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Midwifery / Childbirth Continuing Education Course Bundle #5 (7 Hours)

This is a series of lectures originally presented at our 2019 GOLD Midwifery Conference.

Gain insights into how we can humanize birth, ways we can engage fathers, handling complications and emergencies, perinatal cannabis use, pharmacologic management of nausea and vomiting, advances in upright birth positioning, managing back pain with sterile water injections and so much more. With expert speakers, such as Betty-Anne Daviss, Lesley Page, Jus Crea Giammarino, Sally Pezaro and Vicki Chan to name just a few, this conference promises to be full of both information and inspiration.

$170.00 USD
Total CE Hours: 13.50   Access Time: 8 Weeks  
Lectures in this bundle (13):
Duration: 60 mins
Engaging Fathers in Maternity Care

Duncan Fisher promotes and develops support for parents to advance child health and development. In the last year he has been working with breastfeeding researchers across the world and with the World Alliance for Breastfeeding Action to advance the idea of "breastfeeding as teamwork", following striking findings from research of the high gains from engaging with fathers and other family members. In UK he co-founded the Fatherhood Institute and for three years he served on the Board of the Government’s gender equality body, the Equal Opportunities Commission. He manages the website,, where all recent research on breastfeeding and fathers/families is reported. He initiated and currently manages a website for Cambridge and Princeton Universities reporting research on child welfare and development, He was awarded an OBE by the Queen in 2008 for his “services to children”. Duncan lives in Wales and divides his time between family work and work to support sustainable economic development in his home country.

Objective 1: Describe the needs and motivations of fathers.

Objective 2: Describe the biology of fatherhood.

Objective 3: Describe why maternal health services find it inherently difficult to engage fathers.


I will address seven questions. (1) Why we should engage fathers? (2) What does the World Health Organisation say on this? (3) What are the needs and motivations of fathers? (4) What biological and brain changes take place in men when they cuddle a baby? (5) What difference does engaging fathers make to health outcomes for mother and baby? (6) How to organise engagement with fathers in a health service? (7) Why is it so difficult to maintain strong engagement with fathers?

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Duration: 58 mins
Janelle Komorowski, DNP, CNM, ARNP
Evidence-based Pharmacologic Management of Nausea and Vomiting in Pregnancy
United States Janelle Komorowski, DNP, CNM, ARNP

Janelle has worked as a midwife for 32 years and has taught nursing and midwifery students since 1999. She is an assistant professor at Frontier Nursing University, and co-chair of ACNM BirthTOOLS subcommittee and the Right Care Alliance Women’s Council. She lives off-grid in a tiny house in the mountains of northeast Washington state.

Objective 1: List three factors that must be assessed to determine the severity of the woman’s nausea and vomiting in order to guide the treatment goals.

Objective 2: Identify a barrier to use of combination doxylamine succinate and pyridoxine tablets.

Objective 3: List three pharmaceuticals in the antihistamine category that are commonly used to treat nausea and vomiting in pregnancy, and discuss their safety profiles.

Objective 4: List three classes of dopamine antagonists used for nausea and vomiting in pregnancy and the maternal side affects associated with them.

Objective 5: Describe three risk factors associated with serotonin antagonists.

Objective 6: Describe management of the hypovolemic client with nausea and vomiting.

United States Janelle Komorowski, DNP, CNM, ARNP

Nausea and vomiting in pregnancy remain one of the most persistent and frustrating problems for both expectant mothers and their prenatal care providers. Forty percent or more of women will experience symptoms beyond the first trimester. Evidence for first-line pharmacologic treatments as well as off-label and botanical medicines is discussed, along with efficacy, risks, benefits, and the shared decision-making process in selecting a treatment. Outcomes, prognosis, and treatment of special populations are examined.

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Duration: 67 mins
Sally Pezaro, RM BA (Hons), RM, MSc, PhD
Exploring the Needs of Childbearing Women with Hypermobile Ehlers-Danlos Syndrome (hEDS)
United Kingdom Sally Pezaro, RM BA (Hons), RM, MSc, PhD

Dr Sally Pezaro is an Academic midwife, and an editorial board member of the British Journal of Midwifery and the International Journal of Childbirth. She is also a member of the Mary Seacole Awards steering group funded by Health Education England, a panelist on the Nursing and Midwifery Council’s fitness to practise Investigating Committee and ‘The Academic Midwife’ on Facebook. Sally has experience working as a midwife clinically in the United Kingdom, the Gambia and Ethiopia. Reflecting on her own experiences, Sally has developed a passion for supporting the psychological wellbeing of health care professionals. Throughout her PhD work, Sally secured the case for developing an online intervention, designed to primarily support midwives in work-related psychological distress. The overriding vision for Sally’s ongoing research is to secure a psychologically safe professional journey for midwives and excellence in maternity care. Her latest work focuses upon improving maternity care for those childbearing with hypermobile Ehlers-Danlos syndrome (hEDS), transgender communities, substance use and domestic violence in particular.

Objective 1: Explain the clinical characteristics of hEDS.

Objective 2: Describe appropriate care planning solutions as part of a multidisciplinary team.

Objective 3: List the needs of childbearing women with hypermobile Ehlers-Danlos Syndrome (hEDS).

United Kingdom Sally Pezaro, RM BA (Hons), RM, MSc, PhD

The Ehlers-Danlos Syndromes (EDS) are inherited multi-systemic conditions affecting all connective tissues. Those affected perceive a lack of understanding. Hypermobile EDS (hEDS) is the most common subtype, with significant implications for childbearing women, for whom it is more common. This seminar will present and discuss evidence-based maternity care considerations for this unique subgroup of childbearing women, derived from a recent review of the evidence and an international qualitative study. Greater understandings could translate into practical improvements within maternity care, and a reduction in physical trauma and psychological distress for those with hEDS. Participants are invited to actively engage in critical thinking, practical solutions planning and translating this research into real and positive improvements for maternity services.

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Duration: 78 mins
Lesley Page, CBE, PhD, MSc, BA, RM, HFRCM, Hon DSc
Humanising Birth
United Kingdom Lesley Page, CBE, PhD, MSc, BA, RM, HFRCM, Hon DSc

Professor Lesley Page CBE PhD, MSc, BA (open), HFRCM, Honorary DSc, RM, RMT. served as President of the Royal College of Midwives from April 2012 till June 2017. Lesley has considerable international experience. She has over 300 publications. Lesley was the first professor of midwifery in the UK at Thames Valley University and Queen Charlotte’s Hospital. Throughout her career Lesley Has continued to be involved in hands on practice. She is Visiting Professor of Midwifery at the Florence Nightingale School of Nursing and Midwifery, King’s College London, Honorary Research Fellow Oxford Brookes University and Adjunct Professor University of Technology Sydney and Griffith University Australia. Lesley received the International Alumni Award University of Technology Sydney in 2013 and was conferred with an Honorary Doctor of Sc by University of West London in November 2013. In 2014 she was made a Commander of the British Empire (CBE) for services to midwifery. The emphasis of her current work is the humanization of maternity care.

Objective 1: Discuss humanisation of birth and describe humanization as a continuum.

Objective 2: Describe how wider politics impact our ability to provide humanised care around birth.

Objective 3: Explain the importance of widening our scientific base, integrating with human rights, and how policy and organization of care facilitates humanised practice.

United Kingdom Lesley Page, CBE, PhD, MSc, BA, RM, HFRCM, Hon DSc

Humanising birth is an approach that recognises the significance of birth not only to the baby being born, the woman becoming mother, and her family, but also to society. Humanisation of birth goes beyond a focus on medical care and simply reducing mortality and morbidity. Humanisation of birth aims to give the best start in life; supports reduction of the excessive medicalization of birth, while ensuring appropriate and balanced medical care is accessible to all women, their babies and families. We will consider the wider politics, international and national, the status of women, developing health services policy and organization, human rights in birth, broadening our science base to include all relevant evidence, and the development of humanised maternity systems and practice. Moving from broad views to focus on practice will provide the opportunity to think, reflect, develop ideas and to act, for everyone involved in maternity care.

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Duration: 60 mins
Nigel Lee, BHlthSci, MMId, PhD
Managing Back Pain in Labour Using Sterile Water Injections
Australia Nigel Lee, BHlthSci, MMId, PhD

Nigel is a Midwife with clinical, education, research and policy experience. The main focus of his research has been on optimising care during childbirth. His PhD research explored the use of sterile water injections for the relief of back pain in labour. His work in this area is ongoing and has contributed to the increased use of this novel, simple and effective analgesic technique in Australia and the United Kingdom. Nigel has also published in the area of normal labour progress, including a randomised trial of labour documentation and management incorporating practice recommendations from the American College of Obstetricians and Gynaecologists, and retrospective studies into strategies for preventing severe perineal injury. Nigel is currently a Midwifery researcher and lecturer for the School of Nursing, Midwifery and Social Work at the University of Queensland and an Honorary Research Fellow with the Mater Research Institute.

Objective 1: Identify risk factors for back pain in labour;

Objective 2: Describe the physiology of back pain in labour;

Objective 3: Discuss the research surrounding the use of sterile water injections; and

Objective 4: Describe the procedure and techniques for using sterile water injections in labour.

Australia Nigel Lee, BHlthSci, MMId, PhD

Up to 30% of women experience severe back pain in labour. In qualitative studies women have described how labour back pain limited their mobility and altered their plans for analgesia use. Injections of small amounts of sterile water into the skin of the lower back are used to alleviate back pain for up to two hours. Whilst much research supports the effectiveness of the technique critics suggest a placebo effect or dismiss the procedure as ‘midwifery voodoo’. This presentation will examine the causes and physiology of back pain in labour, examine and critique the research into sterile water injections and describe the techniques, benefits and limitations for use in clinical practice.

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Duration: 63 mins
Jennifer Hoeprich, CPM, CMT, Certified Hypnotherapist (CHt)
Mindfulness & Meditation for Midwives & Mamas
United States Jennifer Hoeprich, CPM, CMT, Certified Hypnotherapist (CHt)

Jennifer had an epiphany in the moments following her son’s natural birth with a midwife in 2004. She said, “I want her job!” Jennifer became certified as a doula, and then a childbirth educator, and finally obtained her Certified Professional Midwife credential in 2011. She has operated her solo practice, Moxie Midwifery, in Chandler, AZ, since that time, and has gone on to obtain certification as a Hypnotherapist and Meditation Teacher. She also cofounded a mother’s empowerment group, Magical Mama Retreat, in 2013. She now spends her time serving midwifery clients, leading women’s circles and mama meditation classes, and enjoying her family, especially her 15-month-old daughter.

Objective 1. Describe the emerging science on the effects of mindfulness and meditation practice for mental and physical health.

Objective 2. Apply basic practical skills of mindfulness and meditation, including methods for responding skillfully to physical pain, stress, and difficult emotions and thought patterns as well as integrating mindful awareness into ordinary daily activities.

Objective 3. Describe how to intentionally cultivate positive emotions such as gratitude, joy, kindness, compassion, equanimity, and forgiveness.

Objective 4. Describe how to effectively present this information to clients and encourage regular practice.

United States Jennifer Hoeprich, CPM, CMT, Certified Hypnotherapist (CHt)

A simple and effective mindfulness and meditation program, designed for midwives to use for themselves and teach to their clients, is presented. Stress can contribute to and certainly exacerbates nearly all pregnancy, labor, and postpartum health issues and complications. Yet, there is little regarding stress management included in midwifery texts. Midwives may feel ill equipped to assist clients in dealing with generalized stress. Further, midwives themselves may lack the tools to moderate their own stress levels that naturally result from the demands of midwifery. Studies show that mindfulness and meditation both have the effect of reducing stress, and, in some cases, have improved clinical outcomes in patients. Both mindfulness and meditation will be discussed, and participants will leave with a downloadable, small-scale daily mindfulness and meditation PDF program, utilizing proven stress-management techniques, designed to be easily implemented, both by midwife and client. Participants will be invited to engage in practice of these techniques, throughout the presentation.

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Duration: 61 mins

Raised with her Penobscot culture and Native American spiritual practices, Dr. Jus Crea realized the healing powers of nature at a young age. Rich with ancestral knowledge of healing, medicine, and midwifery, Dr. Jus Crea received a Doctorate in Naturopathic Medicine from the University of Bridgeport and a BS in Ethnobotany and Holistic Health from UMass, Amherst. She has also been trained as an auricular acupuncture detox specialist at Lincoln Hospital, WTS therapy for restorative healing as well as Indigenous Midwifery with Mewinzha Ondaadiziike Wiigaming. She is also a Certified Indigenous Breastfeeding Counselor. Dr. Jus Crea has lectured extensively on herbal medicine, ethnobotany, midwifery, naturopathic medicine, environmental medicine, and cultural history and traditions of Wabanaki people. She was previously an adjunct professor of Nutrition at Springfield College and Pathology at STCC as well as a primary care physician in Brattleboro VT. Dr. Jus Crea has been practicing Naturopathic Family Medicine at The Integrative Health Group in Springfield MA since 2005.

Objective 1: Explain the core concepts and philosophy of naturopathic medicine and holistic health care.

Objective 2: Demonstrate how to prescribe herbal medicine for delivery and labor support.

Objective 3: Demonstrate how to prescribe homeopathic remedies for delivery and labor.

Objective 4: Discuss how to utilize various holistic modalities and treatments for aiding women in labor.


Naturopathic medicine is a holistic, patient centered approach to healthcare. Expanding our tool bag to assist women in labor and delivery will be helpful knowledge for all midwives to attain. In this lecture, we will delve deep into naturopathic medicine for labor. We will detail herbal medicines for ease of delivery, induction, and delayed labor including specific indications and dosages. Homeopathic remedies with specific indications and dosages along with other holistic health care modalities for delivery and labor will be taught. We will also touch on herbal medicine and homeopathy for hemorrhage and perineal care.

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Duration: 70 mins
Perinatal Cannabis Use Around the Globe: Research, Policy and Legal Implications

Heather Thompson, MS, PhD, is a molecular and cellular biologist, clinical researcher, birthworker and queer parent. She has worked on issues related to reproductive health for more than 25 years, advocating for equity, access and autonomy in childbirth. From 2010-2017 she was the Research Director at a freestanding birth center in Colorado, advocating for midwives and community birth through data generation, analysis and dissemination. Currently she is the Deputy Director of Elephant Circle, a birth justice organization that allows her to combine her background in birth access and equity with science and community organizing. She is passionate about supporting the family unit and helping families navigate their own journey, particularly as it relates to maternity care, birth choices and legal cannabis. Born and raised in Colorado, in the US, Heather enjoys being outside around a campfire with her partner, two kids and larger community.

Objective 1. Discuss differences in rates of perinatal cannabis use across three different countries.

Objective 2. Recite recommendations about perinatal cannabis use by worldwide organizations.

Objective 3. List the differences between THC and CBD.


Increased cannabis liberalization has resulted in a more active conversation about perinatal cannabis use, but globally, research and policy perspectives vary dramatically. This presentation will provide a summary of the endocannabinoid system, international rates of perinatal cannabis use, and varying beliefs about the use of cannabis as medicine across the globe. We will explore the published research on the potential health effects of perinatal cannabis use, highlighting physiologic harm reduction strategies. Beyond the health implications, we will discuss the relationship between professional organizational recommendations and the care pregnant and lactating families receive when healthcare policies reflect an abstinence-only approach. Any risk/benefit analysis about perinatal cannabis use should include the potential for significant legal and governmental intervention, which has its own set of outcomes and implications. Finally, the emerging science of high CBD/low THC products will be presented with an eye towards understanding the potential implications of perinatal CBD use.

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Duration: 60 mins
Ready, Response-able, Resilient; Handling Complications & Emergencies

Sarita Bennett, DO, grew up in the Appalachian Mountains in traditions that valued self-reliance and resourcefulness. After experiencing hospital birth in 1978, she began to understand why her elders had told her that birth belongs at home. Sarita began practicing midwifery in 1980 to provide the option she had been looking for in her community and couldn’t find. Her education was experiential and supplemented by any resource available. In 1994, she entered the West Virginia School of Osteopathic Medicine and, upon graduating with honors, completed a community-based Family Medicine Residency, returned to her hometown in WV, and opened a Family Medicine clinic providing full-spectrum care. From 2013 - 2021, Dr. Bennett lived in the Charlottesville, VA, area where she trained midwifery and physician assistant students while providing care for home birth families and at her free-standing birth center. She is currently enjoying being retired, living back home in the mountains of WV, and watching the next chapter of life begin to unfold.

Objective 1: List key ingredients for preparing for handling complications and emergencies.

Objective 2: Explain the importance of a shared mental model.

Objective 3: Discuss how to apply specific leadership skills for team debriefing.


This session addresses the competencies midwives need to manage complications and emergencies regardless of the situation, and when or where it occurs. How do we prepare for the many possibilities that can come a midwife’s way and feel confident in our abilities to think on our feet and work together for optimal outcomes? How do we improve our teamwork and ability to respond? After an emergency is over, what tools can we use to evaluate how to improve our practice? How do we heal our own trauma? We will take a look at ways to answer these questions with a focus on improving communication, teamwork, and leadership skills.

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Duration: 61 mins
Role of Midwives in Humanitarian Crisis

Dr. Iftikher Mahmood was born in Cox's Bazar, Bangladesh. He graduated from Chittagong Medical College, University of Chittagong, Bangladesh in 1987. Subsequently he completed Pediatric Residency training from Brooklyn Hospital, New York and fellowship training in Pediatric Endocrinology from New York Hospital - Cornell University. Dr. Mahmood established;HOPE Foundation for Women; Children of Bangladesh, in 1999 in the USA as a charitable organization with a mission to provide healthcare to the poor and needy women and children in Bangladesh. Through HOPE Foundation he established HOPE Hospital, midwifery training program, 5 rural birth centers, 4 rural health centers in Cox's Bazar. Under his leadership, HOPE established extensive Rohingya response services with 9 primary care centers and SRH centers and a field hospital for women. Under Dr.Mahmood’s leadership HOPE Foundation is currently building first standalone 75 bed fistula and maternity center in the country. Dr Mahmood is the convener of biennial international conference on maternal health and fistula in Cox's Bazar, Bangladesh.

Objective 1: Discuss some challenges faced by midwives;

Objective 2: Explain skills development in humanitarian settings;

Objective 3: Describe the value of coordination with other health professionals in humanitarian settings.


Midwives are among the health professionals who provide care early during a humanitarian emergency and stay on for the long term. Women and children become significantly at risk of various reproductive morbidities during crises and are of greatest concern to midwives. Nurse midwives play an important role in women’s access to reproductive and maternal health services all over the world especially at the periphery of the health care system where there are no doctors. Midwives are more so needed in areas like Bangladesh where over 90 percent of the population lives in rural areas. To this end, the global community has a duty in the development of the midwifery profession. After all the nursing & midwifery philosophy of caring for individuals, families and communities in need places us in a better position to be actively involved with populations affected by crisis. Nurses and midwives are frontline workers and provide a wide range of health services, which include promotive, preventive, curative, rehabilitative and supportive care to individuals, families and groups.

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Duration: 80 mins
Speaking Truth to Power: Childbirth Models on the Human Rights’ Frontier

Betty-Anne Daviss MA, RM has been a midwife for 45 years on various continents, and a researcher in the social sciences and clinical epidemiology for 30. She cites learning from traditional midwives from Guatemala to Afghanistan as one of the highlights of her career. While acting as the project coordinator for the Safe Motherhood Initiative of FIGO in 2004, the follow-up to the Term Breech Trial was published and she switched focus to search across Europe for best breech practice. In 2009, she persuaded Andre Lalonde of the Society of Obstetricians and Gynaecologists to bring Frank Louwen, from Frankfurt to the SOGC AGM to present on upright breech and helped organize several breech conferences in Ottawa, Washington D.C., and across Europe 2009-2019. She has provided lectures in China, India, Africa; and Latin America on Human Rights in Childbirth, using the return to breech as one model solution. Working between Ottawa and Frankfurt 2008-2016, she became the co-principal investigator and principal writer for the Frankfurt study comparing vaginal breeches born with the mothers upright vs on their backs (2017) and co-authored other articles with the Frankfurt team on twins and MRIs in the breech. In 2013 she introduced a new technique to retrieve the aftercoming head in the vaginal breech to avoid forceps. Her manual “Rethinking The Physiology of Vaginal Breech Birth,” describes vaginal breech history, new manoeuvres of upright breech, and the research to support them. She is the principal editor of a recently published book, Birthing Models on the Human Rights Frontier: Speaking Truth to Power, a colourful combined activist/academic treatise on social justice issues (2021).

Objective 1: Name some principles of the Human Rights’ Declarations that can be used to establish childbirth rights but how goals such as the MDGs drive the neoliberal policies of privatization and centralization of services that are detrimental to low risk childbearers;

Objective 2: Name some communities that are fighting back and explain how their models deal with the problems created by hierarchical systems, including those that tackle the bullying between the medical profession and other professions and the bullying among practitioners in the oppressed female-dominated professions. To recognize that citizens of low resource countries have solutions from which we can learn, such as how to go about normal physiologic breech birth; and

Objective 3: Name 2 solutions to problems that appear to dominate the struggles of these communities.


This presentation traces how national and international efforts to improve childbirth care have graduated from disenfranchised social movements in the 1970s and 1980s to entrenchment of human rights in childbirth in UN declarations and the courts. Dynamic communities around the world that are rejecting the imposition of status quo dysfunctional pregnancy and childbirth systems and replacing them with more appropriate models of care will be highlighted. Using unorthodox means, such as employing non physicians to do cesareans, placing a psychologist instead of an obstetrician in charge of the caseroom, choosing to support instead of arrest and eliminate the traditional midwives, I present these iconoclastic models that work even under dire circumstances, in countries as diverse as China, Canada, India, Afghanistan, Turkey, Hungary, Tanzania, Palestine and Mexico. Tackling the problems of the neoliberal drive for privatization and centralization of health care services and the bullying between and among the professions, I demonstrate how the use of radical, conscious change in birth practices, puts practitioners at their peril who choose to take their stand with childbearers, but places power and control in the right hands.

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Duration: 63 mins
Vicki Chan, RN, RM
The Story of the FreMo Birth Centre. Midwifery Care in a Low Resource Setting.
Australia Vicki Chan, RN, RM

Vicki Chan is the mother of four children, and one very happy grandmother. She has been a midwife since 1983, working in hospitals, birth centre, and 25 years in homebirth practice. Presently she is working in a private hospital facilitating normal birth and has private practice rights at the Sunshine Coast University Hospital. She leads (radical) preparation for birth for parents-to-be and, with midwife Lynne Staff, is co-presenter for the Better Birth Workshops for birth-workers. She loves to write poetry, make pottery, and has published her first children’s book.

Objective 1: Describe what qualifies a ‘low resource centre.'

Objective 2: Explain the role of midwifery in a low-resource centre; and

Objective 3: List the methods one can take to value/promote/build/sustain normalcy in the maternity care system.

Australia Vicki Chan, RN, RM

Sub-Saharan Africa has experienced little improvement in maternity outcomes in recent years (World Health Organization[WHO], 2014) and yet, in an informal settlement in Nairobi, where the urban poor suffer the greatest losses of mothers and babies (Ndirangu, 2015; Ziraba, Madise, Mills, Kyobutungi, & Ezeh, 2009), one place stands out.

“An equal chance at life and love”.
This phrase is embedded into the vision of the not-for-profit, privately-run Fremo Birth Centre(FBC).
Although under-staffed and under-resourced, the FreMo Birth Centre provides
o  free/small cost maternity care focusing on normal birth, including breech, twins, VBAC.
o  well baby/well woman/family planning/post abortion care.
o  zero maternal mortality or serious injury (including no 3rddegree tears or beyond)
o  neonatal morbidity/mortality far below national figures.
(Fremo Medical and Birth Centre, 2011-2017; WHO, 2014).
On behalf of those heroes who run the centre on a day-to-day basis, I am honoured to tell their story. Vicki Chan

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Duration: 58 mins
Saraswathi Vedam, Professor and Principal, Birth Place Lab at UBC
“They Threatened and Bullied Me”: Examining Disparities in Autonomy, Respect, and Mistreatment Across Childbearing Communities
Canada Saraswathi Vedam, Professor and Principal, Birth Place Lab at UBC

Saraswathi Vedam is Lead Investigator of the Birth Place Lab at University of British Columbia. Over 35 years, she has been a midwife, educator, and researcher. She led the provincial, community-based participatory studies, Changing Childbirth in BC and the Giving Voice to Mothers Studies, exploring access to respectful maternity care across birth settings in North America. These projects led to two new quality measures: the Mothers’ Autonomy in Decision Making (MADM) scale and the Mothers on Respect (MORi) index, that assess quality and safety as defined by the service user. She is currently PI of a 5-year CIHR funded national study of respectful maternity care across Canada. Professor Vedam has been active in setting international policy on place of birth and interprofessional collaboration. She led a multidisciplinary team to conduct the Access and Integration Maternity care Mapping (AIMM) Study; convened 3 national Home Birth Summits; and chaired the 5th International Normal Labour and Birth Research conference.

Professor Vedam has been active in setting national and international policy on place of birth, and midwifery education and regulation. She has provided expert consultations to policy makers, public health agencies, and legislators in Mexico, Hungary, Chile, China, the Czech Republic, Canada, the US, and India. She was Convener and Chair of 3 national Home Birth Summits. At these historic summits a multi-stakeholder group of leaders (clinicians, consumers, policymakers, legislators, researchers, ethicists, and administrators) crafted a common agenda to address equitable access to high quality care across birth settings in the United States.

Objective 1: Describe the Giving Voice to Mothers Study and development of the MADM, MORi, and PPEMP scales in the context of Patient Oriented Outcomes research.

Objective 2: Describe research on maternity care experience that address person-centred outcomes in high, middle and low resource countries.

Objective 3: List discrepancies in experiences of high quality care and respectful treatment by care providers, based on race, ethnicity, place of birth and socio-economic status globally.

Objective 4: Name two evidence based resources that can implement recommendations based on the findings of emerging participatory research on respectful maternity care.

Objective 5: Discuss the results of the GVtM studies within the global context for improving access to high quality care in institutions.

Canada Saraswathi Vedam, Professor and Principal, Birth Place Lab at UBC

New global standards highlight the critical impact of patient-provider communication, emotional support, and respectful care (RMC) on quality and safety for mothers and newborns. Yet, very little is known about how people experience maternity care in high and middle resource countries; and validated indicators of RMC are scarce.

Researchers have proposed that institutional racism and lack of access to autonomy and respect, and physiologic birth options, contribute to adverse outcomes. Community members in Canada and the US worked with clinicians, NGO leaders, and researchers to design a study on quality of maternity care as experienced by pregnant persons from communities that experience higher rates of adverse outcomes due to race (African American, Indigenous, and Latina), immigrant or refugee status, or social barriers (homelessness, incarceration, substance use). Together they developed and administered a cross-sectional online survey and convened focus groups to explore novel topics including: women’s experiences of agency in decision-making, non-consented care, access to supportive services, and systemic respect or discrimination over the course of care.

Through these large community-based participatory research projects, we validated three new quality measures, the Mother’s Autonomy in Decision Making (MADM) scale and the Mothers on Respect (MORi) index, and the Pregnant Persons Experience of Mistreatment by Providers (PPEMP) Index, and adapted a fourth, the Perceptions of Racism scale. Using these as indicators, and adjusting for differences in socio-demographics, risk profile, type of provider, and place of birth, our multi-stakeholder team has completed descriptive, psychometric, regression, and mixed-effects analysis of data from over 5000 women in the US and Canada.

In this session we will explore how these reports of the lived experience of care can help us to understand how to address equitable access to the highest quality of care across all communities.

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This program is approved for 13.5 hours of education by the American College of Nurse Midwives. This credit is applicable to Nurse-Midwives, Certified Midwives, Registered Nurses. May be accepted by other certifying bodies.

Midwifery CEUs (MEAC Schools:)
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) for 7 Contact Hours or 0.7 CEUs. Please note that 0.1 MEAC Midwifery CEU is equivalent to 1.0 NARM CEUs.

CERPs - Continuing Education Recognition Points:
GOLD Conferences have been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07. This program is approved for 10.5 CERPs (R-CERPs).

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.

Tags / Categories

Birth Advocacy, Birth Complications, Birth, Pregnancy & Postpartum Around the World, Bullying in Midwifery, Fathers in Perinatal Care, Hyperemesis, Maternal Illness, Medication & Herbs, Mindfulness & Meditation, Substance Use, Theories of Pain & Pain Management

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