"Collaborate" - MANA 2017 Conference - Lecture Pack

In partnership with the Midwives Alliance of North America, GOLD Learning is thrilled to offer this series of selected presentations that took place at MANA 2017 in Long Beach, California from November 2-5, 2017. MANA's Annual conference is a great way to learn about the latest legal, medical and advocacy developments for midwives. This package offers 8 highly informative hours of continuing education from 8 Expert Speakers. If you were not able to attend this event in person, here is your opportunity to hear from some of the top experts in the field.

Midwives Alliance of North America     MANA 2017

$95.00 USD
Total CE Hours: 8.00   Access Time: 8 Weeks  
Lectures in this bundle (7):
Durations: 75 mins
A Holistic, Evidence Based Approach to Cholestasis Prevention and Management for OOH Setting

Ashley Jones, CPM, She began her journey into midwifery in 2011 as a doula before becoming a birth assistant in Washington in 2012. She started midwifery school in Fall 2014 and is on track to graduate this year. Ashley, a San Diego native, is a military wife and mother of 4.

Objective 1: Participants will be able to assess clients for ICP risk and assess clients for signs and symptoms of ICP;

Objective 2: Participants will be able to summarize diagnostic testing guidelines for at-risk clients and mild ICP clients;

Objective 3: Participants will be able to list natural remedies for prevention and management of ICP.


Intrahepatic Cholestasis of Pregnancy (ICP) is a complex liver disease which typically presents in the third trimester of pregnancy. Symptoms generally manifest as pruritus in the palms of the hands and soles of the feet, and can be more accurately confirmed with the presence of abnormal liver function lab results and elevated serum bile acid levels. ICP in itself is generally not harmful for the mother, but poses an increased risk of complications to the fetus in severe cases. This evidence-based session reviews the clinical presentation and diagnosis of ICP and makes recommendations to the holistic preventative support of at-risk clients as well as the holistic treatment of clients with mild ICP in an out-of-hospital setting. Additionally, this session will discuss parameters of the midwifery scope related to ICP and the potential need for collaboration, referral, and transfer of care.

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Durations: 85 mins
Wendy Gordon, LM, CPM, MPH
How to Use a Racial Equity Toolkit for Decision making in a Predominantly White Organization
USA Wendy Gordon, LM, CPM, MPH

Wendy Gordon, LM, CPM, MPH, is a Certified Professional Midwife and is licensed in Washington State. She is an Assistant Professor in the Department of Midwifery at Bastyr University and an active member of the Midwives Association of Washington State. She is a board member of the Association of Midwifery Educators and serves on various committees for NACPM and MEAC.

Objective 1: Participants will identify at least 3 ways in which unintended impacts can occur in a predominantly white organization’s decision-making;

Objective 2: Participants will be able to describe how other organizations/ agencies have utilized racial equity impact assessments;

Objective 3: Participants will be able to articulate how a racial equity impact assessment can help to mitigate unintended impacts;

Objective 4: Participants will have an opportunity to begin to develop a framework for the creation of a racial equity impact assessment toolkit that is specific to their own organization.

USA Wendy Gordon, LM, CPM, MPH

This session is geared primarily toward leaders in predominantly white midwifery organizations. Decisions are often made by white leadership without being aware of the white-dominant context of those decisions. Incorporation of a racial equity toolkit can help to create an intentional pause in the decision making process to consider all policies, initiatives, and actions with a racial equity lens. Racial equity impact analyses have been used in recent years by various governmental agencies in the United States and abroad with positive results, and emerging literature indicates that nonprofit organizations are having similarly positive results. This session proposes a stepwise framework for predominantly white midwifery organizations to incorporate a racial equity toolkit. Examples of the components of a midwifery-specific racial equity toolkit are included.

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Durations: 60 mins
Karen H. Strange, CPM, AAP/NRP Instructor, CKC
Pitfalls During Resuscitation of the Newborn
U.S.A. Karen H. Strange, CPM, AAP/NRP Instructor, CKC

Karen H. Strange is a Certified Professional Midwife (1996), American Academy of Pediatrics/Neonatal Resuscitation Program Instructor (1992).

She is founder of the Integrative Resuscitation of the Newborn workshop, which includes the physiology of newborn transition. She teaches the “when, why and how” of helping newborns that are either not breathing or not breathing well, with incredible clarity. She helps the provider have a sense of what the baby is experiencing which leads to a more appropriate response to newborns in need. Karen has done over 900+ hours of debrief/case reviews regarding resuscitation. She is an international speaker and has taught over 9,000 people worldwide. There are many neonatal resuscitation instructors but Karen teaches practical neonatal resuscitation, regardless of the place of birth. And her teachings instill a strong sense of confidence and competence in providers, so they can respond in the least traumatic way.

Objective 1: Explain what is happening in the first few breaths;

Objective 2: Explain the basic differences between the UK and AAP/NRP ventilatory strategies;

Objective 3: List 5 key failures in resuscitation and list 5 key components in successful resuscitation;

Objective 4: Identify the importance of knowing, practicing and being comfortable with their equipment and identify the importance of having their resuscitation equipment set up near the birthing mother;

Objective 5: Describe the two different breaths, for the two different needs of baby’s needing ventilatory assistance and describe effective ventilation;

Objective 6: Identify how to and for how long to provide stimulation during newborn resuscitation;

Objective 7: Identify steps involved to ensure an open airway and effective seal and identify steps involved in effective thermal management;

Objective 8: Identify when to breathe for a newborn that is not breathing or not breathing well at the time of birth and describe how newborns shift or transition from oxygenating through the placenta and cord to breathing with their lungs;

Objective 9: Name the most common resolution to a baby experiencing respiratory distress;

Objective 10: List 2 critical things to remember if they are experiencing panic with a severely compromised newborn.

U.S.A. Karen H. Strange, CPM, AAP/NRP Instructor, CKC

Karen Strange delves into the subject that she knows best: neonatal resuscitation. Karen has accumulated over 900 hours of case reviews surrounding neonatal resuscitation. She focuses on what gets missed, what is misunderstood and the role that fear and panic plays. In this lecture, Karen sheds light on the most common failures and misconceptions that come up in neonatal resuscitation. She’ll explain the key failures as well as the key components to successfully breathing for a newborn. You’ll leave her lecture feeling a new sense of clarity and deep confidence in how you respond to babies at birth.

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Durations: 80 mins
Treating for Two: Pharmacology and the Midwife’s Client

Vicki Penwell has been a Licensed Midwife in the USA since 1983 and an international practicing midwife since 1991, when she began living and volunteering in Southeast Asia. She founded and directs Mercy In Action, and to date, more than 14,000 babies have been delivered free of charge in the birth centers this non-profit organization establishes and oversees in the Philippines. Vicki has consulted on maternity care projects in Africa, Asia and Latin America, and has personally led an initial disaster team response to provide maternity care following Typhoon Haiyan. She is also the founder of Mercy In Action College of Midwifery and is involved in ongoing continuing education for maternity care providers worldwide.

Objective 1: Define the current situation with drug use among pregnant women in USA;

Objective 2: Describe history of a few infamous drug and pregnancy disasters ;

Objective 3: Describe new FDA classifications for pregnancy;

Objective 4: Describe how to go about registering pregnant clients who take drugs for drug studies;

Objective 5: Discuss how to help pregnant women avoid dangers when “treating for two”.


This session will make midwives aware of the challenges of drug use among pregnant women, including the home birth client. Nine out of ten pregnant woman takes at least one over the counter or prescription drug; most take an average of three to five drugs during pregnancy. Midwives will look at ways they can participate in studies and protect the health of their clients, while helping the client weigh what drugs are essential and which ones should be avoided if at all possible.

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Durations: 90 mins

Cynthia B. Flynn has a Master’s and PhD in Sociology from the University of North Carolina, Chapel Hill, and a Master’s in Nursing from Yale University. She was tenured in Sociology at the University of Kansas, where she specialized in Marriage and the Family and Research Methods. She has practiced as a full-scope Certified Nurse-Midwife in home, birth centers and hospital settings for over 20 years. In addition she has done extensive research on the latest findings about domestic violence. She has conducted 10 sessions of “Daddy Boot Camp” for both male and female perpetrators of domestic violence, and speaks regularly at national conventions for health care providers about the assessment and treatment of domestic violence. She also does individual and couples counseling for persons involved in DV.

Objective 1: Learner will be able to list types of domestic violence other than intimate terrorism, and which types are illegal;

Objective 2: Learner will be able to describe how the legal system treats different types of DV, and the resulting effects on the family, especially the fetus and children;

Objective 3: Learner will be able to explain how mandatory arrest laws differentially affect middle-class white couples vs. low-income African-American couples;

Objective 4: The learner will be able to identify key components of an effective treatment program when considering referrals.


There are many types of domestic violence other than intimate terrorism, and which types are illegal. Learner will be able to describe how the legal system treats different types of DV, and the resulting effects on the family, especially the fetus and children. Learner will also be able to explain how mandatory arrest laws differentially affect middle class white couples vs. low-income African-American couples. Finally. learner will be able to identify key components of an effective treatment program when considering referrals.

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Durations: 80 mins
Gina Gerboth, MPH, RM, CPM, IBCLC
Best Practices in Charting: Lessons Learned from the 4.0 MANA Stats Validation Project
USA Courtney Everson, PhD
       Gina Gerboth, MPH, RM, CPM, IBCLC

"Courtney L. Everson, PhD, is the Dean of Graduate Studies, Co-Chair of the Ethical Review Board, & Academic Faculty at the Midwives College of Utah, Salt Lake City, UT. Dr. Everson is also the Director of Research Education for the Midwives Alliance of North America (MANA) Division of Research (DOR); and serves on the Boards of Directors for the Association of Midwifery Educators (AME), the Midwifery Education Accreditation Council (MEAC), and the Academic Collaborative for Integrative Health (ACIH). As a Medical Anthropologist, Dr. Everson's research and teaching specializations include: perinatal health; human childbirth; adolescent pregnancy and parenting; psychosocial stress; social support; doula care; midwifery care; research and clinical ethics; evidence-informed practice; interprofessional collaboration; mixed methodologies; health inequities; culturally safe care; social justice; and marginalized communities. Dr. Everson actively publishes in academic forums, and is an invited, avid speaker at local, national and international venues. Courtney is also a practicing birth doula and perinatal health educator in the Denver-metro area of Colorado.

Gina Gerboth, MPH, RM, CPM, IBCLC, has been practicing midwifery since 2010 and has a busy home birth practice in Denver, Colorado. She received her Master of Public Health degree with a concentration in Maternal and Child Health in December of 2015 from the Colorado School of Public Health, which is an educational consortium through University of Colorado, Colorado State University, and University of Northern Colorado. During her graduate program, she participated in the 4.0 MANA Stats validation project for her practicum. She began teaching and developing curricula at Midwives College of Utah during the summer of 2016. She has been a board member of the Colorado Midwives Association since 2013, and has served as President since October of 2014. She was actively involved in Colorado’s legislative year in 2016 for the reauthorization of the Direct-Entry Midwives Practice Act. Additionally, she has been an IBCLC since 2008, and credits her passion for breastfeeding as leading her toward midwifery. Prior to this work, she was a Policy Analyst for the US Department of Agriculture, Congressional Aide, and a freelancer in the publishing industry. "

Objective 1: Explain the importance of validation in clinical care research;

Objective 2: Describe trends in electronic health records;

Objective 3: Identify common abbreviations and conventions in charting;

Objective 4: Compare legal, clinical, regulatory, and research implications of charting;

Objective 5: Deconstruct midwife (personal and professional) biases in charting;

Objective 6: Analyze confidentiality and privacy protections for the client during charting;

Objective 7: Identify critical, chartable information throughout the childbearing year;

Objective 8: Describe HIPAA requirements during charting;

Objective 9: Create inclusive forms for charting with diverse communities;

Objective 10: Explain appropriate personnel during charting.

USA Courtney Everson, PhD
       Gina Gerboth, MPH, RM, CPM, IBCLC

Accurate charting is a critical midwifery skill. Charts are legal records and are important for a multitude of reasons. Charts provide a narrative of each client encounter. Charts are critical to interprofessional collaboration during times of consult, referral, and transfer. Charts add clarity when there is a question regarding the events of care, especially during litigation or regulatory investigation. Finally, charts can assist researchers in obtaining valid data as part of perinatal data registries. Limitations of midwife charting were identified during the 4.0 MANA Stats Validation project. This session is based on an analysis of charts received during the project. The purpose of this session is to provide recommendations, skills, and tools that will help midwives to improve charting efficiency, clarity, and consistency. Session content will apply to both paper charts and electronic health records, and will include: interdisciplinary trends in health records; the legal, regulatory, research, and clinical implications of health records (the “why” of charting); recognizing critical, chartable information that should be included in all clinical encounters (the “what” of charting); tips for writing clear, useful notes (the “how” of charting); tools for the appropriate incorporation of essential information into the record (the “where” of charting); the appropriate timing of entry (the “when” of charting); and identifying the appropriate persons for chart writing and review (the “who” of charting). Resulting improvements in charting will support future validation studies of the MANA Stats perinatal data registry, protect midwives and clients during courses of care, and help advance midwifery professionalism.

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Durations: 60 mins
USA Jamarah Amani, Community Midwife, CLC

Jamarah Amani is a community midwife who believes in the power of birth and that every baby has a human right to be breastfed/chestfed. Her mission is to do her part to build a movement for Birth Justice locally, nationally and globally. A community organizer from the age of sixteen, Jamarah has worked with several organizations across the United States, the Caribbean and in Africa on various public health issues, including HIV prevention, infant mortality risk reduction, access to emergency contraception and access to midwifery care. She is currently the director of Southern Birth Justice Network, a 501(c)3 non-profit organization. Jamarah studied Africana Studies, Women’s Studies and Midwifery at centers of learning such as University of Pennsylvania, Clark Atlanta University and, most recently, International School of Midwifery. Jamarah is also a Certified Lactation Consultant. In addition to raising four lively children (who are also raising her), Jamarah offers midwifery care, breastfeeding consultations and childbirth education to families and communities across the state of Florida. Jamarah is the 2016 recipient of the MANA Sapling Award.

Objective 1: Participants will be able to define key aspects of the Birth Justice framework;

Objective 2: Participants will identify major public health issues related to maternal and child health;

Objective 3: Participants will analyze barriers related to healthy equity and access to midwifery care.

USA Jamarah Amani, Community Midwife, CLC

Black low‐income women have a higher primary c‐section rate (first‐time mothers) than any other group. In the United States, Black women are almost four times more likely to die from pregnancy-related causes than white women. Black babies are more than twice as likely to die in the first year of life as white babies. According to Amnesty USA, these are human rights violations. How do interpersonal, institutional and internalized racism impact life and death in our communities? How do barriers such as poverty, immigration status, economic disparity and various forms of discrimination affect an individual's ability to receive quality reproductive health care? Given this context, what is the responsibility of midwives Who have historically been advocates for and caretakers of people from marginalized communities?

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