Webinar

Midwifery Conference 2015

This is a series of lectures originally presented at our 2015 GOLD Midwifery Conference. It is suitable for all skill levels and is a perfect fit for Midwives, Doulas, Childbirth Educators, IBCLCs, Breastfeeding Counselors, Physicians, Dietitians and anyone else working or studying within the maternal-child health industry.

$110.00 USD
Total CE Hours: 10.25   Access Time: 8 Weeks  
Lectures in this bundle (10):
Durations: 74 mins
Maternity Care Practices and their Impact on the Microbiome

Penny Simkin, PT, is a physical therapist who has specialized in childbirth education and labor support since 1968. She estimates she has prepared over 14,000 women, couples, and siblings for childbirth. She has assisted hundreds of women and couples through childbirth as a doula. She is author or co-author of books for both parents and professionals, including “The Labor Progress Handbook;” “Pregnancy, Childbirth, and the Newborn: The Complete Guide;” “When Survivors Give Birth: Understanding and Healing the Effects of Early Sexual Abuse on Childbearing Women;” “The Birth Partner: A Complete Guide to Childbirth for Dads, Doulas, and All Other Labor Companions,” She has developed teaching materials for birth classes and produced several videos for educators, doulas, and families , the latest of which is for siblings-to-be, “There’s a Baby.” She is co-founder of DONA International (formerly Doulas of North America) and PATTCh (Prevention and Treatment of Traumatic Childbirth). Currently, she serves on the editorial board of the journal, Birth: Issues in Perinatal Care, and serves on the senior faculty of the Simkin Center for Allied Birth Vocations at Bastyr University, which was named in her honor. Today, her practice consists of childbirth education, birth counseling, and labor support, combined with a busy schedule of conferences and workshops. Penny and her husband, Peter, have four grown children and eight grandchildren from 11 to 28 years of age, two grandchildren-in-laws, and a pug, Lola. Find out more about Penny at her website: www.pennysimkin.com.

Objective 1: Explain chronic health problems that have been linked to exposures of the neonate to harmful microbes.
Objective 2:Compare maternity practices that promote a healthy balance of microbes in the newborn’s microbiome with practices that create a harmful imbalance.
Objective 3: Describe practices that may help ensure a healthy microbiome even when exposure to harmful microbes isexpected.

Abstract:

The human microbiome consists of trillions of microbes – bacteria and viruses—the balance of which largely determines our health and well-being throughout life. The largest microbiomes in women are located in the mouth the gut, the uterus, the vagina, and the skin. Breastmilk also provides a vital microbiome for the infant. Each microbiome contains different mixes of microbes, which fluctuate as the environment, within and outside the body, fluctuates.

Midwifery care practices have always fostered mother-baby contact, minimal separation, and breastfeeding. However, with increasing knowledge about the microbiome, midwives need to re-examine common practices for how they impact the microbiome, for example: the high cesarean rates, even among midwives, even brief separation from mother, frequent use of antibiotics, the impact of immersion in water on the mother’s skin microbiome and on the transfer of vaginal secretions to the baby in a water birth. Application of the new knowledge will further improve long-term outcomes.

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Durations: 60 mins
Karen H. Strange, CPM, AAP/NRP Instructor, CKC
Neonatal Transitional Physiology, Delayed Cord Clamping De-Mystified
USA Karen H. Strange, CPM, AAP/NRP Instructor, CKC

Karen H. Strange became a Licensed Midwife in 1988 and Clinical Director at Maternidad La Luz a high-volume birth center/midwifery school on the US/Mexico border. She is a Certified Professional Midwife. Served on the Texas Department of Health Midwifery Board and as chairperson of the Complaint Review Process Committee for six and half years. As an American Academy of Pediatrics/Neonatal Resuscitation Program instructor since 1991 teaching those who work in the out-of-hospital settings, having has taught over 8,000 people worldwide. She is founder of the "Integrative Resuscitation of the Newborn" workshop, a course that teaches the physiology of newborn transition, and the skill of neonatal resuscitation in a non-traumatizing way.

Lectures worldwide on neonatal transitional physiology and the baby’s experience of birth, changing the paradigm of our understanding of what happens at birth. She shares her “Simple Tools” to help babies integrate their experience.

Objective 1: The participants will be able to summarize and demonstrate what happens in the transition from in utero to extra-uterine life. This process is known as neonatal transitional physiology.
Objective 2:: Participants will be able to list 3 advantages of delaying clamping of the umbilical cord at birth.
Objective 3: Participants will be able to list how much blood the baby gets at birth, how much goes to the lungs and how much goes to the organs.

USA Karen H. Strange, CPM, AAP/NRP Instructor, CKC
Abstract:

In this captivating explanation you will get a deep and clear understanding with new insight about the transition that babies make at birth physiologically and psychologically. Learning how we go from fluid filled lungs and oxygenating with the placenta to becoming air breathers without their placenta. You will learn what is most important in the moments when the baby is born. This goes way beyond learning about blood volume and red blood cells.

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Durations: 60 mins
Alys Brown, Midwife, IBCLC, RLC
Tongue-Tie: Is it or isn’t it? What it’s like to have a Tongue tied baby- from a Mother’s perspective
Australia Alys Brown, Midwife, IBCLC, RLC

My name is Alys Brown, I am married with 5 children most of whom were born at home. (3 of whom were tongue tied)- I breastfed for 12 years and have 15+ nieces and nephews that were also tongue tied. I am a direct entry trained New Zealand midwife- 2003 qualified and Lactation Consultant- qualified 2009 and I have been assessing and treating tongue ties for the past 7 years. I am a member of the IATP- International Affiliation of tongue tied Professionals, and have been fortunate enough to attend the last 2 global conferences in Florida and Montreal at which I spoke on a panel about how to ‘counteract global resistance’ and bring about changes. Here in New Zealand, Waikato DHB through the lactation service were the first to set up a training course for midwives to become credentialed to assess, diagnose and treat and follow up tongue ties. We have also conducted 4 years worth of clinical audits around our tongue tie service and were involved with treatments of tongue ties in our NICU (Neonatal Intensive care unit) and a clinical audit undertaken there too. I have been involved in a National Midwifery Council sub committee looking at our scope of practise and the development of tongue tie policies and guidelines regionally and nationally. We have a tool we are using that helps in the assessment of tongue ties pulling together Alison Hazelbakker’s tool and also signs and symptoms of mother and baby and a thorough breastfeeding assessment. I have been the BFHI co-ordinator at our tertiary hospital, am passionate about antenatal education, smoke free pregnancies where I am doing training for the Innov8 national smoke free team, Safe sleep education and work around Pepi Pods and wahakura and of course Breastfeeding and the impact Teethered Oral Tissue can have on Breastfeeding and for a lifetime.

Objective 1: Viewers will be able to assess, diagnose and grade different types of tongue ties, lip ties and other oral tethered tissue
Objective 2: Viewers will learn how to use the tool to diagnose and assess tongue ties, and be able to identify referral and treatment options/pathways, and learn how various treatments impact women’s experiences of breastfeeding- women’s stories and case studies.
Objective 3: Viewers will be able to apply learnings from the results of our audits over the past 4 years; and learn how to incorporate into their own practices ways to improve women's experiences.

Australia Alys Brown, Midwife, IBCLC, RLC
Abstract:

Tongue Tie..Is it? Isn’t it?...These questions we have faced the past 5 years in our practice here at Waikato Hospital. Secondary, Tertiary hospital area servicing 5,000 birthing women, their babies and families.We have had a 6% referral,treatment rate in 2011-12, 8% in 2012-13 and over 10% in 2013-2014 The incidence globally ranges from 4-13% of newborn babies are found to have this anomally. The theory of regression states that the lingual frenulum should regress while the baby develops in utero. However we challenge this theory and believe that environmentally this phenomenom is increasing, we are also getting better at spotting these tongue ties and active treatment is making a difference to initiation of breastfeeding and duration anecdotally from women within our Waikato population. We have undertaken audits around women’s satisfaction with the service and whether or not frenotomy does make a difference to the Women’s breastfeeding experience. I would like to share some of these experiences women and their babies have had- often these women do not have a voice and some Health professionals are very quick to discredit how a woman is feeling feeding a tongue tied and or lip tied baby. I wish to discuss these issues. We have also been approved to run a New Zealand Midwifery council approved course for midwives to recognise, treat and follow up tongue ties. I wish to discuss how this programme has helped more women access treatment through their own LMC’s- Lead maternity Carers.

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Durations: 63 mins
Sarah Buckley, M.B, Ch.B; Dip Obst
Hormonal Physiology of Childbearing
Australia Sarah Buckley, M.B, Ch.B; Dip Obst

Sarah is a former GP/family physician, mother of four homeborn children and author of the internationally best-selling book Gentle Birth, Gentle Mothering (Celestial Arts US, 2009). Her work critiques current practices in pregnancy, birth and parenting from the widest possible perspectives, including scientific, evolutionary, psychological and personal. Sarah has a particular interest in the hormonal physiology of pregnancy, labor and birth, and has written and lectured extensively on this subject. Her in-depth report, The Hormonal Physiology of Childbearing, which she has been working on with Childbirth Connection (US) since 2007, is due for release in late 2013. Sarah encourages us all to be well informed, to listen to our hearts and instincts, and to take our rightful place as the real experts in our bodies, our babies and our families. She lives with her family in Brisbane, Australia. See www.sarahbuckley.com and www.gentlenaturalbirth.com

Objective 1: Give one benefit for mother or baby of the normal physiology of each hormone in childbearing: Oxytocin, Beta-endorphins, Epinephrine-Norepinephrine and Prolactin
Objective 2:Give one effect on hormonal physiology for mother or baby for each intervention: Induction of labor, epidural analgesia, caesarean section
Objective 3: c: give three or more ways in which hormonal physiology can be supported for mother and/or baby

Australia Sarah Buckley, M.B, Ch.B; Dip Obst
Abstract:

Contemporary childbearing has benefited from many medical advances, and from highly skilled and committed maternity care providers. However, current high rates of maternity care interventions may be disadvantageous for the healthy majority. This presentation summarises the healthy functioning of hormonal physiology in relation to four important hormonal systems, and the benefits of physiologic childbearing for mother and baby. It also explores the possible impacts of common maternity care practices on this hormonal physiology, including induction of labor, epidural analgesia and caesarean section, and suggest midwifery approaches that may optimise hormonal physiology when intervention are needed. Dr Buckley also considers the hormonal physiology of childbearing in relation to other models including epigenetic perspectives and the developmental origins of health and disease (DOHaD) model. This presentation is based on Dr Buckley’s ground-breaking 2015 report Hormonal Physiology of Childbearing.

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Durations: 78 mins
Karen H. Strange, CPM, AAP/NRP Instructor, CKC
The Baby’s Experience of Birth, and Tools for Healing and Integration
USA Karen H. Strange, CPM, AAP/NRP Instructor, CKC

Karen H. Strange became a Licensed Midwife in 1988 and Clinical Director at Maternidad La Luz a high-volume birth center/midwifery school on the US/Mexico border. She is a Certified Professional Midwife. Served on the Texas Department of Health Midwifery Board and as chairperson of the Complaint Review Process Committee for six and half years. As an American Academy of Pediatrics/Neonatal Resuscitation Program instructor since 1991 teaching those who work in the out-of-hospital settings, having has taught over 8,000 people worldwide. She is founder of the "Integrative Resuscitation of the Newborn" workshop, a course that teaches the physiology of newborn transition, and the skill of neonatal resuscitation in a non-traumatizing way.

Lectures worldwide on neonatal transitional physiology and the baby’s experience of birth, changing the paradigm of our understanding of what happens at birth. She shares her “Simple Tools” to help babies integrate their experience.

Objective 1: Participantswill be able to recognize and relate to birth from the baby’sperspective/experience (not only the mother’s perspective/experience).
Objective 2: Participants will be able to name the key elements of the golden/sacred hour for healing and integration even when it does not occur in the hour after birth, and why it is important.
Objective 3: Participants will be able to list when and how newborns and babies show their story of what happened at their birth.They will learn how to support this process and be able to list what is happening.

USA Karen H. Strange, CPM, AAP/NRP Instructor, CKC
Abstract:

There is an embryological blueprint for what happens at birth (and before) for the baby on all levels of their being, physiologically, psychologically and emotionally. An awareness of this blueprint creates a new conceptual framework for what is embedded in the process of birth. Once you are aware of the sequence of events that occurs spontaneously throughout the process of gestation, labor, birth and beyond (a sequence that all mammals follow) you will have a glimpse of how birth was “set up to work in case no one was there”. When interruptions occur in the sequence of birth a profound imprint is left which impacts how we come into relationship with everyone we meet, with ourselves, and how we live our lives daily. Specific methods are taught for healing, repair and integration.

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Durations: 98 mins
Robbie Davis-Floyd, PhD, FSfAA (Fellow of the Society for Applied Anthropology)
Daughter of Time: The Postmodern Midwife
USA Robbie Davis-Floyd, PhD, FSfAA (Fellow of the Society for Applied Anthropology)

Robbie Davis-Floyd PhD, Senior Research Fellow, Dept. of Anthropology, University of Texas Austin and Fellow of the Society for Applied Anthropology, is a world-renowned medical anthropologist, international speaker and researcher in transformational models in childbirth, midwifery and obstetrics. She is author of over 80 articles and of Birth as an American Rite of Passage (1992, 2004), coauthor of From Doctor to Healer: The Transformative Journey (1998) and The Power of Ritual (2016), and lead editor of 10 collections, the latest of which is Birth Models That Work (2009), which highlights optimal models of birth care around the world. Volume II: Birth Models on the Global Frontier, co-edited with Betty-Anne Daviss, is in process, as is Sustainable Birth, co-edited with Kim Gutschow. Robbie serves as Editor for the International MotherBaby Childbirth Initiative (www.imbci.org) and Senior Advisor to the Council on Anthropology and Reproduction. Most of her published articles are freely available on her website www.davis-floyd.com.

Objective 1. Explain the terms “premodern,” “modern,” and “postmodern.”
Objective 2. Define the features of modernism and the characteristics of the modern midwife.
Objective 3. Name and describe the characteristics of the postmodern midwife.
Objective 4. Identify the possibilities the postmodern midwife represents for the global future of midwifery.

USA Robbie Davis-Floyd, PhD, FSfAA (Fellow of the Society for Applied Anthropology)
Abstract:

In this presentation, I will describe 8 global trends in midwifery and how "the postmodern midwife" is actuating those trends. I define the postmodern midwife as one who takes an informed and relativistic approach to different ways of knowing about birth and who strives to practice autonomously. Recognizing the limitations and strengths of the biomedical system and of her own, the postmodern midwife moves fluidly between them to serve the women she attends. She is a shape-shifter, a bridge-builder,a networker, and a traveler. Through her connections with other midwives around the world, she works to create a global and increasingly shared culture of midwifery as well as to preserve and carry forward the best of her own cultural traditions around birth.

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Durations: 53 mins
USA Rachel Reed, BScHons Midwifery, PhD

Rachel Reed is a Lecturer at the University of the Sunshine Coast. She has practised midwifery in a range of models and settings in the United Kingdom and Australia. Rachel is committed to the promotion of physiological birth, and of women's innate ability to birth and mother. She is a writer and presenter, and is also the author of the Midwife Thinking blog.

Objective 1:Describe the physiology of placental birth
Objective 2: Discuss elements of active management in relation to current evidence
Objective 3 : Delegates will be able to assess and provide appropriate woman-centred care during a physiological or actively managed placental birth

USA Rachel Reed, BScHons Midwifery, PhD
Abstract:

This presentation will explore midwifery practice in relation to placental birth. An overview of physiology will be provided. How midwives can provide an environment to support women during physiological placental birth will be discussed. Research relating to active management and its various components will be examined, for example, oxytocics, cord clamping and controlled cord traction. Common practices will be challenged, and suggestions for evidence-based and woman-centred approaches will be shared.

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Durations: 66 mins
Barbara Morrison, PhD, APRN-CNM
Breastfeeding: Only Nourishment or Part of a Larger Process?
USA Barbara Morrison, PhD, APRN-CNM

Barbara Morrison, PhD, CNM is an associate professor in the Janice M. Riordan Distinguished Professorship in Maternal Child Health at Wichita State University School of Nursing, Wichita, KS, USA. Dr. Morrison’s mission is to advocate, educate and inspire health care reform to enhance physiologically and ecologically appropriate care for the mother-newborn dyads especially as it relates to establishing breastfeeding, frequent Kangaroo Care (KC) and holding, and optimal attachment. Dr. Morrison’s research interests include the impact of breastfeeding and KC on psycho-neuro-endocrine development of newborns and parents, and implementing best evidence-based breastfeeding and attachment practices in hospital birthing and postpartum units and in the community. Dr. Morrison shares her research and passions through presentations, writings, radio shows and her website www.DrBarbCNM.com.

Objective 1: Describe the importance of nurturing for infant development.
Objective 2: Delineate the short and long-term benefits of breastfeeding and the affiliated nurturing process.
Objective 3: Discuss how an evolutionary habitat, Kangaroo Care, advances nurturing and infant development.

USA Barbara Morrison, PhD, APRN-CNM
Abstract:

The current paradigm of infant and family care is:
- Newborns are helpless
- Mothers are clueless
- Fathers are useless

But helplessness and separation negate evolutionary processes developed over millennia of mammalian existence. For our ancestors, who constantly held and carried their infants, breastfeeding was frequent snacking on infant’s schedule. Now, infants eat scheduled meals and sleep separated from mother. Breastfeeding is considered nourishment only. In reality, breastfeeding is part of a nurturing process promoting affectional bonding, emotional, behavioral and cognitive development, and providing protection from acute and chronic illnesses. Full benefits of this process come when infants are in their evolutionary habitat, skin-to-skin on their mother’s chest (Kangaroo Care, KC). In KC infants receive non-noxious emotional and sensory stimuli leading to better utilization of breastmilk and optimal hardwiring of the central nervous system. During this presentation breastfeeding as part of a nurturing process and the optimal environment will be discussed.

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Durations: 60 mins
Prelabor Cesarean born babies…and all the others

Michel Odent, MD, has been in charge of the surgical unit and the maternity unit at the Pithiviers (France) state hospital (1962-1985) and is the founder of the Primal Health Research Centre (London). He is the author of the first article in the medical literature about the initiation of lactation during the hour following birth (1977), of the first article about use of birthing pools (Lancet 1983), and of the first article applying the ‘Gate Control Theory of Pain’ to obstetrics (1975). He created the Primal Health Research database (www.primalhealthresearch.com). Author of ‘Childbirth and the Evolution of Homo sapiens’ and 12 other books published in 23 languages. Co-author of five academic books.

Objective 1: Attendees will be able to list the effects of stress deprivation at birth on the respiratory function.
Objective 2: Attendees will be able to describe the effects of stress deprivation at birth on the sense of smell
Objective 3: Attendees will be able to identify and explain ways to respond to the effects of stress deprivation at birth on the main metabolic pathways

Abstract:

The best way to evaluate the effects of stress deprivation at birth is to compare neonates born by pre-labor cesarean and all the others. There are documented differences regarding lung functions, sense of smell, brain development, metabolic pathways, establishment of the microbiome, and gene expression. In the current scientific context it would be relevant, from the point of view of the baby, to contrast birth with labor and birth without labor, instead of only contrasting vaginal route and abdominal route.

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Durations: 64 mins
From Lovers to Parents and Back Again: A Time of Shifting Sexual Identity

Dr. Gilliland is an AASECT Certified Sexuality Educator, a psychology instructor at Madison College, and is one of the first DONA International birth doula trainers. Over her twenty-five year career, her work has spanned the perinatal spectrum. Dr. Gilliland has published research on birth doula support for over ten years, but has also published on female sexuality. For UW Extension, Dr. Gilliland conducts workshops on attachment and infant mental health. She has worked with hundreds of families during the perinatal period. Her real love is taking research and making it immediately useful for those at her presentations. Dr. Gilliland is a lively and engaging speaker. Her newest venture is her blog, DoulaingTheDoula. For more information, please go to www.amygilliland.com.

Objective 1: Explain the subtle messages communicated to women about their bodies and sexual functioning during typical labor and birth experiences in North America.
Objective 2: Restate the possible emotional and sexual impact on husbands and male partners of viewing medical procedures and childbirth on their wife or female partner.
Objective 3: List birth procedures that affect sexual functioning and those that do not, explain the sexual concerns of both parents during the first year postpartum and List strategies midwives can employ that can assist with effective sexual adjustment.

Abstract:

All parents expect sexual adjustments during the postpartum period, however few report feeling prepared for the massive changes that occur. Research reveals that common birth practices negatively influence sex and sexuality for both men and women. They may also have a psychological impact that shows up in a couple’s sexual relationship. Midwives are uniquely situated to make changes to practice and communication that can positively influence pp sexual adjustment. In addition, midwives have the potential to fill the educational gap and provide postpartum support as parents work through these changes. This session reviews research to date and offers concrete suggestions during this life transition to a new identity.

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Accreditation

This program has been approved for 10.0 CERPs . If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please sent us an email to team@goldlearning.com if you have any questions.

Additional Details

Viewing Time: 6 Weeks

Tags / Categories

Midwifery

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