program - Canadian Association of Midwives
Transcription
program - Canadian Association of Midwives
PROGRAM BEYOND BOUNDARIES: North American Midwifery Conference November 9-12, 2011 Sheraton on the Falls Niagara Falls, Ontario CANADA www.midwifery2011.org PROGRAMME In collaboration with The American College of Nurse Midwives Thank You To Our Industry Supporters! Merci à nos commanditaires! Executive Premier Partners Table of Contents / Table des matières Table of Contents/ Table des matières Welcome / Bienvenue MANA President / Présidente MANA – Geradine Simkins p. 2 CAM President / Présidente ACSF – Anne Wilson p. 3 Board Members/ Membres du Conseilp. 4 Special Thanks / Remerciements p. 5 Floor Plans / Plans du site p. 6-7 Conference at A Glance / Résumé du programmep. 8-9 Poster Presentations / Affichesp. 11 Sage-femme & Sapling Awards/ Prixp. 12-13 MANA-CAM Meetings / Réunions p. 14 2011 Sponsors & Exhibitors / Commanditaires & Exposants p. 15-20 Schedules & Presentation Summaries / Horaires & Résumés Wednesday / mercredi, November 9th, 2011 Thursday / jeudi, November 10th, 2011 p. 22-27 Friday / vendredi, November 11th, 2011 p. 28-31 Saturday / samedi, November 12th, 2011 p. 32-34 p. 21 Biographiesp. 36-39 Ads from our Sponsors / Publicitép.40-48 1 Welcome / Bienvenue Welcome/Bienvenue Greetings, Saludos y Salutations! On behalf of the Midwives Alliance and our conference partners, it is my great pleasure to welcome you to this historic conference. It is an honor to be among birth workers from a variety of provinces, states, tribal lands, and sovereign nations, and to be collaborating with our colleague organizations. It is our shared goal to strengthen the profession of midwifery in order to provide the best quality care for women, infants, families, and communities in all regions. Our conference theme—North American Midwifery: Beyond Boundaries—speaks to value we place on diversity and multiculturalism, and also on shared knowledge, skills, stories, and strategies. 2 We have loads of work to do to meet the maternity care needs of our regions, increase access to care for our most marginalized and vulnerable populations, strengthen our existing midwifery workforce, and educate a new Greetings, salutations y saludos à toutes celles ici présentes aujourd’hui ! Je suis très heureuse, au nom de l’Alliance des sages-femmes et des partenaires de notre conférence, de vous accueillir chaleureusement à ce moment historique. Je suis particulièrement honorée d’être parmi vous toutes, sages-femmes originaires de plusieurs provinces, états, terres autochtones et états souverains et d’avoir le plaisir de collaborer avec nos organisations associées. Nous partageons collectivement un même but, celui de consolider la profession sage-femme pour être en mesure d’offrir un soin de qualité supérieure aux femmes, aux enfants, familles et communautés de toutes les régions. Le thème de cette conférence, La pratique sage-femme en Amérique du Nord : dépasser les frontières, valorise la place accordée à la diversité, au multiculturalisme et au partage de nos connaissances, nos compétences, nos histoires et nos stratégies. Notre travail est colossal car il implique de pouvoir répondre aux besoins en soins de maternité dans nos régions, d’accroître l’accès des soins aux populations les plus marginalisées et les plus vulnérables, de renforcer notre groupe de travail en pratique sage-femme et d’éduquer une nouvelle génération de sages-femmes. Les allocutions diverses de cette conférence seront une generation of midwives. The conference offerings will provide information and inspiration for achieving many of our collective goals. Midwives, students, maternity care professionals, and midwifery supporters from across North America and beyond—you are in for a big treat. The program is bulging at the seams with stimulating sessions and topics, and is filled with exciting featured events and entertainment. There are even a few surprises. We welcome each of you and challenge you to reach across the borders, make friends, embrace all that is offered, and feel confident that you will return home refreshed and invigorated. Remember the power of declaring the international incantation: The world needs midwives now more than ever! Most of all—have fun and enjoy one another. Geradine Simkins DEM, CNM, MSN President, Midwives Alliance source d’informations précieuses pour l’avancement de certains de nos buts collectifs. Sages-femmes, étudiantes, professionnels de la santé et partisans de la pratique sage-femme à travers l’Amérique, vous aurez droit à un traitement exceptionnel ! Le programme regorge de débats, de thèmes stimulants, d’événements-clé et de divertissement. Nous vous réservons même quelques surprises en vous invitant à vous dépasser, à traverser les frontières, à créer de nouvelles amitiés en embrassant tout ce qui vous est offert pour ensuite retourner chez vous reposées et inspirées. Souvenez-vous de la puissance de l’incantation suivante et répétez-la : Le monde, aujourd’hui, a besoin plus que jamais de la présence des sages-femmes! Mais surtout, amusez-vous et partagez ensemble. Geradine Simkins DEM, CNM, MSN Présidente, Midwives Alliance Welcome / Bienvenue It gives me great pleasure to welcome midwives from Canada, the United States and Mexico and our special guests from the national and international midwifery community, other maternity care professions, health organizations and governments to this historic event: the North American Midwifery Conference, Beyond Boundaries. colleagues, and are inspired and replenished by our exchange of ideas. This year presents a unique opportunity to share and exchange with our colleagues from the United States and Mexico. We hope that we have provided a program that is informative, thought provoking, and most of all, fun. Our warmest thanks to the Conference Planning Committee and to our staffs who have truly embraced working Beyond Boundaries to organize this historic event. On behalf of the Board and staff of the Canadian Association of Midwives, I wish you all an exciting and inspiring conference! As we look to the future there are exciting developments for all midwives across the Americas. This conference will help us to move forward in unity to greet the challenges of the next few years. Midwifery is growing in strength and reputation both nationally in our respective countries, and internationally, as we implement our new ICM standards and work to improve maternal child health for all the families we serve. Annual CAM conferences are always exciting occasions for Canadian midwives to come together to share knowledge and current research, examine challenges, and celebrate our successes. We reconnect with old friends, meet new Je suis vraiment heureuse d’accueillir toutes les sagesfemmes du Canada, des États-Unis et du Mexique, tous nos invités spéciaux de la communauté nationale et internationale des sages-femmes et les autres professionnels dispensant des soins obstétricaux, les organismes de santé et membres du gouvernement à cet événement historique intitulé : Conférence nord américaine des sages-femmes, Au-delà des frontières. Le futur, à la lumière du développement dynamique des sages-femmes à travers les Amériques, nous semble très prometteur. Cette conférence nous incitera à nous unifier davantage afin d’être en mesure de rencontrer avec succès les défis qui nous attendent dans les années à venir. Pendant que nous mettons en œuvre les nouveaux documents fondamentaux pour la Confédération internationale des sages-femmes (ICM) et que nous travaillons à l’amélioration de la santé mère-enfant de toutes les familles que nous desservons, la profession sages-femmes se développe en force et en réputation nationalement dans nos pays respectifs et internationalement. Les conférences annuelles de l’ACSF sont toujours des occasions incroyables pour les sages-femmes canadiennes de se rassembler, de partager leurs connaissances, de 3 Anne Wilson RM President, Canadian Association of Midwives commenter les recherches actuelles, d’examiner les défis et de célébrer nos succès. Nous connectons avec d’anciennes et nouvelles collègues et sommes inspirées et stimulées par cet échange d’idées. Cette année représente une opportunité unique de partager et d’interagir avec nos collègues des États-Unis et du Mexique. Nous espérons vous offrir une programmation efficace, voire provocante mais surtout motivante. Nos plus vifs remerciements au comité de planification de la conférence et notre équipe qui se sont totalement investis Au-delà des frontières à l’organisation de cet événement historique. Je me joins au conseil d’administration et à l’équipe de l’Association canadienne des sages-femmes pour vous souhaiter une conférence enrichissante et inspirante ! Anne Wilson RM Présidente de l’Association canadienne des sages-femmes Board Members / Membres du Conseil BOARD MEMBERS/MEMBRES DU CONSEIL 4 Canadian Association of Midwives/Association canadienne des sagesfemmes Midwives Alliance of North America Anne Wilson, President Sarita Bennett, Secretary Joanna Nemrava, Vice-President, B.C. Audra Phillips, Treasurer Emmanuelle Hébert, Secretary Adrian Feldhusen, Region 1 Rep Jane Erdman, Treasurer Linda McHale, Region 2 Rep Jane Baker, Alberta Tamara Taitt, Region 3 Rep Jessica Bailey, Saskatchewan Sherry DeVries, Region 4 Rep Jessica Coleman, New Brunswick Marinah V. Farrell, Region 5 Rep Carol Couchie, National Aboriginal Council of Midwives Colleen Donovan-Batson, Region 6 Rep Kathleen Cranfield, Yukon Jennie Joseph, Midwives of Color Section Chair Joyce England, Prince Edward Island Cris Alonso, MANA Mexico Rep Geradine Simkins, President Jill Breen, 1st Vice President Christy Tashjian, 2nd Vice President Kay Matthews, Newfoundland & Labrador Amanda Tomkins, Nunavut Megan Wilton, Manitoba Katrina Kilroy, Ontario Claudia Faille, Québec Lesley Paulette, NorthWest Territories Chantal Gauthier-Vaillancourt , Student representative The ONE WORLD BIRTH team is filming at Beyond Boundaries! OWB was created by UK-based independent filmmakers (Toni and Alex Harman) and their aim is to make birth better around the world by providing free, evidence-based information as easily share-able videos for parents and birth professionals. They will also be launching a specialist research video resource and a full-length documentary next year; and are onsite conducting interviews with midwives, birth researchers and advocates, doulas, childbirth educators and more. If you are interested in learning more about the project, look at http://oneworldbirth.net, or stop by registration to sign up to be interviewed! Special Thanks / Remerciements Special Thanks/Remerciements Conference Coordinators/Coordinatrices Christy Tashjian Camille Abbe Tonia Occhionero Exhibitor and Sponsorship Program/ Programme de commandites et exposants Sandra Burelli Sylvie Paquette Conference Program Committee/ Comité de programmation Christy Tashjian Anne Wilson Elizabeth Moore Liz Darling Cris Alonso Gisela Becker Suzanne Stalls Tonia Occhionero Camille Abbe Social Event/Événement social (Thursday/jeudi) Ghislaine Francoeur Fund Committee (GFF) Foundation for the Advancement of Midwifery (FAM) Abstract Review Committee/Comité scientifique Patty McNiven Elaine Carty Susan James Vicki Van Wagner Manavi Handa Angy Nixon Illysa Foster Justine Clegg Suzy Myers Tamara Taitt Preliminary and Final Program/ Programme préliminaire et final Pro-Actif (www.pro-actif.ca) Eby Heller Annie Hibbert Registration/Inscriptions Annie Hibbert Venue Management & A/V Camille Abbe Network Communications Translations/Traductions Michèle Matte Louise Matte WordCrafting And a special thank you to our volunteers! et un gros merci à nos bénévoles! 5 Floor Plan / Plan du site FLOOR PLAN 3rd FLOOR/ PLAN DU SITE 3ième ÉTAGE 6 Floor Plan / Plan du site FLOOR PLAN 5th FLOOR/ PLAN DU SITE 5ième ÉTAGE 7 Conference at a glance / Résumé du programme Conference at a glance/RÉSUMÉ Wednesday/mercredi, November 9th 201 (page 21) Thursday/jeudi, November 10th 2011 (page 22) 7:00am – 8:00am Registration/Breakfast/Exhibits/Posters 7:00am – 8:00am Pre-Conference Workshops Registration 8:00am – 9:00am Presidents’ Welcome: Holly Powell Kennedy, CNM, PhD; Geradine Simkins, CNM, MSN; Anne Wilson, RM) 8:00am-6:00pm Pre-Conference Workshops - Full Day 9:00am – 10:00am Keynote Speaker: Naoli Vinaver CPM 8:00am-12:00pm Pre-Conference Workshops - Half Day 10:00am – 10:30am Break/Exhibit/Posters 10:30am – 12:00pm Breakout/Concurrent Sessions 8 12:00pm – 1:30pm Lunch/Exhibit/Posters 12:00pm – 2:00pm CAM AGM 1:30pm-3:00pm Breakout/Concurrent Sessions 2:00-6:00pm Pre-Conference Workshops - Half Day 3:00pm-3:30pm Break/Exhibit/Posters 3:30pm-4:30pm Plenary speaker: Frances Ganges CNM, RM, MPH 4:00pm-8:00pm Registration for Conference 4:30pm-6:00pm MANA Business Meeting and Open Forum 6:00pm-7:00pm MANA Region Meetings 5:00pm-7:00pm CAM Student Meeting 7:45pm Health Disparities Candlelight Vigil 8:00pm-9:30pm Opening Ceremony Keynote Speaker: Bridget Lynch, RM, MA 9:30pm-11:00pm Welcome Reception/Exhibits 8:15pm-11pm Live Auction & Dance (Page 5) Conference at a glance / Résumé du programme Friday/vendredi, November 11th, 2011 (page 28) 7:00am-8:00am Registration/Breakfast/ Exhibit/Posters 6:30am-8:00am Presidents’ Discussion of ICM Global Standards Saturday/samedi, November 12th, 2011 (page 32) 7:00am-8:00am Registration/Breakfast 8:00am-9:00am Plenary Speaker Barbara Katz-Rothman PhD 8:00am-9:00am Ethics Panel Discussion 9:00am-10:00am Midwifery Databases Panel Discussion 9:15am-10:00am Awards Ceremonies 10:00am-10:30am Break/Exhibit/Posters 10:00am-10:30am Break 10:30am-12:00pm Breakout/Concurrent Sessions 10:30am-12:00pm Breakout/Concurrent Sessions 12:00pm-1:30pm Lunch/Exhibit/Posters 12:00pm-1:30pm Midwives of Color Lunch Meeting 1:30pm-3:00pm Social Justice Panel Discussion 3:00pm-3:30pm Break/Exhibit/Posters 3:30pm-4:30pm Keynote Speaker: Andrew Kotaska MD 4:30pm-5:30pm Keynote Speaker: Henci Goer 5:30pm-7:00pm MANA Division of Research MANA Student Section Bridge Club 5:30pm-11:00pm Benefit Dinner for the National Aboriginal Council of Midwives (Page 10) 7:30pm-11:00pm Fundraiser for the Foundation for the Advancement of Midwifery (Page 10) 12:00pm-1:30pm Lunch 1:30pm-2:30pm Plenary Speaker: Jay MacGillivray, RM 2:30pm-3:00pm Closing Ceremony 9 10 CHOOSE THE PATH OF MIDWIFERY’S FUTURE FRIDAY NIGHT 8PM If we found 2,500 midwives, doulas, moms, and others who understand that birth matters, we would have over $1,000,000 to give away and to reclaim a woman-centered birth culture for North America. Join the Birth Trust, transparent grant-making fund where you can vote on which projects get funded by the Foundation for the Advancement of Midwifery. Many midwives and their advocates have joined the Birth Trust and raised $60,000 last year for North American organizations addressing public education, research, policy, and birth disparities. We raise the money we give away from people like you. Make your voice heard because we know you care about these issues as much as we do. JOIN OR RENEW AT OUR EXHIBIT TABLE AND RECEIVE YOUR BIRTH TRUSTEE T-SHIRT! “A one-‐woman show that's all woman.” —Foster’s Daily Democrat “Candidly hilarious. Pierce is not only a comic storyteller but also a teacher, a crusader and a shrink.” —Vermont Cynic Tickets $25 at the door. Cash bar at 7:30. Proceeds benefit the Foundation for the Advancement of Midwifery. POSTER PRESENTATIONS/AFFICHES 5th Floor/étage Margaret Franzen, M.A. Bringing Birth in Translation to Midwifery Practice Sharon Craig Economides, LM, CPM, MMid, IBCLC Navelgazing: A Simple Salt Solution to Umbilical Granulomas Rhonda Stephens-Anderson RM, BMw; Cathryn Ellis BFA, RM, MSc; Anne Apoko Olaro RN, RM, MA; Monica Odella Filder RN, RM, DPHN, BNS, MBA Factors Contributing to Job Satisfaction and Dissatisfaction among Hospital-Based Midwives in Uganda Anna Meuser, MPH Knowledge Translation and Research Specialist Clinical Practice Guidelines at the Association of Ontario Midwives Natália Salim, Midwife, PhD Student University of São Paulo School of Nursing-Brazil; Dulce M. Rosa Gualda, Midwife, PhD, Professor University of São Paulo School of Nursing-Brazil The Childbirth Stories of Women in a Brazilian Community Bruce Ackerman, Data Collection Director of the MANA Division of Research; Ellen Harris-Braun, CPM, MANA DOR Director of Database Development; Melissa Cheyney, PhD, CPM, LDM, MANA DOR Chair; Courtney Everson, MA, MANA DOR Data Quality Coordinator Illuminating Normal Birth with the MANA Statistics Project Julie Corey; Cheryl Wise; Richard Witham: Preceptor Support Team, Ontario Midwifery Education Program Preceptor Support Program: Keeping MEP Preceptors Informed and Connected Cathryn Ellis, MSc, RM; Kathrin Stoll, BA, MA, PhD (candidate); Laura Schummers, BSc Evaluation of the Educational and Professional Experiences of Midwifery Program Graduates in British Columbia Exciting news! The Midwives Alliance is in production on a new media campaign called I Am a Midwife. It is a series of short video portraits featuring a diverse and multicultural selection of midwives from across the US with the goal of raising public awareness about midwifery care and increasing access to midwives. In spring 2012, I am a Midwife will be launched through a variety of online and social media platforms. Filmmaker, educator, and birth activist Nicolle Littrell of Woman in the Moon Films will be interviewing midwives at the Beyond Boundaries Conference. Sign up to become a “poster midwife” at the registration desk! 11 Awards / Prix AWARDS 12 Awards / Prix 13 Meetings / Réunions MEETINGS / RÉUNIONS THURSDAY/jeudi: FRIDAY/vendredi: ALL DAY One World Birth interview filming, Fallsview Studio B ALL DAY One World Birth interview filming, Fallsview Studio A ALL DAY Red Tent, Strategy Room 6, stop in for a moment of quiet reflection ALL DAY Red Tent, Strategy Room 6 12-1:30pm International Confederation of Midwives Meeting, ALL are welcome. Fallsview Studio C. Pick up your buffet lunch to bring to the meeting. 4:30-6pm MANA Business Meeting and Open Forum, All Welcome, Ballroom 5-7pm CAM Student Meeting/Réunion étudiantes ACSF, (speaker, Bridget Lynch) Fallsview Studio C 14 6-7pm MANA Region Meetings: Light dinner provided Region 1: New England: ME, NH, VT, MA, RI, CT (Upper Fallsview Studio A) Region 2: North Atlantic: NY, NJ, PA, DE, DC, MD, Canada (Strategy Room 2) Region 3: Southeast: NC, SC, VA, TN, KY, AL, GA, FL, MS, WV, LA, AR, non-Spanish speaking members outside North America (Strategy Room 3) Region 4: Midwest: OH, IN, IL, MI, WI, MN, IA, MO, ND, SD, NE, KS (Strategy Room 5) Region 5: West: MT, ID, WY, UT, CO, AZ, NM, NV, TX, OK (Strategy Room 7) Region 6: Pacific: WA, OR, CA, AK, HI (Upper Fallsview Studio B) Region 10: Mexico and Spanish speaking members outside North America (Executive Boardroom) 6-7am YOGA, Fallsview Studio A. Bring a towel. 6:30-8am Presidents’ Discussion of ICM Global Standards: ACNM, ACME, AMCB, CAM, CMRC, CAM-ED, MEAC, MANA, MANA MEX, NACPM, NARM 12-1:30pm Midwives of Color Lunch Meeting, Strategy Room 1. Pick up your buffet lunch to bring to the meeting. 12-1:30pm CAM Provincial/Territorial Negotiations Meeting, Fallsview Studio B. Pick up your buffet lunch to bring to the meeting. 2-8pm I AM A MIDWIFE interview filming. Fallsview Studio B 5:30-7pm MANA Division of Research, Strategy Room 1 MANA Student Section, Strategy Room 2 Bridge Club (MANA, ACNM), Strategy Room 3 SATURDAY: ALL DAY Red Tent, Strategy Room 6 6-7am YOGA, Fallsview Studio A. Bring a towel. 8am-5pm I AM A MIDWIFE interview filming, Fallsview Studio A 8am-12pm One World Birth interview filming, Fallsview Studio C Caucuses: If you would like to organize a gathering about a certain issue, lifestyle, belief or practice, please let us know at the registration desk and we will post or announce when and where you will be meeting so that others can join you. 2011 Sponsors & Exhibitors / Commanditaires 2011 SPONSORS & EXHIBITORS / COMMANDITAIRES Flora Health & Salus Haus www.florahealth.com Located in Germany, SALUS, which means health and wellness, uses only the finest raw materials, which are produced primarily on the company’s farm from Chile. From the selection of raw materials to the final stages of production, strict quality standards and state-of-the-art technology has earned recognition as one of the most respected leaders in the field if phytomedicine since 1916. Située en Allemagne, SALUS, dont le nom signifie santé et bien-être, n’utilise que des matières premières de la meilleure qualité provenant principalement de ses terres agricoles au Chili. Depuis la sélection des matières premières jusqu’aux derniers stades de la fabrication, les normes rigoureuses de qualité de cette entreprise et sa technologie à la pointe du progrès lui ont valu d’être reconnue parmi les chefs de file les plus respectés du domaine de la phytothérapie depuis 1916. HIROC www.hiroc.com HIROC is Canada’s leading provider of healthcare liability insurance offering a broad range of insurance products and services, including risk management programs and claims management expertise. HIROC also works with its subscribers to bring about meaningful and productive change resulting in greater safety and a reduction in claims and incidents. The Stevens Company Ltd. www.stevens.ca Medical Equipment, Emergency Preparedness Supplies, Pandemic Planning and Training, Diagnostic Instruments, Catheters and Tubing, Incontinence & Ostomy Products, Laboratory Equipment & Supplies, Procedure Trays & Packs, Respiratory Therapy Equipment, Bariatric Products, Chiropody Instruments, Gloves, Masks & Face Protection, Soap, Shampoo & Skin Care, Gels, Antiseptics and Injectables, Surgical Instruments, Sports Trainer’s Kits, Physio & Rehabilitation Supplies, Urological Products, Woundcare Products, Medical Apparel, Funeral Supplies, Engraved Urns, Veterinary Supplies and much more. 15 2011 Sponsors & Exhibitors / Commanditaires 85 Cook Medical www.cookmedical.com Cook Medical was one of the first companies to help popularize interventional medicine, pioneering many of the devices now commonly used worldwide to perform minimally invasive medical procedures. Today, the company integrates device design, biopharma, gene and cell therapy and biotech to enhance patient safety and improve clinical outcomes in the fields of aortic intervention; interventional cardiology; critical care medicine; gastroenterology; radiology, peripheral vascular, bone access and oncology; surgery and soft tissue repair; urology; and assisted reproductive technology, gynecology and high-risk obstetrics. Cook is a past winner of the prestigious Medical Device Manufacturer of the Year Award from Medical Device & Diagnostic Industry magazine. For more information, visit www.cookmedical.com. Boiron Laboratories www.boiron.ca ENGLISH not available at time of printing Boiron, leader mondial en homéopathie, est fabricant d’une gamme complète de médicaments convenant aux adultes comme aux nourrissons. Les médicaments homéopathiques représentent un choix efficace et sécuritaire et c’est pourquoi les sages-femmes les utilisent en toute confiance. 16 Harlow’s Distributing www.TENSCANADA.com Harlow`s Distributing Ltd. “Just for the Health of it”, is a Canadian company which specializes in the rental/sales of Transcutaneous Electrical Nerve Stimulation (TENS) devices. Our non-invasive, non-pharmacological pain management systems have helped thousands of people manage their pain. FreeMOM TENS for Obstetrics has been Hospital tested for efficacy and is found to be an extremely effective drug free system for labour and delivery.FreeMOM TENS can also be used for after-birth pain, restless leg syndrome, and other discomforts such as back, neck, and shoulder pain. Please visit us online or call us Toll Free at 877-338-0066. Superior Medical Limited www.superiormedical.com Canada’s Source for Health information. For over 25 years, Superior Medical has offered Canadians quality health education materials; Birth & Parenting education DVD’s, Interactive prenatal classes, anatomical charts & models, health educational booklets & exercise software. These products will help make your health message crystal clear. Votre source canadienne d’informations aux patients. Depuis plus de 25 ans, Superior Medical offre aux canadiens du matériel éducatif de qualité; Modèles et planches anatomiques, vidéos sur la naissance & l’art d’être parent, cours prénataux interactifs, brochures d’éducation aux patients ainsi que des logiciels d’exercices. Ces produits aideront vos patientes à visualiser et réduiront les explications répétitives. 2011 Sponsors & Exhibitors / Commanditaires GE HEALTH CARE GE Healthcare provides transformational medical technologies and services that are shaping a new age of patient care. Our broad expertise in medical imaging and information technologies, medical diagnostics, patient monitoring systems, drug discovery, biopharmaceutical manufacturing technologies, performance improvement and performance solutions services help our customers to deliver better care to more people around the world at a lower cost. In addition, we partner with healthcare leaders, striving to leverage the global policy change necessary to implement a successful shift to sustainable healthcare systems. Our “healthymagination” vision for the future invites the world to join us on our journey as we continuously develop innovations focused on reducing costs, increasing access and improving quality and efficiency around the world. Headquartered in the United Kingdom, GE Healthcare is a $17 billion unit of General Electric Company (NYSE: GE). Worldwide, GE Healthcare employs more than 46,000 people committed to serving healthcare professionals and their patients in more than 100 countries. For more information about GE Healthcare, visit our website at www.gehealthcare.com. McArthur Medical Sales Inc. www.mcarthurmedical.com Mosquito Arterial Blood Gas and Cord Gas Sampling, Grip-Lok Catheter & Line Securement for Epidural & All Types of Lines, Tubes and Catheters, SenTec Digital Transcutaneous pCO2 Monitor, Safety Oral/Enteral Syringes, ChMV Developmental Care products, BiliTx Phototherapy system, BiliChek Non-Invasive Bilirubin Analyzer, Smiths Neonatal Oximeter. Mosquito prélèvement du sang artériel et du cordon ombilical pour les déterminations des gaz, Grip Lok dispositifs de fixation pour les cathéters, les sondes, les tubulures, SenTec moniteur digital transcutané pour le pCO2, Seringues orale/entérale sécuritaires, Children’s Medical Ventures Produits pour les soins de développement du nouveau- né, BiliTx Système de photothérapie, BiliChek bilirubinomètre non-invasif, Smiths Saturomètre néonatal. Conseil communauté en santé du Manitoba http://ccsmanitoba.ca/en The Conseil communauté en santé du Manitoba (CCS) is part of the nation French language health services movement. CCS plays a leadership and coordination role in facilitating access to high quality French language health and social services. Le Conseil communauté en santé du Manitoba (CCS) fait partie du mouvement national de santé en français. Le CCS joue un rôle de leadership et de concertation pour favoriser l’accès à des services de qualité en français dans le domaine de la santé et des services sociaux. 17 2011 Sponsors & Exhibitors / Commanditaires Ferring Pharmaceuticals www.ferring.com B-natal is a non-prescription Vitamin supplement that contains the recommend amount of vitamin B6 (pyridoxine) found to relieve morning sickness. It is the only morning sickness relief product that delivers clinically efficacious ingredients in TheraPopTM and lozenge formats. B-natal’s soothing vitamin B6 formula provides a non-Rx alternative to prescription anti-nausea medications and a nutritionally beneficial alternative to traditional home remedies. Since its introduction in the US, B-natal has been recommended by thousands of doctors. B-natal is available as a cherry-flavoured TheraPopTM or green apple lozenge. B-natal est un supplément vitaminique disponible en vente libre qui contient la dose recommandée de vitamine B6 (pyridoxine) pour le soulagement des nausées matinales de la grossesse. Ce produit ne sert qu’au soulagement de la nausée matinale de la grossesse; il allie l’efficacité clinique de ses ingrédients à la facilité de digestion de sa présentation. La formule apaisante de la vitamine B6 (25mg) contenue dans B-natal fournit une alternative disponible sans prescription aux traitements antinauséeux prescrits et une alternative possédant des avantages nutritionnels comparativement aux remèdes maison traditionnels. Des milliers de médecins ont recommandé B-natal depuis sa mise en marché aux États-Unis. B-natal est disponible sous la forme de TheraPopTM à saveur de cerise ou en pastilles à saveur de pomme verte. 18 Mount Royal University The first and only Bachelor of Midwifery program in Alberta, Mount Royal University’s new four-year B.Mid. degree prepares you to offer primary health care to women during pregnancy, through childbirth and in the first six weeks of their babies’ lives. Combining theoretical knowledge and extensive practical experience, you graduate from this comprehensive, evidence-based program ready to take the Canadian Midwifery Registration Examination (CMRE). This program emphasizes well rounded education and skills; interactive teaching during your clinical placement and personal and professional connections. 2011 Sponsors & Exhibitors / Commanditaires 19 Suzanne Arms 2011 Sponsors & Exhibitors / Commanditaires EZnursing Iota Birthing Stools 20 Association for Safe Alternatives in Childbirth Midwives Association of Utah AMISTAD CANADA Nathasha Smoke Santiago Amanda Greavette Michigan Midwives Association Association of Midwifery Educators (AME) NACPM - National Association of Certified Professional Midwives Amy Swagman Art National College of Midwifery Thank you to all who contributed to the Raffle! Remember to buy your tickets before the end of the day on Friday to be included in the draw! Wednesday / mercredi, November 9th 2011 Schedules & Presentation Summaries/ HORAIRES & RÉSUMÉS Wednesday, November 9th 2011 4:00pm – 8:00pm Conference Registration 8:00pm – 9:30pm (Great Rooms B&C) Opening Ceremony Keynote Speaker: Bridget Lynch, RM, MA Building Solidarity to Strengthen Midwifery Globally the Time is Now! For the first time in modern history the global health community has recognized the importance of strengthening midwifery services as a key component to reducing maternal and newborn morbidity and mortality in lowresource countries. Secretary General of the UN, Ban ki Moon, has spearheaded a campaign which has received billions of dollars in commitments to achieve Millennium Development Goals 4, 5 and 6 by 2015, including the strengthening of the midwifery workforce. The models of midwifery practice in the United States and Canada have a profound impact on the ways our respective governments are supporting these global efforts. This talk will examine the political implications of our models of practice and the imperative of a common vision to guide the future of midwifery on this continent and globally. Agissons maintenant! Construisons un monde solidaire pour renforcer la pratique sage-femme mondialement! Pour la première fois dans notre ère moderne, les tenants de la santé communautaire internationale reconnaissent l’importance de consolider les services de sages-femmes en tant que composante de première importance dans la réduction de la mortalité et de la morbidité maternelle et infantile dans les pays à faibles ressources. Le Secrétaire général de l’ONU, Ban Ki Moon, a mené de front une campagne dans laquelle les pays se sont engagés à contribuer des milliards de dollars pour répondre aux exigences fixées par les Objectifs du millénaire pour le développement 4, 5 et 6 d’ici 2015, lesquels visent notamment le renforcement des ressources humaines dans la profession de sage-femme. Les modèles de pratique sage-femme au Canada et aux É.-U. ont un profond impact sur la manière dont nos gouvernements respectifs appuient ces efforts à l’échelle mondiale. Cette allocution examinera les implications politiques de nos modèles de pratique et l’urgence d’élaborer une vision commune qui guidera l’avenir de la profession de sage-femme sur ce continent et dans le monde entier. 9:30pm – 11:00pm (Great Room A/Exhibits) Welcome Reception/Exhibits 21 Thursday / jeudi, November 10th 2011 Thursday, November 10th, 2011 Schedule/Horaire (Presentation summaries pages 23 to 27) 7:00am – 8:00am Registration/Breakfast/Exhibits/Posters 8:00am – 9:00am Ballroom/Great Rooms B&C Holly Powell Kennedy, CNM, PhD, President ACNM; Geradine Simkins, DEM, CNM, MSN, President, MANA; Anne Wilson, RM, President CAM/ACSF Beyond Boundaries: A Discussion about North American Midwifery by Three Presidents 9:00am – 10:00am Ballroom/Great Rooms B&C 22 Keynote Speaker: Naoli Vinaver, CPM On Curiosity and Love: The Ins and Outs of Birth 10:00am – 10:30am Break/Exhibit/Posters 10:30am – 12:00pm Breakout/Concurrent Sessions Strategy Room 1 Debbie Mpofu, RM, BScN, HV, MEd, PhD; Lori Hanson, MSc, PhD; Jessica Bailey, RM, MA, BA, BhSc (30 min) Equity and Access to Midwifery Services in a Canadian Context: Experiences in Five Jurisdictions Kate T. Finn, MS, LM (30 min) Establishing Health Care System Support for Collaborative Relationships between Home Birth Midwives and Obstetrical Providers Strategy Room 2 Saraswathi Vedam, RM, FACNM, MSN, Sci D (h.c.); Karyn Kaufman, RM, PhD; Jo Anne Myers-Ciecko, MPH; Ronnie Lichtman, CNM, PhD, FACNM; Suzy Myers, LM, CPM, MPH; Beth Murray Davis, PhD; Holly Scholles, MA, CPM, LDM (90 min) The Midwife as Professor: A Panel Discussion Strategy Room 3 Brynne Potter, CPM; Illysa Foster, CPM, Med (90 min) Informed Consent and the New Health Care Laws Strategy Room 7 Stephanie DeVane-Johnson, CNM, MSN (30 min) Rickets and Vitamin D Deficiency in Breastfeeding Babies Born to Women of Color Tasha MacDonald, RM, MHSc; Kathleen Saurette, RM (30 min) Management of PROM at Term: A Clinical Practice Guideline from the Association of Ontario Midwives Monique Pereboom, MSc (30 min) A Study to Assess Pregnant Women’s Understanding of Toxoplasmosis, Listeriosis and Cytomegalovirus Upper Fallsview Studio A Janneke Gitsels-van der Wal, MA (30 min) Misconceptions about Early Termination of Pregnancy in Islamic law; Dutch Midwives Knowledge of Islam within the Scope of Client Decision Making on Prenatal Screening Nicole Bennett, RM; Nadya Burton, PhD (30 min) The Creative Work of Providing Midwifery Care to Women without Health Insurance: Adapting Care to the Needs of Marginalized Communities *Emmanuelle Hébert, SF, MA (30 min) Le jumelage d’associations: les sages-femmes du Canada et de la Tanzanie maintenant jumelles! Twinning Midwifery Associations: Canadian and Tanzanian midwives unite! *(Presentation in French with English translation) Upper Fallsview Studio B Tamara Taitt, MS (90 min) Grieving and Healing After a Traumatic Birth: Implications for Midwifery Practice 12:00pm – 1:30pm Lunch/Exhibit/Posters 1:30pm – 3:00pm Breakout/Concurrent Sessions Strategy Room 1 Suzy Myers, LM, CPM, MPH; Brynne Potter, LM, CPM; Holliday Tyson, RM, SCM, MHS (90 min) Preceptors are Educators Thursday / jeudi, November 10th 2011 Strategy Room 2 Robbie Davis-Floyd, PhD (45 min) The International MotherBaby Childbirth Initiative (IMBCI): Current Implementation Projects Holly Kennedy, CNM, PhD; Mary Lawlor, CPM, LM, NHCM, MA; Geradine Simkins, CNM, MSN (45 min) The ACNM, MANA, and NACPM Joint Normal, Physiologic Birth Statement: A Collaborative Delphi Project Strategy Room 3 Diane Page, RM; Lynne-Marie Culliton, RM (30 min) Vaginal Birth After Caesarean and Vaginal Birth After Multiple Caesarean: The Bottom Line Beverley O’Brien, PhD; Natsiq Kango (30 min) Birth “on the land”: Maternity Experiences of Traditional Inuit Midwives & Elders Saraswathi Vedam, RM, FACNM, MSN, Sci D (h.c.); Lisa Paine (30 min) North American Midwives: Who Are We and What Do We Think About Planned Home Birth? Strategy Room 7 Elizabeth Allemann, MD (60 min) Detecting Intermediate and Long-Term Complications of Cesarean Surgery *Céline Lemay, SF, PhD (30 min) Quelle décision prendre? Découverte de la phronesis ou sagesse pratique. Greater scope of choice — Phronesis: the Practical Wisdom Approach *(Presentation in French with English translation) Upper Fallsview Studio A Sharon Craig Economides, LM, CPM, MMid (90 min) Maternal-Child Health and Midwifery in Afghanistan Upper Fallsview Studio B Jane Stojanovic, MA, AND, RM, RGON (90 min) Placental Birth in New Zealand: Yesterday and Today 3:00pm – 3:30pm Break/Exhibit/Posters 3:30pm – 4:30pm Ballroom/Great Rooms B&C Keynote speaker: Frances Ganges, CNM, RM, MPH Advocacy in Action: Midwives at the Table, On the Agenda, Making Change Summaries/Résumés (résumés en français disponibles seulement pour les présentations traduites simultanément) Holly Powell Kennedy, CNM, PhD, President ACNM; Geradine Simkins, DEM, CNM, MSN, President, MANA; Anne Wilson, RM, President CAM/ACSF Beyond Boundaries: A Discussion about North American Midwifery by Three Presidents This round table presentation will address the following: a) What are the two most important current health issues for women, infants, and families? b) What can the profession of midwifery do to address those issues? c) What are the most important, current issues facing the profession of midwifery today? d) What is your organization doing to meet those? e) What can we learn from one another to develop strength in our professional identity and practice? f) What is important in order to sustain the midwifery profession? g) In what ways can we cross boundaries to support and collaborate effectively with one another? Au-delà des frontières: trois présidentes discutent de la pratique sage-femme en Amérique du Nord La présentation de cette table ronde portera sur les sujets suivants : a) Dans le domaine de la santé, quels sont les deux aspects actuels les plus importants pour les femmes, les nourrissons et les familles ? b) Que peut faire la profession de sage-femme afin de répondre à ces besoins ? c) Aujourd’hui, quelles sont les points les plus importants auxquels la profession de sage-femme doit faire face ? d) Quelles méthodes votre organisation utilise-t-elle pour relever ces défis ? e) Que pouvons-nous apprendre l’une de l’autre pour renforcer notre identité professionnelle et notre pratique ? f) Que serait-il important de travailler pour que la profession de sage-femme puisse survivre à long terme ? g) De quelles façons pouvons-nous dépasser les frontières pour nous soutenir mutuellement et collaborer effectivement ensemble ? Keynote Speaker: Naoli Vinaver, CPM On Curiosity and Love: The Ins and Outs of Birth Birth is the art of expansion. It is the art of going from a closed state of being to a state of utter openness. Birth is the exercise of leaving one state of emotion, of body and of mind while moving into an unknown state of new being. It is being born with no possibility of false pretense no matter your age. And although some people can do this without sweating it, without effort and in all ease, most of us require our fullest attention, dedication and skill in order to learn all that is to be learned from this miraculous act of birthing and of assisting birth. The Boundaries are a mystery that require our most devoted of curiosities and love. 23 Thursday / jeudi, November 10th 2011 À propos de la curiosité et de l’amour : la naissance dévoilée La naissance est l’art de l’expansion. C’est l’art de voyager d’un état de fermeture à un état de totale ouverture. La naissance, c’est faire la démarche de quitter un état mental, corporel et émotionnel en se déplaçant en même temps vers l’état inconnu d’un être nouveau. C’est renaître sans possibilité de faux-semblant quelque soit votre âge. Même si certaines personnes peuvent facilement se mettre dans cet état sans efforts ou sueurs, la plupart d’entre nous ont besoin de concentration, d’ardeur et de compétences pour intégrer tout ce qu’il y a à apprendre de l’acte miraculeux de la naissance et de l’assistance à l’accouchement. Ces limites sont mystérieuses et nécessitent la plus dévouée des curiosités et le plus grand amour. 24 Debbie Mpofu, RM, BScN, HV, MEd, PhD; Lori Hanson, MSc, PhD; Jessica Bailey, RM, MA, BA, BhSc Equity and Access to Midwifery Services in a Canadian Context: Experiences in Five Jurisdictions This session presents an overview of Phase I of the research project entitled, “Equity in Access to Midwifery Care in the Saskatoon Health Region.” The presenter(s) will provide an overview of Phase I of this SHRF funded program of research that included interviews with midwifery professionals, policy-makers and researchers as well as document review across 5 Canadian provinces and territories (BC, MB, ON, NS, NWT). Following the presentation the presenters will lead a discussion of the key findings, including how the various practice arrangements across these provinces influence equity in access to midwifery services. Kate T. Finn, MS, LM Establishing Health Care System Support for Collaborative Relationships between Home Birth Midwives and Obstetrical Providers Developing collaborative relationships with obstetrical providers is both necessary and often challenging for home birth midwives. Maternity system planners are already focused on closing gaps in communication and coordination of care when transfers occur within the system. With these convergent goals, midwives can foster a system wide acceptance of home birth by working within the Regional Perinatal System to develop a culture of collaboration, beginning with the Regional Perinatal Center and rippling out to local hospitals. Saraswathi Vedam, RM, FACNM, MSN, Sci D (h.c.); Karyn Kaufman, RM, PhD; Jo Anne Myers-Ciecko, MPH; Ronnie Lichtman, CNM, PhD, FACNM; Suzy Myers, CM, CPM, MPH; Beth Murray Davis PhD; Holly Scholles, MA, CPM, LDM The Midwife as Professor: A Panel Discussion This discussion will be led by a collaboration of academic midwives: educators, researchers and leaders of the profession. Taking advantage of this joint conference opportunity, the panel brings together educators from different institutions and backgrounds within North American midwifery to consider the challenges and strategies for building capacity in the next generation of academic midwives. Moderated by Jo Anne Myers-Ciecko, the panel members will discuss their respective pathways into academic midwifery and the impact and role of academic midwifery. The panel will conclude by offering suggestions for the next generation regarding how best to prepare for an academic midwifery career. Brynne Potter, CPM; Illysa Foster, CPM, Med Informed Consent and the New Health Care Laws An ethical perspective of Informed Consent as an ongoing process of communication and documentation dovetails with specific initiatives in new US Health Care law including “preference sensitive care” and “decision making aids’ for maternity care. We will outline the NARM updated standards for Informed Consent and review current and developing methods for implementing Informed Consent into practices settings that reflect on social, cultural, and other individualized needs of midwifery clients as well as tools for communicating these new standards to the general public for midwifery advocacy. Stephanie DeVane-Johnson, CNM, MSN Rickets and Vitamin D Deficiency in Breastfeeding Babies Born to Women of Color In recent years, there has been increased debate regarding Vitamin D deficiency and its impact on health and wellness. This debate has sparked interest in the mass media and thereby, raising the awareness in the general population. Vitamin D deficiency is most prevalent amongst woman and children of color. Recently there has been resurgence in the Incidence of Rickets in the African-American community due to Vitamin D deficiency. African-American breastfed babies whose mothers are Vitamin D deficient are at higher risk of developing Rickets. Of note, another high risk population for development of Vitamin D deficiency are women whose cultural practices are to cover their bodies from head to toe, known as “purdah”. This presentation has both significant medical as well as cultural relevance with regard to its impact on underserved populations. The goal of the presentation is to provide an evidenced based look at the recommendations for Vitamin D supplementation in pregnancy, lactation and newborns. An additional goal is to provide healthcare practitioners with information that will affect their practice, awareness, and sensitivity to this important issue and its impact on women and babies of color. Thursday / jeudi, November 10th 2011 Tasha MacDonald, RM, MHSc; Kathleen Saurette, RM Management of PROM at Term: A Clinical Practice Guideline from the Association of Ontario Midwives This session will examine the AOM’s CPG on the Management of PROM at Term, published in 2011. This CPG was developed based on key values and preferences relevant to PROM at Term from the perspectives of both midwives and clients, with special emphasis on considerations related to technology, intervention, and the promotion of normal birth. Presenters will describe current research on the management of PROM at term, including the impact of PROM on maternal and neonatal outcomes, diagnosis and assessment of PROM, induction of labour vs. expectant management, monitoring of maternal and fetal well-being, choice of birthplace, PROM and GBS. Monique Pereboom, MSc A Study to Assess Pregnant Women’s Understanding of Toxoplasmosis, Listeriosis and Cytomegalovirus Literature suggests that pregnant women don’t always get enough information about infectious disease prevention from their prenatal care provider because of time constraints or because it has a lower priority than other pregnancy related risks. However, counselling about food and hygienic measures remain an important part of prenatal care and it is important that pregnant women receive these messages in an appropriate way. Therefore, the objective of this study is to gain information about pregnant women’s knowledge about preventable behaviours of toxoplasmosis, listeriosis and cytomegalovirus infections. Another aim is to gain information of their actual preventive behaviours during pregnancy. Janneke Gitsels-van der Wal, MA Misconceptions about Early Termination of Pregnancy in Islamic law; Dutch Midwives Knowledge of Islam within the Scope of Client Decision Making on Prenatal Screening Prenatal screening is offered to all pregnant women and provides them with health information of the fetus. If the fetus has serious abnormalities, there are two options possible: either optimization or termination of pregnancy. Religious background plays a role in decision making on prenatal screening. Muslim pregnant women often declined the combined test on behalf of their religion. Which are their arguments to decline and which possibilities are provided by Islamic law? What do Dutch midwives know about restrictions of termination? Midwives and Muslim women as well are more informed about restrictions than about possibilities of termination. Nicole Bennett, RM; Nadya Burton, PhD The Creative Work of Providing Midwifery Care to Women without Health Insurance: Adapting Care to the Needs of Marginalized Communities This presentation is concerned with the experiences of midwives who provide care in Ontario to women who are not covered by public health insurance. In Ontario, there are several communities of women who fall into this category; amongst them those who are ineligible for public health insurance (often due to their immigration status) and those who have opted out (usually for cultural/religious reasons). This presentation explores how midwives, as frontline health care providers, organize their work to provide care for these two populations both of which, for their own unique reasons, are disproportionally at risk for poor prenatal outcomes. *Emmanuelle Hébert, SF, MA Le jumelage d’associations: les sages-femmes du Canada et de la Tanzanie maintenant jumelles! La confédération internationale des sages-femmes (ICM) a mis sur pied un projet de jumelage d’association visant à renforcer les capacités des sages-femmes et ainsi améliorer la santé des mères et des bébés. L’Association canadienne des sages-femmes (ACSF) a été choisie pour faire partie de ce fabuleux projet et est donc maintenant jumelée avec l’association des sages-femmes de Tanzanie (TAMA). Trois représentantes de l’ACSF se sont rendues à La Haye cet automne pour travailler sur un plan stratégique avec leurs jumelles de Tanzanie. Lors de cette présentation, les objectifs généraux souhaités par ICM concernant ce jumelage seront présentés, ainsi que l’expérience vécue avec nos jumelles tanzaniennes jusqu’à maintenant. Twinning Midwifery Associations: Canadian and Tanzanian midwives unite! In an effort to build capacity amongst midwives and to improve the health of women and babies, the International Confederation of Midwives (ICM) has launched a twinning project. The Canadian Association of Midwives (CAM) was chosen to take part in this wonderful project and has been paired-up with the Tanzania Registered Midwives Association (TAMA). Three CAM representatives attended a strategic planning meeting in The Hague this fall alongside their new Tanzanian counterparts. We will present the goals of the ICM twinning project and talk about what it has been like to work with our Tanzanian collegues thus far. *(Presentation in French with English translation) Tamara Taitt, MS Grieving and Healing After a Traumatic Birth: Implications for Midwifery Practice Only a small proportion of women develop post traumatic stress disorder (PTSD) after birth which meets the diagnostic criteria for PTSD: yet many as 25-33% perceive their birth’s to be traumatic and demonstrate partial 25 Thursday / jeudi, November 10th 2011 symptoms. This presentation will review existing research, review risk factors and discuss birth trauma within the context of post traumatic stress as a traumatic event “outside of the normal range of experience”. The presenter will discuss the manifestations of trauma symptoms in the perinatal period, what therapies are effective in helping women address trauma and appropriate ways to address birth trauma in prenatal midwifery counseling. Suzy Myers, LM, CPM, MPH; Brynne Potter, LM, CPM; Holliday Tyson, RM, SCM, MHS Preceptors are Educators Clinical preceptors provide an essential component of midwifery student education. This workshop will be facilitated by 3 US and Canadian educators and provide several different components: a) an overview of how to integrate students into your midwifery practice, what students want and need, and specific tools and techniques for dealing effectively with the challenges of being a preceptor; b) various routes to certification and registration and how the preceptor functions for each; c) tools to help preceptors work with students who have English as an acquired language. The session will involve case examples and interactive discussion. 26 Robbie Davis-Floyd, PhD The International MotherBaby Childbirth Initiative (IMBCI): Current Implementation Projects This presentation describes the history, principles, and 10 Steps of the International MotherBaby Childbirth Initiative (IMBCI), which was created by the International MotherBaby Childbirth Organization (formerly the CIMS International Committee), and launched in March 2008. The IMBCI is currently being put to work in 9 pilot/demonstration projects in hospitals in Austria, Quebec, Brazil, the Philippines, South Africa, India, and Mozambique (2 sites), and via the construction in many countries of MotherBaby networks (MBnets). A critical component of the IMBCI is that it highlights the fact that “women’s and children’s rights are human rights” and that access to humane and effective health care is a basic human right”. Holly Kennedy, CNM, PhD; Mary Lawlor, CPM, LM, NHCM, MA; Geradine Simkins, CNM, MSN The ACNM, MANA, and NACPM Joint Normal, Physiologic Birth Statement: A Collaborative Delphi Project There has been increasing “normalization” of technological procedures in childbirth, including labor induction and cesarean delivery, without an improvement in outcomes. Many countries have created statements defining and describing “normal” birth, yet none exists in the U.S. The purpose of this study was to develop a consensus-based position statement on normal birth by U.S. midwives and other stakeholders. A Delphi study was conducted using iterative survey rounds to define attributes and consequences of normal birth. It has been reviewed at ACNM, ICM, and the Research Conference on Normal Birth in England. We are close to a final draft and will share the findings with participants in the session for their comments. Diane Page, RM; Lynne-Marie Culliton, RM Vaginal Birth After Caesarean and Vaginal Birth AfterMultiple Caesarean: The Bottom Line As a contradiction to emerging trends, evidence based research shows vaginal birth after cesarean (VBAC) and vaginal birth after multiple cesarean (VBAmC) are safe and supported options for pregnant women. Using current research and recent guidelines, our presentation will explore the culture of VBAC and VBAmC in North America. From within the obstetrical community, the application of this evidence and approach to management varies widely. Our multimedia presentation also uses the voices of women to express their experiences of cesarean and vaginal birth after cesarean. Beverley O’Brien, PhD; Natsiq Kango Birth “on the land”: Maternity Experiences of Traditional Inuit Midwives & Elders Traditionally in Nunavut, a large and sparsely populated area of the Canadian Arctic, birth was integrated into community life. Southern health workers suppressed Inuit maternity providers and birth was moved to southern centres. So that Inuit women can return to culturally meaningful birth experiences, a midwifery education program is underway to insure cultural safety while meeting Canadian standards. Traditional Midwives and Elders with maternity experience before southern health care arrived shared their knowledge. A focused ethnography utilizing audio recorded conversations/interviews with 25 Elders and Traditional Midwives throughout Nunavut was conducted. Themes from their stories are the focus of this presentation. Saraswathi Vedam, RM, FACNM, MSN, Sci D (h.c.); Lisa Paine North American Midwives: Who Are We and What Do We Think About Planned Home Birth? This presentation will compare findings from the CIHRfunded Canadian Birth Place Study’s survey of Registered Midwives (n=451) and a survey of Certified Nurse-Midwives in the United States (n=1893). Both studies examine midwives’ experiences with and attitudes towards planned home birth. This presentation will describe similarities and differences with respect to educational preparation, practice experience, socio-demographic factors, and attitudes towards planned home birth between Canadian Registered Midwives and American Certified Nurse-Midwives. This presentation will also compare the practice environments, structural supports or barriers to home birth practice, and inter-professional contexts that may relate to home birth practice in each practice context. Thursday / jeudi, November 10th 2011 Elizabeth Allemann, MD Detecting Intermediate and Long-Term Complications of Cesarean Surgery Cesarean surgery, like all abdominal surgery, carries the risk of intermediate and long term complications, which may present weeks, months or even years after the mother has left the hospital and may no longer be under the care of the surgeon who performed the surgery. Midwives may encounter women experiencing the complications of deep Venous Thrombosis (DVT), Pulmonary Embolus (PE), or Small Bowel Obstruction) SBO. Familiarity with these potentially lethal complications of surgery may be helpful to midwives as they care for women. *Céline Lemay, SF, PhD Quelle décision prendre? Découverte de la phronesis ou sagesse pratique. 1. Caractéristiques de la grossesse et l’accouchement 2. Spécificité de la pratique sage-femme 3. Modèle actuel de pratique 4. Problème pour la pratique sage-femme 5. Modèle proposé pas Aristote pour la réalité humaine : la “phronesis” ou sagesse pratique 6. Conclusion : La phronesis permet à la sage-femme d’avoir une pratique adaptée à chaque situation et à chaque femme. Les lignes directrices éclairent sa pratique mais ne la déterminent pas. La phronesis honore l’ethos professionnel dessages-femmes tout en leur permettant d’utiliser les avantages de l’approche EBM. Greater Scope of Choice — Phronesis: the Practical Wisdom Approach 1. Characteristics of pregnancy and childbirth 2. Specificity of midwifery practice 3. Current model of midwifery practice 4. The problem before midwifery practice 5. Aristotle’s “phronesis” or practical wisdom model 6. Conclusion: Phronesis allows midwives to adapt their practice to specific situations and individual women. Guidelines may provide a framework for midwifery practice but they do not define it. Phronesis salutes the midwife’s professional ethos while also allowing her to leverage the advantages of an EBM approach. *(Presentation in French with English translation) Sharon Craig Economides, LM, CPM, MMid Maternal-Child Health and Midwifery in Afghanistan Sharon will present the context of maternal-child health in Afghanistan, where women are 200 times more likely to die from a complication of pregnancy and birth than from a bullet or bomb. She will introduce opportunities to support Afghan midwives in Afghanistan or from afar. Jane Stojanovic, MA, AND, RM, RGON Placental birth in New Zealand: yesterday and today New Zealand research and midwifery experience suggest that physiological placental birth is safe and healthy when used by women having normal pregnancies and spontaneous physiological low-intervention labours. Historical and current medical midwifery practices in the management of placental birth are critiqued and analyzed using a theoretical model based on factors that optimize placental birth. The theoretical model is presented as a tool to improve practice for both actively and physiologically managed placental birth. Topical oral history interviews with experienced midwives and doctors, written texts from the seventeenth century onward, comparative obstetrics, endocrinological research, and practice wisdom inform this presentation. Keynote speaker: Frances Ganges, CNM, RM, MPH Advocacy in Action: Midwives at the Table, On the Agenda, Making Change Increasing women’s access to quality midwifery services has become a focus of global efforts to address maternalnewborn morbidity and mortality. From the UN to Parliaments to Capitol Hill to Ministries of Health, before presidents and within communities, midwives have proven to be powerful advocates around this issue. The presenter will use examples to highlight the role of midwives globally as change agents in advocacy, policy and practice for ensuring safe motherhood across geographic boundaries. Plaidoyer en action: Les sages-femmes, créatrices dechangement, à la table de négociations et à l’agenda Une plus grande accessibilité des femmes aux services de qualité de sages-femmes est devenue prioritaire dans les efforts mondiaux destinés à solutionner les problèmes de mortalité et de morbidité maternelle et infantile. Les sages-femmes, qu’elles soient aux Nations-Unies, au Parlement, au Capitole ou face aux ministères de la Santé ont démontré leur grand pouvoir de représentation face à ce problème. La conférencière utilisera des exemples pour illustrer le rôle des sages-femmes en tant qu’agentes de changement, que ce soit au niveau de la représentation, de la politique ou de la pratique, pour assurer une maternité sécuritaire au-delà de toutes les frontières géographiques. 27 Friday / vendredi, November 11th 2011 Friday, November 11th, 2011 Schedule/Horaire (Presentation summaries pages 29 to 31) 7:00am – 8:00am Registration/Breakfast/Exhibits/Posters 8:00am – 9:00am Ballroom/Great Rooms B&C Plenary Speaker: Barbara Katz-Rothman, PhD Splashing in New Waters: Beyond 2nd Wave of Feminism. 9:00am – 10:00am Ballroom/Great Rooms B&C Panel Discussion 28 Liz Darling, RM, PhD; Melissa Cheyney, PhD, CPM, LDM Midwifery Databases: Streamlining, Expanding, and Going Public in the US and Canada Strategy Room 3 Lisa Kane Low, PhD, CNM, FACNM, (60 min) University of Michigan Assistant Professor Preventing Genital Tract Trauma Optimal Care During the “Final Stretch” Manavi Handa, RM, MHSc; Simone Rosenberg (30 min) Midwives as Abortion Providers Strategy Room 5 Lorna McRae, MSW, BHSc, RM; Heather Wood, BA, BHSc, RM (90 min) Meeting on the Margins (Part 2): Social Change, Our Selves and Midwifery Care Strategy Room 7 Sherry Payne, MSN, RN (90 min) Lessons from Haiti: Disaster Planning and the Midwifery Model to Promote Maternal Infant Health Upper Fallsview Studio A Suzanne Tully, RM, Certified Herbalist (90 min) Arvigo Technique of Maya Abdominal Therapy for Pregnancy 10:00am – 10:30am Break/Exhibit/Posters 12:00pm – 1:30pm Lunch/Exhibit/Posters 10:30am – 12:00pm Breakout/Concurrent Sessions 1:30pm – 3:00pm Ballroom/Great Rooms B&C Strategy Room 1 Juana Berinstein, MA (30 min) Midwives Making Change: Developing an Advocacy Strategy Brynne Potter, CPM (30 min) Patient Centered Health Records are the Pathway to a Healthy Maternity System Strategy Room 2 Karline Wilson-Mitchell, RM, CNM, RN, MSN; Joanna Anneke Rummens, PhD (30 min) Maternal/Newborn Health Status of Uninsured New Immigrant/Refugee Women in Greater Toronto Area: Midwifery Perspective on Social Determinants of Health Monique Pereboom, MSc (30 min) Knowledge About Infectious Diseases Among Primary Care Midwives Carly Beaulieu, BA, Bed, ASM (30 min) Hydrotherapy in Labour and Birth: A Manual for Health Professionals in Canada Katsi Cook, AM; Marinah Farrell, CPM, LM; Manavi Handa, RM, MHSc; Jennie Joseph, LM, CPM; Jay MacGillivray, RM; Yeshi Neumann, CNM, MPH, MA, IBCLC Social Justice Panel Discussion: Midwives as ShiftShapers on the Front Lines of Social Change 3:00pm – 3:30pm Break/Exhibit/Posters 3:30pm – 4:30pm Ballroom/Great Rooms B&C Keynote Speaker: Andrew Kotaska, MD Informed Consent: When Autonomy and Beneficence Collide Friday / vendredi, November 11th 2011 4:30pm – 5:30pm Ballroom/Great Rooms B&C Keynote Speaker: Henci Goer Problems with Physiologic Care Research in a Medical Management Environment 5:30pm – 11:00pm Benefit Dinner for the National Aboriginal Council of Midwives (NACM) (For more information see page 10) 7:30pm – 11:00pm Fundraiser for the Foundation for the Advancement of Midwifery (FAM) (For more information see page 10) Summaries/Résumés (résumés en français disponibles seulement pour les présentations traduites simultanément) Plenary Speaker: Barbara Katz-Rothman, PhD Splashing in New Waters: Beyond 2nd Wave of Feminism Women today, no less thoughtful or concerned than the founders of our midwifery movement, face a very different world. We went from the urban-myth of bra-burning to Madonna’s corsets in one generation and now the meatdress of Lady Gaga in the next; from refusing to shave our legs to waxing labia; and – we rightly worry – from underground midwifery to elective cesareans. We used to have to battle ignorance –a decade of “What to Expect” and the move of self-help from living rooms to sponsored on-line forums changed that . Now we battle ‘information.’ We will talk about how to strengthen a midwifery that has its roots in second wave feminism, but swims along in new currents, reaches and changes women, brings more and more young women the power of birth. Plonger dans de nouvelles eaux : après la deuxième vague de féminisme Les femmes d’aujourd’hui ne sont pas moins futées ou moins préoccupées que leurs consœurs fondatrices du mouvement des sages-femmes, mais le monde a beaucoup changé depuis. En une seule génération, nous sommes passées du mythe urbain du soutien-gorge qu’on brûlait aux corsets de Madonna jusqu’à la robe de viande de Lady Gaga; du temps où l’on refusait de se raser les jambes à la coupe brésilienne d’aujourd’hui; et d’une pratique sagefemme dans la clandestinité aux césariennes itératives. Auparavant, nous combattions l’ignorance, soit une dizaine d’années axée « sur quoi on devrait s’attendre » suivie du mouvement d’entraide qui se déroulait dans nos salons. Nous nous sommes ensuite tournées vers des forums sur internet commandités et maintenant, nous combattons « l’information ». Nous échangerons sur la façon de renforcer la pratique sage-femme qui, issue de la seconde vague féministe, suit de nouveaux courants où nous atteignons et transformons les femmes, en amenant de plus en plus de jeunes femmes à ressentir la puissance de la naissance. Liz Darling, RM, PhD; Melissa Cheyney, PhD, CPM, LDM Midwifery Databases: Streamlining, Expanding, and Going Public in the US and Canada This presentation will describe work being done in both the US and Canada to support the collection of high quality data for midwife-attended births. The Division of Research of the Midwives Alliance will discuss their plans for a new annual reporting project. The current state of midwifery data collection across Canada will be reviewed and a project aimed at facilitating complete collection of data for all midwife-attended births across Canada will be described. Juana Berinstein, MA Midwives Making Change: Developing an Advocacy Strategy A playful but insightful look at the forces at play in shaping government decisions, with a particular focus on midwifery advocacy and efforts to shape the maternal and newborn care landscape. Brynne Potter, CPM Patient Centered Health Records are the Pathway to a Healthy Maternity System Midwifery means putting women at the center of everything, including the health record. While government and private initiatives are now encouraging a patient centered system of care delivery, the key to a healthy system lies in patients changing perceptions of their options and power. By seeing themselves at the center of their own health care decisionmaking process, women can achieve the empowerment that midwifery care is designed to provide. We will focus on how sharing not just the data in the chart but a summary of each visit an opportunity to document the process of Informed Choice and Shared Decision Making. Karline Wilson-Mitchell, RM, CNM, RN, MSN; Joanna Anneke Rummens, PhD Maternal/Newborn Health Status of Uninsured New Immigrant/Refugee Women in Greater Toronto Area: Midwifery Perspective on Social Determinants of Health This presentation summarizes the findings of a retrospective study of health outcomes for uninsured new immigrant and refugee women who birthed between 2007 and 2011 in the Toronto area. The study reviewed perinatal outcomes to determine whether access to health insurance influenced the health status of newcomer women. Access to high quality healthcare is a social determinant to health. The study contributes to the growing body of knowledge about immigration, access to health insurance and disparities in 29 Friday / vendredi, November 11th 2011 the healthcare system. This session will invite participants to discuss the diverse characteristics of the populations they serve and explore interventions that may promote equitable access to maternity care by vulnerable members of their communities, such as new immigrants and refugees. Monique Pereboom, MSc Knowledge About Infectious Diseases Among Primary Care Midwives Some infectious diseases can be prevented during pregnancy by preventive behaviour of pregnant women. However, in order to be able to change their behaviour, pregnant women should be aware of the risk of infections and of preventive behaviours during pregnancy. Awareness of the transmission, risk factors and preventive measures of infectious diseases is essential for midwives to inform their patients as good as possible. Unfortunately, it is unknown whether primary care midwives counsel their patients appropriately. The objective of this study was to gain information about the knowledge, counselling and screening practices of midwives regarding infectious diseases in the Netherlands. 30 Carly Beaulieu, BA, Bed, ASM Hydrotherapy in Labour and Birth: A Manual for Health Professionals in Canada Hydrotherapy is not routinely used in hospitals throughout Canada due in part to a lack of awareness about the benefits of hydrotherapy amongst those who provide maternity care. This presentation will detail my master’s thesis project where I have designed a manual to inform care givers of pregnant women about the use of hydrotherapy during the intrapartum period. Topics include normal birth, risks and benefits, guidelines and protocols, and evidence based practice. There will be time for discussion about how to implement the use of hydrotherapy in to individual practice settings. Lisa Kane Low, PhD, CNM, FACNM, (60 min) University of Michigan Assistant Professor Preventing Genital Tract Trauma Optimal Care During the “Final Stretch” Recent attention has focused on question of pelvic floor damage secondary to the experience of vaginal birth. Interestingly, the actual events of end second stage labor have rarely been captured in investigations aimed at identifying prevention of genital tract trauma and subsequently pelvic floor damage. The goal of this session is to engage in a review of the literature and available evidence base supporting best practices to promote optimal perineal and pelvic floor outcomes during childbirth. The focus will be on the final stretch which includes the dynamics of end stage pushing and preventing genital tract trauma. At the completion of this session participants will be able to 1. Identify evidence based practices to promote effective end second stage pushing to minimize risk of pelvic floor disruption. 2. D iscuss potential challenges to the use of self-directed pushing during end second stage labor 3. List five evidence based approaches to promoting perineal integrity during the final stage of pushing and birth. 4. D escribe at least two strategies for promoting optimal perineal and pelvic floor outcomes following second stage. Manavi Handa, RM, MHSc; Simone Rosenberg Midwives as Abortion Providers Legal abortion is becoming increasingly inaccessible around the world, mainly due to a shortage of providers. The WHO has declared it would be beneficial for midwives to expand their care to include abortion provision. As midwives across North America continue to become autonomous health care providers it is necessary to examine whether they should and/or could expand their scope to include abortion services. We have begun a survey of Ontario midwives’ attitudes towards abortion provision. We will discuss the preliminary findings of the survey, relevant international research and how termination is covered in Canadian midwifery education programs. Lorna McRae, MSW, BHSc, RM; Heather Wood, BA, BHSc, RM Meeting on the Margins (Part 2): Social Change, Our Selves and Midwifery Care By examining intersections of power and control in the lives of our clients who may be from non-dominant social, economic, racial and cultural backgrounds and the effect of power and control in our own lives and clinical practice we can improve our midwifery skills in serving women who face marginalization in the above areas. The workshop builds on a previous session examining micro and macro barriers and opportunities to engage fully with marginalized groups while providing midwifery care. Participation in the previous CAM 2010 session is not necessary. Sherry Payne, MSN, RN Lessons from Haiti: Disaster Planning and the Midwifery Model to Promote Maternal Infant Health Ms. Payne will share her experiences during three trips following the Jan/2010 earthquake to assist with maternal infant healthcare. Learn how the midwifery model of care works with disaster planning & care delivery following a disaster. Suzanne Tully, RM, Certified Herbalist Arvigo Technique of Maya Abdominal Therapy for Pregnancy Arvigo Techniques of Maya Abdominal Therapy (ATMAT) is based on Dr. Rosita Arvigo’s apprenticeship with Maya healer and shaman Don Elijio Panti, and midwife Miss Hortense Robinson from Belize, Central America. In this presentation, you will learn how these ancient tenchniques relieve pregnancy discomforts, and shorten the length of the labor and pushing stages. This hands-on method of healing gives midwives a traditional treatment to use in their practices. Friday / vendredi, November 11th 2011 Katsi Cook, AM; Marinah Farrell, CPM, LM; Manavi Handa, RM, MHSc; Jennie Joseph, LM, CPM; Jay MacGillivray, RM; Yeshi Neumann, CNM, MPH, MA, IBCLC Social Justice Panel Discussion: Midwives as ShiftShapers on the Front Lines of Social Change North American midwives will share their stories and perspectives about how their work in the world as midwives is inseparable from their work for social justice. They will give the participants who attend this lively panel presentation an opportunity to explore these questions: What is the relationship between my work as a midwife and the quest to create a world of peace and justice for our children and for generations to come? What is the role of my midwifery organization in that quest? Keynote Speaker: Andrew Kotaska, MD Informed Consent: When Autonomy and Beneficence Collide Dr. Kotaska will address the ethical concepts of autonomy and beneficence as they relate to the process of informed consent. He will develop a framework for optimal informed consent that includes: a women’s right to complete unbiased information regarding all clinical alternatives, including no intervention, her right to access her chosen alternative, and her right to decline any recommended treatment without prejudice-nonetheless to receive excellent care in accordance with her values and choice. Dr. Kotaska will discuss the critical value of the therapeutic alliance and challenge caregivers to preserve it, even when women’s choices diverge from guidelines. He will provide practical advice on risk estimation, incorporate “fuzzy logic” into clinical decision making and highlight the difference between “offering” and “recommending” intervention. The integral role of clinician objectivity, humility, and selfawareness to achieving truly informed consent will be explored. Consentement éclairé : quand il y a collision entre l’autonomie et la bienfaisance Dr. Kotaska abordera les concepts éthiques d’autonomie et de bienfaisance ainsi que leur relation dans le processus du consentement éclairé. Il élaborera un cadre visant à optimiser le consentement éclairé, notamment : Le droit pour les femmes de recevoir une information impartiale sur toutes les options cliniques, y compris l’absence d’intervention, Leur droit à accéder à l’option choisie, Leur droit de refuser tout traitement recommandé sans être victime de préjugés, tout en étant assurée de recevoir d’excellents soins en accord avec leur choix et leurs valeurs. Dr. Kotaska discutera de la valeur critique d’une alliance thérapeutique et mettra au défi les soignants de la préserver même lorsque le choix des femmes diverge des lignes directrices. Il nous avisera de façon pratique sur l’estimation du risque, la façon d’incorporer la « logique floue » lors de la prise de décisions cliniques et mettra en évidence la différence entre « offrir » et « recommander » une intervention. Il explorera le rôle intégral de l’objectivité, l’humilité et la connaissance de soi chez le clinicien qui permettent de parvenir à un consentement réellement éclair Keynote Speaker: Henci Goer Problems with Physiologic Care Research in a Medical Management Environment Based on a lifetime career of reviewing, analyzing, and synthesizing the obstetric research, this critical analysis of the literature will explore inherent methodologic problems of research design and execution that bias and skew results when studying physiologic care in childbirth. It will answer the questions: “Why don’t studies show more benefit from physiologic care?” and “Why don’t studies show more harm from medical model management?” and will include strategies for identifying common flaws and weaknesses in obstetric studies, thereby enabling more discerning reading of the research evidence and more skilled defense of physiologic care. Les problèmes avec la recherche sur les soins physiologiques dans un environnement de prise en charge médicale Cette analyse critique de la littérature médicale, basée sur une carrière vouée à la revue, l’analyse et la synthèse de recherches en obstétrique, explorera les problèmes méthodologiques inhérents à la conception et l’exécution des recherches qui font preuve de préjugés et faussent les résultats lors des études sur les soins physiologiques au cours de l’accouchement. Nous trouverons réponse à des questions comme celles-ci : « Pourquoi les études ne démontrent pas plus de bénéfices découlant des soins physiologiques ? » et « Pourquoi les études ne relèvent pas plus de problèmes liés au modèle de gestion médicale ? ». Ce questionnement inclura des stratégies d’identification des fautes et des faiblesses communes retrouvées dans les études en obstétrique, ce qui permettra une lecture plus avisée des preuves de recherche et une défense plus qualifiée des soins physiologiques. 31 Saturday / samedi, November 12th 2011 Saturday, November 12th, 2011 Schedule/Horaire (Presentation summaries pages 33 to 34) 7:00am – 8:00am Registration/Breakfast/ Exhibits/Posters Melissa Cheyney, PhD, CPM, LDM (90 min) The Effects of Optimal Fetal Positioning on Birth Outcomes: Mixed Methods Analysis in the Homebirth Context Strategy Room 7 8:00am – 9:00am Ballroom/ Great Rooms B&C Mairi Breen Rothman, CNM, MSN (90 min) The Heart of Midwifery: Evidence Base for Care of the Spirit Julie Corey, RM, MHSc; Manavi Handa, RM, MHSc; Tasha MacDonald, RM, MHSc; Andrea Lea Robertson, RM, MHSc, PhD(c); Jill Breen, CPM Ethics Panel Discussion Rachel Jones, RM; Catherine Connelly, RM (30 min) Bringing Birth Back to the North 9:15am-10:00am Ballroom/Great Rooms B&C 32 Strategy Room 5 Awards Ceremonies 10:00am – 10:30am Break 10:30am – 12:00pm Breakout/Concurrent Sessions Strategy Room 1 Geradine Simkins, CNM, MSN (60 min) Power, Politics & Profit in Maternity Care: Why Midwives Matter Suzy Myers, LM, CPM, MPH (30 min) Results of Listening to Mothers: Postpartum Surveys among Women Who Chose Out-of-Hospital Birth in Washington State Strategy Room 2 Jay MacGillivray, RM (90 min) Substance Use, the Sex Trade, Street Involvement and Midwifery Care. Protocols and Considerations for Practice Strategy Room 3 Ivy Bourgeault, PhD; Carol Cameron, RM, MA; Esther Shoemaker PhD(c) (90 min) A Process and Outcome Evaluation of an Interdisciplinary, Multifaceted Intervention to Reduce Caesarean Section Rates in a Low Risk Population Upper Fallsview Studio A *Cristina Alonso, CPM, MPH; Cristina Galante, RM; Guadalupe Landerreche, LEO (30 min) Midwifery in Mexico in the 21st Century *Maricruz Coronado Saldierna, PM, Consultant on Midwifery, National Centre for Gender Equity & Reproductive Health; Xochitl Ferman Flores, PM; Eugenia García Gómez, Student CASA (30 min) Professional Midwives in Mexico: Humanizing Birth, Saving Lives *(Presentations in Spanish with English translation) 12:00pm – 1:30pm Lunch 1:30pm – 3:00pm Ballroom/Great Rooms B&C Plenary Speaker: Jay MacGillivray, RM Social Justice as a Guiding Principle of Midwifery Care: Towards Inclusive and Active Equity In Healthcare 2:30pm-3:00pm Closing Ceremony Saturday / samedi, November 12th 2011 Summaries/Résumés (résumés en français disponibles seulement pour les présentations traduites simultanément) Julie Corey, RM, MHSc; Manavi Handa, RM, MHSc; Tasha MacDonald, RM, MHSc; Andrea Lea Robertson, RM, MHSc, PhD(c); Jill Breen, CPM Ethics Panel Discussion This session will provide an overview of various perspectives on midwifery and ethics from both Canada and the United States. Each of the 5 participants will address core issues in ethics and midwifery to stimulate dialogue and further exploration of this field. Topics discussed will include: how midwives respond when clients decline their recommendations, the ethical implications of accountability and story-telling for midwives, the role of midwives in pandemic planning, the ethics of VBAC and homebirth and perspectives on the new MANA Ethics statement. There will be time at the end for a short question and answer period at the end of this panel discussion. Geradine Simkins, CNM, MSN Power, Politics & Profit in Maternity Care: Why Midwives Matter Quality midwifery services that are coordinated and integrated within health systems ensure that women receive the best possible healthcare during pregnancy and childbirth. While efforts to ensure the reproductive rights of every woman have become a focus of global, national, and regional efforts, what continues to drive US healthcare to keep midwifery marginalized? The provocative, startling, heartwarming life stories of a diverse collection of twentyfive seasoned midwives reveal a simple truth: a paradigm built on empowerment rather than fear and profit will return the soul-nourishing aspects to the childbirth experience—to those giving birth, those being born, and those who receive babies into their hands. Suzy Myers, LM, CPM, MPH Results of Listening to Mothers: Postpartum Surveys among Women Who Chose Out-of-Hospital Birth in Washington State This session will describe the results of a partial replication of the Listening to Mothers (LTM) II and LTM II Postpartum Surveys in a population of women in Washington State who chose an out-of-hospital birth. The research results will compare the prevalence rates of postpartum depressive symptoms, PTSD symptoms and diagnosable PTSD as related to the childbirth experience in the national population in women who chose hospital births as compared to the Washington State sub-population of women who chose midwifery care and planned to deliver in a birth center or at home. Jay MacGillivray, RM Substance Use, the Sex Trade, Street Involvement and Midwifery Care. Protocols and Considerations for Practice 10 years of street work and then 25 years of Midwifery care to the same communities have given Jay powerful insights into the needs, priorities and the daily realities of women affected by the street, substance use and/or the sex trade. She has worked with Public Health, the Province, the City of Toronto, shelters, frontline health care clinics and other agencies with a street focus to develop meaningful and relevant outreach and care protocols. Using concrete examples and her own protocols for full spectrum care modeled on harm reduction principles, Jay will demonstrate the remarkable rewards of street level Midwifery. Ivy Bourgeault, PhD; Carol Cameron, RM, MA; Esther Shoemaker PhD(c) A Process and Outcome Evaluation of an Interdisciplinary, Multifaceted Intervention to Reduce Caesarean Section Rates in a Low Risk Population This presentation will report on the preliminary findings from a multidisciplinary team of health and social science researchers and hospital and community based maternity care collaborators who are evaluating a range of interventions that curb high risk care. The ongoing prospective cohort study consists of a before-after design for which reliable baseline data is already collected. Participants in this session will gain the knowledge to be able to create and apply similar programs to the one presented in their own setting and be able to use the research design employed herein to compare the process and outcome in both settings. Mairi Breen Rothman, CNM, MSN The Heart of Midwifery: Evidence Base for Care of the Spirit Birth is a physiologic process with a spiritual component, or is it the other way around? Midwives have always known that the care of the spirit is an important part of care of the woman’s body. As midwives we take for granted the gifts of compassion, understanding, comfort, and encouragement, which are hallmarks of our care. Although we cannot bill for these aspects of our care, and often leave them out of our notes, there is a growing body of evidence that it is these behaviors which make the difference. This session offers an evidence base for the care of the human spirit as a crucial component of midwifery, and perhaps the one that makes the huge difference in outcomes as sited in the 1998 study by Marion MacDorman, et. al of the CDC. The history of this evidence base will be presented, and supported by modern exemplars such as Sister Angela’s Holy Family clinic in Texas, and the data from Sharon Rising’s work in group prenatal care. By the end, participants will also have had an opportunity to cite documented examples of care of the “heart” in their own practice. 33 Saturday / samedi, November 12th 2011 Rachel Jones, RM; Catherine Connelly, RM Bringing Birth Back to the North History of Midwifery in Nunavut, Initiatives of the Rankin Inlet Birthing project, Nunavut’s midwifery program, regulatory framework, challenges of working as a midwife in a remote community. *Cristina Alonso, CPM, MPH; Cristina Galante, RM; Guadalupe Landerreche, LEO (30 min) Midwifery in Mexico in the 21st Century Currently, in Mexico, homebirth is attended by traditional Midwives, professionalized midwives trained in independent programs or other countries and perinatal nurses. Homebirth rates range from 60% in the southern-most states to less than 1% in the north. Mexico holds, along with China and Brazil, one of the highest cesarean rates. A group of midwives have been meeting since October 2009 to establish and strengthen the national association representing the profession and establish a regulatory body. This presentation, given by three of the founding members of the association, will cover the current political, social and epidemiological challenges to strengthening midwifery in Mexico. *(Presentation in Spanish with English translation) 34 *Maricruz Coronado Saldierna, PM, Consultant on Midwifery, National Centre for Gender Equity & Reproductive Health; Xochitl Ferman Flores, PM; Eugenia García Gómez, Student CASA (30 min) Professional Midwives in Mexico: Humanizing Birth, Saving Lives Professional midwifery, once a thriving profession in Mexico, was almost almost completely stamped out in the mid-20th century. Through the midwifery school at the Centro para los Adolescentes de San Miguel de Allende (CASA) it has begun to remerge and gain validity in the Mexican health system. In addition to providing “parto humanizado” (humanized birth) to women in a country where they are often treated disrespectfully in public hospitals, Professional Midwives have now become an important part of a government strategy to reduce maternal mortality in the eight Mexicans states with the highest mortality rates. *(Presentation in Spanish with English translation) Plenary Speaker: Jay MacGillivray, RM Social Justice as a Guiding Principle of Midwifery Care: Towards Inclusive and Active Equity In Healthcare In a call to integrate our communities, to invigorate our outreach, and renew our relevance, Jay demonstrates the powerful role Social Justice has and can play in Midwifery foundations. Speaking from experience garnered from more than 25 years of care provision to the Queer community, Deaf and disAbility communities, new Immigrants, HIV/AIDS community, incarcerated women, women affected by poverty, the sex trade, street culture, substance use and all social detriments of health, Jay believes the time has come to re-examine midwifery mandates, our role in the broader community of women and to enshrine social justice as a principle of care. La justice sociale en tant que principe directeur des soins offerts par les sages-femmes : vers une équité active et intégrante au niveau des soins de santé Dans un effort pour intégrer toutes nos communautés, revigorer notre rayonnement et renouveler notre pertinence, Jay nous démontre la puissance du rôle que peut jouer la justice sociale dans les fondations de la pratique sage-femme. À partir de son expérience générée par plus de 25 ans de prestations de soins auprès de la communauté homosexuelle, de celles des sourds et des personnes avec handicaps, des nouvelles immigrantes, de la communauté VIH/SIDA, des femmes emprisonnées, des femmes vivant dans la pauvreté, le commerce du sexe, la culture de la rue, l’utilisation de substances et tous les préjudices sociaux affectant la santé, Jay croit qu’il est temps de réexaminer les mandats des sages-femmes et leur rôle au sein d’une communauté élargie de femmes. Selon Jay, il est essentiel d’ancrer la justice sociale en tant que principe de soins. Notes 35 Biographies BIOGRAPHIES Keynote Speakers/CONFÉRENCIERS Ganges, Frances CNM, RM, MMPH A midwife since 1986, Frances Ganges is known for her technical expertise in training, development of technical materials, and management of maternal-newborn health programs and activities. Recently elected to the Board of Directors for ICM (North America and the Caribbean), Ms Ganges has worked in numerous global programs, particularly sub-Saharan Africa. For instance, she has served as Senior Newborn Health Advisor for Save the Children; Senior Technical Advisor for ACNM’s Department of Global Outreach and Deputy Senior Nursing Officer for a rural hospital in Uganda. Frances is currently Director, Technical Oversight and support for the White Ribbon Alliance for Safe Motherhood (WRA), where she provides overall technical direction to the WRA Global Secretariat and National Alliances in 15 countries. 36 Goer, Henci, award-winning medical writer and internationally known speaker, is the author of The Thinking Woman’s Guide to a Better Birth. Her previous book, Obstetric Myths Versus Research Realities, is a highly-acclaimed resource for childbirth professionals, and a new edition is in press. An independent scholar, she is an acknowledged expert on evidencebased maternity care. Kennedy, Holly CNM, PhD, FACNM, FAAN has been a midwife for 25 years is the inaugural Helen Varney Professor of Midwifery at Yale University and the President of the American College of Nurse Midwives. She is a graduate of the Frontier School of Midwifery & Family Nursing, obtained her Master’s degree from the Medical College of Georgia as a family nurse practitioner and her doctoral degree from the University of Rhode Island. Her research includes numerous qualitative studies exploring the work of midwives and its relationship to health outcomes. She recently completed a clinical trial of group prenatal care, in two military settings. She is on the faculty of King’s College London where she was a Fulbright Distinguished Scholar during 2008. Kotaska, Andrew MD, FRCSC received his MD from U.B.C. in 1992 and worked for 7 years as a rural GP-surgeon in northern B.C. before returning to complete a residency in Obstetrics and Gynecology. He is currently the Clinical Director of Obstetrics and Gynecology at Stanton Territorial Hospital in Yellowknife where he lives with his wife and two boys. His main current areas of research interest are breech birth, the overestimation of risk in modern obstetrics, and the impact of epidural analgesia on labour and cesarean section rates. Biographies Lynch, Bridget RM, MA a mother of five and a midwife with more than 25 years of experience, has just ended her term as President of the International Confederation of Midwives (ICM), the global organisation of midwifery associations in 94 countries, representing a total of 250,000 midwives worldwide. During her three-year term, Lynch was a key voice in the struggle to reduce the tragically high death rates of mothers and babies in developing countries during childbirth. Under her leadership midwives have gained recognition as a critical force in helping to reverse the dismal maternal death rate, as they work in communities and can manage lowrisk deliveries at lower cost than obstetricians.Lynch has played a pivotal role securing United Nations funding to address the global shortage of skilled birth attendants, including midwives. She also helped pave the way for Canada’s Prime Minister Stephen Harper to make global maternal health a priority at the G8 Summit in Muskoka in 2010. Simkins, Geraldine CNM, MSN, DEM is an activist, midwife, author and visionary with over three decades of experience working in maternal and child healthcare, women’s health, and community-based programs. Currently, Geradine is President of the Midwives Alliance of North America and its first Interim Executive Director. She concentrates her energy on sustaining the midwifery profession, advocating for healthcare reform, improving maternity care outcomes, eliminating health disparities, and mentoring the next generation of midwives. Her first book, Into The Hands, Wisdom From Midwives, was published in March 2011. Vinaver, Naoli CPM is a Mexican midwife who combines traditional birth practices with a profound interest in and respect for the physiology of natural birth. She has been attending both waterbirths and births in traditional styles and positions since 1990. Naolí has enjoyed three pregnancies and homebirths of her own in the company of her family. She has written and illustrated children’s books about life, pregnancy and birth, produced birth videos for education, and devoted many years to teaching midwifery both in her home in Mexico as well as around the world. Wilson, Anne RM trained and worked as both a midwife and nurse in the U.K. for several years before relocating to Canada. Wilson completed the Midwifery Education Program at McMaster University and has worked as a midwife in Burlington for more than a decade. She has also worked as a preceptor with the Inuit Midwifery program in Innulitsivik in Nunavik, giving her a better understanding of the unique challenges of returning birth to remote communities. Anne Wilson has been politically involved in the advancement of midwifery in Ontario since the profession was regulated in 1994, serving on many regional interdisciplinary committees and volunteering with the Association of Ontario Midwives (AOM), where she served for ten years in several positions on the Board of Directors. She is currently the President of the Canadian Association of Midwives. 37 Biographies Breen, Jill CPM, MANA 1st Vice President Jill has been trusting birth and believing in women’s ability for over 40 years, as a mother and homebirth midwife, mentor, speaker and writer. She lives on an organic farm in central Maine with her husband and any of her 6 children and 6 grandchildren she can persuade to visit. She makes herbal remedies and is famous for her Dragonfly Hollow Herbal Healing Salve. She worked with a small group in 2009-2010 to revise and edit the groundbreaking MANA Values and Ethics Statement. Cheyney, Melissa PhD, CPM, LDM is an Assistant Professor of Medical Anthropology and Reproductive Biology at Oregon State University. She received her doctorate from the University of Oregon in 2005, where her research examined the U.S. Homebirth Movement. Dr. Cheyney is a Certified Professional Midwife, Chair of the Board of Direct-entry Midwifery for the State of Oregon, Chair of the Division of Research for the Midwives Alliance, the director of the Reproductive Health Laboratory at Oregon State University and the author of the recently published ethnography, Born at Home. Cook, Katsi AM, is an elder Aboriginal Midwife, a founding member and current Secretary of the National Aboriginal Council of Midwives (NACM) of the Canadian Association of Midwives (CAM). Katsi is a member of Women of Color and Indigenous Women at MANA. She is the founding Aboriginal Midwife of the Six Nations Birthing Centre at Six Nations, Ontario and a member of the Indigenous Elders and Youth Council. Katsi serves as Program Director and Field Coordinator for First Environment Collaborative at Running Strong for American Indian Youth. Her program has worked with Kanonkwatsheri:io Clinic and St.Regis Mohawk Health Services to implement Centering Pregnancy. 38 Corey, Julie RM, MHSc works as a registered midwife in St. Jacobs, Ontario. Her combined rural-urban practice serves the diverse Kitchener-Waterloo population as well as the surrounding Mennonite farming community.Julie has taught in the Ontario Midwifery Education Programme as a tutorial leader and workshop facilitator in clinical skills and conflict resolution and joined the Preceptor Support Program in 2010. In 2008 Julie completed her MHSc in Bioethics and spent a month working as a midwife in a northern Quebec Inuit community. Darling, Liz RM, PhD is a registered midwife who practices in Ottawa, Ontario. She is also an Assistant Professor in the Midwifery Education Program at Laurentian University. She has an Honours Bachelor of Arts & Science (1994), a Bachelor of Health Science in Midwifery (1997), and a Master’s degree in Health Research Methodology (2007), all from McMaster University. She is currently enrolled in the PhD program in Population Health at the University of Ottawa. Farrell, Marinah CPM, LM was raised in the traditional ways of her parents and was gifted to watch her grandfather and mother walk among plants, identifying their healing properties both in the mountains of Mexico and the deserts of Arizona. Her love for midwifery stems from a in the healing essence of the natural world and her concern for social justice. Her current passion is linking Mayan/Mexican traditional healing with Chinese medicine as a way to further the healing potential of both practices and is pursuing an advanced degree in acupuncture. Her teenagers bring her immense joy, as does her beloved husband. Handa, Manavi RM, MHSc is an Assistant Professor in the Midwifery Education Program at Ryerson University in Toronto. She has worked as a midwife for the past decade and is currently a partner at West End Midwives. Manavi is currently the Chair of the Association of Ontario Midwives Diversity Committee and represents the Canadian Association of Midwives on the National Advisory Committee on Migration and Reproductive Health. The daughter of South Asian immigrant parents, she is an avid advocate for immigrant women’s health. Manavi received the prestigious Anti-Racist Activism Award from the Urban Alliance for Race Relations in 2010. Joseph, Jennie CM, CPM a British-trained midwife and women’s health advocate moved to the United States in 1989 and began a journey which has culminated in the formation of an innovative maternal child healthcare system, The JJ Way®. Executive Director of Commonsense Childbirth Inc, her nonprofit corporation, she operates The Birth Place birthing center in Winter Garden, Florida which has an outreach clinic for pregnant women who are at risk of not receiving prenatal care. Jennie is also the owner/director of Commonsense Childbirth School of Midwifery, a Florida licensed direct-entry midwifery training program and is an expert on perinatal health disparities. Biographies Katz Rothman, Barbara PhD Professor of Sociology at the City University of New York, is on the Faculty of the Health and Society Program of the Charité -Universitätsmedizin in Berlin, and has served as a Visiting Professor at the Universitat Osnabrueck in Germany, a Fulbright Professor at the University of Groningen in the Netherlands, and a Leverhulme Professor at Plymouth University in the United Kingdom. Her books, translated into German, Japanese and Finnish, include IN LABOR, LABORING ON (with Wendy Simonds), THE TENTATIVE PREGNANCY, RECREATING MOTHERHOOD, THE BOOK OF LIFE, and WEAVING A FAMILY. MacDonald, Tasha RM, MHSc has been practicing midwifery in Toronto since 2001. She has a master’s degree in Bioethics. She is currently the Director of Clinical Practice Guidelines at the Association of Ontario Midwives and is an instructor in Ryerson University’s Midwifery Education Program. MacGillivray, Jay RM has been a midwife and activist-advocate for over 30 years for people and communities who are marginalized because of racism, homophobia, transphobia, HIV/AIDS, disability, poverty, immigration status, substance use and other systemic barriers to access. One of Ontario’s first registered midwives, MacGillivray co-founded The Positive Pregnancy Programme, providing comprehensive pregnancy, birth, and postpartum care to HIV-positive mothers and their babies. Neumann, Yeshi CNM, MA, MPH has practiced midwifery at home and in the hospital since 1970. Yeshi has been an international speaker and facilitated workshops about conflict resolution, healing, communication, mindfulness, social justice and diversity for almost as long as she has been a midwife. She is a mother of two daughters and a grandmother of two granddaughters, whom she received into her own hands at birth. Robertson, Andrea Lea RM, MHSc PhD candidate Assistant Professor, Midwifery Education Program, Ryerson University. I am a graduate of the Midwifery Education Program, McMaster University 2003 and am currently a PhD candidate in Women’s Studies and Feminist Research, University of Western Ontario. I have worked in both urban and rural settings. 39 A Midwife’s Approach To Electronic Charting Overview « CLIENTS 10.4 WEEKS Progress Notes Messages To Dos Files I met with Colleen and her husband Brad in the office today. Colleen reports that she is feeling well and has a good appetite despite some occasional morning sickness. We discussed her diet and she would like to take home a diet diary this month and get some advice at her next visit on her overall nutrition. I talked to Colleen about genetic screening options. I let her know that she can have a referral for an NT scan and explained the risks, benefits, and alternatives to 1st trimester genetic screening. I offered her paper or web based information to review and she requested a link to our Web site information. She will review the information and call me this week to discuss her options for obtaining genetic screening. Related To Dos: ✓ Genetic Screening Information Provided: ✓ http://mountainviewmidwives.com/genetic_screening.html ✓ Nutrition Overview PDF + Add A Progress Note Support MANA & CAM Try Electronic Charting for Midwives and Private Practice will generously donate all of the proceeds from the first month of your subscription to MANA & CAM. Offer Code: MANACAM11 Diet Diary.pdf by Brynne Potter, CPM, 4 hours ago From: Brynne Potter, CPM Service Date: Thursday, 14 July 2011 Category: Prenatal Finally, charting that highlights the unique model of care we provide. n Create and track chart notes, calls and messages from any computer. n Customize discussion checklists and informed consent for each client. n Collaborate and communicate with your partners and colleagues. n Give your client direct access to their medical record. n Secure, automatically backed up and HIPAA compliant. 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The SOGC has been representing thousands of health care professionals across Canada since 1944 and thus is the voice of obstetrics and gynaecology. As a member of the SOGC, you can help us achieve our Mission and at the same time, you will be able to access a full range of benefits and services such as: • JOGC subscription; • Latest clinical resources; • Professional development opportunities; • Online services and learning; esentation; • Advocacy and representation; blications • Comprehensive publications Becoming a member of the SOGC is a win-win-win proposition for you, the SOGC, and all Canadian women. Join the SOGC today by visiting our website at www.sogc.org and remember to use Promo Code: CAM to receive a 50% discount ! Joignez-vous à la Société des obstétriciens et gynécologues du Canada : Contribuez à l’amélioration de la santé des femmes! 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