Presentation Information

Acupressure is the application of pressure to acupuncture points. It originates in ancient traditional Chinese medicine, based on the concept of meridians or channels carrying QI , or energy, throughout the body. In good health Qi moves smoothly, through the channels, however excess, deficiency or blockage of Qi may cause pain and illness.

Acupressure is used as a technique for unblocking these occlusions, and restore good health. The stimulation of these points has effects on blood flow to the uterus, cervical dilatation movement of the baby, release of endorphins and oxytocin helping the mother to relax, promoting physical and emotional wellbeing. Acupressure can be used from 37 weeks to encourage beneficial hormonal responses for labour preparation and encourage the baby to move into an optimal position. Learn more about the results of recent research on the use of acupressure during labour and delivery and how acupressure can be incorporated into your care of clients.

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22-02-2023 14:00 22-02-2023 15:00 35 Acupressure For Pregnancy and Birth Acupressure is the application of pressure to acupuncture points. It originates in ancient traditional Chinese medicine, based on the concept of meridians or channels carrying QI , or energy, throughout the body. In good health Qi moves smoothly, through the channels, however excess, deficiency or blockage of Qi may cause pain and illness. Acupressure is used as a technique for unblocking these occlusions, and restore good health. The stimulation of these points has effects on blood flow to the uterus, cervical dilatation movement of the baby, release of endorphins and oxytocin helping the mother to relax, promoting physical and emotional wellbeing. Acupressure can be used from 37 weeks to encourage beneficial hormonal responses for labour preparation and encourage the baby to move into an optimal position. Learn more about the results of recent research on the use of acupressure during labour and delivery and how acupressure can be incorporated into your care of clients. GOLD Perinatal Online Conference false DD/MM/YYYY

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Women with physical, sensory, and intellectual/developmental disabilities experience significant social, health, and health care disparities. Recent data show that their pregnancy rates are increasing. However, little is known about the perinatal health outcomes and care experiences of women with disabilities. In this presentation, I will provide an overview of research concerning the perinatal health outcomes and care experiences of women with disabilities, specifically highlighting findings from a National Institutes of Health-funded study conducted in Ontario, Canada.

From population-based health records data, we found that women with disabilities experience higher rates of perinatal health complications than women without disabilities. From interviews with women with disabilities and health and social service providers, including midwives, we identified barriers to optimal perinatal care for women with disabilities, including failures to meet accessibility and communication needs, with particular gaps in care identified in the postpartum period. This presentation will conclude with a discussion of implications for midwifery practice, identifying ways in which the midwifery model of care may best address the challenges experienced by women with disabilities during pregnancy, delivery, and the postpartum period; these include longer appointment times, the ongoing process of informed consent, home visits, and extended support in the postpartum period.

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22-02-2023 18:00 22-02-2023 19:00 35 Caring for Clients With Disabilities in the Perinatal Period Women with physical, sensory, and intellectual/developmental disabilities experience significant social, health, and health care disparities. Recent data show that their pregnancy rates are increasing. However, little is known about the perinatal health outcomes and care experiences of women with disabilities. In this presentation, I will provide an overview of research concerning the perinatal health outcomes and care experiences of women with disabilities, specifically highlighting findings from a National Institutes of Health-funded study conducted in Ontario, Canada. From population-based health records data, we found that women with disabilities experience higher rates of perinatal health complications than women without disabilities. From interviews with women with disabilities and health and social service providers, including midwives, we identified barriers to optimal perinatal care for women with disabilities, including failures to meet accessibility and communication needs, with particular gaps in care identified in the postpartum period. This presentation will conclude with a discussion of implications for midwifery practice, identifying ways in which the midwifery model of care may best address the challenges experienced by women with disabilities during pregnancy, delivery, and the postpartum period; these include longer appointment times, the ongoing process of informed consent, home visits, and extended support in the postpartum period. GOLD Perinatal Online Conference false DD/MM/YYYY

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“Incomplete, inaccurate, biased or unavailable patient education, resources and lack of opportunity for pregnant patients to have meaningful conversations with their healthcare providers about their individual care” (Stirling, Vanbeisien & McDougall, 2018, p. 13) is a major setback when women are being facilitated with childbirth-choices. Initiating the facilitation of childbirth-choices early in pregnancy gives the woman some time to weigh the options and for the healthcare provider to clear any misconceptions relating to childbirth types, yet this is a largely un-investigated area of concern in Namibia.

Improving the outcomes for women to have a positive childbirth experience and ensure that the SDG 3 of health for all is achieved exploring the experiences of women and that of midwives was important to ensure the former. Taking into consideration the Universal Rights of Childbearing women and Respectful maternity care (RMC) with a special focus on two of the rights which are “right to information, informed consent and refusal and respect of her choices and preferences, including the right to her choice of companionship during maternity care &” and “right to liberty, autonomy and self-determination and freedom from coercion”. This presentation will contextualize the experiences of women and midwives alike in the facilitation of childbirth-choices. A developed model that will help midwives in the facilitation of childbirth-choices for a positive childbirth experience for women and their families.

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21-02-2023 16:00 21-02-2023 17:00 35 Childbirth-Choice Facilitation for a Positive Birth Experience “Incomplete, inaccurate, biased or unavailable patient education, resources and lack of opportunity for pregnant patients to have meaningful conversations with their healthcare providers about their individual care” (Stirling, Vanbeisien & McDougall, 2018, p. 13) is a major setback when women are being facilitated with childbirth-choices. Initiating the facilitation of childbirth-choices early in pregnancy gives the woman some time to weigh the options and for the healthcare provider to clear any misconceptions relating to childbirth types, yet this is a largely un-investigated area of concern in Namibia. Improving the outcomes for women to have a positive childbirth experience and ensure that the SDG 3 of health for all is achieved exploring the experiences of women and that of midwives was important to ensure the former. Taking into consideration the Universal Rights of Childbearing women and Respectful maternity care (RMC) with a special focus on two of the rights which are “right to information, informed consent and refusal and respect of her choices and preferences, including the right to her choice of companionship during maternity care &” and “right to liberty, autonomy and self-determination and freedom from coercion”. This presentation will contextualize the experiences of women and midwives alike in the facilitation of childbirth-choices. A developed model that will help midwives in the facilitation of childbirth-choices for a positive childbirth experience for women and their families. GOLD Perinatal Online Conference false DD/MM/YYYY

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The perinatal period along with labor and delivery, is complicated and miraculous. The midwife and chiropractor are in a unique position to honor and assist this miracle and process. This presentation will delve into how midwives and chiropractors can work collaboratively to improve outcomes for clients. Learn about how the Webster technique is specifically designed to prepare the birthing person for an optimal and less stressful experience during their labor and delivery. The attendees will better understand how to find a chiropractor who practices webster technique and how to explain this type of care to the birthing person they are working with.

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14-02-2023 18:00 14-02-2023 19:00 35 Collaboration of Care Providers: Utilizing the “Webster Technique” The perinatal period along with labor and delivery, is complicated and miraculous. The midwife and chiropractor are in a unique position to honor and assist this miracle and process. This presentation will delve into how midwives and chiropractors can work collaboratively to improve outcomes for clients. Learn about how the Webster technique is specifically designed to prepare the birthing person for an optimal and less stressful experience during their labor and delivery. The attendees will better understand how to find a chiropractor who practices webster technique and how to explain this type of care to the birthing person they are working with. GOLD Perinatal Online Conference false DD/MM/YYYY

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Perinatal mood and anxiety disorders are the most common complication of pregnancy. Midwives have a key role to play in assisting clients with decision making around use of psychiatric medications in pregnancy and lactation. This presentation will explore client considerations around mental health in pregnancy and postpartum, including the risks of untreated mental illness in these life phases. How midwives may counsel their clients as well as when to refer them for mental health care, will be an additional element of this presentation.

Common Post-partum Mood and Anxiety Disorders will be described in detail as well as a summary of evidence-based treatment options. Following this part of the presentation, the main classes of psychiatric medications commonly used in pregnancy and lactation will be described. Considerations for the use of SSRIs, atypical antipsychotics, mood stabilizers and benzodiazepines will be discussed.

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14-02-2023 16:00 14-02-2023 17:00 35 Decision Making and Psychiatric Medications in Pregnancy and Lactation Perinatal mood and anxiety disorders are the most common complication of pregnancy. Midwives have a key role to play in assisting clients with decision making around use of psychiatric medications in pregnancy and lactation. This presentation will explore client considerations around mental health in pregnancy and postpartum, including the risks of untreated mental illness in these life phases. How midwives may counsel their clients as well as when to refer them for mental health care, will be an additional element of this presentation. Common Post-partum Mood and Anxiety Disorders will be described in detail as well as a summary of evidence-based treatment options. Following this part of the presentation, the main classes of psychiatric medications commonly used in pregnancy and lactation will be described. Considerations for the use of SSRIs, atypical antipsychotics, mood stabilizers and benzodiazepines will be discussed. GOLD Perinatal Online Conference false DD/MM/YYYY

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In Midwifery-Led Fertility Care, midwives Ray Rachlin, LM, CPM and Marea Goodman LM, CPM will educate midwives on how to provide fertility care in an out-of-hospital setting. In this presentation, Ray and Marea will review the different options people with uteruses have to create pregnancies with fresh and frozen sperm and the success rates for each. They will focus on lower-intervention insemination options that can be performed at-home or in a midwife’s office. The presenters will also review fertility awareness method counseling and how midwives can support their clients to determine ovulation, as well as insemination timing and navigating sperm banks, ACOG preconception care, and fertility lab work.

Throughout the presentation, Ray and Marea will provide an introduction on how to provide culturally appropriate care to the LGBTQ+ population and transgender parents. They will also discuss how to apply infertility research to LGBTQ+ people, and when to refer to different levels of care.

LGBTQ+ people face many obstacles to healthcare access including a lack of knowledgeable care providers, other people’s lack of awareness of identity issues, and outright prejudice and discrimination. This leads to both underutilization of healthcare and overmedicalization, and contributes to health disparities and poor outcomes, especially by individuals with intersecting marginalized identities. Midwives are in a unique position to provide excellent, culturally competent care to this population. However, viewers should not expect to become culturally competent in caring for the LGBTQ+ population in this one hour class. There will be resources for further learning provided at the end of the presentation.

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22-02-2023 16:00 22-02-2023 17:00 35 Midwifery-Led Fertility Care: A Family Centered Approach In Midwifery-Led Fertility Care, midwives Ray Rachlin, LM, CPM and Marea Goodman LM, CPM will educate midwives on how to provide fertility care in an out-of-hospital setting. In this presentation, Ray and Marea will review the different options people with uteruses have to create pregnancies with fresh and frozen sperm and the success rates for each. They will focus on lower-intervention insemination options that can be performed at-home or in a midwife’s office. The presenters will also review fertility awareness method counseling and how midwives can support their clients to determine ovulation, as well as insemination timing and navigating sperm banks, ACOG preconception care, and fertility lab work. Throughout the presentation, Ray and Marea will provide an introduction on how to provide culturally appropriate care to the LGBTQ+ population and transgender parents. They will also discuss how to apply infertility research to LGBTQ+ people, and when to refer to different levels of care. LGBTQ+ people face many obstacles to healthcare access including a lack of knowledgeable care providers, other people’s lack of awareness of identity issues, and outright prejudice and discrimination. This leads to both underutilization of healthcare and overmedicalization, and contributes to health disparities and poor outcomes, especially by individuals with intersecting marginalized identities. Midwives are in a unique position to provide excellent, culturally competent care to this population. However, viewers should not expect to become culturally competent in caring for the LGBTQ+ population in this one hour class. There will be resources for further learning provided at the end of the presentation. GOLD Perinatal Online Conference false DD/MM/YYYY

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This presentation will cover the role of environmental exposures and pregnancy outcomes with a focus on the vulnerabilities of the fetal brain. The historical foundations of environmental disparities will be examined as well the how other sociodemographic factors amplify their effects. Participants will also learn how they can provide effective health education for prevention and ways to advocate for policies to reduce exposures for pregnant people, and the most impacted communities.

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21-02-2023 18:00 21-02-2023 19:00 35 Prenatal Environmental Exposures: What Midwives Need to Know This presentation will cover the role of environmental exposures and pregnancy outcomes with a focus on the vulnerabilities of the fetal brain. The historical foundations of environmental disparities will be examined as well the how other sociodemographic factors amplify their effects. Participants will also learn how they can provide effective health education for prevention and ways to advocate for policies to reduce exposures for pregnant people, and the most impacted communities. GOLD Perinatal Online Conference false DD/MM/YYYY

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Pelvic Exams are so commonplace in midwifery practice that we often fail to appreciate their significance in our client’s lives. Pelvic exams have the potential for both trauma and trust-building in the midwife-client relationship.

Trauma manifests in our clients lives and bodies in a myriad of ways. Statistically, a majority of our clients have experienced various direct traumas in their lives, with a significant portion focused on pelvic trauma & assault. Additionally, clients hold the epigenetic trauma from historical wrongs in gynecology and treatment of bodies in various lineages as a result of white supremacy and toxic patriarchy.

All bodies deserve respectful care. When done carefully, pelvic exams have the potential to be safe, trust-building experiences with the benefit of seeking key medical information. Together, we will interrogate the common pelvic exam from a trauma-informed lens and consider our practices carefully. We will build strategies for respectful pelvic exams, including managing pain & anxiety in clients, what to do when clients do (and don’t!) disclose past trauma, avoiding triggers, and consider modifications to our own practices.

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13-02-2023 22:00 13-02-2023 23:00 35 Respectful Pelvic Exams From a Trauma-Informed Lens Pelvic Exams are so commonplace in midwifery practice that we often fail to appreciate their significance in our client’s lives. Pelvic exams have the potential for both trauma and trust-building in the midwife-client relationship. Trauma manifests in our clients lives and bodies in a myriad of ways. Statistically, a majority of our clients have experienced various direct traumas in their lives, with a significant portion focused on pelvic trauma & assault. Additionally, clients hold the epigenetic trauma from historical wrongs in gynecology and treatment of bodies in various lineages as a result of white supremacy and toxic patriarchy. All bodies deserve respectful care. When done carefully, pelvic exams have the potential to be safe, trust-building experiences with the benefit of seeking key medical information. Together, we will interrogate the common pelvic exam from a trauma-informed lens and consider our practices carefully. We will build strategies for respectful pelvic exams, including managing pain & anxiety in clients, what to do when clients do (and don’t!) disclose past trauma, avoiding triggers, and consider modifications to our own practices. GOLD Perinatal Online Conference false DD/MM/YYYY

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Pain with sex and sexual activity postpartum is common. This can have a profound impact on quality of life and relationships during a period of time when birthing people are already managing seismic changes to both identity and intimate relationships. Birthing people deserve education around what to expect, how to prepare and how to address any discomfort and pain with return to sex postpartum. Too many providers are not given knowledge, tools and strategies to support their patients with resuming this important activity of daily living. In this interactive and embodied presentation, I will share how to talk about the return to sexual activity with your patients, what preparation may be helpful, and strategies for addressing and treating different categories of sexual pain.

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13-02-2023 20:00 13-02-2023 21:00 35 Returning to Sex Postpartum: Expectation, Preparation, Treatments for Pain and Dysfunction Pain with sex and sexual activity postpartum is common. This can have a profound impact on quality of life and relationships during a period of time when birthing people are already managing seismic changes to both identity and intimate relationships. Birthing people deserve education around what to expect, how to prepare and how to address any discomfort and pain with return to sex postpartum. Too many providers are not given knowledge, tools and strategies to support their patients with resuming this important activity of daily living. In this interactive and embodied presentation, I will share how to talk about the return to sexual activity with your patients, what preparation may be helpful, and strategies for addressing and treating different categories of sexual pain. GOLD Perinatal Online Conference false DD/MM/YYYY

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Shoulder dystocia is considered one of the most dangerous complications of birth, as corroborated by the high number of malpractice claims resulting from it. Despite this, experts cannot agree on what defines it, what causes it, or whether or not it is possible to predict it. As for treatment, the HELPERR mnemonic is standard of care, but is this truly the best response with fully mobile clients, or does it reflect the limitations of hospital birth with epidural anesthesia?

In this presentation, the physiology of undisturbed birth, including cardinal movements the baby must accomplish to minimize the likelihood of shoulder dystocia developing, will be explained, with an examination of how common hospital practices, such as the use of Pitocin during labor or maternal positioning in second stage, can undermine these. Because this complication carries a high degree of urgency, time-efficient techniques will be presented for both anterior shoulder dystocia and bilateral shoulder dystocia, with indications for follow up for the birthing person and the newborn.

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06-02-2023 17:00 06-02-2023 18:15 35 Shoulder Dystocia: Prediction, Prevention, and Appropriate Response Shoulder dystocia is considered one of the most dangerous complications of birth, as corroborated by the high number of malpractice claims resulting from it. Despite this, experts cannot agree on what defines it, what causes it, or whether or not it is possible to predict it. As for treatment, the HELPERR mnemonic is standard of care, but is this truly the best response with fully mobile clients, or does it reflect the limitations of hospital birth with epidural anesthesia? In this presentation, the physiology of undisturbed birth, including cardinal movements the baby must accomplish to minimize the likelihood of shoulder dystocia developing, will be explained, with an examination of how common hospital practices, such as the use of Pitocin during labor or maternal positioning in second stage, can undermine these. Because this complication carries a high degree of urgency, time-efficient techniques will be presented for both anterior shoulder dystocia and bilateral shoulder dystocia, with indications for follow up for the birthing person and the newborn. GOLD Perinatal Online Conference false DD/MM/YYYY

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The early days of a breastfeeding journey, especially if it is the first one and there is not enough breastfeeding culture or support of the new family, bring challenges and risk factors for an unwanted early termination. Among all the causes for an early abandonment of exclusive breastfeeding, there is the ghost of insufficient milk supply, associated in popular belief (and unfortunately) sometimes also in professional health provider’s belief, with little or no evidence-based information on human lactation.

In order to make an appropriate and timely approach to a slow weight gain baby, we must take into consideration anatomical, functional and behavioral/emotional factors. Learn more about how to establish an appropriate nutritional diagnosis, based on the use of globally standardized anthropometric index, for exclusively breastfed children, factors that may contribute to a misperception of slow weight gain in a breastfed child, the difference between failure to thrive and slow weight gain and how to establish safe nutritional recovery strategies, focused on the dyad and aimed at preserving breastfeeding.

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21-02-2023 20:00 21-02-2023 21:00 35 Slow Weight Gain in the Early Days of Breastfeeding The early days of a breastfeeding journey, especially if it is the first one and there is not enough breastfeeding culture or support of the new family, bring challenges and risk factors for an unwanted early termination. Among all the causes for an early abandonment of exclusive breastfeeding, there is the ghost of insufficient milk supply, associated in popular belief (and unfortunately) sometimes also in professional health provider’s belief, with little or no evidence-based information on human lactation. In order to make an appropriate and timely approach to a slow weight gain baby, we must take into consideration anatomical, functional and behavioral/emotional factors. Learn more about how to establish an appropriate nutritional diagnosis, based on the use of globally standardized anthropometric index, for exclusively breastfed children, factors that may contribute to a misperception of slow weight gain in a breastfed child, the difference between failure to thrive and slow weight gain and how to establish safe nutritional recovery strategies, focused on the dyad and aimed at preserving breastfeeding. GOLD Perinatal Online Conference false DD/MM/YYYY

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Up to 75% of women will experience a prolapse in their lifetime. 1 in 3 will experience urine incontinence and 1 in 10 faecal incontinence. Around 60% of women experience diastasis recti. Add in pelvic girdle pain, a hypertonic pelvic floor, perineal and vulva trauma, vaginismus, vulva varicosities, anal fissures and haemorrhoids and most women, at some point, will describe their body as feeling broken.

Midwives play a crucial role in assisting women in the prevention and treatment of these conditions. International guidelines and clinical standards advise that pregnant and postpartum people should be doing pelvic floor muscle training (PFMT). This however, is not just as simple as doing Kegels while waiting at traffic lights. In order to provide best care, midwives need a deeper understanding of the physiology of the core and pelvic floor in pregnancy, birth and postpartum.

This presentation will enable a deeper understanding of the physiology of the core and pelvic floor during pregnancy, birth and postpartum. You will learn practical techniques to assist women in protecting their core and pelvic floor during these stages, including how best to support physiological birth and what we can do when interventions occur. We will also cover techniques and realities for postpartum healing and evidence-based advice to managing existing conditions.

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14-02-2023 00:00 14-02-2023 01:00 35 The Midwife's Role in Core and Pelvic Floor Health During the Perinatal Period Up to 75% of women will experience a prolapse in their lifetime. 1 in 3 will experience urine incontinence and 1 in 10 faecal incontinence. Around 60% of women experience diastasis recti. Add in pelvic girdle pain, a hypertonic pelvic floor, perineal and vulva trauma, vaginismus, vulva varicosities, anal fissures and haemorrhoids and most women, at some point, will describe their body as feeling broken. Midwives play a crucial role in assisting women in the prevention and treatment of these conditions. International guidelines and clinical standards advise that pregnant and postpartum people should be doing pelvic floor muscle training (PFMT). This however, is not just as simple as doing Kegels while waiting at traffic lights. In order to provide best care, midwives need a deeper understanding of the physiology of the core and pelvic floor in pregnancy, birth and postpartum. This presentation will enable a deeper understanding of the physiology of the core and pelvic floor during pregnancy, birth and postpartum. You will learn practical techniques to assist women in protecting their core and pelvic floor during these stages, including how best to support physiological birth and what we can do when interventions occur. We will also cover techniques and realities for postpartum healing and evidence-based advice to managing existing conditions. GOLD Perinatal Online Conference false DD/MM/YYYY

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Labour and birth cause huge changes in the neurophysiology, involving multiple hormonal and neurological systems. These will be discussed in detail and how this knowledge can be used in midwifery practice. The recent concept of "birthing consciousness" describes changes in maternal consciousness during labour (Dahan et al, 2020). The physiology of attachment and effects of parent-neonate separation will also be discussed, especially surrounding neonatal care.

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14-02-2023 14:00 14-02-2023 15:00 35 The Neurophysiology of Physiological Birth Labour and birth cause huge changes in the neurophysiology, involving multiple hormonal and neurological systems. These will be discussed in detail and how this knowledge can be used in midwifery practice. The recent concept of "birthing consciousness" describes changes in maternal consciousness during labour (Dahan et al, 2020). The physiology of attachment and effects of parent-neonate separation will also be discussed, especially surrounding neonatal care. GOLD Perinatal Online Conference false DD/MM/YYYY

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Prolonged labour is a common cause of birth interventions and can be a challenging situation for the birthing parent, family and care providers. This panel brings together midwives from different parts of the world to share their unique perspectives on the physiological and psychological causes of prolonged labour, interventions that may help and the possible implications for both the birthing parent and the fetus/newborn.

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15-02-2023 17:00 15-02-2023 18:00 35 Tips, Tricks & Things to Think About When Labour is Prolonged Prolonged labour is a common cause of birth interventions and can be a challenging situation for the birthing parent, family and care providers. This panel brings together midwives from different parts of the world to share their unique perspectives on the physiological and psychological causes of prolonged labour, interventions that may help and the possible implications for both the birthing parent and the fetus/newborn. GOLD Perinatal Online Conference false DD/MM/YYYY

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Eight years ago, Toni Harman made a documentary called MICROBIRTH. In the film, Hannah Dahlen, a professor of midwifery says, “Turn the microscope on birth. It’s a really important part of a human being’s life”. If we do turn the microscope on birth, we discover the science of the microbiome. This is the science that strongly supports the midwifery profession.

In this presentation, Toni explains some of the critical microscopic events happening during pregnancy, birth and breastfeeding, and how these events are supported by the work of midwives. Toni makes a case that midwives support the vertical transmission of beneficial microbes from mother to child. This helps protect a child’s long-term health. Toni argues that if we can better support midwives, we can better support parents, and in turn, we can better support and protect the health of the next generation.

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27-02-2023 15:00 27-02-2023 16:15 35 Turn the Microscope on Birth: The Microbiome and Midwifery Eight years ago, Toni Harman made a documentary called MICROBIRTH. In the film, Hannah Dahlen, a professor of midwifery says, “Turn the microscope on birth. It’s a really important part of a human being’s life”. If we do turn the microscope on birth, we discover the science of the microbiome. This is the science that strongly supports the midwifery profession. In this presentation, Toni explains some of the critical microscopic events happening during pregnancy, birth and breastfeeding, and how these events are supported by the work of midwives. Toni makes a case that midwives support the vertical transmission of beneficial microbes from mother to child. This helps protect a child’s long-term health. Toni argues that if we can better support midwives, we can better support parents, and in turn, we can better support and protect the health of the next generation. GOLD Perinatal Online Conference false DD/MM/YYYY

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