#MANACAM17 reflections, Reimbursement Project, and more
View this email in your browser

Issue #66, November 30, 2017

Reflections on #MANACAM17

It was 1982. I was unexpectedly pregnant with my first child (why it was unexpected I don’t really know… the diaphragm was in the drawer instead of where it belonged). I came across Spiritual Midwifery and heard the word midwife for the first time in my life. A midwife cost $500 and a doctor $3,000. It wasn’t such a hard decision really for someone with very little money and no insurance. Paying off that midwife and birth center took two years, AND, I was privileged enough to be able to access this care when so many others couldn’t or didn’t even know it existed.

Read more of President Vicki Hedley's post on the MANA blog, here.

We Get Better

MANA is honored to represent midwives and the women and people that we serve. We are deeply committed to having meaningful conversation within the midwifery community about how we can begin to repair our collective wounds, address glaring disparities impacting our membership, recognize our history as an organization, and move forward.

Read more of this statement from the MANA board on the MANA blog, here.

Midwifery Accreditation Support Track

Have you heard the great news? The Midwifery Education Accreditation Council (MEAC), in collaboration with Association of Midwifery Educators (AME), has launched an exciting new program called the MAST: Midwifery Accreditation Support Track program designed specifically for midwifery schools/programs that are at any stage of the accreditation journey.

Read more about this innovative support and mentorship program here.

Midwifery Care Reimbursement Identification Project

Midwives across the United States struggle with being reimbursed for their services. States have different models for Medicaid reimbursement and insurers set their own, sometimes unfair rules. MANA is interested in the experiences of members and seeks to identify their problems and concerns, and develop reimbursement strategies on a more global scale, in conjunction with other complementary providers represented by the Integrative Health Policy Consortium.

MANA Town Hall — Listening to Members
As part of the Midwifery Care Reimbursement Identification Project, we want to hear your thoughts and concerns regarding the current state of insurance reimbursement of midwifery care. Join us for an online Town Hall meeting on December 6th at 10:00 am PST. (Find your local time here.) Register for the meeting here.

You can also participate in the project by filling out a survey of your experiences.
Access the survey here.

Meet the 2017 Sage Femme

Marina Alzugaray, MS, CNM, ARNP

Marina Alzugaray, MS, CNM, ARNP was born and raised in Cienfuegos Cuba. When she was 17 years old she emigrated with her family to the United States. Marina studied midwifery in the US, where she has worked for over four decades as a midwife and women’s reproductive health specialist. Marina has extensive experience as a homebirth midwife as well as with hospital and birth center care. She has focused on intimate and empowering births for all mothers in all settings, and her hands-on midwifery work and teaching are a reflection of her commitment to these values. Marina’s presentations on Birth Dance, AquaNatal®, Waterbirth, and Red Tents, in addition to her longstanding work in midwifery mentorship, have made her a unique and respected voice in the midwifery world, both nationally and internationally.

Marina has provided leadership to the US midwifery profession, including serving two terms on MANA’s Board of Directors. She is internationally known as an innovative educator and skilled guide in cross cultural midwifery mentorship. Marina has served as consultant for Bolivia’s National Maternal Infant Health Protocols, and as Supervisor for the opening of a Nurse Midwifery program in Puerto Rico.

Marina grew up surrounded by water on the island of Cuba, her motherland. She became a pioneer of water birth while swimming with dolphins in the open sea. Marina developed the American AquaNatal® method, a prenatal water exercise and educational program. Her Continuing Education courses on ‘The Use of Water for Labor and Birth’ have reached many midwives, doctors and doulas at ICM, MANA and Midwifery Today conferences. Marina is also the developer of My Moon Cards, an interactive menstrual cycle teaching guide. Marina received the UCSF Chancellor’s Award for her research on birth positions, for her national and international presentations of ‘Birth Dance’ performances, and for her work on birth skills for second stage for maternity care providers.

Recently Marina’s passion has been traveling to her Motherland to build a bridge of friendship and understanding between her two countries, Cuba and the United States. At the 2017 MANA Convention, Marina will hosted a Cuban Nurse Midwife and co-presented on a plenary panel with her. Marina is honored and thrilled to introduce her Cuban colleague to the international midwifery community.

Marina’s multilayered and fascinating path in midwifery—as practitioner, educator, innovator, author, and visionary—is what made it an easy choice to name her MANA’s 2017 Sage Femme.

Marina is brilliant, courageous and inspiring — exactly the qualities we love and admire in our Sage Femmes!

Meet the 2017 Sapling

Jhoanna Galvez, LM, CPM

Jhoanna Galvez, LM, CPM is a Los Angeles native Queer Pinay midwife. She is the founder of Malaya Midwifery based in Long Beach, CA.

Jhoanna’s introduction to midwifery first took place in 2009 when her cousin invited her to the home birth of her nephew Christophe in Montreal, Quebec. At the time Jhoanna was a young feminist performing artist and activist. The birth experience showed her that the midwifery model of care was in alignment with her feminist worldviews and simultaneously revealed the rich birth stories and traditions of her ancestral lineage. Upon her return home she gained experience at Quirino Memorial Medical (maternity only hospital) in QC, Philippines alongside local midwives. The honor to be able to work in her native country and native tongue helped her understand her place in the world as a Filipina American midwife. She trained at Birth Roots and Birth Matters in San Diego.

She is centered in the fact that the midwifery model of care excels at addressing birth disparities in the United States of black families, families of color, and intersections of unique family units which make up Los Angeles, CA. Her practice thrives in an urban setting aiming to improve birth outcomes while celebrating these unique identities with compassionate skilled care. Jhoanna hopes to continue to build bridges with local midwives in her home country of the Philippines, to exchange knowledge and increase the support of skilled birth providers from the city to the remote areas.

Jhoanna’s passion and commitment to midwifery are why MANA has chosen her as this year’s Sapling. We wish her all the best and look forward to the many years of leadership she will offer her community and the profession of midwifery.

Read about all the awardees and see pictures at the MANA blog, here.

Save the dates:


Dec 5: CEU evaluations due

Dec 6: Midwifery Care Reimbursement Identification Project Town Hall Meeting, 10:00 AM PST

Jan 7: Electronic Voting for MANA Board Opens (watch your inbox for details.)
Copyright © 2017 Midwives Alliance of North America, All rights reserved.

unsubscribe from this list    update subscription preferences