Respectful Pelvic Exams From a Trauma-Informed Lens
Pelvic Exams are so commonplace in midwifery practice that we often fail to appreciate their significance in our client’s lives. Pelvic exams have the potential for both trauma and trust-building in the midwife-client relationship.
Trauma manifests in our clients lives and bodies in a myriad of ways. Statistically, a majority of our clients have experienced various direct traumas in their lives, with a significant portion focused on pelvic trauma & assault. Additionally, clients hold the epigenetic trauma from historical wrongs in gynecology and treatment of bodies in various lineages as a result of white supremacy and toxic patriarchy.
All bodies deserve respectful care. When done carefully, pelvic exams have the potential to be safe, trust-building experiences with the benefit of seeking key medical information. Together, we will interrogate the common pelvic exam from a trauma-informed lens and consider our practices carefully. We will build strategies for respectful pelvic exams, including managing pain & anxiety in clients, what to do when clients do (and don’t!) disclose past trauma, avoiding triggers, and consider modifications to our own practices.
This presentation was originally presented at our 2023 GOLD Midwifery Conference.
Molly Dutton-Kenny is an American & Canadian midwife. Trained in the USA in community homebirth midwifery, she now makes Canada her home and practices as a Registered Midwife with her loving family & community. She supports education for midwifery students through National Midwifery Institute, and community education around full spectrum pregnancy loss and abortion, respectful pelvic exams, and midwifery-based management and support of these experiences, centering home and holistic medicine as options for most people. You can read more about her work at www.mollyduttonkenny.com.
Objective 1: Describe sources & contexts of historical & personal reproductive traumas. Objective 2: Assess their own practices about pelvic exams. Objective 3: Describe new strategies for respectful, trauma-informed pelvic care.
Pelvic Exams are so commonplace in midwifery practice that we often fail to appreciate their significance in our client’s lives. Pelvic exams have the potential for both trauma and trust-building in the midwife-client relationship.
Trauma manifests in our clients lives and bodies in a myriad of ways. Statistically, a majority of our clients have experienced various direct traumas in their lives, with a significant portion focused on pelvic trauma & assault. Additionally, clients hold the epigenetic trauma from historical wrongs in gynecology and treatment of bodies in various lineages as a result of white supremacy and toxic patriarchy.
All bodies deserve respectful care. When done carefully, pelvic exams have the potential to be safe, trust-building experiences with the benefit of seeking key medical information. Together, we will interrogate the common pelvic exam from a trauma-informed lens and consider our practices carefully. We will build strategies for respectful pelvic exams, including managing pain & anxiety in clients, what to do when clients do (and don’t!) disclose past trauma, avoiding triggers, and consider modifications to our own practices.
Accreditation
Midwifery CEUs - MEAC / NARM Contact Hours
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) for 1 Contact Hour (0.1 MEAC CEU).
It is also recognized by the North American Registry of Midwives (NARM) for 1 CEU/Contact Hour. Please note that 0.1 MEAC CEU is equivalent to 1.0 NARM CEU/Contact Hour.
ACNM CEs
This program is approved for 1 Contact Hour (CE) by the American College of Nurse-Midwives. This credit is applicable to Nurse-Midwives, Certified Midwives, Registered Nurses and may be accepted by other certifying bodies.
ACM CPD Endorsed Hours
This is an Australian College of Midwives CPD Endorsed Activity. This program is approved for 1 ACM CPD Endorsed Hour.
CERPs - Continuing Education Recognition Points
Applicable to IBCLC Lactation Consultants, Certified Lactation Consultants (CLCs), CBEs, CLE, Doulas & Birth Educators.
GOLD Conferences has been designated as a Long Term Provider of CERPs by IBLCE--Approval #CLT114-07. This program is approved for 1 R-CERP.
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
(IBCLC) Psychology, Sociology, and Anthropology, Decision Making & Consent, Pregnancy and Trauma, Trauma-Informed Care
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