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CNMA Newsletter - September 2024



Message from the President


Dear Community,


We hope you all enjoyed the festivities of World Breastfeeding month in August. At CNMA we respect autonomy and  the right to breastfeed anytime, anywhere, and we support breastfeeding-friendly health care systems. The theme for World Breastfeeding Week  this year  was "Closing the gap: Breastfeeding support for all". We are all familiar with the guidelines to help support and encourage breastfeeding.  Data and research regarding the benefits of breastfeeding are overwhelming and numerous. Yet, the breastfeeding rates in California and nationally are less than expected in spite of all of the great health perks. According to the Centers for Disease Control and Prevention (CDC),   the percentage of babies breastfed for the first 6 months is 27.3% in California and 24.9% nationally. Based on the U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion,  the Healthy People 2030 Goals for Breastfeeding are for the proportion of infants who exclusively breastfeed in the United States to increase to 42.4% in the first 6 months and to continue breastfeeding until they are 1 year old. The end goal is for 54.1% of babies to continue breastfeeding until 12-months old. 


 The CDC and the  US Department of Agriculture endorse breastfeeding. They agree that breastfed babies have a lower risk of ear infections,  digestion problems, asthma, obesity, type 1 diabetes, and sudden infant death syndrome (SIDS) to name a few. Breastfeeding parents get benefits too. The CDC  reports that they can look forward to reducing the risk of developing osteoporosis and developing breast or uterine cancer. Plus, producing oxytocin, one of the key hormones involved in breastfeeding,  helps contract the uterus bringing it back to its pre-pregnancy size after birth. Reducing the risk of postpartum hemorrhage. Also, oxytocin can help with family bonding and improve sleep patterns for the whole family! Added bonus,  lactating individuals  burn extra calories when making milk, this can lead to increased weight loss and help with the return to pre-pregnancy weight.  So, why are breastfeeding rates so low you may ask? Producing breast milk and breastfeeding or pumping is hard work! 


Breastfeeding families need all of the support they can get. This support needs to happen in regards to policies and attitudes that value breastfeeding and families. So what can we do? One  important state initiative  is for all hospitals in the state of California to have policies in place that are considered "Baby Friendly" by 2025. These policies are meant to support the health of infants and families.  Let us know how you are working in your local communities throughout the state to improve support for breastfeeding. Whether it be offering easy to access breastfeeding classes, or referrals to a lactation consultant or promoting a local new parent support group, we would love to hear about how you are closing the gap to supporting breastfeeding. Share with us how you are doing your part to improve breastfeeding in your community. We would love to hear from you! send us a message.


Amita Graham, MSN, MPH, CNM, WHNP, RN, IBCLC

President Elect

California Nurse Midwives Association Save the Date 

 

CNMA 2024 Annual Meeting – SAVE THE DATE!


We’re excited to announce that this year’s annual meeting will be held on November 9-10, 2024 at The Key Room in Novato, Marin County! Earn up to 16 CEs and there will DEFINITELY be a dance party this year! Save the date and get ready for fun. 


Day one’s speaker lineup is still underway, but topics will span pregnancy/birth, lactation, perinatal mood, and menopause,and include special updates on Midwifery Access California and the CMQCC’s Community Birth Partnership Initiative; 8 ACNM CEs. 


Day two’s workshops will include TWO options for day-long workshops:

  • Breech Without Borders Hybrid Workshop: from 8AM - 6 PM. 23.5 ACNM CEs. Register here!

  • Two Part Abortion Workshop: virtual 8 AM - 12 PM, 4 CEs; and hands-on 1 - 4 PM, 4 CEs. Total of 8 ACNM CEs available. Register for virtual training and hands-on training now!

 

Join the CNMA Board of Directors!


CNMA Board Members are actively shaping the reproductive health landscape in California, and making huge strides in access to midwifery for people in California. The Board of Directors meet virtually on the third Wednesday evening of every month. Eligible candidates must be active members of CNMA. If you’re interested in serving on the board, please contact Paris Maloof-Bury at parisbury@gmail.com. We look forward to having you serve alongside us! 


Treasurer (11/2024-11/2027)

  • Attend monthly Board of Directors (BOD) meetings

  • Perform all duties commonly incident to and vested in the office of Treasurer of a corporation, as well as all duties delegated by the President, including, but not limited to the administration of the fiscal and financial policies of the Affiliate. 

  • Supervise the maintenance of accurate corporate books. 

  • Act as custodian of the funds of the Affiliate and as signatory to the Corporation’s bank account in order to issue the checks and drafts of the Corporation as directed by the BOD. 

  • Present itemized financial reports at each monthly meeting of the Affiliate. 

  • Maintain a list of members with ACNM and Affiliate dues currently paid. 

  • The Treasurer, in consultation with the President, is empowered to jointly approve expenditures under and up to a predetermined amount in accordance with the Standard Rules and Operating Procedures developed by the BOD. 

  • Working w/CPA re: filing taxes, reviewing books, etc.

  • Receiving funds for the annual mtg.

  • Treasurer is a voting member of the BOD.

  • 3 year term: 2 years as Treasurer, followed by one year as Immediate Past Treasurer (the “Immediate Past” role is non-voting). 


Southern California Representative (11/2024-11/2027)

  • Attend monthly Board of Directors (BOD) meetings 

  • Keep in touch with the regional chapters so the regional director knows what is going on.

  • Act as a voice for the members to the BOD. 

  • Establish two-way communication with regional chapter chairs and members to update them on affiliate issues, as well as bring issues, comments, needs and requests from regional members to the BOD. 

  • Take initiative regarding events in their region and develop relationships with the members of the region, including participation at local chapter meetings, when possible.

  • They are encouraged to be involved in fundraising efforts in their region. 

  • Take a leadership role in organizing in-district visits when it comes to grassroots advocacy/legislation.

  • Regional Reps are voting members of the BOD.

  • 3 year term : 2 years as Regional Rep, followed by one year as Immediate Past Regional Rep (the “Immediate Past” role is non-voting).


Representative from Under-Represented Group (11/2024-11/2027)

  • Attend monthly Board of Directors (BOD) meetings 

  • Ideally have a well developed understanding of the Reproductive Justice Framework

  • Be in community and connection with the members of the under-represented community/communities whose voice they are elevating. Bring awareness to the specific needs of these communities to the BOD and act as a voice for the members to the BOD 

  • Attend their local chapter meetings, when possible.

  • Take initiative to be involved in events in their region and to develop relationships with the members of the region.

  • Possibly be involved with fundraising to support CNMA aims

  • They are voting members of the BOD

  • 3 year term: 2 years as Representative from an under-represented group, followed by one year as Immediate Past Representative (the “Immediate Past” role is non-voting). 


Reproductive Justice and Antiracism Committee Chair (11/2024-11/2027)

  • Participate in monthly RJ/AR meetings

  • Attend monthly Board of Directors (BOD) meetings and advise the BOD on issues related to Reproductive Justice & Anti-Racism

  • Provide Quarterly communication with CNMA members regarding committee activity

  • Interface with American College of Nurse-Midwives and their current committees focusing on racial and reproductive justice issues. 

  • Coordinate collaboration with other professional groups on issues related to anti-racism and racism-based health disparities work 

  • RJ/AR Chair is a voting member of the BOD.

  • 3 year term: 2 years as RJAR committee chair, followed by one year as Immediate Past RJAR Committee Chair (the “Immediate Past” role is non-voting). 

 

Health Policy Updates

Go to www.cnma.org/advocacy to catch up on health policy initiatives and an update on CNMA’s advocacy to retain the master's degree program for nurse-midwifery at UCSF. Additionally, both of the bills CNMA is co-sponsoring have passed!! They will now be on the Governor’s desk for signature.  


UCSF Closure of the Masters in Midwifery:


In addition to the SF Chronicle’s front page coverage in June of the UCSF closure of the nurse-midwifery masters program, California Health Line published an article on Aug 26th highlighting this protested move by UCSF. CNMA, along with our partners at the Future of Abortion Council, has met with leadership from the School of Nursing to advocate for the importance of maintaining a master’s option for nurse-midwives. CNMA continues to actively advocate for a master’s pathway for nurse-midwives in northern California. 



Midwifery Access California

CNMA is the convener of Midwifery Access California, a multi-year, multi-stakeholder initiative to improve midwife-led care in Medi-Cal. 

















MACa is hosting an urgent webinar to address the alarming crisis of birth center closures sweeping across the state. The webinar, “Midwives & Medi-cal: California efforts to improve access to midwife-led care in Medi-Cal and the crisis of birth center closures” will take place on September 10th at 12:00pm and is open to the public. Register here: https://tinyurl.com/MACaRegister

As reported in Cal Matters the state is facing an epidemic of hospital maternity ward closures. The problem is now being exacerbated with freestanding birth center closures as Cal Matters reported on August 26, 2024. 

As Birth Centers and Midwives face insurmountable financial and regulatory pressures, pregnant individuals and families across California are left with fewer choices, making this a public health crisis.

The webinar will feature experts in maternal healthcare, including midwives and birth center owners, who will discuss the reasons behind the closures and outline critical actions that can be taken to protect birth centers in California. This webinar will also highlight the recent work of Midwifery Access California to prevent such closures

What: Webinar: Midwives and Medi-cal – California efforts to improve access to midwife-led care in Medi-Cal and the crisis of birth center closures

When: Sep 10, 2024 12pm-1:15pm

Where: Online Webinar – Registration Required. Click here to register: https://tinyurl.com/MACaRegister

Who: Speakers include experts from Midwifery Access California and birth center directors/owners from:Best Start Birth Center, Monterey Birth Center, Midtown Birth Center, and Santa Rosa Birth Center. Presented in partnership with The National Health Law Program. 

Why: To discuss the immediate impact of birth center closures, potential solutions, and how communities can support these vital healthcare facilities.

How to Register: Visit https://tinyurl.com/MACaRegister to register for the event.


You can help midwifery advocacy efforts by subscribing to the MACa YouTube Channel at: www.YouTube.com/@MidwiferyAccessCA and share this link in your networks! If you have questions, contact the CNMA Health Policy Chair and Vice Chair at holly@midwiferyrising.org or LizDonnelly@gmail.com 

 

Education, Trainings, and Webinars

AWHONN Perinatal Bereavement Community Chat

September 3 | 2 pm EST


Join us as we have a live chat to discuss strategies, share tips, and ask questions about perinatal bereavement challenges. We'll connect on ways to provide compassionate care and create memories for the families we serve. 

Pricing: Free. This is a member-only event.


AWHONN Advocacy Town Hall: The Nurse’s Role in Supporting Patients With Work Accommodations for Pregnancy, Childbirth, and Lactation, Under the New Pregnant Workers Fairness Act

September 4 | 1 pm EST


Learn about the Pregnant Workers Fairness Act, passed in 2022 with AWHONN's support, which ensures nationwide accommodations for pregnancy, childbirth, and related medical conditions. This webinar will educate perinatal nurses on the new EEOC rule implementing the law and the rights it grants, including medical leave, rest breaks, and job modifications. Equip yourself to better advise and support your patients.

Pricing: Free. A recording will be sent out to all who register for the event.


Policy Center Congressional Briefing



Medella: Achieving High Reliability Growth and Nutrition in the NICU with Dr. Jae Kim, MD, PhD

Tue, Sep 10, 2024 11:00 AM - 12:00 PM PDT


The delivery of the best practices for human milk nutrition in the NICU is an ongoing challenging commitment. Nutrition has lots of variability in practice as there is less evidence to help guide practice than in other areas. Nevertheless, standardizing best practices is better care and we can learn from quality improvement science to accelerate our efforts to build in these best practices. This webinar will discuss the pragmatic quality improvement framework that can be used in your unit to incorporate the best practices in human milk delivery, nutrition and infant feeding to ensure the best outcomes for your babies.


AWHONN Read Between the Lines: Marked Variability: Is it the Same as Moderate?

September 11 | 1 pm EST


Join us for an in-depth exploration of "marked variability" in fetal heart rate, its evolving definitions, and interpretations. Recent evidence suggests that increased fetal heart rate variability should be distinguished from moderate variability as it may indicate early-stage intrapartum hypoxemia, posing a risk for fetal acidemia and neonatal complications. Discover best practices for managing this rare but critical condition. What you’ll learn:

Understand the pathophysiology of marked variability and its link to fetal hypoxia, cord blood acidemia, and neonatal complications

Learn nursing management strategies for patients exhibiting marked variability

Pricing: $25 members | $39 nonmembers

1.5 nursing contact hours

A recording will be sent out to all who register for the event. This webinar will be presented live and available on-demand at a later date.


Black Maternal Health Conference 

September 12-14, 2024 | Atlanta, GA 


The BMHC24 theme is “Our Bodies STILL Belong to Us: Reproductive Justice NOW!” This theme will be showcased through the content offered during the conference with topics focused on addressing systemic inequities in Black maternal health and amplifying the work, studies, policies, research, and initiatives happening in communities and across health systems that are working towards equitable change. 


This year’s conference will be hybrid (virtual and in-person) and will offer a global space for learning, rich discussions, and mobilization to transform Black Maternal Health, rights, and justice


Breech Without Borders Trainings


Ann Arbor, MI, September 14 & 15 with Kristine Lauria, bit.ly/annarborbreech (Breech Training + Master Class)

Grand Rapids, MI, September 17 & 18 with Kristine Lauria: bit.ly/grbreech (Breech Training + Master Class)

Traverse City, MI, September 21 & 22 with Kristine Lauria: bit.ly/tcbreech (Breech Training + Master Class)

Willard, WI (Central WI), Sep 21 with Dr. Hayes: bit.ly/willardbreech

See more information here. 


Maternal Mortality Conference 

September 19, 2024 | In Person + Virtual Options


About This Event

 Reducing Maternal Mortality: Strategies That Work!  Conference


Description: Reducing maternal mortality is a crucial public health goal, and Frontier Nursing University and the Campion Fund are hosting a research conference to address this pressing issue.The conference's focus on identifying and describing programs and practices that have successfully reduced maternal mortality rates is essential for improving maternal health in the United States.


The conference will take place virtually on Zoom. We currently have unlimited space available for virtual participants. 


Virtual Attendee: $49  

Virtual Student Attendee: FREE

Any current student attending a higher education institution may attend this conference at no cost.


For questions or inquiries please contact FNUevents@frontier.edu.


Medella’s “My Pumping Pathway”: Standardizing a Personalized Approach to Pumping for Practice and Research

Tuesday September 24th 1 PM-2 PM CST 


The first two postpartum weeks represent a critical window for achievement of secretory activation and the transition to autocrine/paracrine control of lactation.  In otherwise healthy dyads, the breastfeeding infant adapts sucking patterns to accommodate these lactation phases and, in turn, provides essential stimulation for milk synthesis. For NICU mothers, the pump substitutes for the infant with respect to mammary gland stimulation and milk removal.  Thus, as with breastfeeding a healthy infant, breast pump use should be effective, efficient and comfortable.  However, postpartum patient education about breast pump use is often not evidence-based, standardized among practitioners, nor personalized to the mother’s individual needs.  This presentation introduces a novel, evidence-based 2-part instrument, My Pumping Pathway, which links pumping behaviors to those used by the human infant during the first 1-2 postpartum weeks.  “My First Pumping Pathway” guides and monitors optimal breast pump use prior to and during the achievement of secretory activation, and is completed during the maternity hospitalization. “My Second Pumping Pathway”, completed near the end of the first postpartum week, guides and monitors optimal breast pump use during the transition to the autocrine/paracrine control of lactation.  Items in the Pumping Pathway link via QR codes to videos and education sheets in the PROVIDE Compendium (www.lactahub.org/nicu-training), so that practitioners and mothers can access additional information about specific topics such as “pumping to empty” and “sizing of breast shields” in real time or later to reinforce specific topics.  Preliminary data suggest high satisfaction among NICU mothers, and studies within practitioner groups are underway.  Implications for NICU-based QI projects and/or research in which pumped MOM volume is a dependent variable will be discussed.


ACNM: Vaccine Confirmations

September 25, 2024, 7:00 p.m. – 8:00 p.m. ET


Getting vaccinated during pregnancy can protect both parent and child from vaccine preventable, yet maternal vaccination coverage in the U.S. is historically lower than the general population. Vaccine misinformation and questions and concerns that go unaddressed can all affect vaccine confidence and affect a pregnant person’s health care decisions. In this interactive virtual session, participants will be equipped with the latest knowledge and tools and share their best practices to confidently recommend vaccines to their pregnant clients.


Perinatal Mood Disorders: Components of Care & Advanced Trainings

September 25-26, 2024 | November 13-14, 2024 | Virtual Trainings


PSI has developed an internationally recognized unique evidence-based training program for health providers and social support networks. We have created an expert corps of experienced trainers and are committed to providing you with the most current research.


The 2-day PSI Certificate of Completion Course, taught by experienced and engaging faculty, is a thorough and evidence-based curriculum designed for nurses, physicians, social workers, mental health providers, childbirth professionals, social support providers, or anyone interested in learning skills and knowledge for assessment and treatment of perinatal mood disorders. Registration includes training binder, handouts, and continuing education credits. Approved for CMEs, CNEs, and CEs.

Contact Us:


Leading a Midwifery Practice: How and Why

October 6-7, 2024 


For midwifery practice leaders (and aspiring leaders). Explores components of leadership, financial management, strategic planning, staffing, quality management, and performance evaluation. Participants will receive a workbook that includes all workshop slides, example forms for processes discussed, and worksheets to outline their own next steps and action plans.


This is an 8-hour workshop split between two days (Sunday and Monday). This course will provide opportunities to engage an in-depth exploration of what maintaining a midwifery practice entails.


Medella’s Using a Diversity, Equity, & Inclusion Lens to Impact QI Disparities in the NICU with Rose Horton

October 8,  2024 | 1:00pm CST


Using equity as a lens in the quality improvement process is vitally important to ensure standardized processes and equitable outcomes for all neonates. Join us for a conversation on nurses' roles in mitigating disparities in the NICU.


Reproductive Health Access Network: Reproductive Health Care Within Primary Care Conference

October 12, 2024 | 8:00 am to 5:30 pm |  Fullerton, California


You are invited to Southern California's 6th Annual Reproductive Health Care Within Primary Care Conference. This conference only happens once a year and it takes place on Saturday, October 12th from 8:00 am to 5:30 pm in Fullerton, California. Participants will walk away with the knowledge of institutional reproductive justice advocacy, self-managed abortion counseling, as well as learn about vulvar disease, pelvic floor dysfunction, vasectomy and more! In addition, this conference is approved for up to 7.00 AAFP credits. Exact location will be released to all registered attendees 1 week prior to the conference.  Click here to read more!


There will also be a RHAPpy hour where you will have a chance to continue mingling with other primary care physicians, students, and learners who are just as passionate about reproductive and sexual health care as you. Registration for the RHAPpy Hour is required and will be sent out upon Conference registration.


Ultrasound for Women’s Health Providers

October 17-20 | The Midwife Center for Birth & Women's Health 

In Pittsburgh, PA 


Elevate your expertise in women's health with our Two-Day Hands-On Ultrasound Course, tailored specifically for women’s health providers. The course begins with an essential online component, focusing on the basics of Point of Care Ultrasound (POCUS). This includes understanding the physics of ultrasound, which is vital for practical application during the hands-on segment. The online course is self-paced, can be returned to many times for review or clarification. It is the students’ course for a lifetime, including updates as they are made. You will need to complete the online portion before the event.


Then, join us at our hands-on scanning event, led by nationally certified sonographers and highly skilled faculty who are also midwives, nurse practitioners and obstetric certified nurses. The training provides a thorough breakdown of gynecological and obstetric ultrasound techniques. In gynecology, you will learn about the recognition of normal female anatomy, identification of common pelvic masses, and correct placement of IUDs.


The obstetric portion of our course covers a wide range of crucial skills. In the first trimester, it includes assessments of normal pregnancy development, gestational age determination, and the identification of complications such as ectopic pregnancies and failed pregnancies. The second and third trimesters focus on detailed fetal biometry, including assessments of fetal growth patterns and positions. You will also learn to perform and interpret Biophysical Profiles (BPP) to evaluate fetal well-being.


Our course goes beyond clinical skills, teaching participants how to master the controls (knobology) of ultrasound machines to optimize image quality and ensure effective diagnoses. Additionally, the course covers professional practice elements such as ultrasound billing and documentation.


With group sizes limited to four participants, our course ensures personalized instruction and extensive practical experience. This setting enhances learning outcomes and prepares you to confidently integrate ultrasound into your clinical practice. Join us to gain invaluable hands-on experience and become proficient in ultrasound examinations.


The Faucett Review: an AMCB Certification Exam

October 22,  2024 | 7:00 pm - 9:00 pm ET


Over the course of five hours, participants will review pertinent content and test-taking strategies to prepare for the AMCB Certification exam for Certified Nurse-Midwives and Certified Midwives. Participants will learn innovative test-taking tips to help them tackle the exam and gain confidence in approaching standardized exam questions. The Faucett Review method involves four components: Content, Discipline, Realism, and Strategy. Participants will need to watch the 3 and a half hours of video content prior to attending the live webinar.


ACNM: Advancing Breastfeeding Support and Skills for Midwives


A Webinar Series presented by midwife experts in breastfeeding and lactation medicine from across the country geared towards diving deep into topics that impact midwives, clinicians, and their lactating clients


October 30, 2024, 7:00 pm – 8:00 pm ET


December 18, 2024, 7:00 pm – 8:00 pm ET

 

On-Demand Webinars and Other Resources 

Reproductive Health Access


The CDC just released the 2024 U.S. Medical Eligibility Criteria for Contraceptive Use (U.S. MEC)and the 2024 U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR). These documents provide current evidence-based contraception recommendations for health care providers. The goals of the U.S. MEC and the U.S. SPR are to support the provision of person-centered contraceptive counseling and services in a non-coercive manner and to remove unnecessary medical barriers to accessing and using contraception. 


The 2024 U.S. Medical Eligibility Criteria for Contraceptive Use addresses the use of specific contraceptive methods by persons who have certain personal characteristics or medical conditions. New guidance includes: 

  • New recommendations for persons with chronic kidney disease with nephrotic syndrome, on hemodialysis, or on peritoneal dialysis.  

  • Updated recommendations for persons with the following personal characteristics or medical conditions: breastfeeding, postpartum, postabortion, obesity, major surgery, deep venous thrombosis or pulmonary embolism with or without anticoagulant therapy, thrombophilia, superficial venous thrombosis, valvular heart disease, peripartum cardiomyopathy, systemic lupus erythematosus, cirrhosis, liver tumor, sickle cell disease, and solid organ transplantation. 

  • Recommendations on additional contraceptive methods, including a vaginal pH modulator and new doses or formulations of combined oral contraceptives, contraceptive patches, vaginal rings, progestin-only pills, and levonorgestrel intrauterine devices. 


The 2024 U.S. Selected Practice Recommendations for Contraceptive Use focuses on provision of contraceptive methods and management of side effects and issues related to contraceptive method use. New guidance includes: 

  • New recommendation for testosterone use and risk of pregnancy among transgender, gender diverse, and non-binary persons with a uterus. 

  • Updated recommendations for provision of medications for IUD placement and for management of bleeding irregularities during implant use.  


You can stay informed on the latest contraception recommendations and clinical guidance by visiting https://www.cdc.gov/contraception/ where you can access CDC’s online and print resources, including: 

  • Updated Contraception mobile app, available for iOS and Android 

  • Updated U.S. MEC summary chart and U.S. SPR provider tools 


For questions about the updated 2024 U.S. MEC and 2024 U.S. SPR, you can email the CDC’s Division of Reproductive Health at drhinfo@cdc.gov. 


Mount St. Mary’s University, Los Angeles: Equity, Diversity and Justice 


HealYourLovePeriod - Black pregnant mother healing circle: Free for Black pregnant and postpartum mothers who are 18 years old or older and live in California (registration is required).

The format of the healing circle includes 20-25 min live mindfulness and 20-25 min social support on Tuesday (7pm-8pm).









Mount St. Mary’s University, Los Angeles: Equity, Diversity and Justice 




UCI Healthy Sleep flyer: Mothers who meet criteria (e.g., pregnancy with singleton, less than 20 gestational weeks) will be eligible to participate in this project.

The goal of the project is to prevent gestational hypertension through enhanced sleep and increased awareness of cardiovascular health among Black pregnant mothers.

Each participant will receive a free Ormon BP cuff/digital scale and Oura ring with a compensation up to $200 gift card. 



Read Between the Lines-Physiologic Logic: Eval. & Mgmt. of Uterine Activity


The relationship between uterine activity and fetal acid-base and uterine muscle acid-base are explored in this on-demand discussion led by Lisa A. Miller, CNM, JD.

1.5 nursing contact hours (CNE available through 10/10/2026)

Pricing: $25 members | $39 nonmembers


Conversations on Caring in Reproductive Health Nursing: Beyond Bars


This on-demand presentation sheds light on the crucial topic of reproductive and maternal care for individuals who are currently or have been incarcerated. This thought-provoking session explores the unique challenges this often-forgotten population faces as they try to access respectful and comprehensive health care services. With a focus on promoting equity and justice, we delve into discussions about these challenges and the barriers and discrimination these individuals may encounter when seeking care.   

1.0 nursing contact hours (NCPD activity available through 11/14/2026)

Pricing: Free for members | $50 nonmembers

Search for additional on-demand webinars on the AWHONN Store.


TEACH Abortion Training Curriculum


CME/CEU credit is now available for the TEACH Abortion Training Curriculum! Please share with your networks that the curriculum is ready for existing providers, learners, and educators with the following updates:


  • Up to 3 CME / CEU credit hours per chapter for each of 12 chapters (9 foundational, 3 advanced)

  • Updates to U.S. law and policy 

  • New Considerations for Advanced Practice Clinician (APC) Providers with map of 20 states where APCs can provide aspiration abortion (Chapter 9)


TEACH is now coordinating with various APC training programs and NAF to ensure the curriculum meets the needs of programs and various state initiatives


We anticipate undertaking the 8th edition of the curriculum for release in June 2025. Please join TEACH’s mailing list to receive updates on the newest edition!


Education for Sucess’s Comprehensive Midwifery Point of Care Ultrasound Online Course!


Are you a midwife eager to elevate your clinical skills and provide even better care to your patients? Look no further than our Comprehensive Midwifery Point-of-Care Ultrasound Online Course! This cutting-edge program is designed to empower midwives with the knowledge and expertise needed to integrate ultrasound technology seamlessly into their practice, right from the comfort of their own home or clinic.


Why Choose Our Course?


  • Comprehensive Curriculum: Our course covers everything from obstetrics to gynecology and primary care, ensuring you're equipped to handle a wide range of clinical scenarios.

  • Expert Instruction: Learn from experienced faculty who are leaders in the field of midwifery and ultrasound, providing you with invaluable insights and guidance.

  • Flexible Learning: Access our self-paced online modules anytime, anywhere, allowing you to learn at your own pace and fit your studies around your busy schedule.

  • Hands-On Training: Benefit from practical demonstrations, case studies, and interactive exercises that reinforce key concepts and skills.

  • Ongoing Support: Get access to a supportive learning community, live webinars, and virtual workshops, where you can connect with peers and faculty for additional guidance and collaboration.

  • Certification: Upon successful completion of the course, receive a certificate of completion, demonstrating your proficiency in midwifery point-of-care ultrasound.

  • 20 hours of ACNM CEUS available.


Don't miss out on this opportunity to take your midwifery practice to the next level! Enroll in our Comprehensive Midwifery Point-of-Care Ultrasound Online Course today and become a leader in women's healthcare. Your patients deserve the best – and with our course, you'll be equipped to deliver it.


Join us on the journey to excellence in midwifery care. Enroll now!


Reproductive Health Access Project Resources 

 

Perinatal Education Exchange Program

AWHONN Perinatal Education XChange Program: Advancing Care Abroad Through Shared Experiences


In advancing our mission to empower and support nurses caring for women, newborns, and their families, AWHONN is excited to launch the Perinatal Education XChange (PEX) Program. These immersive programs provide unique opportunities to engage with diverse cultures and foster a deepened appreciation and sensitivity to cross-cultural care, enhancing the quality of overall care provided to patients.


In partnership with International Service Learning (ISL) and MEDICC, we aim to connect nurses with communities worldwide, cultivating a stronger connection to global citizenship and making a meaningful impact on an international scale.


Upcoming Trips:

Panama (Itinerary)

Dates: September 23-29, 2024

Cost: $1,795 USD

About: Volunteers will participate in public health surveying and clinical activities, including interviewing patients, taking vitals, basic triage, and assisting with the examination, diagnosis, and treatment process. Nursing continuing education credits are available for this program. Space is limited to 15 participants.


Cuba (Sample Itinerary)  

Dates: November 17-23, 2024

Cost: $3,800-4,100 USD single occupancy/$3,300-3,600 USD double occupancy

About: Learn about the Cuban experience in this field, as well as its main achievements, challenges, and lessons learned implementing the prioritized National Maternal and Child Health Program among efforts to guarantee equitable access to health services. Converse with obstetrics and gynecology specialists in medicine and nursing about professional experiences and lessons learned.


APEX Travel Scholarships

Thanks to the generous support of Every Woman, Every Baby, we’re able to offer two $1,000 scholarships to increase the accessibility of our trips to everyone. To be eligible, you must be an active AWHONN member in good standing. The deadline to apply is June 11, 2024. Apply now.

 

Have Questions?

Find answers in our Frequently Asked Questions or reach out with any inquiries about PEX programs today. 

 

Scholarships, Fellowships

Announcement from the A.C.N.M Foundation: Upcoming Scholarships and Awards Opportunities


The A.C.N.M. Foundation announces the availability of applications/nominations for four distinguished scholarships and awards. All designed to support and empower aspiring individuals in their educational or midwifery journeys.


Mark your calendars for these upcoming opportunities, which will be available on July 1 at: https://acnmfoundation.submittable.com/submit For questions, please contact: foundation@acnmf.org


Texas Midwifery Creation Scholarship for midwifery students intending to practice in Texas.

Posting Date: July 01, 2024

Application Deadline: September 08, 2024


Carrington-Hsia-Nieves Doctoral Scholarship for midwives of color pursuing doctoral education.

Posting Date: July 01, 2024

Application Deadline: September 08, 2024


Elizabeth Bear Education Leadership Fellowship for midwives pursuing future academic leadership roles.

Posting Date: July 01, 2024

Application Deadline: September 08, 2024


For more information about the A.C.N.M. Foundation opportunities and to show support with a charitable donation, visit us at: www.acnmf.org


AABC Birth Center Membership Support Grant 

Rolling Deadlines: November 1, 2024 | January 1, 2025


Birth Center Membership Support Grants assist birth center applicants with up to 50% of membership fees due the American Association of Birth Centers (AABC) for (1) birth centers that are applying for membership for the first time and (2) birth centers that are due for membership renewal but experiencing a fiscal crisis. The AABCF has the exclusive authority to determine all grant guidelines, criteria, timelines and awards; and will monitor all grants.


AABC Changemakers Accreditation Grant

Rolling Deadlines: November 1, 2024 | January 1, 2025


The Changemaker Accreditation Grant was established in honor of the founders of the birth center movement and the current and future changemakers who propel the movement forward. The grant is designed to pay up to 100% of the initial accreditation fee or an accredited birth center’s annual fees due to the Commission for the Accreditation of Birth Centers (CABC). The AABCF has the exclusive authority to determine all grant guidelines, criteria, timelines and awards, and will monitor all grants.

 

Volunteers Needed!! 

UC Berkeley-UCSF Joint Medical Program Survey


There will be an opportunity to tell us ways you think healthcare for pregnant  farmworkers can be improved and how we can help you to better advocate for your  patients. 


Additional opportunity if you wish to engage with the study further: Professor Carly Hyland at the UC Berkeley School of Public Health and Kathleen Steel, a  medical student in the UC Berkeley-UCSF Joint Medical Program, are seeking healthcare  providers to participate in a 90-minute Zoom focus group regarding their practices when caring  for pregnant farm workers exposed to occupational pesticides and any barriers providers  experience. Participants will be compensated $100 for their time. If you are interested in  participating in a focus group, please fill out this form with your information:  https://berkeley.qualtrics.com/jfe/form/SV_6XdA1FnPvmrc1PU 

Your contact information will be retained securely and used only for study purposes. Alternatively, you can contact  Kathleen directly at sksteel@berkeley.edu 


Eligibility: 

Healthcare providers over the age of 18, including physicians, physician associates, nurse  practitioners, nurses, medical assistants, community health workers/promotoras, CPSP workers, and licensed midwives who provide perinatal care to farmworkers in California.  


What are the advantages of participating? 

Data from this study will inform strategies to improve healthcare providers' ability to screen and  counsel pregnant farmworkers for occupational pesticide exposure and assist patients in  mitigating their occupational pesticide exposure. 

Thank you for considering this opportunity to contribute to our research and improve patient  care!


CNMA is seeking a New Volunteer 


Are you passionate about improving reproductive health care in California? Do you thrive on building connections and fostering collaboration? We have an exciting opportunity for you to step into a vital role as the California Nurse-Midwife Association liaison to the California Coalition for Reproductive Freedom (CCRF)!

You will be partnered with an experienced CNMA health policy team member to help you grow into the role, so if you're an experienced midwife with a background in policy or someone eager to grow into the role we would love to hear from you! 

Join us and get the inside scoop into how California Reproductive Health Policy is developed in California and help amplify the voice of midwives and the people we serve at that CCRF table and beyond! 


Interested? Send a note sharing why you are interested in the role to lizdonnelly@gmail.com and we will set up a time to chat.

 

About the organizations:

California Nurse-Midwife Association is the professional organization representing California’s Nurse Midwives and the people and communities that we serve. CNMA works towards an equitable California where all people have access to safe, evidence-based, trauma-informed reproductive healthcare through the advancement of the midwifery profession.

California Coalition for Reproductive Freedom (CCRF) is a statewide coalition of more than 40 organizations working to promote sexual and reproductive health, rights and justice. CCRF supports and facilitates member-driven initiatives including strategic communication, collaboration and collective policy advocacy to benefit California’s diverse communities that include genderqueer and non-binary people, cisgender and transgender women, and transgender men


About the team:

You will work closely with and be mentored and supported by CNMA Health Policy Chair & Vice Chair: Holly Smith and Liz Donnelly  

Holly & Liz have been the CCRF liaisons together since 2015. One of them will be in attendance at meetings with you to help you get up to speed and make connections. They will also provide regular support between meetings. 


Requirements:

  1. Experience working as a CNM (any practice setting, for any length of time!)

  2. Commitment to reproductive health rights and justice, including full throated support for abortion as an integral component to reproductive health care. 

  3. Understanding and commitment to the reproductive justice framework 

  4. Interest in health policy. Previous health policy experience is a bonus, but not required! 


Commitments:

  1. Meetings: 

    • Attend quarterly meetings with the California Coalition for Reproductive Freedom (CCRF). These meetings are usually ~4hrs virtual or 8hrs in person (we have not yet gone back to in person since covid). Meetings are held throughout the state and there is funding to support your transportation to/from in-person meetings. Your role at the meetings it to represent CNMA, the midwifery profession and the people we serve. Help CNMA to network & make connections with the organizations within CCRF support midwifery expansion and policies that improve care for the people and communities we serve. (2024 Dates: 2/22/24, 4/18/24, 6/27/24, 9/19/24, 11/21/24)

    • Attend CNMA quarterly health policy meetings: Report out to CNMA team on topics and issues coming up within CCRF. Keep abreast of CNMA policy priorities to help represent those within CCRF. (2024 Dates: 1/23/24; 4/23/24; 6/23/24; 10/23/24)

    • Optionally: If you are interested in more in depth insight you are welcome at our weekly policy meetings with the CNMA lobbyist. 


  2. Communication:

    • Monitor CCRF listserve to support timely engagement with partner organizations

To Apply: 

  • Send a note sharing why you are interested in the role to lizdonnelly@gmail.com and set up a time to chat. 


ACNM Call for Members

Leadership Development Committee (LDC) Call for Members


The LDC is putting out a call for new members and an invitation to previous members to continued service. We are seeking midwives who have served in or are now serving in leadership roles in clinical practice, academia, policy, and global health who can bring their experiential knowledge to accomplishing the committee's tasks for 2024-2025. We are seeking diverse representation from across the US and all ACNM regions.


The committee will focus on 2 tasks for the next year:


1. establishing leadership competencies for midwives in various leadership roles across the profession, using the International Confederation of Midwives principles and framework for Midwifery Leadership as a basis for ACNM competencies


2. develop curriculum or partner with an academic center for midwifery leadership and entrepreneurship training opportunities


To accomplish these goals, we ask for a time commitment of 2 hours per month and mental engagement with the committee's tasks. The committee leadership will commit to running structured, efficient meetings, and providing a year-long meeting calendar.

If interested, please send CV and letter of intent to executiveoffice@acnm.org


Call for Bylaws Committee Members


Reviews and makes recommendations to proposed changes to ACNM and ACNM affiliate Bylaws and to Standing Rules of Procedure (SROPs) within the volunteer structure.

If interested, please contact Alexandra Michel.


Call for Workforce Committee Chair


The Workforce Committee is seeking a new Chair to Foster data collection and support state and national policy dialogue on the CNM/CM workforce 

If you are interested, please send your CV and a brief letter of interest to executiveoffice@acnm.org.

 

Call for Racism and Midwifery Education Committee Members


The Racism and Midwifery Education Committee is seeking new committee members. The goal of this committee is to provide guidance and resources to address racism within midwifery education to address the recommendations from the Access to Equity in Midwifery Education Report. These recommendations are based on a collaboration with DOME to:

 

•Enhance the capacity of midwives of color who are interested in working in academia.

•Financially compensate clinical sites and preceptors.

•Reestablish ACNM mentorship programs to connect student midwives with common interests and career trajectories.

•Develop equity in midwifery education report card for midwifery education programs.

•Create a cross-institutional support program to provide safe space for students and help them gain leadership skills.

If you are interested, please submit your CV and a brief letter of interest to executiveoffice@acnm.org or region1representative@acnm.org

 

Job Opportunities

Part Time or Per Diem Certified Nurse Midwife: Los Gatos El Camino Health


Looking for Per Diem CNM for full scope Midwifery Practice. 

Bay Area Maternity of El Camino

Health is seeking a part time per diem provider to take approximately 1 clinic day and 48 hours

of call per month. 


Needs of the practice may change over time and could become a permanent

position. 

Join our group of 4 nurse midwives in our independent practice in Los Gatos.

Supportive team with 24 hour OB Hospitalist back up. Experience preferred. 

Please contact

Kavita Noble CNM kavita_noble@svmdmed.org or Amanda Apardian VP of Physician relations


Full Time Certified Nurse Midwife: Scripps La Jolla, San Diego and Surrounding Area


This is a NEW  FT position, 12-hour nights with some clinic days. We seek someone with at least 2-3 years of full-scope practice, including inpatient acute care experience. 

If interested, please email your resume to SCOBGYNLEADERSHIP@scrippshealth.org

More information for position at Scripps La Jolla. 


On Call/ Short Hour CNM (Per Diem): Kaiser Permanente, Oakland, CA 


Kaiser Permanente in Oakland California is hiring.

Looking for CNM with at least a preferred two years of experience and teaching experience preferred. 

Reach out to anya.rapoport@kp.org if interested


Full Time CNM: South Coast Midwifery, Orange County, CA 


South Coast Midwifery Boutique Birth Center is a very supportive group of Midwives looking for another to join the group. Full time, part time and per diem position is available. Compensation is commensurate with experience and licensure. 

Schedule:

- every other weekend, 48-hour call (or similar)

- 2 clinic/24 hr call shifts per week 

- 1, 24 hour call shift every other week (clinic as needed)

Benefits:

- Paid Time Off

- Group health and dental benefits 

- CEU allowance 

- Eligible for company retirement program

- Group malpractice coverage

- Employee discounts 

- Annual salary + bonuses 

- Please Email Lorri Walker at Lorri@southcoastmidwifery.com or 949 654-2727

- Check out our Website at WWW.Southcoastmidwifery.com


Part Time CNM: South Coast Midwifery, Orange County, CA 


South Coast Midwifery Boutique Birth Center is a very supportive group of Midwives looking for another to join the group. Full time, part time and per diem position is available. Compensation is commensurate with experience and licensure.

Schedule:

- every other weekend, 48-hour call (or similar) 

- 1 clinic/24 hr call shift per week (option for 2 available)

- 1, 12 hour call shift per week 

Benefits:

- Paid Sick Leave

- Group malpractice coverage

- Employee discounts 

- Annual salary or per shift compensation 

- May maintain outside employment if desired 

- Please Email Lorri Walker at Lorri@southcoastmidwifery.com or 949 654-2727

- Check out our Website at WWW.Southcoastmidwifery.com


2025 Advocacy Institute Fellowship


Join ANA\California's 4th annual flagship advocacy program to immerse yourself in public policy and nursing advocacy campaigns.


About the Advocacy Institute Fellowship:

ANA\California's Advocacy Institute Fellowship is designed to help nurses develop the skills and knowledge necessary to engage in advocacy initiatives affecting California legislation, regulations, and policies.


During their one-year commitment, Fellows will leverage ANA\California's network of coalitions, partners, media, and political contacts to engage new opportunities for creating sustainable change in nursing.


Advocacy Institute Fellows are ANA\California members with a demonstrated passion for policy development and advocacy, specifically focusing on advancing the nursing profession through legislation, regulation, and policy.


The 2025 Fellowship Campaigns include:

-Racism in Nursing

-LGBTQIA+ Equity in Nursing

-Nurses in Media

-A.I. in Nursing (New!)

-Veterans Health (New!)


Requirements:

  • Minimum of 2 years continuous membership with ANA\California.

  • Minimum Baccalaureate level degree in nursing.

  • Willing and able to commit to (8) hours per month.

  • Willing and able to pay the Fellowship Program Fee of $499.


Expectations:

  • Adhere to all deliverable deadlines and timelines outlined in the program

  • Maintain consistent attendance at required meetings, networking events, and advocacy activities

  • Respond to communications from program coordinators in a timely manner

  • Schedule and attend a meeting with your designated district legislator, and participate in at least one related legislative event

  • Attend a California Board of Registered Nursing (BRN) meeting during the program term

  • Participate in the ANA\California Appreciation Luncheon event

  • Attend the ANA\California Annual General Assembly and Business Meeting

  • Complete the ANA\California Media and Advocacy Training Workshops

 

Note: This twelve-month, unpaid, non-residential Fellowship starts September 2024.

 

Membership Opportunities

SisterSong Membership


Every month, SisterSong memberships will be discounted for a different group. This month (June), we are offering discounted memberships for all LGBTQ+ folks, or organizations that focus on supporting LGBTQ+ communities. Happy Pride Month!


ACNM Task Force on Financial Transparency 


As a result of a motion at the annual business meeting in May, the ACNM Board of Directors is establishing a Task Force on Financial Transparency. The Task Force will: define financial transparency for the organization; review the financial information that is currently available to members and how this information publicized; determine what additional information is desired by members, and the frequency and methods of dissemination; and make recommendations to the Board to improve processes in financial transparency. Findings of the Task Force will be available to all members.

The Task Force will be facilitated by the ACNM treasurer, Susan DeJoy, and will consist of 12 members: 2 ACNM Board members, one ACNM staff member, 2 affiliate leaders, and 7 ACNM active members. The Task Force will meet monthly via zoom for approximately six months.

Affiliate leaders who wish to join the task force should submit a statement of interest to treasurer@acnm.org by July 30. Questions should be directed to treasurer@acnm.org.

 

Medi-Cal Rx


Sign up for the Medi-Cal Rx Subscription Service to be notified when new information is posted!

See additional bulletins and news updates below:


 

ACNM Wants to Listen to YOU - CEO Conversations

Wednesdays | 4:00 PM ET 


Michelle Munroe, our CEO, is hosting weekly online meetings with members to listen and discuss ideas and concerns. Each week, 10 people can register for CEO Conversations. Please email executiveoffice@acnm.org.

 

Midwife Crush Mondays!


Do you know an amazing Midwife who is doing revolutionary work? We want to feature them on our social media platforms! 


CNMA is looking for submissions for our new social media series “Midwife Crush Monday” where we highlight the stories of trailblazing midwives across the industry who are making a difference in the midwifery profession. You can even submit yourself!


Here’s what we’re looking for: 

  • Midwife’s name (include pronouns)

  • Affiliated organization(s) 

  • Why you became a midwife (and anything awesome you’d like to brag about)

  • Headshot/Photo if available

  • Bonus: Please include social media handles for tagging!

Please send submissions to sm@cnma.org for consideration! 

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