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GOLD Learning Birth & Beyond Online Symposium 2022

Join us live on October 17 & 18! This event has is approved for 8 CMEs and Nurse Contact Hours. CERPs & MEAC Midwifery CEUs are applied for

The birth of a child is a vulnerable time full of profound changes. Respectful, kind, culturally sensitive and evidence-based care results in families who feel valued and empowered as they start their new journey. This has far reaching implications for the physical and mental health of both the parent(s) and child, and society as a whole. The GOLD Birth and Beyond Symposium provides you with the clinical skills you need to help your clients successfully navigate pregnancy, birth and the adjustment to parenthood. We have a fantastic program rich with transferable and practice-changing knowledge, that will help you to elevate the care you provide and improve outcomes.

Learn more about the complexities of concealed pregnancy, father inclusive prenatal care, Denmark's innovative approach to reducing cesarean rates and breastfeeding in the light of Islamic law. Advance your clinical skills with presentations on pelvic anatomy and physiology and how to prevent injury during birth, assessment and management of hypermobility spectrum disorders in pregnancy, putting trauma sensitive care into practice and somatic experiencing to promote healing in the fourth trimester.

SAVE when you register early! Register by Sept. 30, 2022 & save on Early Bird Discount! Regular registration price comes into effect on October 1.

Want to Sign Up as a Group of 5 or more? Contact us at [email protected]

We look forward to having you join us for this exciting day of learning!

$90.00 USD
Total CE Hours: 8.00   Access Time: 8 Weeks  
Lectures in this bundle (8):
Duration: 60 mins
Reducing Cesarean Rates Through Teamwork and Innovation: A Case Study From Denmark

Kamilla Gerhard Nielsen is as obstetrician and psychotherapist part of the delivery unit in Aabenraa in Southern Denmark. A unit that has worked towards minimizing intervention in a safe environment with good outcome for mother and child. After joint effort from doctors and midwifes the department now has a cesarean section rate of 13 %, which is the lowest in Denmark. The rate of elective cesarean is 3 % and the unit has a high rating of satisfaction in Denmark from women giving birth.

Kamilla teaches with in several countries on the Upright Breech Birth, Fear of Childbirth and Occiput Posterior workshops. All theoretical and practical workshops with the aim of reducing unnecessary intervention in childbirth.

1: Describe current trends in obstetric interventions and the importance of monitoring in our individual institutions.
2: Describe ways to foster positive teamwork between doctors and midwives
3: Explain how counselling techniques can be used to decrease cesarean rates

Abstract:The cesarean delivery rate in America has increased steadily from 5% to 30-32% over the last 50 years, along with an increase in costs as well as short- and long-term maternal, neonatal and childhood complications. In Denmark, extensive teamwork between obstetricians and midwives has succeeded in reducing the cesarean section rate at the Hospital of Southern Jutland (SHS). Ten initiatives were implemented over eight years from 2010 to 2018. The department focused on natural childbirth, teamwork, vaginal breech birth, VBAC and only performing cesarean section (CS) when medically indicated.
After implementation of the initiatives at SHS the rate of elective CS decreased from 8% to 3%, emergency CS stable at 13%, and the overall CS rate decreased from 20% to 16% in 2021. In comparison the national rate went from 21% to 19%.
These reductions were made without any significant increase in birth complications such as instrumentation at vaginal delivery, low pH or low Apgar scores. One of the biggest changes at SHS is the rate of vaginal birth after previous cesarean section. The department has a team working to support women with fear of childbirth by making specific birthing plans. The department shares a belief that a good vaginal birth experience is better than an elective cesarean if the women feels safe.
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Duration: 60 mins
Grace Abruzzo, PT, DPT, WCS
Birth Preparation to Prevent Injury and Promote Healing
United States Grace Abruzzo, PT, DPT, WCS

Grace Abruzzo PT, DPT, CAPP-OB, CD(DONA), PYT-C, (she/they) is a licensed physical therapist and trauma healer specializing in pelvic health. A certified specialist in obstetric and pelvic physical therapy, Dr. Grace uses an integrative approach to treating people in preparation and recovery from childbirth, conception, menstruation and menopause. Dr. Grace also spends time in birthing spaces, supporting mamas during labor and birth.

Dr. Grace utilizes an integrative approach to wellness, which includes interventions like education; manual therapeutic techniques, including visceral, myofascial, and internal pelvic mobilizations; yoga therapy; meditation practice; Compassionate Inquiry TM, and Somatic Experiencing TM.

1. Describe the pelvic and vulvovaginal anatomy and physiology and why this information matters.
2. Explain the relationship between fetal and maternal positioning in support of labor progression.
3. Describe the current research as it relates to maternal positioning for labor and birthing, spontaneous pushing, perineal preparation

United States Grace Abruzzo, PT, DPT, WCS

Having a strong understanding of pelvic and vulvovaginal anatomy and physiology is crucial to help prepare the birthing body for childbirth. Whether preparing for homebirth, birthing center, or hospital setting, prevention of injury of the birthing person supports a healing and positive birthing and post-partum experience. Deepen your knowledge of the fascia, pelvic joints, muscles and nerves in the pelvis and learn what the latest research tells us about positioning for labour and birth, spontaneous pushing and perineal preparation and common myths.

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Duration: 60 mins
Sylvia Murphy Tighe, RGN RM PHN MSc
Concealed Pregnancy: A Misunderstood Phenomenon
Ireland Sylvia Murphy Tighe, RGN RM PHN MSc

Dr Sylvia Murphy-Tighe is a midwife, public health nurse and Lecturer in Midwifery at the Department of Nursing and Midwifery, University of Limerick. Her research interests include vulnerability, maternal and infant health and community engagement. Her doctoral research was funded by the Health Research Board Research (Research Training Fellowship, and defended her PhD in 2017. She developed a grounded typology of concealed pregnancy in order to increase understanding of this phenomenon. She has brought The Spaces Between Us Visual Art Exhibition to Ireland from Australia in order to raise public awareness of concealed pregnancy and the tragic outcomes that can ensue and er research has featured in radio & TV interviews.
Dr Murphy-Tighe has many practice-based links to maternity and community-based nursing and NGO services. She is a co- investigator on the PART-IM project (UL) which is a participatory health research projects involving migrants and is currently leading a pilot study of a training programme involving community nurses enquiring about domestic violence and abuse. She is also an active member of @CA18211 Devotion an EU COST Action working on birth related trauma and PTSD. Additionally she is supervising masters and doctoral researchers in the area of perinatal mental health. Dr Murphy-Tighe has several ISI publications and is a member of the Health Research Institute at the University of Limerick. For further information see

1: Define concealed pregnancy and describe key antecedents, attributes and consequences of concealed pregnancy
2: Describe the complex presentations, prevalence rates and outcomes for women, infants and society that are associated with a concealed pregnancy
3: Explain the need for a trauma sensitive approach to care for women who experience a concealed pregnancy

Ireland Sylvia Murphy Tighe, RGN RM PHN MSc

Concealed pregnancy is a contested issue and ambiguity relating to definitions has hindered practice/policy developments. This presentation aims to assist participants understanding of concealed pregnancy. A range of terms have been used such as concealed, denied, disavowed, negated, cryptic, rejected and secret pregnancy. Women who experience a concealed pregnancy are sometimes pathologised or demonised, with reductive definitions characterising them. Research and practice surrounding concealed pregnancy predominantly privileges the views of professionals. The literature generally approaches concealed pregnancy from a biomedical perspective with links made to mental illness (Murphy Tighe and Lalor 2016a) yet research into neonaticide found psychopathology was rare. Concealed pregnancy is a fearful and traumatic experience with lifelong consequences which must be fully understood as some women are paralysed and unable to access healthcare if they have experienced early life traumatic/abusive experiences. This presentation draws on research funded by the Health Research Board, Ireland. Data includes interviews with thirty women who experienced a concealed pregnancy, as well data from twenty two cases of public interest drawn from media reports, serious case reviews into infant deaths and interactions with professionals. Contemporary cases will be used and vignettes from women will provide context to the evidence based literature on concealed pregnancy.

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Duration: 60 mins
Father Inclusive Prenatal Care: Coparenting Support for Expectant Fathers and Mothers

Paul Florsheim is a professor of public health at the University of Wisconsin Milwaukee and a Clinical Psychologist. He received his BA in History from Wesleyan University, an MA in Social Sciences from the University of Chicago, and a PhD in Clinical Psychology from Northwestern University. Dr. Florsheim’s research interests include public health approaches to supporting the development of adolescents and young adults, with a particular focus on healthy relations and the prevention of mental illness. He teaches courses at the that intersection of mental health and public health, including workshops on supporting young parents across the transition to parenthood. Dr. Florsheim has published over 50 journal articles and three books, including "Lost and Found: Young Fathers in the Age of Unwed Parenthood" and "The Young Parenthood Program: A Guide to Helping Young Mothers and Fathers Become Effective Co-parents, both published by Oxford University Press. Among his current research/intervention endeavors, Dr. Florsheim is co-directing the Father Inclusive Prenatal Care study in Chicago, which is funded by the Administration for Children and Families.

1. Describe the value of providing parenting education and co-parenting support for young expectant fathers
2. Describe the primary goal of each phase of the FIPC program
3. Describe research findings that support the efficacy of co-parenting support services for fathers


Father Inclusive Prenatal Care (FIPC) services are designed to provide expectant fathers with co-parenting support and parent education to help assure a successful transition to parenthood. We know that children are more likely to thrive when fathers are positively engaged in child-rearing. The two fundamental premises of the FIPC model are that: (1) many new fathers need support to successfully meet the interpersonal and psychological challenges of parenthood; and (2) prenatal clinics are well situated to address this need by expanding services to include expectant fathers. The FIPC approach begins with an engagement process that underscores the developmental significance of fatherhood, identifies what each father needs to prepare for parenthood, and tailors services to address those needs. The components of the FIPC program include communication skill building, psychoeducation about newborn care, and psychological support to help young men and women develop their identities as parents. This presentation will be delivered in three parts. Part one introduces the FIPC model, describing the step by step process of program delivery. Part two uses case material to demonstrate how to tailor FIPC services to individualized needs. Part three briefly describes ongoing research that supports the efficacy of the FIPC model.

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Duration: 60 mins
Mandy Irby, BSN, RNC-OB, C-EFM, LCCE
Trauma-Informed Care: A Guide to Patient Advocacy for Trauma Survivors
United States Mandy Irby, BSN, RNC-OB, C-EFM, LCCE

Mandy Irby, pronouns are she/her, is a board certified labor nurse with 13 years of experience supporting survivors of assault and trauma through pregnancy, birth planning, and at their bedside during childbirth and pregnancy loss. After experiencing her own birth trauma, she quickly learned that the birth care system is NOT centered on human rights, patient choice, and the individual experience. In 2020, Mandy made education a full-time career. She now teaches and supports parents and nurses how to better center voice, choice, and physiology in birth. It's Mandy’s mission to change birth culture so that it's parent-centered, trauma-informed, and safe for all.
Mandy enjoys teaching in-person, in whole-team learning: Peanut Ball, Labor Support Skills and Trauma-Informed Care At the Bedside workshops. She also supports local parents with small-group Spinning Babies® Parent Classes when in-person learning is safest. Mandy is also an international educator through her online, on-demand childbirth ed classes and she supports anxious parents-to-be with virtual, one-on-one trauma-informed birth strategy sessions. She’s the co-founder of Fearless Birth, Delivered, founder and owner of The Birth Nurse®, and a proud co-creator of the BRAND NEW Trauma-Informed Birth Nurse Program. As a creative educator, Mandy is also the co-author of an Amazon best-seller, Baby Got VBAC, and reaches millions of viewers each month through her engaging, tongue-in-cheek social media platforms.
When she’s not working from home, Mandy might be found at any local plant nursery adding to her, some may say, out-of-control house plant collection. She’s a serial craft starter and non-finisher, loves walking her doodle puppy, and playing in the creek with her 2 kids.

1. Identify 5 risk factors for birth trauma.
2. Describe 3 examples of a ""hotspot"" in the context of PTSD after childbirth, that can be mitigated to decrease risk for birth trauma.
3. Describe how perinatal health care professionals can advocate for patient safety and feelings of security.

United States Mandy Irby, BSN, RNC-OB, C-EFM, LCCE

Thanks to the brave whistle blowers who have shared their stories, the community at large has become increasingly aware of the prevalence of sexual assault and trauma. Healthcare professionals report a lack of education specifically related to the care of assault survivors and an eagerness to learn trauma-informed care practices. A shift in care practice is nearly impossible, however, if healthcare professionals, especially nurses, hold a feeling of perceived powerlessness in their professional role. In this session, we’ll review patient advocacy definitions as they relate to a patient-centered standard of care. Participants will also learn how to provide compassionate, trauma-sensitive care to survivors of trauma while preventing further harm. Instead of feeling powerless, participants can begin to develop awareness of the unique superpowers that perinatal healthcare providers possess and receive a foundational understanding for how to be strong, confident patient advocates.

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Duration: 60 mins
A New Approach to the Fourth Trimester and Postpartum Healing

Kimberly is a Sexological Bodyworker, Somatic Experiencing trauma resolution practitioner, Structural Integration practitioner, culture worker, and single mom. She specializes in helping women heal from birth injuries, gynecological procedures and sexual boundary ruptures. She is the author of the early mothering classic The Fourth Trimester: Healing Your Body, Balancing Your Emotions and Restoring Your Vitality and Call of the Wild: How We Heal Trauma, Awaken Our Own Power and Use It for Good- a feminist nervous system treatise, as well as the newly released Reckoning, co-authored with Stephen Jenkinson. She is the host of the Sex Birth Trauma podcast.

1. Describe the four domains of health that influence the postpartum experience.
2. List the five cross-cultural universal postpartum needs.
3. Describe the five channels of inner and outer experience, as a tool to help clients get out of looping cycles of shame and blame


Somatic Experiencing is a body-oriented therapeutic model that supports the regulation of the autonomic nervous system. Reframe your approach to the fourth trimester by learning how to work with your client’s physiology to promote healing. Learn more about the four domains of health that influence the postpartum experience, the five cross-cultural universal postpartum needs and the five channels of inner and outer experience, as a tool to help clients get out of looping cycles of shame and blame.

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Duration: 60 mins
Monika Patel, DPT, CSCS
Hypermobility Spectrum Disorders (HSD) and Pregnancy: Assessment and Clinical Management
United States Monika Patel, DPT, CSCS

Monika Patel, Doctor of Physical Therapy and Strength and Conditioning Specialist has a passion for empowering women to prepare mentally and physically for a well-balanced parenthood. She is currently undergoing the American Physical Therapy Association's Certificate in Obsetrics. She has applied her knowledge toward preventative medicine and established Train4Birth, an affordable online education and beneficial movement course with a built-in accountability feature. She is also the mother of a truck-loving toddler and couldn’t be happier than digging with him in the backyard.

1. Explain hypermobility and its potential effects on the pregnant population
2. Describe how to screen for hypermobility
3. Describe care recommendations for the hypermobile pregnant population

United States Monika Patel, DPT, CSCS

Hypermobile Ehlers-Danlos Syndrome (hEDS) and Hypermobile Spectrum Disorder (HSD) are estimated to affect 6 million (4.6%) pregnancies globally per year. As such, cases of hypermobility in maternity services should no longer be considered rare, only rarely diagnosed. Learn more about the potential impact of hypermobility on pregnancy, how to screen for it and clinical management. Useful hypermobility screening tools and decision-making matrices for birth workers, relative to a patient’s degree of hypermobility, will be outlined.

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Duration: 60 mins
Fayrouz Essawy, MD, IBCLC
Amal El Taweel, MD, PHD, IBCLC, FABM
Breastfeeding in the Light of Islamic Law
Egypt Fayrouz Essawy, MD, IBCLC
       Amal El Taweel, MD, PHD, IBCLC, FABM

I am Dr. Fayrouz Essawy, pediatrician, neonatology consultant, an international board-certified lactation consultant, Neonatology Egyptian fellowship trainer, a baby friendly health initiative coordinator and Associate alumni, Harvard medical school I work as a neonatologist in El Mounira NICU In 2016, I joined the LCCC course as a trainer, lecturer and course developer to train and qualify the medical team for IBCLC certification under the auspices of ELCA along with my work as a lactation consultant and a baby Friendly Coordinator and Trainer for a 20-hour course since 2019 in Rofayda maternity Hospital And I become a Neonatology Egyptian Fellowship trainer in 2020 I Got a Training, Egypt TOT (Training of Trainers), Harvard Medical School 2020 And, Research Training for Egyptian Researchers, Harvard Medical School 2021. I am a member of the Egyptian Society of Pediatrics, the Egyptian lactation consultant association (ELCA), the academy of breastfeeding medicine (ABM) and the international lactation consultant Association (ILCA)

I am Dr. Amal El Taweel and I am a graduate of Faculty of Medicine, Cairo University, class of 1986. I obtained Masters of Pediatrics in 1992 from Faculty of Medicine, Cairo university, and Doctorate of Pediatrics from Al Azhar university in 2002. I became an IBCLC in 2003. Since 2004 I have been providing a pre-exam course for the Egyptian Lactation Consultants' Association of which I am a board member, treasurer and education coordinator. I am also a member of the Advisory committee of IBFAN Arab world since 2012. I am a member of ILCA since 2008 and a member of the Academy of Breastfeeding Medicine (ABM) since 2009. I became a fellow and Board member of ABM in 2021.

1. Describe the Islamic view of the importance of breastfeeding and optimal duration.
2. Explain the rights of a pregnant and nursing mother in Islam.
3. Explain the Islamic provisions of milk kinship and its biological implications.

Egypt Fayrouz Essawy, MD, IBCLC
       Amal El Taweel, MD, PHD, IBCLC, FABM

Breastfeeding is one of the matters that Islamic Sharia has given great importance. This is due to its importance and the fact that it replaces lineage in several matters, and the provisions of breastfeeding are many, including those related to the nursing mother and what pertains to the infant, as well as those related to and consequent on the milk itself.
The provisions of breastfeeding in Islam are many, including the provisions of fasting for a nursing mother and the mother’s right to receive the reward for breastfeeding her child, in the event that she is divorced, or revocable and her waiting period has expired, or if she is in the waiting period of death.
Also Islam fully supports adoption and encourages sponsoring orphans, rearing them, treating them kindly and seeing to their needs and interests. But adoption in Islamic law has rules and conditions that must be adhered to. there are some differences between Islam and the present system in other cultures, when we come to the implications and legal consequences of adoption. The rules come directly from the Quran, which gives specific rules about the legal relationship between a child and his/her adoptive family. Muslim women who adopt children may try to breastfeed these children in accordance with the provisions of Islamic Shariah law, which is to breastfeed the infant from three to five full feedings or more when the child is less than two years old.

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CERPs - Continuing Education Recognition Points:
This activity has applied for 8 CERPs (1 L-CERP, 7 R-CERPs). GOLD Learning is designated as a Long Term Provider of CERPs by the International Board of Lactation Consultant Examiners (IBLCE) -Approval #CLT114-07. Applicable to International Board Certified Lactation Consultants (IBCLCs), Certified Lactation Counsellors (CLCs), Certified Lactation Educators (CLEs), Childbirth Educators (CBEs) and doulas.

CMEs - Continuing Medical Education Credits for Physicians & Nurses
The AAFP has reviewed the activity and deemed it acceptable for AAFP credit. Term of approval is from 10/17/2022 to 10/17/2023. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for 8 AAFP Prescribed
CME credits are valid until 10/17/2023.

Midwifery CEUs - MEAC Contact Hours
This program has applied for 8 Hours, the equivalent of 0.8 CEUs with the Midwifery Education & Accreditation Council (MEAC).

Nurse Contact Hours
This nursing continuing professional development activity was approved by the American Nurses Association Massachusettsan accredited approver by the American Nurses Credentialing Center's Commission on Accreditation for 8 Nursing Contact Hours
Nurse Contact Hours are valid until 9/15/2024.

If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please send us an email to [email protected] if you have any questions.

Additional Details

Viewing Time: 8 Weeks

Tags / Categories

(IBCLC) Clinical Skills, (IBCLC) Education and Communication, (IBCLC) Psychology, Sociology, and Anthropology, (IBCLC) Public Health and Advocacy, Anatomy & Physiology of Pregnancy & Birth, Birth, Pregnancy & Postpartum Around the World, Breastfeeding Around the World, Cesarean Birth, Fathers in Perinatal Care, Lactation & Breastfeeding, Maternal Illness, Perinatal Mental Health, Postpartum, Postpartum Care, Pregnancy, Labour & Childbirth, Prenatal Care, Trauma-Informed Care

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