90

    In this workshop participants will review a continuum of birth positions like standing, leaning, sitting, hands and knees, side laying, supine, semi-sitting and squatting.  The information includes research literature on birth positions as well as Marina’s personal experience spanning over three decades in the midwifery field.  Participants will review and practice hands on skills to facilitate births in a variety of positions. In addition to oral instruction, participants will learn warm up stretches and series of movements, which will combine into a dance routine that we will perform.  We will then open for questions and answer period, providing tips for creating similar classes for pregnant moms in their communities.  A goal is that providers can share this experience with their clients, or simply enjoy the opportunity to interact with ethnic music and dance. Marina has united belly dance, an original women’s art form, with her extensive birth experience in a workshop that rehearses birth movement and sounds for pregnant moms. Teaching how to get into different birth positions, in a dance that honors women’s ability to birth, works at many levels.  It increases confidence and stimulates the capacity to welcome birth’s inner wisdom.   It brings comfort to the mom, by helping to eliminate fear.  It is primal and loving, while keeping trust in the birth process.  No prior dance experience is required, and CEUs will be available.

  3. *+ MEAC Accreditation: Creativity, Quality, and Accountability
    Sandra Bitonti Stewart CPH; Jessica Shaieb JD; Karin Borgerson MBA
    Price: $170  

    This half-day session is designed for midwifery educators who are either planning to start a midwifery school or who considering applying for MEAC accreditation.  The session covers a general overview of accreditation in the United States, MEAC’s purpose, history, accredited schools, current standards, and the accreditation process.  Presenters will also go into detail about each of MEAC’s ten standards for programmatic and institutional accreditation as well as the steps in the accreditation process.  Participants will have ample opportunity to ask questions and to engage with one another as they learn more about the process.

Join us from 8:00-9:30 pm for the Convention Opening Ceremonies with a Cocktail Reception in the Exhibit Hall to follow!

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Friday, October 25, 2013, Convention Day 1

8:00-9:00 am President’s Welcome
9:00-10:00 am *+ Midwifing Activism: Engaging Families in the Birth Revolution
Roanna Rosewood Activist, Author, Mother

To achieve success, the birth revolution must grow beyond the midwives, doulas, and other birth professionals who frequent rallies and conferences. Learn why parents are conspicuously under represented and how to put them back in the heart of the movement for midwifery care. The birth crisis belongs to families. Mothers are dying. The infant mortality rate for African Americans is more than double that for non-Hispanic whites. Is midwifery access a right for all women or a status symbol for the rich? Until families take back their rightful place in the center of this revolution by demanding evidence-based care and choices in childbirth, midwives will continue to practice in fear. Working together we can save midwifery, mothers, babies, and physiological birth. This session will give you the tools to quickly, simply, and at no expense, inspire, encourage and empower hundreds of families to advocate for birth rights.

11:00-12:30 pm Breakout Sessions A
  1. *+ The Cultural Work of Midwives in Effecting Social Change
    Judy Luce CPM, LM, MA

    The premise of my presentation is that only when midwives understand their role as cultural workers in their birth work will they be able to be effective agents of social change. Seeing birth primarily as a social, familial, and communal event means that midwives constantly need to assess pregnancy and birth practices not from only a medical evidence-based perspective but in the wider context of meaning and values. Midwives need to move beyond the narrow focus of clinical research and use a wide lens to evaluate the symbolic meaning of practices and styles of relationship. Midwives need to be question the meaning and symbolism of clinical practices on  women, how they affect woman’s views of their own bodies, their sense of competence, and how they ultimately understand the meaning of birth. In this session I will examine language, views on authority, relational models around decision-making, and understanding of the meaning of risk as it affects midwifery practice and mother’s decision-making process. I will also review briefly a history of the natural childbirth movement as I have observed its  unfolding in my 42 years involved with childbirth and focus on dramatic shifts that have taken place around understanding of the meaning of “natural,” the shift from informed consent/choice to informed refusal; the way concerns about GBS have high-jacked the end of pregnancy, and the increasing invasiveness of procedures beginning with the ubiquity of ultrasound use and the almost universal silence of  midwives in response to the introduction of transvaginal ultrasounds.

  2. *+ African-American Mothers and Prematurity and LBW in the US: A Qualitative Analysis of CPM Prevention Narratives
    Melissa Cheyney PhD, CPM, LDM; Arika Makena Bridgeman-Bunyoli MPH

    This session will report findings from a study designed to examine theories of causation for high rates of pre-term and low birth weight (LBW) among African-American infants from the perspective of African-American Certified Professional Midwives (CPMs). The LBW rate among African-Americans is higher than among Latino populations and twice as high as among Caucasian mothers. After controlling for differences in socioeconomic status, studies have found that the gap between African-American and Caucasian mothers actually widens at higher income levels, despite increased access to quality prenatal care. This means that African women with college degrees are more likely to give birth prematurely and have a LBW baby than are white women who did not complete high school. A review of the literature on this topic reveals that multiple hypotheses about LBW etiology have been developed. Pieces of the web of causation have been established, but the work is still incomplete. We do not yet understand the root cause(s) of this problem, or the ways in which the various pathways hypothesized interact in order to further exacerbate prematurity and LBW in this population.  This study addresses the gaps in the literature by identifying the psychosocial, institutional, and environmental factors that African-American CPMs see as contributing to high rates of prematurity and LBW.

  3. *+ Well Woman Care and HPV: Understanding the New Screening Guidelines
    Lisa Sanderson-Fox LM, CPM

    HPV is known to be the cause of virtually all cervical cancers. In the US, half of all cervical cancers are found in women who have never received a pap smear. Cervical cytology is the single most effective way to prevent these types of cancer and yet for those of us who have access to, or provide regular screening, the new recommendations suggest less screening, not more. Come learn about the most recent screening guidelines based on the current knowledge of HPV and its implications for maternal health.

  4. *+ Business Success for Community Midwives
    Christine Larsen-Romney CEO; Nicole Wocelka

    In this session we will explore the relationship between positive and strong midwifery businesses and the benefits to communities and clients.  We will discuss the pros and cons of various tax identities, how and when to hire advisors, how the separation of professional and personal finances will empower midwives as business owners, the pros and cons of various financial systems for small businesses, services to consider as your practice grows, insurance trends for both midwife practices and their clients, the components of a sound financial agreement, conducting a community needs assessment, and a vision of healthy business practices as a component of client care.

  5. *+ Reading a Research Paper Without Going Crazy
    Marit Bovbjerg PhD, MS; Courtney Everson MA, PhDc

    As a midwife, you know that part of practicing evidence-based midwifery care is knowing what the evidence says.  However, all too often the critical reading and interpretation of published studies is easier said than done. Have you ever sat down to look at a research article—in Birth, or AJOG, or Journal of Midwifery and Women’s Health—and just been stymied by the confusing terms, the strange format, the statistics-speak?  Marit and Courtney are here to help!  In this session, you will learn:  the basics of research study design (what’s a matched cohort?  What’s a case-crossover study?);  the basics of how published research papers are structured (hint:  the discussion section is purely the authors’ opinions, and may or may not coincide with either the data or with other research);  fundamental  research and statistics vocabulary (what’s power?  What about type I error?  Confounding?);  how to  read and interpret  the numbers in tables, or the lines in figures, without going cross-eyed; and finally, how to decide whether or not you should consider changing your practice based on these results. The purpose of this session is to provide you the essential skills necessary to critically read, interpret and apply published research studies as you continue to provide evidence-based care and keep up-to-date with  current practices. Convention attendees planning to attend this session are encouraged to send specific questions ahead of time to:  <>.  Any questions received on or before 15 September 2013, we will do our best to include answers in this talk.

  6. *+ Ethics and Social Justice in Midwifery Education
    Wendy Gordon CPM, LM, MPH; Illysa Foster CPM, LM, M.Ed

    National and international midwifery associations have created ethical standards of practice which inform our clinical decision-making and professional relationships especially in situations where there is clearly not one right answer.  Our values enlighten and inspire midwifery practice in our hearts and minds.  Acting ethically is an expression of our values within the context of our individual, geographic, religious, cultural, ethnic, political, educational and personal backgrounds, and our relationships with others.  Acting ethically includes advocating for social justice.  To quote Cornel West: “Justice is the public face of love.”  Key components of any discussion of ethics in midwifery education are racial equity and social justice, a core principle of ethics, values and moral integrity.  This workshop will investigate ways to teach and inspire ethical behavior and apply precepts of social justice in midwifery students, as well as explore ethical issues between students, instructors and administrators, and between preceptors and students both in midwifery schools and apprenticing through the PEP program.   The ethical principles of autonomy, dignity, fidelity, beneficence, and non-maleficence will be applied to the power differentials in the educational community, with inherent differential goals and expectations, and the temptations and opportunities for abuse intrinsic to authority.  Also included will be establishing ethical relationships between preceptors and their former students and in the midwifery educational community between schools and programs.

  7. *+ From Charity to Philanthropy: Learning the Art of the Ask
    Foundation for the Advancement of Midwifery board members

    FAM proposes to provide a session on how to strategically position your midwifery practice, or maternal health project, to successfully apply for funding. This session is geared towards individuals and organizations that already have a basic working knowledge on the fundamentals of grant writing and are seeking more focused insight on what foundations are looking for in applications. The discussion includes what makes grants stronger, the importance of knowing your funder, assessing what type of criteria is attractive to a funder, and identifying local funding sources. FAM will begin the session by establishing the basic structure of funding including challenging participants to ask themselves why should people give you money, who should give you money, and what do you do with that money. FAM’s grant guidelines, successfully funded projects, and The Birth Trust will be used as examples to demonstrate practical application.

  8. *# Environmental Consequences of Home vs. Hospital Birth
    Janneli Miller PhD, CPM, LM

    This session provides a description and analysis of resources utilized in typical home and hospital births- comparing the environmental consequences of each birth setting. We are all becoming increasingly aware of the limited resources on planet earth. Reproductive health care in the United States takes place primarily in industrial medical settings- hospitals or birth centers. Industrial medical waste is a growing concern, not only because of health hazards associated with the disposal of human tissue and/or blood soiled items, but also because of moral and ethical concerns related to DNA studies, fetal stem cell tissue, and use of placentas. Add to this health concerns of radioactive exposure/waste and you have serious environmental concerns. Yet midwives who practice home deliveries often produce little to none of this toxic waste. As we promote the Midwives Model of Care, we have focused on safety issues for mothers and babies, yet we have basically ignored the environmental repercussions of our work. In our struggle for legitimization, we have narrowed our idea of “safety” to MMR, IMR, and other such demographic statistics associated with maternal child health. Yet safety and health for all includes the environment we live in. As midwives we “know” this, and often promote recycling or other “green” behaviors, but we have not really looked at the waste generated by our activities at home, birth center, and hospital as factors essential to social change. This session demonstrates why home birth is obviously an environmentally friendly choice, which promotes ecological health for all.

12:30-1:45 pm
At MANA 2012

Lunch and MANA Open Forum

2:00-3:00 pm *+ The Stories We Tell: Addressing Racism and Inequity in Midwifery
Sheila Capestany MPH, MSW

This presentation will address historical and current inequities in maternal and child health and how the stories we tell about these inequities works to keep a harmful structure in place. I will offer a broad frame from which to view these issues and how we might move forward, together, towards real change for all women and families.

3:00-4:00 pm

Fundamental Human Rights in Childbirth
Hermine Hayes-Klein, JD

Every woman giving birth to her baby has a set of universal, fundamental human rights at stake. She has autonomy rights over her body; nothing should be done to it without her explicit, informed consent and permission. She has the right to make decisions about her care that align with her personal history, needs, and values. She has the right to be supported by her nation's healthcare system without restriction on the basis of race or socio-economic status, and to be provided with individualized recommendations that recognize her right to refuse those recommendations. However, the human rights of birthing women are reliably respected almost nowhere. What is it going to take to put each and every woman back at the center of her maternity care? What is it going to take to get universal recognition that the birthing woman is the captain of her own ship? Hermine will describe numerous true birth stories that illustrate the human rights issues at stake in maternity care, and the efforts of the international organization Human Rights in Childbirth to advocate for human-rights respecting maternity care the world over.

This time slot was originally scheduled to be "In Their Own Words: Experiences of Contemporary Black Midwives in the United States." However, the speaker, Keisha Goode, PhDc, had a last minute family emergency and couldn't attend. Please read this extensive interview with links to the slides for her talk here.

4:30-6:00 pm Breakout Sessions B
  1. * Birthing Social Change in Midwifery Education
    Wendy Gordon CPM, LM, MPH, Suzy Myers CPM, LM, MPH

    The imperative to train more midwives of color as well as to increase access to midwifery care for communities of color has been well articulated.  This workshop proposes to use the case study approach: one midwifery school’s journey confronting its own institutional racism, taking stock, developing a strategy for change and the work of actually moving towards becoming an anti-racist, multi-cultural education program.  

    The workshop will identify institutional racism and discuss strategies to dismantle it in midwifery education, including creating a multi-stakeholder Change Team, conducting training and focus groups, anti-racism workshops for students and faculty, curriculum for a semester-long anti-racism course for students, changes in recruitment and admissions policies to broaden student diversity, examining the educational  institution’s dominant norms and assumptions, assessing the structures, culture and environment for ways to make it safe for students and faculty to challenge constructs of white power and privilege, build in accountability to racially oppressed communities with regard to midwifery care and actively participate in anti-racism work in the wider community.  Participants will be invited to share their own experiences of identifying institutional racism and strategies to dismantle it in midwifery education."

  2. *+ Teen Mothers’ Narratives of Stigma and Isolation in the Transition to Motherhood
    Kristen Ethier MA

    This session presents findings from a study that uses interview data with teenage mothers in the Chicago area and examines teenage mothers’ narratives of their transitions to motherhood; the impact of stigma on teenage mothers’ perinatal experiences; and the potential for teenage mothers’ voices to shape social policy and interventions. While the US teen pregnancy rate peaked in 1990, political responses and social interventions focused on mitigating adverse life course outcomes for teenage parents and their children that this peak precipitated have continued to the present unabated. Moreover, although the literature identifies disparate perinatal health disparities for teenage mothers such as preterm births, low infant birth weights, and low breastfeeding rates, researchers have done little to explain the mechanisms that produce these outcomes and many ignore teenage mothers’ narratives. The findings deviate from past research that links teenage mothers’ adverse outcomes to individual behaviors and lack of social capital and suggest that the stigma produced by popular discourses shapes teenage mothers’ transitions to motherhood, particularly those aspects that map on to perinatal disparities.

  3. ACNM, MANA, and NACPM: Working together to promote normal birth in the US
    Justine Clegg, MS, LM, CPM, Eleanor (Ellie) Daniels, CPM, and Cathy Collins-Fulea, MSN, CNM, FACNM.

    Learn how your national CPM, CNM and CM midwifery organizations are breaking new ground through collaboration to advance midwifery and improve pregnancy outcomes in the US.  In May 2012, “Supporting Healthy and Normal Physiologic Childbirth: A Consensus Statement by ACNM, MANA and NACPM” was released. Initiated by the ACNM, this landmark event represents a combined commitment to define and promote normal birth from the US midwifery perspective.   Since then, the ACNM Normal Birth Task Force has produced a consumer statement (also endorsed by MANA and NACPM), and is developing tools and strategies to advance and promote normal physiologic birth among healthcare providers and in the quality arena.    

  4. *+ MANA Stats Project Research Studies: Duration of Labor by Megan Wood and Perineal Outcomes by Birth Position by Caity Wheaton
    Megan Wood LM, MSM; Caity Wheaton LM, MSM

    In this session Megan and Caity will each present the original research they did for their individual master’s theses.  They both used the MANA statistics project database for their theses.  Megan researched length of active labor for low-risk, nulliparous women attended by CPMs, who had completed planned deliveries at home or in freestanding birth centers.  She then compared her findings to published literature on length of active labor for healthy, low-risk women having planned hospital births with CNMs.  Caity looked at the rates of different delivery positions in home and birth center deliveries of nulliparous women, as well as the rate of perineal laceration, and then compared laceration rates by delivery positions. She compared these findings with those of the published literature for hospital births with midwives and/or physicians.

  5. *+ Putting Your Stats to Work for You
    Ellen Harris-Braun CPM; Melissa Cheyney PhD, CPM, LDM

    This session, presented by MANA Division of Research members, has two goals.  First, it explains the many uses to which midwives can put the statistics reports built into the MANA Statistics system, ideally increasing interest in and use of the system and its reporting features for midwives.  These reports are independent of the data-access/study-approval process for researchers and can be used anytime by midwife contributors to improve, professionalize, and promote their practices.  The session’s larger goal is to educate midwives about benchmarking, quality improvement, statistical significance, relevant study populations, and other basics of understanding and applying medical research.  In our lively, multi-format session, midwife contributors will learn how—and why—to access and use their own practice statistics for: --understanding and characterizing their practice, including changes over time; --comparing their outcomes to those of other midwives via benchmarking; --implementing the steps of a basic quality improvement process; --providing meaningful informed consent for clients; --promoting their services and representing their practice to the community, the medical community, legislators, insurers, etc. The presentation includes a live demo, quiz questions, role-playing, user feedback on system, examination of MANA and ANCM benchmarking data, and group brainstorming. By explicitly addressing “why do it” as well as “how to do it,” we increase the research fluency of our audience, which can benefit midwifery in many ways, from individual practice all the way to the national legislative and regulatory level.

  6. *+ Beyond “Each One Teach One:” Toward a Sustainable Model of Midwifery Apprenticeship
    Augustine Colebrook CPM, LM

    Midwives often lament that we invest time and energy in precepting students who do not go on to practice midwifery.   In this session, we will explore the ways that our current model of apprentice education perpetuates this problem.  Midwife Augustine Colebrook will share the innovative approach to apprenticeship that she uses in her practice, which allows students to pursue paid employment while completing all the requirements of the NARM PEP process in as little as three years.  Come and get excited about an apprenticeship model that allows you to teach more students, receive more support from your student team, and improves student satisfaction with and completion of apprenticeship-based midwifery education.

  7. So they won't be alone: the strengths and challenges of Haitian midwives serving the needs of Haiti's poor majority
    Philomene Gracius and Ninotte Lubin

    Too often, Haitians’ stories are told for them, focusing on dismal public health indicators. In this session, you will hear from two Haitian midwives about their personal experience serving Haitian women, the challenges in their work, and how they face those challenges.

  8. Story Telling for Social Change
    Janneli Miller PhD, CPM, LM and Becky Martin

    Stories are a principal method of communication around the world and provide important examples of specific cultural, ethical and deep-rooted values inherent in any society or subculture. As midwives, we cannot help but share our stories when we meet. Our stories provide us with the heart and soul of our midwifery education, no matter which route is chosen to the credential. Currently MANA is using the I AM A Midwife video to help people understand what midwives do and why they do it. The midwives in the film tell us why they are midwives, and it is powerful! How can you help gather the stories of all midwives- not just our “famous” sage femmes, grand midwives, or popular authors, but “everyday” midwives who may go unnoticed because they are busy catching babies and giving excellent perinatal care? The first session will introduce participants to basic qualitative interviewing techniques, which will then be used to collect the life stories of midwives, recording them with simple and effective technologies. We will begin to document the important work of all midwives. But why should we record our stories? Because stories can be used for social change! In the second workshop participants will learn how to turn their recordings into effective tools for social change, by using all types of media. Participants will learn what portions of our stories can be used, and which arenas to use them in, to most effectively help people understand, utilize, and promote the Midwifery Model of Care.


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Saturday, October 26, 2013, Convention Day 2

8:00-9:00 am

*+ Is Anyone Listening to Mothers? Comparing Mothers’ Views to Contemporary Practice
Eugene Declercq PhD (speaker co-sponsored by ICTC)

Listening to Mothers III, released in 2013 marks more than a decade of LtM surveys. This talk will discuss what been learned in the five surveys (three focused on birth; two on postpartum) that is of most relevance to attendees at the MANA meeting.  It will include an examination of trends in key questions (e.g. mothers general attitudes toward birth; their sense of being pressured to receive interventions) and important new questions that were added to LtMIII on mothers’ perspectives toward home and birth center births and their experience with shared decision making. 

9:00-10:00 am *+ MANA DOR Annual Research Update 2013
Melissa Cheyney PhD, CPM, LDM

The MANA Division of Research will report on the activities of the previous year with a focus on the new applications for access to the MANAStats dataset that have yielded study results by the time of the convention. During our annual presentation at the convention, we plan to provide an overview of the research questions and key study findings that resulted from these applications, while introducing the convention attendees to the innovative new midwife-researchers who are beginning to work with this extraordinary dataset. Our presentation will cover research on: 1) VBAC; 2) waterbirth; 3) birth outcomes for women of color receiving midwifery care; 4) key causes of morbidity and mortality for midwifery-led deliveries; and 5) relationships between parity, fetal positioning and birth outcomes. Finally, we will present a comprehensive analysis of 2012 annual reporting outcomes.

11:00-12:30 pm Breakout Sessions C
  1. *+ Religious and Cultural Considerations When Serving Muslim Families
    Aisha Al Hajjar AMANI

    Discover references to birth as taught in Islamic religion.  Gain awareness of considerations for assisting Muslim families through the pregnancy and birth journey, including: Breaking through the stereotypes; Exploration of diversity amongst Muslims; How to respect religious and cultural modesty; Dealing with strict gender segregation existent in some cultures; Understanding the various traditions and practices around the birth experience. In session we will explore ways to be culturally sensitive when serving Muslim clients, whether in the United States or while working abroad.  There will be time for question and answers and sharing personal experiences.

  2. *+ Diastasis Recti
    Kelly Dean MPT

    This course will provide midwives with an in depth understanding for the conditions and complications related to core weakness in the prenatal client.  The correlation with diastasis recti and difficult deliveries will be highlighted.  Education on proper evaluation of core weakness, postural alignment issues and diastasis recti will be discussed.  Practical application of evaluation techniques and proper use of the core muscles in delivery and recovery will be covered.  Upon completion of this course, midwives will have a thorough understanding of the causes, prevention and treatment of diastasis recti and will be able to effectively evaluate the condition and related complications.

  3. *+ Communicating Across the Home-Hospital Divide in the US: Narratives of Risk, Fear, and Mutual Accommodation
    Melissa Cheyney PhD, CPM, LDM; Courtney Everson MA, PhDc, Paul Burcher, MD,PhD

    This session will present findings from an interdisciplinary research project on home-to-hospital transports and interprofessional relationships. The study explored the contested space of home-to-hospital transports that occur during labor or in the immediate postpartum period as a means of identifying the mechanisms that maintain philosophical and practice divides between homebirth midwives and hospital-based clinicians in the United States. Using data collected from open-ended, semi-structured interviews, participant-observation and reciprocal ethnography, we identified six key themes -- three from each provider type. Collectively, providers’ narratives illuminate the central stressors that characterize home-to-hospital transports, and from these, we identify three larger sociopolitical mechanisms that we argue are functioning to maintain fractured articulations at the time of transport. These mechanisms impede efficient and mutually respectful interactions and can result in costly delays. However, they also contain the seeds of possible solutions, and thus, are important starting points for developing an integrated maternity system premised on mutual accommodation and smooth articulations across all delivery location options. Active discussion by participants will help to illuminate the ways in which study findings may be applied to midwifery practices across the United States as we work toward integrated, collaborative models of care.

  4. *+ Female Pelvic Soft Tissue Anatomy: New Insights
    Anne Frye CPM, BA

    This workshop will provide you with an understanding of the most current research into pelvic soft tissue anatomy.  A confusing and difficult subject to begin with, it turns out, many things  thought to be true about these tissues is not.  These long-standing misconceptions are explained and  ongoing research into how the pelvic soft tissues are actually configured will be presented.

  5. *+ Pregnancy and Postpartum Mental Health: Strength-Based Prevention and Recovery
    Wendy Davis PhD

    How can we prevent a crisis related to emotional and mental health during pregnancy, birth, and postpartum? How can a midwife facilitate recovery and encourage parents to reach out when they are often too afraid and ashamed to share how they really feel? This session will focus on the midwife’s role in effectively relaying messages of hope and recovery while adequately providing risk assessment and informed referrals for further intervention and support.  I will provide a description of mental health challenges for mothers and their partners during pregnancy, childbirth, and postpartum, including the signs and symptoms, causes, and reliable treatment options for pregnancy and postpartum mood and anxiety disorders including postpartum psychosis. We will discuss how to include partners and other caregivers in ways that are inclusive and respectful of diverse family structures, values, and culture. We will address the unique role of midwives in prenatal education and support, and will share information and resources to address concerns about medicinal treatment of mental health during pregnancy and breastfeeding. The goal of the presentation is to share a realistic and strength-based perspective of perinatal mental health, and give suggestions for engagement that are compassionate, empowering, and informed. Handouts will include parent handouts, assessment tools, tips for partners, handouts in Spanish, and reliable local and national resources.

  6. *+ The MANA Statistics Project: Toward the Equitable Distribution of Maternity Care Resources in the US
    Susanna Snyder MA, CD (DONA); Holly Haran MA

    The Midwives Alliance of North America (MANA) was founded in 1982 to promote midwifery as an accepted part of the maternal-child health care system in North America. MANA includes all forms of midwifery care, and contributing midwives have been collecting their statistics for research purposes since the 1990s through the MANA Statistics Project.  This session describes the project’s history and adoption of a community-based participatory research (CBPR) model. Expert interviews from the Coordinating Council of MANA’s Division of Research and personal accounts from the researchers highlight how a CBPR approach promotes the professionalization of homebirth midwifery in the United States.

  7. * Reducing the Risks of Complications: Common Sense Approach
    Maria Milton LM, BS

    This session will help participants to understand that, despite cultural differences, the mechanisms by which the human body works are basically the same.  Because of the way the human body operates, humans have more in common than not.  That is why there are cross-cultural techniques that reduce the risks of prenatal, delivery, and postpartum complications.  Participants will learn some of these simple common sense techniques to prevent or reduce the likelihood of these complications occurring.

  8. * Is the Baby Well? Exploring the State of the Science on Fetal Assessment
    Saraswathi Vedam RM, FACNM, MSN, SciD(hc)

    This session will review the evidence for current methods of fetal assessment, and their impact on iatrogenic preterm and term delivery by induction or caesarean section. Current methods of assessing fetal well-being (including the Non-Stress Test, Biophysical, Doppler Velocimetry, AFI) have poor diagnostic test validity, with false positive rates ranging from 50–90%. A recent multi-disciplinary NIH consensus panel that acknowledged the limitations of current antenatal diagnostic methods and recommended that future research focus on maternal Fetal Movement Counting and diagnostic methods that combine test results to improve performance. The development of a new strategy, the MAPi Project, will be described. The Movement and Pulse index (MAPi), combines multiple dimensions of fetal behavior (Fetal Behavior & Movement Log), the uterine environment (Amniotic Fluid Index), and fetal heart rate data (Non-Stress Test and/or Auscultated Acceleration Test) into a clinical prediction model, which can be used to diagnose fetal health status. We expect that MAPi could minimize false negative and false positive rates to ensure the identification of pregnant women most likely to benefit from expectant management versus those most likely to require immediate early delivery, and/or neonatal intervention. MAPi enlists the woman and family as full partners in the process of assessing fetal well-being and can be applied in office, hospital and community based settings. 

12:30-2:00 pm Lunch and MANA Business Meeting
2:30-3:30 pm *+ US MERA: A Vision for U.S. Midwifery Education Regulation and Association
Moderator: Brynne Potter, CPM; Panel: Katherine Camacho Carr, CNM; Cathy Collins-Fulea, CNM; Cara Krulewitch, CNM; Mary Lawlor, CPM; Kristi Ridd-Young, CPM; Carol Nelson, CPM; Geradine Simkins, CNM
4:30-6:00 pm Breakout Sessions D
  1. *+ Ethical Engagement and Midwifery Volunteerism
    Bonnie Ruder CPM, MPH, MA

    In recent years there has been enormous growth in international midwifery volunteerism and service-learning programs in low-income settings. This enthusiastic interest comes from a desire to improve lives of mothers and babies worldwide, however it is imperative that midwives are able differentiate between ethical engagement and less responsible/dangerous development. Ethical considerations of medical tourism and best practice guidelines will be explored. This session will also examine birth across cultures and national boundaries and the complex relationship between culture and birth. The politics of global health organizations shaping birth choices worldwide- often based on the exportation of U.S.-style obstetrics, despite its dismal maternal and infant mortality outcomes, will be discussed. Participants will explore methods to respect cultural beliefs while delivering quality midwifery care. Cultural humility and mutual accommodation will be taught through demonstration, discussion, and shared insights from participants’ experiences. This session will include important information for organizations working abroad, midwives seeking to work abroad, and students interested in service-learning. Midwives will be equipped with the tools they need to evaluate various programs’ cultural humility, motives, sustainability, and impact, and their own preparation. Finally, participants in this session will explore the idea of cultural humility vs. cultural competency and how we can work to ensure culturally responsible, sustainable service. Resources and reading lists will be provided.

  2. *+ Midwifery Care for Every Body: Integrating Transgender and Genderqueer Inclusive Practices for the Benefit of All Clients
    Krystel Viehmann CPM, LM, Jackson Carr, student midwife

    Transgender, genderqueer, and other gender non-conforming individuals face multiple obstacles when it comes to accessing health care ranging from lack of care-provider knowledge or awareness of issues pertaining to gender identity, to outright prejudice and discrimination. This leads to underutilization of health care by gender non-conforming folks and contributes to growing health disparities. As midwives and birth workers, we are in a unique position to offer culturally competent care to this client population. In this session, participants will learn how to provide client-centered care that honors the diverse spectrum of clients and families that seek midwifery care. We will discuss practical ways to create supportive spaces and facilitate gender-inclusive care for all of our clients by critically examining client interactions including health history forms, informed choice discussions, how we refer to our client’s bodies, and the ways we talk about midwifery, birth, and feeding newborns. Finally, we will develop an understanding of how these changes are beneficial to all clients, regardless of gender.

  3. *+ The Care and Feeding of Your Organization’s Social Media
    Jeanette McCulloch IBCLC

    As birth organizations and businesses, our social media strategies often unfold organically: we might launch a Facebook page, start a blog, or begin pinning on Pinterest. Over time, we develop a series of silos made from different platforms, with audiences that may or may not overlap and require ever-increasing resources to successfully engage in a meaningful way. How do we instead create a social media ecosystem that strategically helps us to meet our goals while making the most of limited resources? This talk gives participants the tools to develop a strategic plan for engaging with target audiences, from one person shops to large birth or breastfeeding organizations. We will cover: * Getting clarity on your target audience; * Setting clear, measurable goals for your social media efforts; * Social media time management; * Developing a content strategy; * Why a “homebase” is important, including tools for capturing your target audience; * Tips for maximizing engagement; * This presentation is ideal for those who are already using social media, or who are planning a strategic social media launch for their organization or business. This talk presumes a basic familiarity with at least two social platforms (such as websites, blogs, Facebook, Twitter, Pinterest, etc.) – but all are welcome.

  4. *+ Helping Women VBAC After Multiple Cesareans
    Christy Tashjian CPM, LM, RN; Brielle Epstein CPM, LM; Teresa Stire PhDc; Roanna Rosewood Activist, Author, Mother

    This session will explore various aspects of vaginal birth after multiple Cesarean sections. We will take a look at the current research on VBAmC, as well as discussing anecdotal experiences of the presenters. Participants will be introduced to a specific risk assessment tool designed for VBAmC and instructed on its utility with their midwifery clients. The concept of informed decision-making will be explored, and time will be spent discussing the emotional work that many women undergo in their journey to VBAmC, including how you, as the midwife, can best facilitate and provide a space for the birthing woman to do this work. We will also talk about the responsibility of the midwife in choosing to support VBAmC clients, including how colleagues may respond to this choice.

  5. *# Effective Advocacy and Lobbying Skills for Social Change
    Becky Martin

    Effective social change requires a thorough understanding of the rules that govern legislative process in our state houses and in Washington DC.  This session will explore “grassroots” and “direct” lobbying skills at state and federal levels; as well as effective media engagement and communication skills needed to make progressive policy and legislative change (e.g.  LTEs, Op-Eds, Editorial Board Visits, Interviews, Press Releases, Media Advisories, Press Conferences & Media Briefing Calls)

  6. *+ Meeting NARM Requirements: How Preceptors Teach Midwifery Theory
    April Kline CPM, MSM

    In order to be certified, all CPM applicants must participate in a minimum number of specified clinical experiences; demonstrate competency in a specified set of knowledge, skills and abilities; and pass the NARM written examination. This process ensures that all CPMs have the required experience, knowledge, and demonstrated competence to provide the Midwives Model of Care.  To meet these NARM requirements, preceptors are increasingly called on to not only teach clinical skills and supervise client care, but also to make sure midwifery students know the theoretical knowledge necessary to evaluate the client’s health status and explain the foundation of theory underpinning critical thinking upon which clinical decision-making takes place.  Students in formal education programs are taught in a curriculum-based format with hierarchical learning. PEP students’ education is clinically driven, requiring preceptors to be responsible for determining that their students have comparable theoretical knowledge and fulfill NARM requirements.  This workshop will help preceptors learn resources for assessment and teaching and explore how to meet the NARM requirements for assessing students’ mastery of theoretical knowledge in critical thinking and clinical decision-making.

  7. *+ Supporting, not creating trauma survivors:  developing a new birth culture
    Maryl Smith CPM, LDM

    As many as one out of three women are survivors of trauma including abuse, neglect, and/or violence.  Certain aspects of the childbearing experience can potentially re-open wounds, activate unhelpful coping mechanisms and cause further trauma. Learn how to identify these special women and care for them in a way that is healing instead of re-traumatizing. We can do so much to generate positive outcomes, ensure greater satisfaction with the birth experience and facilitate bonding with the newborn in trauma survivors. This practical class will show you how.

  8. Story Telling for Social Change
    Janneli Miller PhD, CPM, LM and Becky Martin

    Stories are a principal method of communication around the world and provide important examples of specific cultural, ethical and deep-rooted values inherent in any society or subculture. As midwives, we cannot help but share our stories when we meet. Our stories provide us with the heart and soul of our midwifery education, no matter which route is chosen to the credential. Currently MANA is using the I AM A Midwife video to help people understand what midwives do and why they do it. The midwives in the film tell us why they are midwives, and it is powerful! How can you help gather the stories of all midwives- not just our “famous” sage femmes, grand midwives, or popular authors, but “everyday” midwives who may go unnoticed because they are busy catching babies and giving excellent perinatal care? The first session will introduce participants to basic qualitative interviewing techniques, which will then be used to collect the life stories of midwives, recording them with simple and effective technologies. We will begin to document the important work of all midwives. But why should we record our stories? Because stories can be used for social change! In the second workshop participants will learn how to turn their recordings into effective tools for social change, by using all types of media. Participants will learn what portions of our stories can be used, and which arenas to use them in, to most effectively help people understand, utilize, and promote the Midwifery Model of Care.


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Sunday, October 27, 2013, Convention Day 3


8:00-9:00 am *+ The Affordable Care Act: What Health Care Reform Means for Women, Families, and Communities
Becky Martin

The Patient Protection and Affordable Care Act (ACA) passed in 2010, will be fully implemented in 2014, guaranteeing access to quality, affordable health care for millions of Americans.  This historic legislation has moved our nation toward health care fairness:  fairness for women, fairness for those with pre-existing medical conditions, and fairness between the health insurance choices available to members of congress and those available to millions of Americans.  Yet, many who are already eligible for needed services, or soon will be, are still unaware of available benefits. This session will provide an overview of the new health coverage benefits and consumer protections established by the Patient Protection and Affordable Care Act (aka “Obamacare) including review of:  guaranteed benefits and preventive services, State Health Insurance Exchanges, Accountable Care Organizations, workforce development, how the program is paid for, assistance for low-income families, as well as common myths and opportunities to strengthen the law.  We will also explore the creation of the Patient Centered Outcomes Research Institute and its focus on Comparative Effectiveness Research.

9:00-10:00 am *+ The Power of Birth Energy and Postpartum Pelvic Healing for Mothering
Tami Kent M.S.P.T.

We know the potential of the female body for birthing, but women can continue to draw upon this potential in mothering––particularly when the pelvic bowl has physical and energetic balance. This session will share the tools and knowledge from Tami Kent’s Holistic Pelvic Care bodywork practice for women that she has developed based on her work as a women’s health physical therapist. Holistic Pelvic Care combines intervaginal massage and myofascial release with breath and energy work to restore physical alignment of the pelvic muscles, organs and fascia as well as balance the more subtle energy flow that supports a mother’s creative well being and mother/baby bond. The session will include pelvic anatomy, description of treatment techniques, energy medicine tools, description of birth energy flow and how it impacts the mother/baby bond, a birth energy meditation, case studies, and women’s stories of healing from difficult birth experiences.

11:00-12:30 pm Breakout Sessions E
  1. *+ Midwifery, Colonialism, and Settler Identity: Deconstructing Colonial Norms in Modern Midwifery
    Wicanhpi Iyotan Win Autumn Cavender-Wilson BA

    The Midwifery tradition in the Americas is thousands of years old, but the history of white midwifery on these continents has been built as consequence of the genocide of Indigenous peoples, often exploiting the traditional knowledge that existed prior.  Modern midwifery practice has inherited the legacy of racism, privilege and exploitation inherent in the colonial project.  This presentation will explore an often overlooked facet of this ignorance:  colonialism, settler identity, and the continued tokenization and exploitation of Indigenous populations.  While midwifery may be considered on the cutting edge of women’s rights, a critical look must be taken at how midwifery in North America continues to perpetuate exploitative colonial norms and systems of oppression, betraying both Indigenous midwives and midwives of color, as well as the communities they serve.    Such exploitative practices include cultural appropriation, systemic denial of resources, and uncritical reflection about the on-going occupation of Indigenous lands.  Despite how overt and explicit these practices sometimes are, the reality that they are often ignored, or worse, socially approved of, works to devalue and tokenize Indigenous peoples and peoples of color.  This session identifies many of these practices, as well as systematically addressing the primary arguments used in their defense.  Most importantly, it suggests constructive alternatives to cultural appropriation and exploitation that instead support the struggles of Indigenous peoples and people of color.  This session emphasizes accountability and ally-ship, without tokenization or appropriation.

  2. *+ Providing Culturally Specific Care to LGBTQ Families
    Kristin Kali CPM, LM

    Have you cared for LGBTQ families in your practice and feel that these families are no different than any other family?  Are you aware of the issues, and you are ready to build a queer and trans-positive midwifery practice?  In this workshop, find out all that you need to know to provide insightful, culturally sensitive, and population-specific care.  Conception options, donor choices, methods of insemination, and important aspects of preconception care will be discussed.  Understand special considerations for LGBTQ families experiencing infertility, miscarriage and postpartum adjustment issues.  Gain insight into the experience of the non-biological co-Mother, as well as the intersection of sexual identity, pregnancy and birth.

  3. *# Early Hearing Detection and Early Intervention
    Panel: Shelby Atwill, Oregon Early Hearing Detection and Intervention Program, Audiologist; Pam Fortier, Early Intervention Professional, retired; Heather Durham, Oregon Health & Science University, Child Development and Rehabilitation Center, Audiologist; Helen Cotton-Leiser, Guide By Your Side Program Coordinator; Anne Heassler, Pacific University, Clinical Instructor and Audiologist

    Using a panel format, expert audiologists, early intervention providers and parents of deaf children will describe the importance of hearing screening for optimal childhood development.  The presentation will  describe the basic biological processes of hearing, the incidence of hearing loss, the procedures and process of newborn hearing screening and diagnosis, quality early intervention services, importance of providing children with access to language, technologies available for children with hearing loss, and a parent’s perspective and experience.  In addition, participants will learn how they can support their clients in obtaining newborn hearing screening, empower informed decision making, and assure that their families understand that deaf and hard of hearing children can achieve equal to their hearing peers.

  4. *+ Helping Clients with Pregnancy-Related Low Back Pain
    Caroline Peterson LDM, DC, PhD, MPH

    Pregnancy-related low back pain occurs in up to 80% of all pregnant women and is characterized by lumbar or sacroiliac pain. While it is a common morbidity of pregnancy, it is not normal. Untreated pregnancy-related low back pain is associated with an increased risk of postpartum co-morbidities and persistent low back pain for years following birth. In this session midwives will learn why it is important to identify and treat pregnancy-related low back pain. They will learn and practice simple exercises that help to alleviate low back pain. Finally, they will learn about alternative treatments for pregnancy low back pain for clients who prefer passive care. The session reports on the National Institutes of Health funded pilot pregnancy-related low back pain study that identified simple exercises midwives can show their clients to help relieve low back pain. Spinal manipulative therapy and a mind-body treatment called Neuro Emotional Technique were also beneficial to women in the study who experienced pregnancy-related low back pain.

  5. *+ Courageous Conversations: Addressing Communications Challenges in Communities, Organizations, and Practice Settings with People of Diverse Racial, Ethnic, Cultural, Socioeconomic, and Sexual Orientation Identities
    Yeshi Neumann CNM, MPH, MA, IBCLC

    This session is based on the belief that conversations between people of diverse backgrounds can be challenging because of 1)  divisions and separation created by systematic institutionalize social oppression 2) lack of awareness of power dynamics  especially on the part of the person on the “up-side “ of the dynamic 3) misinformation about people from social identity groups different from our own 4) internalized oppression- negative beliefs about ourselves as members of social identity groups that have been on the “down-side” of the power imbalance. In order to reduce harm and create positive social change these conversations require Courage, Awareness and Skill. In this session participants will grow their Courage, expand their Awareness and learn Skills for effective, authentic and compassionate communication. Communication skills from several different templates will be explored. Participants will have lots of opportunity to practice working on real conversations that they need and/or want to have in their own lives and to receive supportive feedback from the other participants and the session facilitator.

  6. *+ Building Effective Preceptor-Student Relationships: Findings from Student and Preceptor Surveys
    Suzy Myers CPM, LM, MPH

    This workshop will present findings from surveys completed in 2012 by a variety of preceptors, student midwives and newly graduated midwives about their experiences during their clinical training.  A diverse population was surveyed from different cultural backgrounds serving diverse client populations in large and small practices in various communities and midwifery practices.  Preceptors and students shared deep insights from their experiences about what works, what problems they encountered and how they dealt with them.    These in-depth surveys covered important facets of the student-preceptor dyad including tools for communication, assessing proficiency, nurturing cross-cultural competency on the clinical site, solving problems, and effective interpersonal skills.  Preceptors and students will learn from others’ direct experiences ways to avoid pitfalls and deal with issues in the early stages to create an environment for successful clinical education that meets the needs of preceptors, students and clients.  Especially helpful for new preceptors and those who would like guidance about solving specific problems and maximizing the clinical training experience.

  7. Macrosomia: Complications, Diagnosis, and Prevention
    Valerie Armendariz MS; Aaron Caughey MD, PhD

    MANA was unaware of the outcomes of macrosomic births; many of the midwives interviewed looked at macrosomic births as a desirable outcome and did not believe that macrosomic births had worse outcomes than normal weight infants.

    In a study of MANA data it was found that the prevalence of macrosomia was as follows: 19.7% were born weighing 4000-4499 g; 4.6% weighed 4500-4999 g; and 0.6% weighed > 5000 g. Compared to those infants weighing 3000-3999 g, infants weighing 4000-4449 g had a fourfold higher risk of shoulder dystocia with the risk even greater among those infants weighing 4500-4999 g. Low five-minute Apgar scores ≤ 3 increased from threefold to ninefold across birth weight categories. Macrosomia was highly prevalent in the MANA population and associated with an increased risk of shoulder dystocia and low five-minute Apgar scores. However, rates of cesarean section were low – under 9%. Further research is needed to determine the etiology of the high macrosomia rate and to explore whether the risks/benefits of vaginal births outweigh the risks/benefits of cesarean section for these heaviest infants.

    In addition to these data, we will present an overview of macrosomia including its associated complications, prenatal diagnosis, and management including prevention. As prevention requires one to understand common etiologies, the presentation will include information on both obesity and gestational weight gain. In terms of prevention of complications from macrosomia, the presentation will include data on shoulder dystocia, induction of labor, and cesarean delivery and consider tradeoffs in varying management schemes.

  8. *# Ending the Persecution and Prosecution of Midwives: The Role of State Midwifery Associations in Licensure and Regulation
    Audrey Levine CPM, LM and Panel: Audrey Levine, LM, CPM; Val Sasson, LM, CPM; Ida Darragh, CPM; Ellie Daniels, CPM; Russ Fawcett, midwifery consumer/advocate

    This session brings together midwifery leaders and consumer advocates for a panel discussion about the benefits--and potential pitfalls--of licensure and regulation.  We expect the presentation to prompt a lively, interactive conversation with session participants.  Among the topics we'll discuss:

    • What are the benefits of licensure?
    • What are some of the common concerns about the impact of licensure on midwifery practice and what are the experiences of midwives practicing in states that have licensure?
    • What are the experiences of midwives and consumers in states without licensure?
    • What are the risks and perceived benefits of unregulated midwifery practice?
    • What impact might licensing of CPMs in all 50 states have on U.S. maternity care?
    • What are the pros and cons of provisions in various licensing laws--physician supervision, voluntary licensure, indications for consultation and transfer of care--and what might model legislation might look like?
12:30-2:00 pm Lunch and Awards
2:30-3:30 pm *+ The Joyful Repair or Apology: Bringing Grace to Relationships
Sarah Peyton CNVC (Certified Trainer of Nonviolent Communication)

The major distinguishing habit of securely attached parents and partners is the capacity to make repairs, track disconnection, and make graceful and joyful apologies.  While this may sound impossible, in actuality the process of taking responsibility for what is yours is a practice that will bring everyone in your life into relationship with you in a new way, improving your connection with clients, children, partners and friends. In one funny, sweet hour, you will learn the basics of the neurobiology of attachment, disconnection and repair, walking away with new inspiration for claiming your life, and with new skills for your midwifery practice.


3:30-4:30 pm Closing Ceremony


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