Frances Ganges, newly named Chief Executive of the International Confederation of Midwives (ICM), sent the following message after a conversation with Dorothea Lang, who represents ICM at the UN:
I just spoke with Dorothea and she asked me to let you know that Irene De La Torre (head of the program in Puerto Rico) is now the new ICM Board member for North America and The Caribbean! We are very excited. Please see the news item on the ICM website (home page near bottom).
The CDC has issued a new report stating that:
-After 12 years of consecutive increases, the preliminary cesarean delivery rate among singleton births was unchanged from 2009-2011 (31.3%).
-Cesarean delivery rates decreased more than 5% among births at 38 weeks of gestation, but increased 4% among births at 39 weeks.
-Decreases in cesarean delivery rates for births at 38 weeks occurred for non-Hispanic, white, non-Hispanic black, and Hispanic women, as well as for all maternal age groups;
-Increases in cesarean delivery rates for births at 39 weeks occurred among non-Hispanic, white, non-Hispanic black, and Hispanic women, as well as for all maternal age groups;
-The cesarean delivery rate at 38 weeks decreased in 30 states; the cesarean delivery rate at 39 weeks increased in 23 states.
To read the whole report, visit this link.
Barriers to practice?
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Our Moment of Truth: a new understanding of midwifery care
On Friday night, attendees enjoyed wine and cheese followed by a presentation by Dr. Ellen Biggers. Dr. Biggers is an attending physician and clinical faculty member at St. Peter’s Health Partners in Albany. She spoke to us about the importance of collaborative relationships between healthcare providers, and the different ways collaborative relationships are implemented across the United States. Her presentation included discussion of power dynamics, communication, and the varying levels of success with different collaborative models.
The business portion of the Annual Meeting was held on Saturday morning. NYSALM’s treasurer, Lily Dalke, gave a report on NYSALM’s finances. We also heard our ACNM regional representative, Annie Gibeau, speak about the many benefits of ACNM membership. NYSALM President Patricia Burkhardt presented an award to Dr. Biggers for her wonderful collaboration with midwives and her work in her community and beyond. Dr. Biggers has served three terms on the state Board of Midwifery, has completed volunteer service in Peru and Rwanda, lectured widely, and has been an educator and preceptor for many physician assistants, midwives, and nurse practitioners.
After the Annual Meeting, many attendees headed to the National Women’s Hall of Fame Induction Ceremony, where Ina May Gaskin was inducted. Ina May and the other inductees (including Bernice Resnik Sandler, Kate Millet, and Nancy Pelosi) were presented with medals and made speeches. Rep. Pelosi also brought many of her female colleagues with her to the ceremony. It was a fascinating, moving afternoon—and don’t despair if you missed it! A recording of the event is available via the National Women’s Hall of Fame (link)(video here).
In the evening, we returned to our hotel for dinner and a presentation on a new IUC, sponsored by Bayer. Frances Ciavaglia told us about the research on Skyla, a new, levonorgestrel-releasing intrauterine contraceptive system. After her presentation, we enjoyed a lecture by Evelyn Resh, CNM, (link) on the sexual health needs of peri- and post-menopausal women, as well as a discussion of how gender and power dynamics affect sex. It was a very educational evening!
On Sunday morning, Ina May Gaskin joined us for brunch and a discussion of the future midwifery in the United States and beyond. We had a lively conversation with contributions from many of our attendees.
All in all, it was a beautiful weekend in Seneca Falls. A big thanks to the organizing committee for getting this great event together. We hope to see you all next year!
Starting April 13, NYSALM's website features a weekly blog post by a New York midwife discussing the previous episode of Call the Midwife.