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Supporting Birth in Challenging Situations

If you missed out on MANA 2019 it’s not too late! GOLD Learning is thrilled to partner with the Midwives Alliance of North America, (MANA) again this year and extend the reach of the latest midwifery education across the globe. The 2019 conference was nurturing, inspiring and an opportunity to learn from other birth workers who understand the deep investment, challenges and personal sacrifices midwives make for the families they serve. Incredible speakers shared their wisdom and expertise at MANA 2019 and a select number of presentations are being made available for a global audience through GOLD Learning. Earn up to 5 continuous hours of education from the comfort of your home, don’t miss this amazing opportunity and register today!

Midwives Alliance of North America     MANA 2019

$75.00 USD
Total CE Hours: 5.00   Access Time: 5 Weeks  
Lectures in this bundle (5):
Duration: 60 mins
Sterile Water Injections for Lower Back Pain in Labor

David Carter-Plake, LM, CPM began his career in Maternal and Child Health over 25 years ago working in hospital systems as a labor and delivery nurse. After completing disaster relief work in New Orleans and Haiti, David started searching for alternative ways to provide services to people in need of maternity care. Finally deciding on the traditional midwifery path instead of nurse midwifery, David attended Midwives College of Utah graduating with an Associate of Science in Midwifery degree in 2018 and will complete a Bachelor of Science of Midwifery in August 2019. David is planning on continuing his education at MCU in the graduate degree program with a focus on midwifery education. David lives in El Paso, Texas where he has a solo midwifery practice, Imagine Midwifery Services, providing birth center and home birth care to birthing people of El Paso, Southern New Mexico, Chihuahua, Mexico and beyond. David has 5 dogs and one 20-year-old cat. He enjoys reading, travel, movies, and watching the performing arts in his leisure time.

Objective 1: Participants will be able to list 3 etiologies of lower back pain in labor;

Objective 2: Participants will be able to list 3 benefits of sterile water injections for management of lower back pain in labor;

Objective 3: Participants will be able to list any contraindications to sterile water injections for management of lower back pain in labor;

Objective 4: Participants will be able to create an informed consent for use of sterile water injections for lower back pain in labor.


This offering will introduce learners to the use of sterile water injections as an alternative pain relief method for lower back pain during labor. A review of lower back anatomy and causes of lower back pain during labor will provide a solid knowledge base before learning the principles of intradermal analgesia, including how to place intradermal sterile water injections for lower back pain management in labor. Participants must be willing to actively participate in hands-on practice on one another of intradermal injections in both the arm and lower back.

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Duration: 60 mins
Vaginal Breech Birth: A Workshop on New Evidence and Techniques to Bring it Back

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: Participants will be able to demonstrate with a doll and pelvis the cardinal movements of the descent of the breech, identify when there are problems, and describe how to rectify them;

Objective 2: Participants will be able to cite at least 3 new manoeuvres that are used in the upright breech birth;

Objective 3: Participants will be able to cite at least 3 pieces of research that challenge the use of breech manouevres on the back and discuss the advantages of physiological management.


In both high and low resource countries, misleading research and ongoing assumptions about the safety of cesarean section have attempted to relegate the practice of vaginal breech birth to an ancient art, useful only for the historical archives. In spite of the fact that the follow up to the Term Breech Trial reported that vaginal breech birth is NOT associated with higher risk of death or neuro developmental issues in children of 2 years of age, and positive research over the last two decades, obstetric units in North America have only feebly embraced the reality that vaginal breech should be offered. In the absence of choice in obstetric units, and as obstetricians have become more deskilled at normal vaginal breech birth, midwives' clients and their midwives, have been at the helm of the movement to return vaginal breech birth to North America. The midwife presenter, who regularly attends vaginal breeches in Ottawa, Canada, will review the normal cardinal movements of descent of the breech and the research of colleagues in Frankfurt and Ottawa about how to troubleshoot when there are difficulties with the breech. There will be demonstration through PowerPoint and videos how easily babies can come out on their own, but also when and how to intervene for lack of general descent, lack of rotation of the shoulders, and lack of flexion and rotation of the head.

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Duration: 60 mins
Understanding Shocks as it Relates to Estimated Blood Loss

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: Participants will be able to describe the different types of shock including similarities and differences;

Objective 2: Participants will be able to describe the difference and similarity of vasovagal syncope and shock;

Objective 3: Participants will be able to apply critical care principles of hypovolemic shock to better evaluate postpartum hemorrhage.


In this workshop we will discuss the causes and manifestations of shock including understanding the difference between vasovagal syncope and hypovolemic shock. Rather than relying on subjective measurements of estimated blood loss and applying one definition of postpartum hemorrhage to all pregnant people regardless of size, we will turn to a critical care understanding of classifications of hemorrhage based on percentage of total blood volume. Using this more individualized way to determine blood loss, we will use several examples to look at how different weights can impact how much blood loss can be tolerated.

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Duration: 60 mins
Stephanie Anne Berry, Clinical Herbalist, LM, CPM
Using Herbs in Pregnancy from a Constitutional Model
USA Stephanie Anne Berry, Clinical Herbalist, LM, CPM

Stephanie Anne Berry, Clinical Herbalist, LM, CPM is a clinical herbalist and midwife. Her primary focus is to help women reclaim their health and reconnect to their bodies in every stage of the pregnancy journey. She teaches and consults with women about fertility and holistic health in pregnancy. After training with local herbalists, Aviva Romm, and Susun Weed, Stephanie has 10+ years sharing herbal medicine with women and children. After herb school, she trained as a midwife in order to elevate and introduce holistic medicine to new families. Her goal is to bridge the gap between the allopathic model and nature-based medicine. She co-founded CALYX Wellness Studio, a collaborative healing space for professionals, to share resources and work as a team to offer integrative care plans from a multi-modality perspective. Her herb and midwifery practice is active, vital, and ever-growing to find new ways to support health now and for future generations.

Objective 1: Participants will use organoleptic assessment of 3 commonly used herbs and apply the results to cases/clients;

Objective 2: Participants will assess and compare basic safety guidelines to the herbs discussed;

Objective 3: Participants will be able to recognize and describe the 2 main types of constitutions and the 2 variants;

Objective 4: Participants will demonstrate by role play choosing a remedy based on the presented body types.

USA Stephanie Anne Berry, Clinical Herbalist, LM, CPM

Midwives have the unique experience of continuous and regular care for 6-10 months of a woman's life. We become a trusted resource and a fountain of knowledge for emerging parents. Midwives often pride themselves in low intervention and “natural” ways of healing and promoting physiologic birth. Herbal medicine is a large part of this work. Using supportive and holistic remedies, like plant-based teas, tinctures and food choices, midwives can direct clients to prevention and early “treatment” of minor illness and common complaints of pregnancy. Unfortunately, many midwives have limited knowledge of why certain herbs are used, why they work, or when to properly apply the herbs. In my discussion, you will gain a basic foundation of what constitutional herbalism is and why certain herbs affect a body process or body system and learn how to ‘naturally’ apply our knowledge of commonly used/referred to herbs and supplements.

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Duration: 60 mins
Karen H. Strange, CPM, AAP/NRP Instructor, CKC
When, Why and How to Breathe for Baby at Birth: More than Neonatal Resuscitation and the Failures in Resuscitation
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: Participants will be able list the most likely resolution to a baby in respiratory distress or in need of neonatal resuscitation. They will be able to describe how to give the first few breaths in the gentlest, least interventive way;

Objective 2: Participants will be able to list the signs of respiratory distress and how to assist the newborn in their transition to becoming full air breathers;

Objective 3: Participants will be able to describe how baby’s shift or transition from oxygenating through the placenta and cord to breathing with their lungs.

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

The transition babies experience as they emerge from the womb and become air breathers is often not well understood by many birth professionals. This lecture will create a clear visual image and understanding of what is happening for the baby, as she takes her first breaths and shifts from oxygenating through the placenta and cord to beginning to use her lungs and breathing air. The successful adaptation to extrauterine life is the necessity of clearing fetal lung fluid. This is a transition that all babies must do when they are born, regardless of cord status.

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Midwifery CEUs - MEAC Contact Hours
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) for 5 Contact Hours or 0.5 CEUs. Please note that 0.1 MEAC Midwifery CEU is equivalent to 1.0 NARM CEUs.

CERPs - Continuing Education Recognition Points
GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07. 5 R-CERPs approved.

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, Breech Birth, Hemorrhage and Blood Loss, Medication & Herbs, Neonatal Resuscitation, Theories of Pain & Pain Management

How much time do I have to view the presentations?

  • The viewing time will be specified for each product. When you purchase multiple items in your cart, the viewing time becomes CUMULATIVE. Ex. Lecture 1= 2 weeks and Lecture Pack 2 = 4 Weeks, you will have a total of 6 weeks viewing time for ALL the presentations made in that purchase.
  • Time for viewing the talks begins once you purchase the product. For Live Webinars & Symposiums, the viewing period begins from when the live event takes place. Presentations can be accessed 24/7 and can be viewed as many times as you like during the viewing period.

What are bundled lectures?

  • Presentations may be available individually or via a bundled package. Bundled lectures are a set of lectures that have been put together based on a specific category or topic. Some lectures will be available in both individual and lecture form, whereas others will be available only via a bundled lecture pack.

Will there be Handouts?

  • YES! Each lecture comes with a PDF handout provided by the Speaker.

Some lectures include a Q&A, what does that mean?

  • During our online conferences, presentations that occur live are also followed by a short 15 minute Question & Answer Session. The Speaker addresses questions that were posted by Delegates during the presentation. We include the recording of these Q&A Sessions as a bonus for you.

How can I receive a Certificate?

  • If this presentation offers a certificate, once you are done viewing the lecture or the lectures within a bundle, submit your attendance record in order to be able to download your certificate. You'll be able to see which credits are offered for the lecture by hovering over the "Credits Available" link within the "Speakers & Topics" tab.
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