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Deadlines for Board Nominations & #MANA2016 Abstracts Approaching
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Issue #23, January 7, 2016

New and sometimes conflicting research on out-of-hospital birth


In the past month, two new studies have been released - one in the New England Journal of Medicine (NEJM), the other in the Canadian Medical Association Journal (CMAJ) - examining out-of-hospital birth outcomes. The CMAJ study examined 2006-09 provincial health records while the NEJM study analyzed two years of Oregon vital statistics data. What makes the NEJM study unique is that the Oregon birth certificate now allows researchers and others to track the intended place of birth, providing for more accurate categorization of the outcome of transfers.

The two studies both found that families that choose out-of-hospital birth experience fewer interventions, including labor augmentation, assisted vaginal births, cesarean births, and episiotomies.

Both studies also found that the absolute risk of adverse neonatal outcomes is small regardless of setting. However, the CMAJ study found equivalent risk between home and hospital settings, while the NEJM study found that planned out-of-hospital births were associated with an excess of less than 1 fetal death per 1000 deliveries -- a small but statistically significant difference.

MANA has a number of resources for midwives as you are reviewing the outcomes and helping to interpret them for families. Learn more over on the MANA blog.

Science and Sensibility Provides Balanced Coverage of NEJM Research

Science and Sensibility - the official blog of Lamaze International - has provided additional, in-depth coverage of the new research. We've summed it up on the MANA blog here - please read and share widely!

Transfer Guidelines Can Help Increase Integration

The authors of the NEJM article call for increased collaboration and integration of out-of-hospital providers into the maternal health care system. The Best Practice Guidelines: Transfer from Planned Home Birth to Hospital developed by the collaboration committee of the Home Birth Summit are an important and practical tool to increase integration.

The guidelines were designed to facilitate the safe and mutually respectful transfer of care of a woman and her family from a planned home birth to the hospital. The model blueprint was created as the result of a unique collaboration among physicians, midwives, nurses and consumers.

To learn more or endorse the guidelines, visit here.

8th Annual Virtual International Day of the Midwife

The Annual Virtual International Day of the Midwife has requested that we share the call for proposals for this year's conference. Please consider sharing your expertise!
  • Starting 4-5 May 2016 at 22:00 UTC
  • 24 hours of free online presentations for and about midwives
The Virtual International Day of the Midwife celebrates the International Day of the Midwife by bringing together midwives, students, consumers and all parties interested in childbirth from across the globe using online electronic media. A variety of live events are presented every hour for 24 hours across 4th/5th/6th May 2016 (depending on timezone) starting at 22:00 UTC on 4th May.

WHO CAN SUBMIT? Midwives, student midwives, those interested or involved in the work of midwives. Presenters must have a computer with headphones.

Learn more here.

Know A Leader in Midwifery?

Midwives Alliance Board Positions Nominations Open Now

Nominations open now through January 10, 2016

Nominations are now open for available MANA Board positions including:

Do you know a current MANA midwife who has skills, passion and commitment? Nominees must be current voting members. Directors may be elected to no more than 2 consecutive 3-year terms. To nominate yourself or someone else contact elections@mana.org, or click here.

Call for Abstracts


Share Your Expertise at #MANA16!


Share your expertise at #MANA16 in Atlanta, Georgia! MANA is seeking proposals on topics including: clinical skills, education, global health, clinical issues, legal concerns and general interest. Learn more and apply here. All proposals are due by January 31, 2016.

Save the dates:


Jan 10: Last date for Board Nominations

Jan 31: Deadline Speaker Submissions - Submit Abstracts Here

Oct 13-16:  #MANA16, Atlanta, GA
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