Nell Tharpe, CNM, CRNFA, MS, FACNM began her journey to midwifery after the birth of her first child. She attended births as a nurse and with home birth midwives, and then obtained her Certificate in Nurse-Midwifery from the State University of New York in 1986. She began active clinical practice in Maine, offering women holistic health care, attending births in small community hospitals, and working in the operating room as a surgical first assistant which is where she honed her suturing skills.
A committed life-long learner, Nell received her Master of Science degree in Midwifery from Philadelphia University in 2003. Nell’s passion is bridging the gap between clinical practice and emerging evidence. Her focus is on teaching midwifery skills to foster excellence in midwifery and women’s health care in every practice setting.
Nell is the original author of the widely used midwifery text Clinical Practice Guidelines for Midwifery and Women’s Health, now in its 5th edition, and sold in over 24 counties. She is an adjunct professor at Thomas Jefferson University, in Philadelphia and provides workshops as an independent Perinatal and Women’s Health Consultant.
While most midwives are diligent about maintaining pelvic floor integrity during birth, genital tract trauma occurs in up to 70% of women during vaginal birth. Birthing women expect midwives to be skilled and confident in their ability to perform perineal repair. This complex skill set requires multiple learning opportunities to develop both competence and the ability to suture with confidence. Perineal repair skills require manual dexterity and the ability to visually identify and approximate anatomic structures. The ability to perform an effective wound closure requires midwives actively master the skills required for systematic wound evaluation and anatomic re-‐approximation of tissues. Supportive mentoring and intentional self-‐directed practice are critical to the learning process. This session focuses on the equipment, supplies, and technical skills used during suturing of the pelvic floor after birth, and recommendations for simulation and practice.
Birth has evolved over millennia to support the continuation of the species. In this talk we'll explore how the physiology of birth can contribute to reciprocal social connection, development of a dynamic intestinal biome, and nurturing parenting. These factors can affect short and long term physical and social health, and contribute to resilience in the face of disease, conflict, and trauma. Birth and perinatal professionals are uniquely positioned to support families during pregnancy and birth in ways that can have a positive effect on future parenting, child health, and lifelong health outcomes. We'll address how to build a culture of caring and implement current evidence and best practice recommendations using quality improvement methodology.
Birth tears occur in up to 70% of women giving birth vaginally. Birthing women expect their care providers to be skilled and confident in their ability to assess tears and perform repair when it's needed. Suturing and perineal repair is a complex skill set that requires multiple learning opportunities to develop the skill needed to suture with confidence. This session will explore ways to enhance manual dexterity and the ability to visually identify and approximate anatomic structures. We'll talk about how to perform an effective wound closure, and actively master the skills required for systematic wound evaluation and anatomic re-approximation of tissues. This session focuses on the equipment, supplies, and technical skills used during suturing of the pelvic floor after birth, recommendations for simulation and practice, and the importance of these skills to women after birth.
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