Midwifery-Led Fertility Care: A Family Centered Approach
In Midwifery-Led Fertility Care, midwives Ray Rachlin, LM, CPM and Marea Goodman LM, CPM will educate midwives on how to provide fertility care in an out-of-hospital setting. In this presentation, Ray and Marea will review the different options people with uteruses have to create pregnancies with fresh and frozen sperm and the success rates for each. They will focus on lower-intervention insemination options that can be performed at-home or in a midwife’s office. The presenters will also review fertility awareness method counseling and how midwives can support their clients to determine ovulation, as well as insemination timing and navigating sperm banks, ACOG preconception care, and fertility lab work.
Throughout the presentation, Ray and Marea will provide an introduction on how to provide culturally appropriate care to the LGBTQ+ population and transgender parents. They will also discuss how to apply infertility research to LGBTQ+ people, and when to refer to different levels of care.
LGBTQ+ people face many obstacles to healthcare access including a lack of knowledgeable care providers, other people’s lack of awareness of identity issues, and outright prejudice and discrimination. This leads to both underutilization of healthcare and overmedicalization, and contributes to health disparities and poor outcomes, especially by individuals with intersecting marginalized identities. Midwives are in a unique position to provide excellent, culturally competent care to this population. However, viewers should not expect to become culturally competent in caring for the LGBTQ+ population in this one hour class. There will be resources for further learning provided at the end of the presentation.
This presentation was originally presented at our 2023 GOLD Midwifery Conference.
Marea Goodman (she/her) is a licensed midwife specializing in pregnancy, birth, postpartum, and conception care for the LGBTQ+ community. A graduate of the National Midwifery Institute, Marea got her license from the California Medical Board in 2015 and spent the following year and a half working at birth centers in El Paso, Texas and Ciudad Vieja, Guatemala. She founded her midwifery practice, Restore Midwifery, in 2016 in the Bay Area, and is now serving the community in Santa Cruz, CA.
Aside from midwifery, Marea is also a writer whose work has been featured by the Huffington Post, Ms Magazine, and Mother.ly. She co-authored the book, Baby Making for Everybody—Family Building and Fertility for LGBTQ+ and Solo Parents, which is set to be published in April, 2023. She lives in Santa Cruz with her three children and her wife, Andrea Ruizquez, who is also a midwife.
Ray Rachlin (she/they) is a Licensed Midwife and Certified Professional Midwife providing home-birth midwifery care, fertility and home-IUI care, and community education throughout the greater Philadelphia area and South Jersey. Ray founded Refuge Midwifery in 2017 to create a home for families not served by our current healthcare system.
In addition to their midwifery practice, Ray has been immersed in promoting affirming reproductive care for transgender patients and has taught midwives, doctors, nurses, and birth professionals throughout the country on trans-inclusive fertility, birth, and postpartum care. In their private practice, Ray specializes in natural fertility support for individuals with prior hormone use. Ray is the co-author of the forthcoming book Baby Making for Everybody—a Guide for LGBTQ+ and Solo Parents, coming April 2023.
Ray earned their Bachelor of Science in midwifery at Birthingway College of Midwifery in Portland, Oregon, in 2016 and also holds a Bachelor of Science in political science, urban studies, and labor studies from Queens College. Ray is a member of the Queer and Transgender Midwives Association. Ray lives with their partner and child in Philadelphia, PA.
Objective 1: Describe different conception methods, timing, and success rates.
Objective 2: Describe midwifery led fertility care including fertility awareness counseling, relevant screenings, and navigating sperm banks.
Objective 3: Describe special considerations for working with the LGBTQ+ population and transgender clients.
Objective 4: Describe current research on infertility and its application to LGBTQ+ people.
Objective 5: List resources for cultural competency training and further learning.
In Midwifery-Led Fertility Care, midwives Ray Rachlin, LM, CPM and Marea Goodman LM, CPM will educate midwives on how to provide fertility care in an out-of-hospital setting. In this presentation, Ray and Marea will review the different options people with uteruses have to create pregnancies with fresh and frozen sperm and the success rates for each. They will focus on lower-intervention insemination options that can be performed at-home or in a midwife’s office. The presenters will also review fertility awareness method counseling and how midwives can support their clients to determine ovulation, as well as insemination timing and navigating sperm banks, ACOG preconception care, and fertility lab work.
Throughout the presentation, Ray and Marea will provide an introduction on how to provide culturally appropriate care to the LGBTQ+ population and transgender parents. They will also discuss how to apply infertility research to LGBTQ+ people, and when to refer to different levels of care.
LGBTQ+ people face many obstacles to healthcare access including a lack of knowledgeable care providers, other people’s lack of awareness of identity issues, and outright prejudice and discrimination. This leads to both underutilization of healthcare and overmedicalization, and contributes to health disparities and poor outcomes, especially by individuals with intersecting marginalized identities. Midwives are in a unique position to provide excellent, culturally competent care to this population. However, viewers should not expect to become culturally competent in caring for the LGBTQ+ population in this one hour class. There will be resources for further learning provided at the end of the presentation.
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, Fertility Care
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