Meet the Candidates

NACPM is electing two new Board members this summer. If you are a CPM Member of NACPM, you will receive an email with voting instructions. Here are our candidates in their own words:

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Jenny Jahn, CPM, LM, CHD from New Mexico states: “The National Association of Certified Professional Midwives was presented to my class when I was in midwifery school. Thereafter, a fellow midwife endorsed NACPM and I decided to look into it. Doing research, NACPM made an impact on me because it promotes women’s heath through the CPM credential and promotes the CPM as a profession. I appreciate how NACPM is its own entity for my profession as a CPM without comparing the CPM to a CNM, MD or ND, etc. I am running for the NACPM Board because I believe in this philosophy of keeping the CPM profession and because I am in a place in life to make the commitment to the requirements listed.

As a Board member of NACPM, I would like to contribute to the good already going on by the current Board as well as bring myself to the table. It is my hope to continue to promote the CPM to, in turn, better women and families during the childbearing years and overall heath thereof. Far too many CPMs are turning to become CNMs because of the lack of trust, support, financial stability and sustainability of practicing as a CPM. We can do better than to change our profession. This minimizes the CPM credential even further. Furthermore, as a member of the LGBTQ community, I feel I can offer this unique perspective.

If I am elected to the NACPM Board, I hope to experience a broader spectrum of being in the healthcare field as a midwife and to expand my midwifery community. I hope to experience midwifery on a national and, dare I hope, international scale.”

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April Haugen, MSM, LM, CPM from Washington State shares: “I am excited to be running for a position on the NACPM board. I am passionate about increasing access of CPM’s in the US, establishing standards of care/equality in our communities, and providing culturally sensitive care to the family’s midwives are so passionate about. Being on the board will increase my capacity to make a difference in furthering the advancement of midwifery. I want to be a part in making midwifery sustainable by affecting CMP’s on the State and Federal level.

I have been supporting families as a birth doula since 2000, then went on to obtain my Bachelor’s Degree in Herbal Science from Bastyr University in 2010. In 2014 graduated with Masters in the Science of Midwifery from Bastyr University. I’ve practicing as a Licensed Midwife and CPM since 2014. My solo practice is in Ellensburg, a rural part of Central WA. I provide home birth services. It has been such a unique experience establishing validation as a medical professional and working to create respectful collegiate relationships with the other practitioners in the area. This has opened even greater opportunities as teaching is my other passion. I preceptor student midwives from many different schools and in 2017 became a preceptor for the Community Health Family Resident Physician program. It has been such a joy guiding resident physicians through the midwifery model of care; client led, supporting physiologic birth and providing family center care. These doctors are going out from this community to work with CPM’s around the US and will be open to creating and establishing relationships with them. This will only increase sustainability and acknowledgment of CPM’s.

Outside of clinical work, I spend a lot of time volunteering in many other ways. I was recently nominated for the Midwifery Advisory Committee in WA State starting in 2019, spend time on the DOH-Maternal Mortality Panel, volunteer on the breastfeeding coalition in Ellensburg and volunteer in Search and Rescue of Kittitas County. I am an avid hiker and keep busy raising my two teenagers as a single parent. I am passionate about birth and finding a way to provide the best care possible with sustainability.”

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Laura Perez, LM, CPM from California writes: “When I learned that I had a womb, I became a feminist. When I learned that there were people actively trying to control and colonize my womb, I became a reproductive freedom and rights activist. And when I learned what a midwife was, I decided to become one. I suppose I need to be mindful about what I learn about since these things tend to shape my life.

Some of the things I’ve done include being a member of the Women of Color Organizing Project with CARAL, being a co-founder of Exhale, a national multilingual after abortion counseling talk line, and being a regional rep for CAM, the California Association of Midwives.

I’ve taught well over a hundred medical students how to do women-centered and comprehensive breast and pelvic exams as a Gynecological Teaching Associate, using my own aforementioned womb and breasts as teaching tools. I’ve done volunteer and paid doula work on and off for the past 13 years. And I’m an apprentice trained Certified Professional Midwife, a Licensed Midwife, with my own practice, and one of only two midwives of color based in San Francisco.

I’m proud to identify as a working class immigrant of Native and Latin American heritage. My partner and I are also parents to a seventh grader who owns our hearts.

Why I want to run for the NACPM board:

Midwives have the ability to affect significant change in maternity care nationally. I think that NACPM may be a resource for midwives who would like to be a part of that significant change. While I believe these are dire times in the U.S., I also believe that mothers and midwives offer much needed hope for families searching for workable solutions, not just to the maternity health crisis, but also larger community health issues. I would like to offer my perspective to the conversations that NACPM is having regarding the current and future role and goals of midwifery.”

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Megan Koontz, MSM, LM, CPM is a midwife, a midwifery educator and is passionate regarding midwifery issues. She currently lives in Anchorage, Alaska having moved in 2016 from Ridgecrest, California, but she is originally from New Zealand.

Megan has worked midwife across a variety of setting including as a home birth, birthing center and hospital midwife. She has attended births in New Zealand, England, Alaska, Utah, and California. The variety of birth place has means that Megan has supported people through a wide range of birthing experiences, from natural home births to hospital births that included epidurals and cesarean sections.

Megan obtained her Bachelor of Midwifery in New Zealand in 2001, and Masters in Midwifery in 2015. She started as faculty with the Midwives College of Utah and currently holds the position of Core Academic Faculty and Academic Dean. Megan is currently completing the Postgraduate certificate in Educational Design and Technology through the University of Memphis.

Megan loves the outdoors including skiing, skating, hiking and biking and is surprising herself by enjoying winter in Alaska almost more than she enjoys summer.

Megan writes: “I am interested in running for the board to support the growth of midwifery in the USA. My midwifery career began in New Zealand where I first trained and spent my early years as a midwife. The experience of working within system where midwifery is fully integrated at a national level is one reason for my enthusiasm for working to advance midwifery. I believe that midwives can be their most effective when they are a respected member of a team the comes together to support birthing people.

I have the daily privilege of working with our upcoming midwives. They constantly challenge me to become the midwife I know I should be. This means working towards a stronger, more equitable system that recognizes midwives for our knowledge, our education and our experience and demands that we examine our role in ensuring quality, appropriate and respectful care for all birthing people. For this to happen we need to eliminate the current systemic racism and remove the existing differences in birth outcomes. If selected I would expect to support the work of NACPM as well as continuing my own personal work in these areas.

My daily work with a school that exists in a web-based environment, as well as my current studies in Educational Technology, ensure that I am fluent in navigating online spaces and communication. As NACPM is a national body, much of the work involved in being part of the board revolves around creating and distributing online content and my work in this area would complement the work the board is already doing.”

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Kate Hartwell, CM, CPM is a New Hampshire Certified Midwife, a Certified Professional Midwife, and the owner and operator of Concord Birth Center in Concord, NH. She is also the owner of The River Guild, a holistic health center. Her career in birth work has spanned 11 years and she has attended over 600 births. Kate is a member of the New Hampshire Midwifery Council, where she serves as Secretary. She is also a member of the NH Newborn Screening Advisory Committee. Kate and her colleagues at the Concord Birth Center value informed birth experiences and equal access to midwifery care. She is a mother of two daughters, and in her free time enjoys spending time with them in the beautiful Granite State.

Kate writes “I am running for this board position at NACPM because I feel strongly that this organization is capable of securing accessibility to midwives for the majority of birthing people. I am also impressed by NACPM’s commitment to ending the enormous racial disparities that exist in maternity care in this country.”

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Elizabeth Baer, CPM, LDM, from Oregon writes: “Shortly after birthing my first baby in October 2000, I found Ina May’s Spiritual Midwifery at a Barnes & Noble. I’d remembered hearing about midwives in high school history class and was pleased to learn that out of hospital midwives were still a thing. I had always been interested in public health and thought that becoming a midwife would suit my personality and career goals.

At that point, we knew we wanted more children, and I kept putting off midwifery school. I worked for the Baltimore County WIC Program as a Breastfeeding Peer Counselor from 2001-2005. In 2010, I trained as a doula and helped found the Central New York Doula Connection. After attending my first Midwifery Today conference in the spring of 2011, I began midwifery school that summer, through the National Midwifery Institute (a MEAC accredited program), and graduated in 2014.

I live and work in Oregon’s rural Mid-Valley region with my husband and five biological children. I am lucky to work in partnership with another midwife, at Midvalley Birthing Services, a home birth practice. I have been a licensed midwife here in Oregon since 2014.

I first heard about NACPM and its work at the 2013 MANA conference in Portland, Oregon, for which I served on the planning committee. I am a member of NACPM and enjoy what they have to offer their members and midwives as a whole. Like NACPM, since before beginning my midwifery practice, I have envisioned a healthcare system where all mothers have access to midwifery care, are able to birth with a midwife in the location that best suits their family, and have an equal chance to being healthy.

From 2014-16, I served on the Linn Local Advisory Committee, a group that advised our local Medicaid management company on delivering services to members and improving health outcomes in our region.

My goals for my own midwifery practice, and for my time of service on the board, are to improve health outcomes for mothers and babies, encourage safe midwifery practice with good screening and referral guidelines for midwives, and to improve access to midwifery care.

Thank you for your consideration.”

NACPM State Chapter Day May 20, 2018

On May 10th before the start of the CPM Symposium, NACPM hosted the first-ever in-person gathering of NACPM chapter members. We were thrilled to have had representation from 13 of our 18 currently formed state chapters at this seminal event plus guests from 4 additional states. This day was designed specifically for chapter leaders and members with the hope of sending them back to their states with information, skills, tools and connections to put to work for their unique state priorities.

NACPM hopes to build on the conversations and connections that began during the Chapter Day through our quarterly chapter collaboration calls, one of which was earlier this week. We had a total of 30 participants over the course of the call and heard from everyone who wished to share about what’s going on in their state and what they are bringing back to their state and local work from our time together at the Chapter Day.

Overview of the Chapter Day

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We opened our day together in a circle sharing what question we were bringing. The questions centered around the themes of access and equity, inclusion, unity, and accountability, relationships between NACPM national and Chapters and between Chapters and state associations, and how to bring about broader systemic change:

Access and equity: How do we strategically plan to help POC access midwives? Are we working at our own bigotry and racism?

Inclusion, unity, and accountability: How can we overcome divisions in our midwifery profession? How are we going to ensure communications are in place to learn from our mistakes?

Relationships between NACPM national and Chapters, Chapters and state associations: How can Chapters and state associations work together? How can NACPM support licensed states? Unlicensed states?

Bringing broader systemic change: How does this fit with transformation of our maternity care system overall? How can we support what is coming up?

Chapter Day Presentations

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Facilitator Cari Caldwell presented on “Building effective state teams.” Cari shared with us about how to create high performing teams, including asking important questions like why does the team exist? Is there trust within our team? What are our goals? What is our level of commitment? She encouraged us to focus not just on the work we’re doing, but also on how we are building what we’re building. She taught us that it is crucial to get really explicit about the kind of culture we’re creating together and to construct mechanisms for accountability within our organizations.

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Saraswathi Vedam from the Birth Place Lab gave a presentation called “Mapping Integration of Midwives Across the United States: Impact on Access, Equity, and Outcomes” in which she described the background and approach of the research behind the work being done at the Birth Place Lab around the importance of integrating midwives into the maternity care system in order to improve perinatal outcomes. She emphasized that understanding the credibility of this research is the basis from which we can bring this information back to our local communities and that the lens for all of their research is ACCESS for families to care, not convenience for midwives.

She reported on the clear correlation between increasing integration of midwives, density of midwives, and access to midwifery care and a decrease in preterm birth and neonatal death. States with a higher population of black babies have poor integration, low density of midwives, and lack of access to care, compounding the unconscionable disparities in outcomes across racial lines with an added layer of risk due to lack of access to the Midwifery Model of Care which we know improves these outcomes. Saras and her team’s research shows how dire the need is to scale up midwifery in the US, where access to midwifery care is significantly lower at around 10% than in other high-resource countries, which typically have 50-75% of births attended by midwives.

This session was packed full of high value, evidence based research and was designed as preparation for the last session of the day in which we applied the State Mapping Tool to our individual state contexts through review of our state report cards, which can be found on the Birth Place Lab website.

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Silke Akerson from the Oregon Midwifery Council presented on “Tackling Quality of Care Issues at the State Level / The Oregon Experience” in which she described quality improvement measures taken in Oregon and how these improvements might be applied in other states. Silke defined quality improvement as the “combined and ongoing efforts of a group of people to understand problems and make changes that will lead to better outcomes in a particular system.” She noted that with quality improvement there is a focus on looking at problems and solutions within the system rather than placing specific blame. She taught us about how quality improvement MUST begin with cultural humility and co-creation with the communities they impact.

Some of the specific quality improvement steps that they have taken in Oregon include improving data collection, transport improvement, targeted continuing education, mentorship for new midwives, guidelines for peer review and case review, and midwife participation in public health efforts. Having taken these measures, the perinatal mortality rate of intended community births in Oregon was reduced from 3.9/1,000 in 2012-2013 to 1.005/1,000 in 2015-2016.

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Kathryn Moore, Director of State Government Affairs at ACOG shared ACOG’s perspective on CPM State Licensure and Policy and spoke to ACOG’s involvement with the US MERA collaboration.

In addition to reviewing ACOG’s statements and positions on out-of-hospital birth, Kathryn described for us the membership and governing structure of ACOG, how ACOG sets policy nationally, the leeway state ACOG groups have to set their own agenda, priorities and tactics, and the influence state medical societies have on ACOG on the state level.

She pointed to a few examples where ACOG and CPMs collaborated on legislation, including Maine with its year-long professionally facilitated negotiation among stakeholders, Maryland which underwent a collaborative process before the bridge certificate was available, and Florida’s recent legislation on adverse incident reporting.

Chapter Day Evaluation Results:

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We largely received very positive feedback from the Chapter Day evaluation that went out after the event. Participants reported that the content was of high value to them, that they made important connections, and that they would eagerly attend future in-person chapter events. We also received some great suggestions including ideas for affinity groups that could take place before a future Chapter Day, such as an opportunity for people of color or states at similar states/chapters at similar stages of development to meet and strategize.   There were requests for focus on how to get state legislation passed, how to hire a lobbyist, what to do and not do as a grassroots movement, and also ways to collaborate with the NACPM national office for states with existing regulation. Many shared that they would have appreciated more time to network and connect with one another, which is a wonderful testament to the richness of our growing community and the need for more of these gatherings.

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Share your story with the CPM Symposium!

Certified Professional Midwives (CPM) are committed to bringing the voices and perspectives of people having babies – your voices – into The CPM Symposium on May 11-13. We want to hear from you directly so that your voice and your experience can help to guide this work. With that end in mind, we invite you to make a one-minute video about your experience of having a baby and send it to the planning team for the CPM Symposium.

FIND DETAILS ABOUT SUBMITTING VIDEO VIGNETTES HERE

CPM Symposium Scholarships

NACPM and our Symposium Convening Partners (AME, CfM, ICTC) are committed to supporting a racially, ethnically, and culturally diverse midwifery workforce and providing opportunities for multiple voices to be heard so we can better understand and be responsive to the needs of all childbearing people. In service to this commitment we are offering full and partial scholarships to the 2018 CPM Symposium which are reserved for midwives, students, consumers, allied professionals and advocates who identify as people of color, native, indigenous, and/or LGBTQ2S.

READ MORE AND FILL OUT THE SCHOLARSHIP APPLICATION

CPM Symposium Program announced

We are excited to announce the carefully crafted CPM Symposium program! It is focused on the priorities voiced by the CPM community: the needs of childbearing people, state and national policy, challenges and solutions to address equity in education, practice and the composition of the CPM workforce, thorny problems and encouraging innovations in education, along with one of your top priorities – viability and sustainability for the profession and the midwifery movement.

READ MORE ABOUT THE PROGRAM AND REGISTER!

Meet the CPM Symposium Facilitators

The 2018 CPM Symposium is a two and one-half day facilitated planning event bringing together midwives, childbearing people,students, educators, policy makers, funders, allied professionals and other stakeholders to plan for the future of the CPM profession. With the support of three skilled facilitators, the convening and consulting partners will create a space for innovative collaboration. Meet the facilitators

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