CPM Clinical Practice Webinar Series

Beginning with our first Virtual Annual Meeting in November of 2014, this ongoing series will continue to inform and engage members and stakeholders about important news and opportunities to support and strengthen the profession, inform CPM practice, and influence public policy with the values inherent in CPM care.

Participation in the webinars is free. CEUs, when available, are $15 per webinar.

NACPM Presents Student Capstone Projects
Thursday, May 28th, 2020 3:00 – 4:30 ET

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Students are the future of the midwifery profession! In alignment with NACPM’s commitment to investing in our workforce, on Thursday, May 28th, we have invited two midwifery students to present their capstone projects to the community. This webinar, the 25th in NACPM’s clinical series, will address issues of clinical relevance for all practicing midwives. Please join us to learn from the next generation of midwives!

**Please note: CEUs are only available at this time for the live presentation. The recorded version of the webinar will be available in the Fall of 2020, and CEUs will be available for the recorded version at that time as well. We will notify the community when the recording is posted later in the year. This webinar qualifies for the Midwifery Bridge Certificate

Evaluation of Pelvic Floor Dysfunction in Pregnancy: An Evidence-Based Guideline and Screening Tool for Community Midwives

Screen Shot 2020-05-14 at 9.53.39 AMOlivia Joy Kimble will review the prevalence, risk factors, current standards of care, and impact of pelvic floor dysfunction, specifically stress urinary incontinence, in an otherwise healthy childbearing population. An evidence-based practice guideline and screening tool will be introduced with the goal that attending midwives can learn how to incorporate routine pelvic screening and assessment into their antenatal and postpartum care.

Olivia Kimble is a senior midwifery student at Bastyr University, graduating in June 2020, with experience working at the Sprout Birth Center and Puget Sound Birth Center in Washington State. She has worked in birth since 2014 as a certified birth doula and birth assistant with additional training in supporting parous people with trauma histories and homelessness. Olivia previously held leadership positions in the non-profit sector for a small, private college and a national arts organization. Olivia is currently engaged in opening a home birth practice in southeast Minnesota.

Intimate Partner Violence in a Crisis Situation – What healthcare providers need to know about IPV and the increased incidence in the current Pandemic situation.

Screen Shot 2020-05-15 at 9.10.06 AMIPV is an already deadly global epidemic that is now seeing a more than 30% increase in incidences world-wide as shelter in place orders remain in effect. As healthcare providers, we have a unique opportunity to open a dialogue about creating safer environments for all clients.

Cassandra Aho recently graduated from Midwives College of Utah and is the owner of Midnight Midwifery Consulting in Port Orchard, WA. Cassandra is passionate about advocating for victims and survivors of domestic violence and creating a dialogue about systemic change by providing educational lectures to healthcare providers about intimate partner violence and its effects pregnant people, families and communities. She was awarded the Harris-Braun Outstanding Poster Award for Research at MANACAM 2017 for research on Sharing Sexual Responsibility.
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Grappling with Clinical Challenges During the COVID-19 Pandemic
Fri, Apr 17, 2020 1:00 PM – 2:30 PM EDT
MEAC CEUs available

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midwifewithmask

New guidance and shifting information on safety considerations for pregnancy and birth is emerging almost daily during the current public health crisis, some based on hard evidence and some on professional opinion, challenging community midwives as they strive to mitigate risk to themselves and their clients while protecting the hallmarks of midwifery care that result in our good outcomes. In many situations, there are no clear or hard and fast solutions, and often mitigating rather than eliminating risk is the only path available. This webinar’s speakers will address several of these clinical situations, examining evidence, guidance and practice considerations to help midwives develop practices and protocols that meet their needs and those of their clients during these troubled and complicated times.

 

Keeping Waterbirth Safe During COVID-19
Barbara Harper, RN, CKC, BET
Founder/Director Waterbirth International

Access to hydrotherapy in labor is a standard and important vital comfort management practice globally and in the U.S. and is beloved by birthing parents and midwives for its comforting and beneficial effects. With many hospitals closing off access to their waterbirth tubs during the pandemic, community midwives are grappling with questions about waterbirth safety, offering water birth to their clients and how to address and mitigate risk during the COVID-19 pandemic. Barbara Harper will examine and discuss evidence and practical considerations and modification of protocols during this public health crisis. Barbara is an internationally recognized expert on waterbirth who teaches within hospitals, nursing schools, midwifery and medical school worldwide. Her award winning book and DVD, Gentle Birth Choices, has influenced hundreds of thousands of parents and professionals and has been translated into nine languages.

Nitrous Oxide and Oxygen – Considerations for Use During COVID-19
Michael Civitello, Sales Manager at Porter Instruments
Nitrous oxide has long been considered safe for pain relief in labor around the world and increasingly in the U.S. As more birthing people want to avoid transfer from community settings to the hospital during the coronavirus public health crisis, its use has taken on new relevance for pain management in community settings. Recently, the Society for Anesthesia and Perinatology (SOAP) recommended against the use of nitrous oxide for pain relief during labor, citing safety concerns related to COVID-19. Michael Civitello will discuss Porter Instruments’ response to SOAP’s statement and concerns about lack of evidence for their recommendation. He will address best practices for infection control including issues regarding instrument cleaning, filtering and aerosolization. Michael is the Sales Manager for Porter Instruments, responsible for sales of nitrous oxide and oxygen systems globally. He participated with a group of professionals – midwives, nurses, doctors and anesthesiologists – to make nitrous oxide and oxygen available within the labor and delivery space.

Protecting Midwives and the Use of Masks
Mary Lawlor, CPM, LM
Although community midwives are only caring for pregnant people who are not overtly ill with the novel coronavirus, recent studies reveal that a significant portion of individuals with coronavirus are asymptomatic or pre-symptomatic and can transmit the virus to others before showing symptoms. In light of this new evidence, the CDC recommends wearing cloth face coverings wherever social distancing is difficult to maintain, which for midwives includes necessary in-person prenatal and postpartum visits and labor. It is critical for community midwives to be protected against the virus, but with the severe shortage of Personal Protective Equipment (PPE), including approved N-95 and surgical masks, community midwives are left without adequate protection. The limited research on cloth face coverings does not show them to be very effective, but new research in light of COVID-19 suggests they can be constructed to perform better. Mary will share the findings of this new research and options for midwives to better protect themselves. Mary is a long-time home and birth center midwife in southern New England and a founder and executive director of NACPM.

Enhancing Safety and Mitigating Risk During the Pandemic
Jennifer Ross, CPM
Across the country, pregnant parents are worried about the virus and exploring their options for birth, and, in increasing numbers, choosing home birth midwives and birth centers for their care. Although their fear is of COVID-19 in the hospital, the reality is that the real spread of the virus is in the community, putting community midwives at risk of contracting the disease and of spreading it. While there are overlapping safety concerns and practices protocols between birth center and home birth, the home birth setting involves special challenges. While there is no official guidance for homebirth midwives, Jennifer Ross will share homebirth protocols and practices she has collected and curated to support midwives to enhance safety and mitigate risk. Jennifer, an NACPM board member, is a former engineer, manager and developer who lived and worked overseas for 17 years. She graduated from the Midwives College of Utah and is licensed in CA and in NH where she currently has a homebirth practice.

 


 

COVID-19: Community Midwives, Public Health, and Emergency Preparedness

 

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Imom_baby_smalln these days of the coronavirus pandemic, midwives are putting themselves on the front line to serve childbearing people. They are organizing to increase their capacity to serve people now flocking to midwives as well as those who may soon need community midwife services as hospitals caring for the increasing numbers of people sick with the virus reach capacity. In these troubled times, the pandemic is prompting unprecedented collaboration among midwives and outreach to other providers, hospitals and public officials to enable midwives to meet the growing and urgent needs of the childbearing population. This webinar explores the role of CPMs and other community midwives as integral members of the public health system and features examples from communities from around the country where midwives are developing policy and forging coordination and collaboration and building new opportunities to deploy midwives.

  • The role of midwives and community birth in the context of a global pandemic: Tamara Wren, MA Tamara is Executive Director of the Foundation for the Advancement of Midwifery (FAM), and played a lead role in developing the FAM statement on Out of Hospital Birth and Pandemic Planning, a guide to the role of community midwives in emergency planning for maternity care during a global and national pandemic.
  • Community Midwives: Shifting the perspective from ‘my practice’ to midwives as critical public health providers and how this shift will change practice in a global pandemic: Karen Hayes, DNP, CNM, APRN Karen is adjunct faculty member at Bastyr University in the Department of Midwifery, a homebirth and hospital midwife, and an active contributor to the American College of Nurse-Midwives Disaster Caucus, Global Health Media Project, Pronto International, and the King County Medical Reserve Corps.
  • Caring for the Community: collaboration and coordination between hospitals and community midwives during the COVID-19 pandemic from the perspective of a community hospital: Autumn Vergo, MSN, CNM, APRN Autumn, Chief of Obstetrics at Cheshire Medical Center/Dartmouth-Hitchcock, a collaborative Women’s Health practice in Keene, NH, is originally an apprentice-trained, state-licensed midwife and provided home and birth center services for many years.
  • A Washington State task force to elevate and support midwives during the COVID-19 pandemic: Emily Jones and Jen Segadelli, JD, MSM Long before COVID-19, senior Bastyr midwifery student Emily studied the role of community midwives in disaster preparedness for her master’s thesis, Integration of Community Midwifery and Licensed Freestanding Birth Centers into Washington State Disaster and Emergency Management. Jen is the Clinical Education Supervisor and adjunct faculty member of the Department of Midwifery at Bastyr University, and co-president of the Midwives Association of Washington State.
  • The Rainier Valley Community Clinic in Seattle – how their Birth Bundle model can support a midwifery response to COVID-19: Jodilyn Owen, LM (WA & TN) and Latonia Westerfield, midwife student at Birthwise Midwifery School
  • A Minnesota approach to secure and enhance hospital-community midwife coordination : Rebecca Polston, CPM, LM Rebecca is the founder, owner and director of Roots Community Birth Center with a passion for building community and creating a safe space for all birthing families.
  • A Maryland midwife collective responding to a governor’s call to reopen recently closed hospitals to address pandemic-generated needs: Mairi Breen Rothman, CNM, DM Mairi is leading a large CNM/CPM midwife collaborative to work with officials to reopen a community hospital as a place for birth during the pandemic and beyond.
  • A North Carolina example: requesting a governor’s order to expedite the licensing of CPMs during COVID-19: Meredith Christie, CPM Meredith is the president of the NC NACPM Chapter and a leader in NC MERA.

 

COVID-19: Telehealth for Community Midwives

Friday, April 3, 2020 1:00-2:30 ET
MEAC CEUs applied for

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telehealthCertified Professional Midwife care takes place within the context of relationship, respect and support. As providers of high-touch, time-intensive and highly personal care, midwives are having to adopt policies and procedures for protecting their clients and themselves from the coronavirus while continuing to support their clients to achieve the birth experience they are seeking. Telehealth has quickly become an essential component of prenatal and postpartum care for community midwives during this health crisis. NACPM wants to provide support to midwives as they adapt their practices to account for our suddenly changed environment.

Two experts from the Henry J. Kaiser Family Foundation will provide an overview of telehealth, the different models and services that can be provided, the potential roles of telehealth in maternity care, some of the startup issues and a summary of the landscape of policies and laws that govern provision and coverage of telehealth.

Gabriela Weigel BS, MD candidate is a Health Policy Fellow for the Kaiser Family Foundation, a member of the Foundation’s Women’s Health Policy team and is leading the Foundation’s work on pregnancy and COVID-19. She is the lead author on the Foundation’s policy briefs, Novel Coronavirus “COVID-19”: Special Considerations for Pregnant Women and Telemedicine and Prenatal Care.

Usha Ranji M.S,  is Associate Director for Women’s Health Policy at the Kaiser Family Foundation. Her work addresses the impact of major health policy issues on women and girls, with an emphasis on insurance coverage, access to care, and low-income populations and how federal, state and local policies influence health and access to services for women.

We also welcome Nancy Koerber, CPM, CPC, who will talk about the latest developments on coding and billing for telehealth during the pandemic. Nancy is the executive director of the WNC Birth Center in Asheville, N.C. She is a Certified Professional Coder with experience in small business operations, having worked for a federally qualified community health center as medical coder, auditor, documentation specialist, team leader for the ICD-10 transition and compliance educator for providers and residents.


Coronavirus: Midwives on the Front Line
1.5 MEAC CEUs Available
Thursday, March 19th, 2020

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In these moments of uncertcoronavirussmallainty, fear and unprecedented disruption due to the rapid spread of the coronavirus around the world and now growing quickly in the U.S., midwives are urgently searching for the best information about how to protect and care for our clients and their families and our homebirth and birth center practice environments. There is so much information coming from all quarters that it is a distinct challenge to sort it all out and understand how to apply it. NACPM wants to ensure that midwives have the most up-to-date and accurate information possible to protect the lives and health of their clients, and that midwives are supported as they prepare for the likely increasing demand for their essential services.
NACPM will host a webinar, Coronavirus: Midwives on the Front Line next Thursday, March 19 from 1:00-3:00 ET. Dr. Aviva Romm, our keynote speaker, will review and curate information from the medical literature and the Centers for Disease Control and Prevention (CDC) on COVID-19: the basics about the virus, what we know and don’t know about its impact on pregnancy and birth, pregnancy outcomes, infants and breastfeeding, and the implications for prevention and for protecting health and safety.  
Dr. Aviva Romm is a homebirth mother, midwife, herbalist, and Yale-trained MD, Board Certified in Family Medicine with Obstetrics and well known to the midwifery community, who has been bridging the best of traditional medicine with good science for over three decades. Having trained in internal medicine at Yale School of Medicine and a Tufts Family Medicine residency, she is a Manhattan-based integrative women and children’s physician, and author of seven books on health. We are most pleased to have her present to our community on this critical topic.
Certified Professional Midwives, Certified Nurse-Midwives and Certified Midwives, are frontline healthcare workers whose role in caring for pregnant people and newborns can increase exponentially during a pandemic such as COVID-19. As community-based midwives with special training and expertise providing care in homes and free-standing birth centers, away from the typical medical interventions experience by most people giving birth in hospital today, CPMs and other homebirth midwives are experts in facilitating birth outside of the hospital. As hospitals, many with well-documented histories of failing to prevent the spread of infectious diseases, must focus on caring for those seriously ill with coronavirus, they can become less safe options for pregnant people.
In addition to safety, hospital capacity is an issue. Tom Bossert, former homeland security advisor, warned last Monday that the U.S. is potentially just over a week away from the nation’s hospitals being overwhelmed by the number of people ill from COVID-19 in need of critical care. It is estimated that if even 5% of people living in America become ill with COVID-19, approximately 960,000 will require hospital beds, overwhelming our healthcare system.
Midwives around the country are recognizing and stepping up to the role they must play in preparing to meet this increased need. They are developing evidence-based policies and procedures to protect the health and safety of their clients and their practice environments, as well as making plans for increasing their capacity to meet an increasing demand for their services.
Amy Johnson-Grass, ND, LN, LM, CPM, owner and director of Health Foundations Family Health and Birth Center in St. Paul, Minnesota and the first CPM President of the American Association of Birth Centers, and Tina Tsiakalis, CPM, LM, founder and midwife at the Center for Birth in Seattle will share the practices and policies they have developed for their birth centers to ensure the safety of their clients and their practice environments in the face of the spread of the virus, as well as their evolving plans for dealing with increased demand for their services. Susanrachel Condon, CCCE, LMT, LM, CLC, midwife at River and Mountain Midwives in New York State, and Mairi Breen Rothman, CNM, DM, with M.A.M.A.S. Inc. of Maryland, will share their COVID-19 related policies and procedures developed for their homebirth practices, and they will describe how they are managing the increased demand from people choosing a homebirth late in their pregnancies because of concerns about giving birth in the hospital during this pandemic.
Please note, while this webinar is scheduled to run for an hour and a half, we will leave room to extend the time by an additional 30 minutes if there is need for more time for questions and discussion.
We urge you to join us for this important learning opportunity and to think together with us about the role midwives are being called upon to play in our communities as our country faces the urgency of the coronavirus pandemic.

 

Managing Postpartum Hemorrhage in the Community Setting
1.5 MEAC CEUs Available                                                                                               Thursday,September 26, 2019 3:00-4:30 ET

This webinar qualifies for the NARM Category 3 Bridge Certificate

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Autumn Vergo NACPM PPH Webinar 9.26.2019

Margie Boyer QBL Pearls for Success 2019

Managing Postpartum Hemorrhage in the Community Setting

The community midwife’s ability to effectively anticipate and manage postpartum hemorrhage (PPH) is critical to the safety of people choosing to give birth at home or in free-standing birth centers. PPH remains a leading cause of morbidity and mortality for childbearing people in the U.S., even though researchers have identified PPH to be preventable in many cases. This webinar offers practical, evidence-based practices and tools for risk assessment, assessing and quantifying blood loss, the use of medications to manage PPH, what constitutes an adequate formulary of medications for PPH in the community setting, and includes a case presentation.

IMG-6942Margie Mueller Boyer, MS, RNC, C-EFM, CNS-BC
Margie received her BSN & Masters from The Ohio State University where she worked for a decade. She then spent a year as a traveling labor and delivery nurse in Arizona & Hawaii before moving to the University Community Hospital in Florida to work with her mentor Bonnie Flood Chez, RN, MSN. She has worked as a Perinatal Clinical Nurse Specialist, a hospital administrative director, and patient safety manager. Margie serves on the Florida Perinatal Quality Collaborative Obstetrical Hemorrhage Initiative as a Nurse Expert and is an AWHONN Obstetric Patient Safety Instructor. After working for twenty-seven years at Advent Health Tampa, formerly Florida Hospital Tampa, Margie is now taking a year to travel and work as a consultant. She just celebrated 25 years of marriage to her husband Jeff & has two sons, Jack & Luke, both of whom were non-medicated vaginal births.

 

Autumn-VergoAutumn Versace Vergo, CNM, MSN, APRN
Autumn is a certified nurse-midwife and Chief of Obstetrics at Cheshire Medical Center/Dartmouth-Hitchcock, a collaborative Women’s Health practice in Keene, NH. She is originally an apprentice-trained, state-licensed midwife and provided home and birth center services for many years. She has worked extensively on regional perinatal quality improvement, focusing on best practice in collaborative care and interprofessional communication. She has served as a subject matter expert on community midwifery to NH Medicaid and the New Hampshire Department of Health and Human Services, and is a member of the faculty at Birthwise Midwifery School, a MEAC-accredited program in Bridgton, Maine.

 

 


 

Tackling Quality of Care Issues Locally/The Oregon Experience

1.5 MEAC CEUs Applied for

January 17, 2019

 

Ongoing work on quality improvement is essential to safe, excellent and responsive midwifery care in any setting. Please join Silke Akerson, CPM, LDM, Director of the Oregon Midwifery Council, to learn about the Oregon experience of creating a community-based midwifery Quality Improvement (QI) Program in response to safety concerns. In this session, Silke will cover each strategy used in Oregon for quality improvement and discuss the improvements in outcomes and transport relationships the midwives have seen as a result. Participants will come away understanding the concepts and evolution of quality improvement, the use of QI in midwifery, cultural competency in relation to QI, the benefits of QI, and with concrete tools for addressing quality issues in your own state or community. 

Silke AkersonSilke Akerson, CPM, LDM is a mother, home birth midwife and herbalist in Portland, Oregon.  She has been a midwife for 17 years and loves that she never stops learning from her clients and the births she attends.  She has been active in midwifery leadership and advocacy in Oregon since 2010 and is currently the director of the Oregon Midwifery Council.  Quality improvement and continuing education have been the focus of Silke’s work with the Oregon Midwifery Council.  For the past 6 years she has been working on a comprehensive midwifery Quality Improvement Program in Oregon that seeks to ensure excellent care and outcomes for community birth families as well as continued growth for midwives as practitioners.

 

Intermittent Auscultation

1.5 MEAC CEUs Available

November 28,2018

 

This webinar qualifies for the NARM Category 3 Bridge Certificate

This webinar began with a review of the causes of respiratory and metabolic acidosis in the fetus during labor and how these are reflected in the fetal heart rate.  We discussed the differences between intermittent auscultation and continuous EFM and the research behind both of them. We reviewed the NICHD categories of EFM tracings and why these are not appropriate for intermittent auscultation.  Finally, we worked through some case studies and proper charting of the FHR when using intermittent auscultation in labor.

Wendy head shot crop

 

Wendy Gordon, CPM, LM, MPH is licensed in Washington State. She is the Department Chair and an Associate Professor in the Department of Midwifery at Bastyr University (formerly Seattle Midwifery School). Wendy is the president of the Association of Midwifery Educators, and is working on a Doctorate in Midwifery through Jefferson University in Philadelphia.

 

 

 

The MANA Stats Fetal, Neonatal Mortality Review (FNMR) Project: Preliminary Findings and Implications for Practice

1.5 MEAC CEs (0.15 CEUs) Available

February 21, 2018

This webinar qualifies for the NARM Category 3 Bridge Certificate

This webinar was not audio-recorded, and all of the findings that were presented verbally are not included on the slides. This is because the research is unpublished. Sharing information widely that has not yet been published or is actively embargoed by a journal jeopardizes publication. We ask that you do not share or post any of these slides to social media.

In this webinar, Dr. Cheyney described findings from a study designed to examine all fetal and neonatal deaths recorded in MANA Stats between 2004 and 2016. Using a modified Fetal-Infant-Mortality-Review (FIMR) approach, midwife-researchers conducted detailed interviews with midwives for all non-miscarriage fetal and neonatal deaths in the sample. The objective was to clarify the gestational age at which the death occurred and to properly classify late miscarriages. The reviewers also collected qualitative on when, how, and why the death occurred, as well as data on whether an autopsy was conducted, and the official cause of death assigned via medical examiner or coroner’s report.

Using the three delays model as proposed by Thaddeus and Maine (1994), Dr. Cheyney discussed rates of intrapartum and neonatal death in a large sample of more than 50,000 planned, midwife-led, community births (home and birth center) in the United States. She also provided an in-depth thematic analysis of the primary contributors to mortality in the sample. Findings indicate that while the overall rate of death is low, there are three major contributors to fetal and neonatal mortality, including:

1) delays in the decision to transfer to the hospital due to failure to identify early signs of fetal distress and/or hesitancy to transport due to fear of “punitive cesarean section”;

2) delays in reaching care due to distance from the hospital or fractured collaborations with Emergency Medical Services; and

3) delays in receiving care once arriving at the hospital due to fear, poor inter-professional communication, blaming and shaming.

 

Melissa-Cheney-smallMelissa Cheyney, Ph.d, CPM, LDM, is Associate Professor of Clinical Medical Anthropology at Oregon State University (OSU) with additional appointments in Public Health and Women Gender and Sexuality Studies. She is also a Licensed Midwife in active practice, and the Chair of the Division of Research for the Midwives Alliance of North America where she directs the MANA Statistics Project. Dr. Cheyney currently directs the International Reproductive Health Laboratory at Oregon State University where she serves as the primary investigator more than 20 maternal and infant health-related research projects in nine countries. She is the author of an ethnography entitled Born at Home (2010, Wadsworth Press) along with dozens of peer-reviewed articles that examine the cultural beliefs and clinical outcomes associated with midwife-led birth at home in the United States. Dr. Cheyney is an award-winning teacher, and in 2014 was given Oregon State University’s prestigious Scholarship Impact Award for her work in the International Reproductive Health Laboratory and with the MANA Statistics Project. She is the mother of a daughter born at home on International Day of the Midwife in 2009.

Midwifery Charting: Research Findings to Inform Practice

1.5 MEAC CEUs Available

 December 4, 2017

This webinar qualifies for the NARM Category 3 Bridge Certificate

Accurate charting is a critical midwifery skill. This webinar with Courtney Everson and Gina Gerboth is based on lessons learned during the 4.0 MANA Stats Validation project in conjunction with emerging best practices in charting for health professionals. We will cover recommendations, skills, and tools that will help midwives to improve charting efficiency, clarity, and consistency. Resulting improvements in charting can help support validation projects for perinatal data registries, protect midwives and clients during courses of care, and advance midwifery professionalism and interprofessional relationships.

Courtney Everson cropDr. Courtney Everson holds a PhD  in Applied Medical Anthropology with a long track record of community outreach, research, and leadership in education, non-profit management, and health equity. Dr. Everson is currently appointed as core Academic Faculty and the Dean of Graduate Studies at the Midwives College of Utah. Dr. Everson holds several leadership positions nationally in the midwifery field, including as the Director of Research Education for the MANA Division of Research, the co-Vice President of the Association of Midwifery Educators, and on the Board of Directors for the Midwifery Education Accreditation Council and the Academic Collaborative for Integrative Health. 

 

Gina Gerboth crop

Gina Gerboth, MPH, RM, CPM, IBCLC has been practicing midwifery since 2010 and has a busy home birth practice in Denver, Colorado. She received her Master of Public Health degree with a concentration in Maternal and Child Health in December of 2015 from the Colorado School of Public Health, which is an educational consortium through University of  Colorado, Colorado State University, and University of Northern Colorado. During her graduate program, she participated in  he 4.0 MANA Stats validation project for her practicum. She began teaching and developing curricula at Midwives College of Utah during the summer of 2016. Additionally, she has been an IBCLC since 2008. Prior to this work, she was a Policy Analyst for the US Department of Agriculture,  Congressional Aide, and a freelancer in the publishing industry.

 

RE:BIRTH: Navigating and Mediating Maternal Stress and Birth Outcomes in Pre- and Post-hurricane Puerto Rico

1.5 MEAC CEUs Available

Wednesday, November 8, 2017

 

Oregon State University researchers Holly Horan and Melissa Cheyney will report on their research project, funded by the National Science Foundation. They will provide information about methods for assessing perceived and measurable maternal stress, particularly within the context of a colonized nation that has a complex and insufficient maternal and infant health care system. In addition, Horan and Cheyney, along with Puerto Rico midwife and founder of Centro MAM, Vanessa Caldari, will discuss the normal physiologic birth efforts in Puerto Rico as a counter-movement to the existing biomedical system on the island along with the roles Puerto Rican midwives and doulas are playing in the aftermath of hurricane Maria.

This webinar will provide midwives with information about the effects of maternal stress on gestational outcomes, as well as the impact of midwives and doulas as mediators of that stress. The webinar will conclude with a discussion of opportunities for the support of Puerto Rican midwives who are on the ground providing care for mothers and babies amid post-hurricane devastation.

Melissa-Cheney-smallMelissa Cheyney, Ph.d, CPM, LDM, is Associate Professor of Clinical Medical Anthropology at Oregon State University (OSU) with additional appointments in Public Health and Women Gender and Sexuality Studies. She is also a Licensed Midwife in active practice, and the Chair of the Division of Research for the Midwives Alliance of North America where she directs the MANA Statistics Project. Dr. Cheyney currently directs the International Reproductive Health Laboratory at Oregon State University where she serves as the primary investigator more than 20 maternal and infant health-related research projects in nine countries. She is the author of an ethnography entitled Born at Home (2010, Wadsworth Press) along with dozens of peer-reviewed articles that examine the cultural beliefs and clinical outcomes associated with midwife-led birth at home in the United States. Dr. Cheyney is an award-winning teacher, and in 2014 was given Oregon State University’s prestigious Scholarship Impact Award for her work in the International Reproductive Health Laboratory and with the MANA Statistics Project. She is the mother of a daughter born at home on International Day of the Midwife in 2009.

Holly-Horan-smallHolly Horan, MA, has a masters degree in Medical Anthropology, is a practicing birth and postpartum doula and a doctoral candidate at Oregon State University (OSU) in the Applied Medical Anthropology program. Her research focuses on perceived maternal stress and gestational age at delivery in Puerto Rico and she is an active member of current midwifery collaborations between OSU and Puerto Rican parteras. Holly has been a Data Doula for the MANA (Midwives Alliance of North America) Statistics Project and she is a member of the MANA Stats 4.0 Validation study, the MANA PR project. She is involved in a variety of other maternal and infant health projects in Puerto Rico and Oregon.

View Presentation slides here

 

Charting for Midwives II

1.5 MEAC CEUs Available

Wednesday, October 4, 2017

This webinar qualifies for the NARM Category 3 Bridge Certificate

WNC Headshot for website

We were thrilled to welcome back Nancy Koerber, CPM, CPC, for a follow up presentation to her popular Charting webinar from earlier this year (see below)

In this in-depth webinar, Nancy built on the foundations of her May presentation by explaining the standards laid down in the Clinical Documentation Improvement to improve specificity for ICD- 10 Code selection. Required coding elements for Evaluation and Management coding were broken down and chart examples provided. Accurate CPT code selection for Maternal Delivery Services were reviewed as well as global billing defined. This workshop included some comprehensive determinants for time-based billing and preventive vs problem-focused visits.

View Presentation slides here

E and M Documentation and Coding Worksheet
Sample Documentation for 99205 code
Sample Documentation for 99214 code
Sample Documentation for 99204 code
Sample Documentation for 99212 code
Sample Documentation for 99213 code

Genetic Testing

1.5 MEAC CEUs Available

Thursday, June 1, 2017

This webinar qualifies for the NARM Category 3 Bridge Certificate

This webinar is designed for midwives providing care in the community context where access to genetics counselors and antenatal screening may be less streamlined and integrated. During this webinar, we will review current prenatal genetic testing options, indications for referring to genetic counseling, and approaches for accessing information about cost and insurance coverage of testing and counseling.  We will also describe the strengths and limitations of screening tests, such as cell-free DNA testing (Harmony, Materniti21, etc.) and carrier screening, and of diagnostic testing, such as CVS and amniocentesis.  We will discuss frequently asked questions about the false positive rates of screening tests, the chance of miscarriage with diagnostic testing, and the clinical utility of genetic information for pregnancy planning and improving birth outcomes.  We will conclude the webinar with an overview of the findings from a recent study by Gabriel, Cheyney (the two presenters) and Burcher on the utilization of genetic counseling and antenatal testing among midwives in Vermont with a focus on the clinical and socio-political implications of this work. Twenty minutes will be reserved for questions and answers at the end of the webinar.

Melissa Cheyney for websiteMelissa Cheyney, Ph.d, CPM, LDM, is a medical anthropologist and licensed midwife. She began her studies in anthropology as a Master’s student in bioarchaeology with a focus on health and disease patterns in classical antiquity. As Melissa entered her doctoral program, her focus began to shift to the health of living populations. While working on her Ph.D. at the University of Oregon, Melissa decided to pursue a clinical degree in midwifery while completing the requirements for her doctorate in medical anthropology. Her research focuses on a subfield of medical anthropology called evolutionary medicine. It examines contemporary health conditions, including maternal and infant health patterns, in cross-cultural and evolutionary perspective. Melissa continues to attend home deliveries while teaching Biocultural Anthropology at Oregon State University.

JGabriel crop fpr websiteJazmine Gabriel, PhD, MS, trained in genetic counseling at Boston University, and will work as a genetic counselor specializing in cancer genetics.  She earned a PhD in philosophy from the University of Oregon, and her scholarship focuses on the intersections of genetics and ethics. Her current research interests include home birth midwives’ perceptions of and experiences with genetic testing and genetic counselors, genetic counselors’ perspectives on interpreting direct-to-consumer genetic testing, and ethical issues in prenatal genetic testing.
View Presentation slides here

 

 

 

Charting for Midwives – Getting Credit for All You Do

1.5 MEAC CEUs Available

Thursday, May 25, 2017

This webinar qualifies for the NARM Category 3 Bridge Certificate

 

Nancy Koerber, CPM, CPC will cover the basics of documentation. She will also provide updates on the changes that are coming in healthcare over the next years as we transfer from a fee-for-service system to one that is quality/value incentive-based. Emphasis on AMA guidelines for documentation and specificity will prepare you for proper ICD-10 and CPT coding applications later. Nancy Koerber, CPM, CPC will cover the basics of documentation. She will also provide updates on the changes that are coming in healthcare coverage over the next years as we transfer from a fee-for-service system to one that is quality/value incentive-based. Emphasis on AMA guidelines for documentation and specificity will prepare you for proper ICD-10 and CPT coding applications later.

WNC Headshot for websiteNancy has served as a midwife since 1982. She became a North American Registry of Midwives Registered Midwife in 1993, and a Certified Professional Midwife in 1995. Nancy co-founded and co-owned New Dawn Midwifery, pioneering the model of a CNM/CPM practice in Asheville, NC, where only CNMs are permitted to practice. From 1997-2010 she served as practice administrator, midwife, childbirth educator, and mentor for out-of-hospital births for the CNM/CPM practice offering home and hospital births. In addition, Nancy has twenty years of experience in medical office management performing medical coding, billing and chart documentation oversight in various medical specialties that included family practice, behavioral health, ob/gyn, and pediatrics. She has an Associates Degree in Business, is a Certified Professional Coder, and has experience in start-up management and small business operations. Recently, she worked for a federally-qualified community health center as medical coder, auditor, documentation specialist, team leader for the ICD-10 transition, and compliance educator for providers and residents. Today she is the Executive Director of the newly opened WNC Birth Center, Asheville, NC.

View Presentation slides here

Domestic Violence

1.5 MEAC CEUs Available

Thursday, April 13, 2017 

This webinar qualifies for the NARM Category 3 Bridge Certificate

Typical Domestic Violence training in midwifery educational programs focuses on intimate terrorism (battering), which is primarily perpetrated by males on females. However, this type of domestic violence constitutes less than 10% of domestic violence. As midwives we need to recognize indicators of domestic violence in all its manifestations to safeguard our clients and improve family health. In addition to discussing the types of abuse and cycles of violence our pregnant clients may experience, this session will cover the other types of domestic violence (90%), which are perpetrated equally by men and women, explain how to screen for these types of domestic violence relationships, how they are handled by the justice system, the effects of these types of domestic violence on the children and therefore the next generation, when to refer, and tips for choosing good treatment programs. It includes video of unrehearsed responses to open-ended questions by a pregnant couple that chose to get treatment voluntarily.

Justine website

Justine Clegg, MS, LM, CPM, LMHC, holds two health care licenses in Florida: Licensed Midwife and Licensed Mental Health Counselor.  She is secretary and past president of the Association of Midwifery Educators, and Academic Director and Faculty for Commonsense Childbirth School of Midwifery since 2009. Justine has been serving midwives and midwifery organizations around the country for over 30 years.

 

 

CynthiaFlynn website
Cynthia Flynn, CNM, PhD, FACNM, received her BA from the University of Washington, her MA and PhD from the University of North Carolina, Chapel Hill, and her MSN from Yale University.  She has served as Executive Director of The Birth Center, Bryn Mawr, PA; the General Director of Family Health and Birth Center, Washington DC, and founder/owner of Columbia Women’s Clinic and Birth Center, Kennewick, WA.   She  served as Associate Professor of Nursing at Seattle University  and as a clinical preceptor for RNs, CNMs, LMs, and NPs.  At the national level, she was President of the American Association of Birth Centers (AABC), and was also a member of the Health Professionals Council of the National Quality Forum. Cynthia now consults on midwifery practice through her business www.flynncnm.com.

View Presentation slides here

Informed Consent and Shared Decision-Making

1.5 MEAC CEUs Available

 March 9, 2017 

This webinar qualifies for the NARM Category 3 Bridge Certificate

Midwives provide care that supports normal physiologic birth. Thank you for all that you do to promote health and to keep childbearing people and their babies healthy! Your skills in risk assessment, deep listening to the needs and values of your clients, and evidence ­informed and supported decision making are critical to the care you provide. This week’s NACPM webinar “Informed Consent and Shared Decision­making” is an opportunity to refresh and sharpen your understanding of the professional, legal and ethical requirements that underpin your practice. The presentation will also address how midwives and clients can use decision aids and electronic health records to support and document the information sharing and decision ­making processes.

Brynne Potter website photo

Drawing from her role on the NARM Board in drafting policy on documentation and practice of Informed Consent and Shared Decision Making, as well as her role in developing workflows for documentation of these processes in Maternity Neighborhood, Brynne Potter, CPM and CEO of Maternity Neighborhood, covered the minimum standards required to provide and document Informed Consent via the process of Shared Decision Making.  Documentation via paper or electronic consent were also covered.

Brynne is a midwife, national advocate, and thought leader within maternity care delivery and HIT solutions. By aligning US midwifery with the principles of disruptive innovation, Brynne focuses on the insights gained from the trenches of decentralized care delivered to women in homes and birth centers and looks for opportunities to scale high quality, value driven model of maternity care to hospitals and health systems. In her role as a board member of the North American Registry of Midwives, Brynne oversaw the updates to NARM’s policies on Informed Consent and Shared Decision Making.
View Presentation slides here

Mary headshot

 

NACPM Executive Director Mary Lawlor  reported on the research and development of an NACPM Practice Committee that will compile, evaluate and share best practice information for CPMs.

 

 

 

Evidence-Informed Practice: Research Literacy & Shared Decision-Making

 1.5 MEAC CEUs Available

February 16, 2017

This webinar qualifies for the NARM Category 3 Bridge Certificate

How do you find the best available clinical guidance? How do you engage clients effectively in shared decisionmaking?

Courtney Everson cropDr. Courtney Everson, PhDintroduced midwives to the basics of research literacy, critical appraisal of the literature, and applying research to midwifery care. Evidence-informed practice (EIP) resides at the intersection of the best available research, the midwife’s professional expertise, and the client’s individual values, needs, and context.  Learn how to integrate research effectively into midwifery practice using the EIP framework! 

Courtney is a Medical Anthropologist and Dean of Graduate Studies at Midwives College of Utah, where she teaches a full two-credit online course on the Principles of Evidence-Informed Practice which is available to non-students through their continuing education program. She is Director of Research Education for the MANA Division of Research, a member of the MEAC Board of Directors, and Research Working Group member of the Academic Collaborative for Integrative Health.
View Presentation slides here
Resources for EIP and Literature searches

GBS Screening and Treatment

January 12, 2017

This webinar qualifies for the NARM Category 3 Bridge Certificate

 

This webinar covered the etiology of Group Beta Strep, as well as historical and current best screening practices. In addition, the pharmacology of treatment was discussed.
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Dr. Tolulope Adebanjo, Epidemic Intelligence Service  Officer in the Respiratory Diseases Branch at the Centers for Disease Control and Prevention, offered an overview of GBS, the history of GBS screening, and current guidelines for prevention of GBS disease in newborns.  
PDF of Tolu Adebanjo’s Presentation slides here

Vivickipenwelltempcki Penwell, CPM, explained the pharmacology of IV antibiotic treatment for Group Beta Strep in community settings. Vicki is cofounder of Mercy in Action, a nonprofit organization establishing birth centers for poor families in the Philippines since 1992 and now the Mercy in Action College of Midwifery located in Boise, Idaho. She regularly offers seminars and other continuing education courses, including “Expect the Unexpected: Midwives Handling Complications in Out-of-Hospital Settings” a four day intensive that is part of a series that meets the NARM Bridge Certificate requirements.
PDF of Vicki Penwell’s Presentation slides here

Zika: What Midwives Need to Know

September 26, 2016

View Recording

Over the past couple of years, more than one million people, mostly in Latin America, have been infected with the Zika virus. Now that the Zika virus has spread to South Florida, new infections in Florida are considered “locally grown” and came even after aggressive mosquito control efforts. Although numbers are still small, cases have been confirmed in 48 of our states. This disease has become a worry for our childbearing population and all those who care for them. Midwifery clients and their sexual partners who live in or travel to areas where the Zika virus is found are at risk for this disease which can cause severe birth defects. Recently, the CDC warned pregnant women and their partners not to travel to a Miami neighborhood where 14 cases have been diagnosed. This webinar features national experts, including from the Centers for Disease Control and Prevention (CDC) and midwives working in Florida where the virus first appeared in the U.S. Learn what guidance is now available to providers and how to access resources for yourself and your clients.

margaret-lampe
Margaret Lampe, RN, MPH, a subject matter expert currently supporting the Centers for Disease Control and Prevention’s (CDC) 2016 Emergency Response to the Zika Virus within the Pregnancy and Birth Defects Task Force, was the keynote speaker for this webinar. She address ed clinical assessment, screening, precautions during delivery, and referrals  and resources for clinicians. She also shared data that the CDC has been collecting about the spread of the Zika virus in the U.S.
PDF of Margaret Lampe’s Zika webinar presentation slides

 

dr-rita-driggers

Dr. Rita Driggers, MD, is Associate Professor in Gynecology and Obstetrics at the Johns Hopkins University School of Medicine in Baltimore. Dr. Driggers addressed the challenges and impact women face with a potential infection during pregnancy, when the woman and her fetus are most vulnerable, long term effects of the virus on women and infants, other developmental disorders, and decisions women face when contracting the Zika virus when pregnant.
PDF of Dr. Driggers’ Zika webinar presentation slides

 

katie-pahner

Katie Pahner, Senior Vice President of Thorn Run Partners, NACPM’s federal health policy consultants, has extensive experience working as a senior health policy analyst and crafting and implementing federal health care policy. She presented the issues surrounding Congressional funding for addressing the spread of the Zika virus and the impact on clinicians and patients.
PDF of Katie Pahner’s Zika webinar presentation slides

 

barbara-blotBarbara D. Blot, RN, LM, CPM, BSN is an NACPM board member providing midwifery services to South Florida’s diverse birthing population. Barbara shared her experience in developing a protocol for her practice in Miami, “ground zero” for the Zika virus in the U.S., in conjunction with her county health officials.

 

 

judy-kaplanJudy Kaplan, CNM, ARNP, is the Director of Risk Assessment at the Miami Maternity (Birth) Center, which is owned and run by CPMs, and is a well-known resource for CPMs in South Florida. With a practice centered in Miami, Judy shared how she has stepped up to become a resource about the Zika virus for her patients, co-workers and the general population.

justine-clegg

Justine Clegg, MS, LM, CPM, CLC, of Florida, shared with us from the perspective of a midwifery educator about the information she has added to her Embryology course teratogens module in light of the rise of the Zika virus in the U.S.

PDF of Justine Clegg’s Zika webinar presentation slides

maggie-wardlawMaggie Wardlaw, MSN, CNM, is passionate about providing the best care for women throughout their lifetime and has enjoyed catching babies in birth centers and hospitals since 1998. Maggie also practices in Miami and presented about her experience supporting patients at risk for the Zika virus.

Best Practices for Risk Management for CPM Practice

May 3, 2016

David Pulley 3

David Pulley, Vice President of OneBeacon Professional Insurance, joined us to discuss all aspects of liability as it relates to midwives, including home birth practices and birth center-based practices.  Participants learned about the background of liability, including the difference between criminal and civil liability, as well as the basic legal theories of negligence.  David reviewed many best practices to help minimize liability, including documentation of the medical record; responsibilities as a business owner including additional liability concerns; reviewing processes and action plans; reporting of adverse events to appropriate parties; transporting mothers and/or infants; and collaboration with physicians. In addition, David presented the E-Discovery requirements to help midwives better understand the complexities of lawsuits.  A discussion of past claims, including causes and allegations of lawsuits was examined. Please view the recording below and scroll to the bottom of the page for CEU information.

PDF of Best Practices for Risk Management for CPMs presentation slides

Home Birth Center IIImproving Home to Hospital Transfer

December 18,2014


The Best Practice Guidelines: Transfer from Planned Home Birth to Hospital from the Home Birth Summit Collaboration Work Group were presented. The presentations will teach you how they can support practice and care in your own community. Learn from regional perinatal collaboratives around the country, and the perspectives of the various provider groups, from midwives to receiving physicians to emergency medical personnel, on improving care for women across providers and birth settings.

 

Presentation PDFs available for download here:
Best Practice Transfer Guidelines (Kate Finn, NY, and Larry Leeman, NM)
Smooth Transitions: Enhancing the Safety of Planned Out-of-Hospital Birth Transfers (Jo Anne Myers Ciecko, WA)
Autumn Vergo NACPM Webinar Home-To-Hospital Transport (Autumn Vergo, NH)
Hospital Transfer from Planned Out-of-Hospital Birth (Duncan Neilson, OR)
Improving Homebirth to Hospital Transfer: Interfacing With EMS (Stephen Murphy, WA)

Missy Cheney, PhD

How Your Practice Data Matters to Research and Quality Care

January 7, 2014

Melissa Cheyney, PhD, CPM, LDM, presented an overview of the current studies underway using data from the MANA Statistics Project, one of the projects of the MANA Division of Research, and on finding ways the data can be used to inform practice. The presentation also included an update on VBAC, and on the issues involved in using social media to highlight and disseminate research findings on home birth.

 

Presentation PDF available for download here:
How Your Practice Data Matters to Research and Quality Care (Melissa Cheyney)

Promoting Healthy Physiologic Birth in the U.S.

January 21, 2015 7:00 – 8:30 pm ET
NACPM welcomed Dr. Sarah Buckley  to present her exciting research on the hormonal physiology of birth, and how hormonal systems contribute to optimal outcomes for mothers and babies. Dr. Buckley, trained family physician, mother of four, and author of Gentle Birth, Gentle Mothering, presented the findings from her new report: Hormonal Physiology of Childbearing: Evidence and Implications for Women, Babies, and Maternity Care, published by Childbirth Connection, a core program of the National Partnership for Women and Families.

Other Presenters:

Dr. Holly Kennedy from the Yale University School of Nursing discussed the Normal Birth Statement, Dr. Lisa Kane Low from the University of Michigan School of Nursing presented on the ACNM Birth Tools Kit, and Maureen P. Corry of Childbirth Connection provided an overview of plans for the dissemination of Dr. Buckley’s ground-breaking report on hormonal physiology.

Kennedy, Low & Corry

 

Resources:

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