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Issue #17, September 16, 2015

Planned HBAC in the United States

New Article Examining MANA Stats Data

Planned Home VBAC in the United States, 2004–2009: Outcomes, Maternity Care Practices, and Implications for Shared Decision Making came out on August 26th as an e-pub ahead of print in the journal Birth: Issues in Perinatal Care. It provides a much-needed analysis of VBACs in the home setting in the United States.

To help the birth professional community better communicate the findings with students, clients and others considering home birth after cesarean (HBAC), Jeanette McCulloch of BirthSwell interviewed Missy Cheyney, PhD, CPM, LDM, one of the paper’s authors. The abstract of the paper, lead-authored by Kim Cox, PhD, CNM, and co-authored by Marit Bovbjerg, PhD, MS, and Lawrence M. Leeman, MD, MPH, can be found in an online-only version here.

The first part of Dr. Cheyney’s interview is currently being shared in a guest blog at Science and Sensibility. In that post, which you can read here, Missy opens up the findings and her recommendations for parents and policy makers. For the MANA blog, Missy shares advice specific to midwives, based on the study’s findings. Read here to learn more.

Missy will be speaking on the findings of this and other papers based on MANA Stats at #MANA15. Learn more and register here!

Transfer from Planned Home Birth To Hospital: Best Practices

Learn more at #MANA15

Have you been hearing about the Best Practice Guidelines: Transfer from Planned Home Birth to Hospital crafted by the Home Birth Summit Collaboration Workgroup? Learn more at #MANA15!

Join Audrey Levine, LM, CPM; Jill Breen, CPM; Diane Holzer, PA-C; and LM Lawrence Leeman, MD, in a session where we will review the guidelines (view them at the Home Birth Summit site here), and share new tools for better communication and model practices for midwives as well as hospital personnel. We'll offer some case presentations and engage workshop participants in a discussion about the practical application of the guidelines and communication tools, including how to handle challenging situations such as clients refusing to transport, conflicts with EMS personnel, and the transfer difficulties that arise for midwives practicing in states with legal barriers. In addition, we'll present examples of how the transfer guidelines are being integrated into policy work in several different states. Learn more and register for #MANA15 here.

Learn How to Heal Birth Stories

Pam England at #MANA15

Join us at #MANA15 for an important session with Pam England, MA, CNM.
Every human is a story-teller and a story-listener. Every midwife is a birth story listener, and she teaches through story, too. Everything is recorded and explained through story; humans are compelled to explain what happened, and why, through story. (Evidence based-research is a story, too.) And yet, no birth story is set in stone. Over time it undergoes an organic and somewhat predictable evolution - "The Nine Stories" will be outlined in this talk - and so does the meaning the story holds.

That's why "excavating a birth story" to find scattered and shattered pieces, buried shards, of the story, leads to surprising and meaningful self-discovery that is an integral part of holistic childbirth preparation and the postpartum recovery. With a midwife's guidance, this process allows parents to follow their intuition to find where something important for them lies fallow. During this talk, midwives will learn key questions and a "map" that helps parents get to the heart and healing of a birth story—even in the course of a midwife visit.

This same process and "map" is useful to the midwife, too, as she listens deeply to her own stories, and the stories of other midwives.

Learn more and register here.

Direct Assessment Education of Midwives focus of Retreat

The US MERA Direct Assessment Task Force met at the Shenandoah University campus located in Leesburg, VA on August 17-19, 2015, for a design retreat facilitated by Dr. Charla Long, a competency-based education expert and higher education consultant.

The retreat focused on accomplishing several objectives including identifying common challenges and priorities for increasing the number of competent midwives; establishing a clear understanding of competency-based education; and utilizing "backward design" principles to complete a curriculum map for two of the seven essential ICM competencies. Participants in the retreat included representatives from the seven current US MERA member organizations as well as other experts in education and accreditation.

Dr. Long led the participants through step-by-step exercises to engage them in understanding how to use backward design, which focuses on learning rather than teaching, giving US MERA a structure to follow for creating new direct assessment program curriculums and for developing reliable and valid assessment centers as essential components of those programs. Although competency-based education is not new, it is receiving a new revival as educators, learners and regulators redefine quality of higher education in terms of the actual demonstration of student learning. In distinct contract to most credit-hour based programs, competency-based education requires mastery of knowledge and skills as the student progresses through their education.

The retreat ended with participants collaboratively creating an action plan to ensure the further development of the direct assessment model to meet the US MERA goal of implementation of those programs by 2020.

Earn a Free Registration to the MANA conference!

Become the MANA Registrar!

We are seeking a new volunteer registrar for the national MANA conference! The new registrar will train at SHINE MANA#15 and become lead registrar in 2016. This is an amazing opportunity to gain much sought after non profit and event coordinating experience.

Duties Include:
- Coordination of online registration
- Interfacing with Conference Coordinator and Director of Events

Qualified applicants will be:
- Friendly
- Organized/detail oriented
- Have great computer skills
- Access to high speed internet
- Reliable computer
- Great communications skills
- Be able to commit to at least a two-year term
- Facility with Teamwork Project Management system a plus, or we will train

The registrar and the new trainee receive complimentary conference registrations which include breakfast and lunch each day. For Shine MANA15 the primary commitment will be on-site in Albuquerque October 15 - 18 to train with and assist this year's registrar until wrap-up is complete. In 2016 the new registrar will coordinate registration from opening in spring through the event in October, and be the lead registrar for that year's event.

Please contact Nicole White with any questions or to apply.

Overview of the Changes to the Core Competencies

As we announced here on April 22, 2015, the MANA Core Competencies underwent a revision in 2014. One aspect of the revised Core Competencies has recently become the focus of attention in our community. To help us understand all of the changes Document Committee Chair Justine Clegg, MS, LM, CPM shared with us the process and the changes in a new blog post here. We welcome your input in this important discussion.

Save the dates:

Sept 24 - One Week from Tomorrow! Last day to reserve
hotel room
at group rate

Sept 23 - One Week from Today! 
Exhibit Deadline

Oct 15-18: MANA 2015: SHINE
Copyright © 2015 Midwives Alliance of North America, All rights reserved.

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