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Winter 2013, Issue 8
Table of Contents
1
MABC Staff & Board Members 2
Committee, Liaison & Representative List 3
Contract Negotiations Update 4
Media Update 5
CAM-ACSF Conference Report 6
Hospital Privileging Report 7
Rural Midwifery Locum Program Update 7
Aboriginal Committee Report 8
New Practice - Seabird Island 9
Rural Midwifery Committee 10
Rural Practice & Support Grant Program 10
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RPSGP Recipients – Powell River 11
‘Why Midwifery Care?’ Research 12
MESP Update 12
Introducing Michelle Butler 13
Students for Global Citizenship 14
Commercial General Liability 15
Personal Performance Consultants 15
IDM & Promotions Fund Policy 15
AGM & Important Dates 16
MABC YEAR END NEWSLETTER
Apple Blossom Families contributed photos of local midwives and families. Within (pages 1-3), and for the MABC Vision Campaign.
MIDWIVES ASSOCIATION OF BRITISH COLUMBIA YEAR END NEWSLETTER 2013
MABC STAFF CONTACTS Ganga Jolicoeur Executive Director
Annwen Davies Office Manager, Benefits Coordinator
Adriana Risso Patron Accounts Manager
Mel Mundell Registration Coordinator, Communications
Sunya Lai Thom Special Program Coordinator
[email protected] [email protected]
Patricia Alcantara Administrative & Benefits Assistant
New Board Composition
The MABC Board of Directors would like to take this opportunity to update the membership on our new Board member composition. We would like to thank Carolyn Saunders and Joanna Nemrava who have recently stepped down for their many years of service on the MABC Board - Carolyn and Joanna it has been a pleasure working with you and we have so valued your thoughtful contributions. As per our bylaws the board has assigned a temporary Board member to replace Carolyn and has appointed new Executive member Sarah Hilbert-West to replace Joanna as Treasurer. In addition, Ruth Comfort has been appointed Secretary - we thank both Ruth and Sarah for being available for these Board Executive roles which they will hold until our AGM in May. We would like to take this opportunity to welcome Board member Alix Bacon. Alix served as student representative for two years, 2010 & 2011 and we are so thrilled to be working with her again. We will hold elections for identified vacancies as per our bylaws, prior to our 2014 AGM. Members will receive more information shortly--we invite you to please consider joining the MABC Board at this exciting time in the development of our profession! From January 1st 2014 until our AGM in May, the MABC Board will consist of the following members:
President Shannon Norberg
Vice President Kelly Hayes
Secretary Ruth Comfort (new to position)
Treasurer Sarah Hilbert-West (new to position)
Board Member Alix Bacon (new board member)
Board Member Marijke de Zwager
Board Member Misty Wasyluk
Student Member Amanda Emsley
Welcome new Board Member Alix Bacon!
Alix works at South Delta Midwifery in
Ladner. Her interests include reproductive rights, kayaking,
gardening, baking, hula-hooping, playing guitar & blues music.
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Committees and Working Groups
Aboriginal Midwifery Committee Chairs: Marijke de Zwager & Misty Wasyluk
Members: Bobbie Adkins, Erin Price, Leslie Gunning, Celina Laursen, Amelia Doran, Lindsay Barnes, Sharyne Fraser
Student Representatives: Amanda Emsley, Ashley Porter, Lauren Redman
External stakeholders: Dr. Jude Kornelsen
Contract Negotiations Working Group
Chair: Shannon Norberg
Members: Kelly Hayes, Ganga Jolicoeur
Hospital Privileges Working Group – NEW!
Chair: Kelly Hayes
Members: Ganga Jolicoeur, Ruth Comfort, Courtney Broten, Suzanne Lobb
Midwifery Emergency Skills Program Committee Chair: Kim Campbell
Members: Angela Spencer, Kim Millar Lewis, Misty Wasyluk, Vera Berard
MABC Staff Liaison: Sunya Lai Thom
Risk Management Committee (joint committee MABC – MPP – CMBC) Members: Ganga Jolicoeur & Shannon Norberg (MABC), Linda Irvine, Sharon White, Grant
Warrington (Government of BC), Robin Harper (MPP), Jane Kilthei (CMBC)
Rural Midwifery Committee Chair: Sarah Hilbert-West
Members: Ilene Bell, Karin Gerlach, Sheila Jager, Alyson Jones, Deborah Kozlick, Birte Paschen, Angela Smith
Student Representative: Amanda Emsley
Rural Midwifery Locum Working Group Chairs: Shannon Norberg & Ganga Jolicoeur
Members: Kelly Hayes, Ruth Comfort, Sarah Hilbert-West Alyson Jones
Outside Consultants: Queenswood, Dr. Jude Kornelsen
Liaisons, External Committees & Representatives
BC Baby Friendly Network Vera Berard, Midwifery Representative
BC Representative to National ESW Committee Kim Campbell
CAM_ASF Liaison Misty Wasyluk
Inter-Regional Perinatal Educators Committee – NEW! Members: Patrice Latka, Vera Berard
MIDWIVES ASSOCIATION OF BRITISH COLUMBIA YEAR END NEWSLETTER 2013
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2014 brings another negotiations year for the association as our current contract with the Ministry of Health expires at the end of March. For those of you who attended the member webinars in December and January you will have heard an overview of our planning strategy and summary of potential asks for this round. We anticipate returning to the negotiations table in March where we will hear the Ministry's mandate. Preparations have been ongoing over the past year and will culminate this month in the release of our work with National on expanding access and supports for midwives across the province. Our new Vision campaign launches this month and will focus on increasing awareness of midwifery services and the importance and benefits to both women and the health care system of improving supports for practicing midwives. This will be a short but intensive campaign leading up to our negotiations, we hope that all midwives and their support networks will be able to participate. We have enlisted two consulting agencies to assist us with our preparation of proposals and data analysis as we prepare our strategy - Public Policy Analyst Dan Perrin of Perrin, Thorau and Associates, and Jane Worton of Queenswood Consulting who has worked with the MABC in developing our Rural Locum Program and Strategic Plan. We have also hired legal counsel and negotiator Dean Crawford who will represent the MABC in this round of negotiations. Dean has come highly recommended by a number of sources. After interviewing numerous candidates, the negotiations team believes that with his background and professional integrity, Dean will work as a strong advocate for the association to bring about needed change for our profession. We will also be working with our lawyer Jean Teillet in drafting contractual agreements related to negotiations and for general counsel as indicated. Our proposals to government will focus on the following categories:
1) Compensation and Clinical Services 2) Programs to support midwives' sustainability 3) Retention and recruitment initiatives 4) Health Authority integration and planning
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Specific details will be provided to members once we have a clearer sense of the Ministry's mandate and the results of other contracts currently in the process of being negotiated. In the interim we encourage everyone to get involved in our Vision campaign and advocate for your practice and your profession in advance of our return to the table. With thanks, MABC Negotiations Team Kelly Hayes, Ganga Jolicoeur & Shannon Norberg Dean Crawford - Legal Counsel and Negotiator Jean Teillet - Legal Counsel MABC Board Executive member consultants Sarah Hilbert-West (Rural) and Ruth Comfort (Urban) and the MABC Board of Directors
CONTRACT NEGOTIATIONS UPDATE | Shannon Norberg, Chair
Ganga Jolicoeur, Shannon Norberg & Kelly Hayes
I am a lawyer practicing in the Vancouver law firm of Coutts Pulver LLP and the 2013-2014 President of the Canadian Bar Association, British Columbia Branch. My practice combines my professional training and experience in the law with my long-standing interest and experience in public policy. Early in my legal career, I spent two years in Ottawa as a political assistant to the federal Minister of Justice. I served in the same position when that minister became Minister of Health. Since returning to Vancouver in the late 90s, I have developed a government relations and public policy practice. I provide strategic advice to clients on their interaction with government and analysis on the impact of proposed initiatives. My advice extends to review and analysis of legislative and regulatory initiatives and the preparation of briefing notes for clients for presentation to government. During the 2011 federal election, I was British Columbia co-chair for the election campaign of a federal political party.
Dean A. Crawford|Bio
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The campaign launched alongside dozens of midwifery supporters (and their babies) as well as over a dozen news outlets! In the following days, segments aired on 4 news stations, articles were printed and posted digitally in 5 newspapers, and radio segments heard on 5 stations.
Social media engagement, much like media coverage, has been excellent with the launch of the campaign. Our Facebook page is now at 1,517 likes and the vision campaign document has been viewed 11,792 times, shared 166 times and has gathered 72 likes. Our Twitter account has also seen much in the way of positive activity with over 20 campaign-related tweets by journalists and media outlets, and more than a dozen from the public—starting conversations across the Twittersphere. As a result, 446 (and counting) e-postcards in support of the vision campaign have been sent to MLAs to date. Please visit bcmidwives.com/vision to send your e-postcard today!
MEDIA REPORT: VISION CAMPAIGN |Mel Mundell
The following is a list of press outlets that covered the campaign launch:
Print:
• The Globe and Mail
• Vancouver Sun • Sing Tao Daily • South Delta
Leader • Times Colonist
Television:
• Global News • CBC Television • Breakfast
Television • Radio-Canada
Francais
Radio:
• CBC Radio • News1130 • CFAX • Fairchild Radio • RED FM
From the January 23rd press event at the Morris J. Wosk Centre for Dialogue, Vancouver
“In a statement following the delivery of their brief, the health ministry called midwives a ‘valuable part of the system.’ The ministry says it has just received the [vision campaign] document and is looking forward to reviewing it.” (CBC News)
With the launch of the vision campaign on January 23 came a flurry of positive media coverage and public engagement. I am pleased to report on the success of the campaign to date.
MIDWIVES ASSOCIATION OF BRITISH COLUMBIA YEAR END NEWSLETTER 2013
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Midwives and students from across Canada as well as honorary guests from Haiti and internationally recognized speakers gathered this past November for CAM’s 13th annual conference in Ottawa. In conjunction with the Association of Ontario Midwives and with thanks to Ottawa--our beautiful host city for their hospitality--this year’s conference was a huge success! Most notable at this year’s gathering was the opportunity for political advocacy, being so poignantly located in our country’s seat of political power. It was inspiring to be back in Ontario- reflecting on how far Ontario midwives have come and to inspire BC midwives to continue on in their midwifery advocacy.
Several days of meetings and strategic planning highlighted the ongoing need to show our strength for our sister provinces, territories and organizations. Top priorities include continuing to work towards regulation for Atlantic Canada and the Yukon Territory and continuing to support the efforts of the National Aboriginal Council of Midwives in increasing services to Aboriginal communities.
Many thanks to National public relations, who has been hired by CAM to oversee its political advocacy agenda, for assisting with the gathering of key stakeholders for a Maternal Health Panel on Parliament Hill. CAM President Joanna Nemrava and RM Nathalie Pambrun (NACM) gave powerful speeches on the need to federally recognize midwifery and to address the health disparities of Aboriginal communities.
The opening night of the CAM conference was addressed by keynote speaker Mary Renfrew as she gave an inspirational talk on the soon to be published “Lancet Series on Midwifery“. The welcome reception that evening was followed by a VIP gala where MPs or senators nationwide attended. As a board we were able to build stronger relationships with the federal government to help increase visibility of midwifery both politically and publically. On November 6th, NDP Member of Parliament Peggy Nash introduced a private members’ bill that would declare May 5th National Day of the Midwife, in acknowledgement of the contribution midwives make to maternal, newborn, and infant care.
The conference was highlighted by presentations from the National Aboriginal Council of Midwives, and Michèle Taïna Audette, President of the Native Women's Association of Canada (NWAC) gave a moving talk entitled- ‘Giving Life, Teaching Life’. This was followed by a symbolic circle dance lead by local drummers.
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Our own Joanna Nemrava chaired the conference beautifully and represented our profession with strength on the national platform. It was announced that Emmanuelle Hebert from Quebec would be stepping into the role of president elect in the upcoming year.
It was an inspiring week of education, networking and political advocacy that brought many of us back home refreshed and inspired to keep moving our provincial and territorial agendas forward.
With an exciting start to the New Year, CAM is preparing for Prague 2014 where we will be giving a closing ceremony to welcome the world to Toronto 2017! In the meantime preparations are underway for the 14th Annual CAM Conference in Saskatchewan November 5-7, 2014 where we hope to see many of you!
13th ANNUAL CANADIAN ASSOCIATION OF MIDWIVES CONFERENCE, November 6 – 8, 2013 | Misty Wasyluk
Top: CAM President Joanna Nemrava with Kamloops MP Cathy Mcleod.
Bottom: Vancouver MP Joyce Murray with CAM President Joanna Nemrava & MABC/CAM Liaison Misty Wasyluk
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At the 2013 annual general meeting two resolutions were brought forth to members in regards for the need for advocacy and support for midwives who face challenges receiving and/or face refusal to obtaining hospital privileges. A clear majority of members were in favour to have a working group struck to investigate this important issue (resolution 1) and to have the working group include in its exploration the possibility of creating a Midwife Advocate position (resolution 2).
In the fall the working group was started and was in full swing by December. Members of the HPWG are Ruth Comfort, Courtney Broten, Suzanne Lobb, Ganga Jolicoeur and Kelly Hayes. Shannon Norberg is also assisting the group immensely thanks to her work with other stakeholders involved in provincial privileging issues.
Current work includes contacting key people within the health authorities and hospitals that have midwifery privileges and investigating the process in place that midwives currently follow to obtain privileges. This work is being done with the aid of an interview questionnaire that the working group developed in order to ensure that clear, consistent and key questions are asked.
In the coming months, we intend to send a membership wide survey in order to obtain as much information as possible from members in regards to their experiences obtaining privileges; what worked, what didn’t, what support was received, what support was lacking. Keep your eyes peeled – your input is valuable!
This issue is clearly a barrier for many midwives but, unfortunately, is not one that will be solved over night. However, many groups are working together to help pave the way for a smoother provincial process and our hope as an association is that we will be able to develop resources and others means of support for members who are navigating the privileging highway.
HOSPITAL PRIVILEGES WORKING GROUP (HPWG) | Kelly Hayes, Chair
RURAL MIDWIFERY LOCUM PROGRAM| Ganga Jolicoeur
The Rural Midwifery Locum Program was launched on April 1st, 2013 and the first placements began June 1st, 2013. Since then, the program has had an adoption rate among eligible rural midwives of 20% and the feedback from both the rural midwives (hosts) and the locum midwives has been very positive. From its inception, RMLP was designed and implemented with the intention of making this a permanent program of the MABC. The MABC has worked diligently to design a pilot program that addresses the urgent needs of rural midwives for locum coverage. In addition the implementation and management of the program we have undertaken a comprehensive evaluation process to determine the success of the program and any potential barriers for greater adoption. The evaluation process has included a series of surveys that both locum and host midwives have completed as well as one on one interviews that are being conducted by Dr. Jude Kornelsen. With this valuable data in hand, we will make a formal presentation to the Ministry of Health during our upcoming round of negotiations for the continued funding of this program. Our mid program evaluation has already given us clear indications of areas where the program is not yet meeting the needs of locums and host midwives. In an attempt to address at least one of the key limitations of the current pilot program we will extend the number of days allowed for a placement from 10 to 20 days. These opportunities can be taken in 5 day increments. Midwives who have already accessed the program may utilize the balance of days available to them. We will also extend the program to June 1st, 2014 to allow RMLP to operate for a full year. All placements would need to be completed by May 31st, 2014.
The evaluation has enabled us to address
one of the key limitations of the
current pilot program, which is the amount of
subsidized days available to each rural
midwife. Effective immediately, we will be expanding this from 10
to 20 days.
MIDWIVES ASSOCIATION OF BRITISH COLUMBIA YEAR END NEWSLETTER 2013
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The Midwives Association Aboriginal Committee (MAAC) came together in the spring of 2011 to acknowledge the need for Aboriginal families in BC to access midwifery care. Canada’s infant mortality rate is largely contributed by higher rates in Aboriginal communities where women must leave, often for weeks at a time to birth their babies in larger centers. Increasing access to midwifery services and aligning with the call to action for ‘A midwife for every woman’ as per CAM’s agenda is a key objective of the MAAC’s work. Essential to this objective are increasing education and training of Aboriginal Midwives and acknowledging Traditional Midwifery practice.
With such large provincial goals the MAAC is aligning with other stakeholders including UBC, CMBC, NACM and CAM to help work towards more autonomous Aboriginal birthing practices in our province. This work is very timely with the new BC Tripartite Framework Agreement whereby Health Canada has transferred its role in the management and delivery of First Nations’ Health Programming in BC to the new First Nations Health Authority (FNHA). With this new governance comes the opportunity to explore creative solutions that incorporate regulated midwifery services onto reservations through Alternate Payment Arrangements such as salaried midwifery services. Pilot projects such as that of Seabird Island could serve as a transferrable model to other communities in BC- thus furthering access to self-determined midwifery care.
The MAAC continues to foster and grow relationships with various provincial organizations and has had the opportunity to attend and present to the ‘Gathering the Wisdom Conference’ this past fall as hosted by the First Nations Health Council in Vancouver. This was an inspiring opportunity for networking and seeking further direction on committee objectives.
The MAAC sponsored two practicing Aboriginal doulas and aspiring midwives to attend the National Aboriginal Council of Midwives’ annual gathering this past fall in Ottawa and would like to extend a thank you to Deborah Peters for agreeing to sit on our committee as a community member and advisor. The MAAC also sponsored the launching of NACM’s Toolkit- a collection of tools designed to aid in the examination and integration of midwifery into communities: http://www.aboriginalmidwives.ca/toolkit
MIDWIVES ASSOCIATION ABORIGINAL COMMITTEE| Misty Wasyluk, Co-Chair
There was a reception to celebrate the launching of the Aboriginal Midwifery Toolkit, a resource which NACM has
been developing over the past couple of years. The Toolkit includes jurisdiction specific sections, covering topics such as pertinent legislation, governance and funding options, ways of assessing community specific maternal health needs and
ways to develop midwifery services closer to home. It also includes video documentation captured during Community Consultations that speaks to the impact midwifery can have on improved maternal and infant health outcomes but also
how birth closer to home builds stronger community ties, connection to the land and place and space for self
determination.
Kerry and Nathalie started by thanking the Algonquin people for their hospitality. They also thanked the different sponsors. Representatives from the AOM, the SOGC, CAM and FNIHB
attended this reception. The Reception started with 2 musicians, Brad Picody and his son Sage, who performed
songs. This was followed by a presentation by Nathalie and Rachel. After the presentation, one of the 3 short films
featured in the Toolkit, “Birth Past and Present”, was shown.
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We also had the opportunity to present two Learning Circles Presentations on-line through the UBC Faculty of Medicine this past fall. One presentation focused on educating adolescents on the option of midwifery as a career. The other spoke to community members about midwifery services. The presentations had a positive response and we are looking forward to participating in a third Learning Circle this spring which will examine alternate models of midwifery funding for Aboriginal communities.
The MAAC acknowledges the Aboriginal territories that midwives in BC provide services on and those for which we hope to assist midwifery to expand to. Our committee still primarily remains non-Aboriginal in membership- thank you to the hard working and dedicated midwives and community members from across
The Seabird Island First Nation and Health Unit/Maternal Child Health Program and MABC have partnered with RM Amelia Doran to increase access for Aboriginal families to rural midwifery care. Starting January 2014, Amelia will be providing primary midwifery care to on-reserve families who are part of the following communities: Seabird Island, Chawathil, Squiala, Skwah, Shxw’owhamel, Cheam, and Kwaw-kwaw-aplit. Amelia will be working in an interdisciplinary team of health care providers including two Aboriginal family doctors, nurses, community health representatives, dieticians, speech and language pathologists and early childhood educators. The Maternal Child Health program also employs 2 community-based Kwiyo’s, or “Aunties” who act as prenatal, intrapartum and postpartum doulas.
NEW MIDWIFERY PRACTICE SEABIRD ISLAND FIRST NATION|Amelia Doran
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the province working to help increase access to midwifery services. Our hope is to gain increasing Aboriginal representation on our committee and we welcome all interested members to join. We hope to increase access to culturally safe care for all Aboriginal women and encourage all members to strongly consider taking the Intercultural Competency Training Program as offered through PHSA. culturalcompetency.ca
Other actions members may take include meeting with your Aboriginal Health Patient Liaison through your community hospital to provide education on midwifery services and becoming a supporting member of NACM.
Please stay tuned in the New Year for more Aboriginal Midwifery content on the MABC website. We look forward to another productive year ahead!
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In Wellness,
Misty Wasyluk and Marijke de Zwager MAAC Co-Chairs
MAAC, con’t
MIDWIVES ASSOCIATION OF BRITISH COLUMBIA YEAR END NEWSLETTER 2013
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The MABC Board of Directors is pleased to announce that two grants have been awarded through the Midwifery Rural Start Up Grant Program, to support midwives in opening new practices in communities that have not had local access to midwifery care, with funds provided by the Ministry of Health through the Midwifery Rural Subsidiary Agreement in 2012. We wish to thank all the midwives who have applied to this program, and who have been in discussion with their communities and hospitals for many months as they have worked through the complicated issues of midwifery integration in new communities.
1) Hazelton, Northern Health - August 2013 Angela Smith and Bobbie Adkins applied as joint applicants, with Angela residing in Hazelton and Bobbie in Smithers, approximately 45 mins distant. Bobbie's existing, established Smithers practice will provide support for the new practice in Hazelton, where women have previously only had limited access to registered midwifery services. Having a midwife residing in their community will provide women including a large First Nations population with significantly improved access to primary maternity care and home birth services. With the support of local GP's and nurses and in collaboration with providers in Smithers, Hazelton maternity services should stabilize with a vision to long-term sustainability. Angela has recently been granted hospital privileges at Wrinch Memorial hospital in Hazelton and is anticipating hospital privileges at Bulkley Valley District Hospital in Smithers as a transfer and back up hospital when local caesarean section capability is not available.
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2) Powell River, Vancouver Coastal Health - December 2013 Elisha Manson and Sheena Nordman applied as joint applicants, in consultation with maternity care providers and hospital administration in Powell River and anticipate beginning practice in early 2014. Discussions regarding hospital privileges are in process and there is much interest by local GP's who have been providing maternity services in the community for many years in working with midwives, including attendance at home births. Integrating local registered midwives to the existing maternity care system will decrease pressure on family physicians and hospital resources, and support women in their choice of care provider as well as decrease the number of women traveling to access care.
We look forward to working more with these practices as they evolve and again wish to thank the midwives, as well as their communities, for the countless hours of planning and discussion they have undertaken in order to integrate sustainable midwifery services. We encourage all midwives to consider applying to this program as funding for two $25,000 awards remains available through March 2014. Please contact the office for related information, a community shortlist, an application form or with any questions you may have. As a final note, we encourage midwives to consider working in Williams Lake and the beautiful Cariboo! If this is a community that interests you please contact the MABC for further information.
MIDWIFERY RURAL PRACTICE SUPPORT GRANT PROGRAM| Shannon Norberg
Your rural committee has maintained its focus by ensuring that rural issues, and challenges facing rural midwives, are being raised continually to the MABC board. We worked hard this year on resolutions for the CMBC AGM in an effort to use all processes available to improve the practice environment and realities of care for rural midwives. We are hoping to see some changes made shortly.
We encourage rural midwives to consider using the Rural Locum Program. We were able to use the Rural Locum Program Pilot Project Survey to support our work. These feedback opportunities are crucial to our work. If you are unable to access on-line polls and surveys please let me know and I will ensure that your feedback is obtained.
We had three general rural teleconferences this year, in April, June and September. We encourage all rural midwives to participate in these crucial sharing and information gathering opportunities. The next general teleconference will be Friday April 4 at 9:30. We look forward to participating heavily and giving feedback throughout the upcoming negotiations process with the government.
We encourage feedback and input at all times from rural members. As practicing midwives around the province in all kinds of practice environments, we have a great deal to offer one another. Please keep me apprised of any challenges or difficulties that you are having in your place of practice. Through helping each other thrive, we grow this crucial profession.
RURAL MIDWIFERY COMMITTEE |Sarah Hilbert-West, Chair
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Women in Powell River are asking for midwives, and Dr. Susan Horsfall is an eager supporter of the idea. When the MRPSGP short-listed the community, the midwives and doctors who had already begun working towards this dream joined forces. Together we are aiming to provide the woman of Powell River their right to comprehensive maternity and health care in their home community. To date, women seeking midwifery care take the ferry to Courtney/Comox, while some choose to stay home with birth attendants or unattended. Our committed group of midwives, students and a woman-centered physician plan to support each other in sustainable rural practice providing the options for connecting pregnancy and homebirth. We look forward to working with the Sliammon First Nation, keeping birth in their home community. The MRPSGP makes this possible; public events, formal trainings, equipment and so much more - midwifery integration is time consuming, confusing and worth every minute for the woman, the community and the future. About the recipients: Elisha Manson graduated from UBC in 2013. She spent her clerkship and new registrant year with Pomegranate Midwives in Vancouver. Born in Prince Rupert (PR) she had dreamt of returning some day but upon visiting fell in love with Powell River (PR) and the surrounding area. Her husband and 2 year-old son are also eagerly awaiting their new coastal home. They are all excited to move to PR both for beauty of the community and the high demand and readiness for midwifery and not the initials! Sheena Nordman trained in New Zealand and soon after graduation started a new practice where for several years she gained experience before returning home to raise her family and practice midwifery in BC. She lives in Powell River with her husband, 3 year-old daughter and 5 month-old son. For the past decade Dr. Susan Horsfall, maternity/GP, and Laya Bourguignon, 3rd year Midwifery student, have been the driving forces, introducing and promoting registered midwifery to Powell River. Susan moved to PR from Ontario in 2009. Laya is from Powell River. Together their dedication and future involvement are instrumental to the realization of our shared visions. Thank you MABC and to the MANY Midwives who have supported us for the two years in planning!
MIDWIFERY RURAL PRACTICE SUPPORT GRANT PROGRAM| Elisha Manson
Elisha Manson
Sheena Nordman
Dr. Susan Horsfall
MIDWIVES ASSOCIATION OF BRITISH COLUMBIA YEAR END NEWSLETTER 2013
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The MABC has partnered with UBC in a community-based research project called Why Midwifery Care? studying women’s access to maternity care options. More specifically, how women might benefit from being offered different types of care. This study pays particular attention to women from vulnerable populations, such as: immigrant and refugee women, incarcerated women and street-entrenched women. The research findings from Why Midwifery Care? will help us develop sustainable solutions to improving access to maternity services in BC.
A brief history of the study: In January 2013, the Vancouver Foundation awarded a $160,000 grant to the BC Women’s Foundation enabling current and
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potential midwifery clients alongside the Women’s Health Research Institute team to explore the factors that contribute to women’s access to midwifery services in the province. With an active working group made up of midwives, health care providers, researchers and administrators the project began with a vision for a province-wide in-depth survey.
The heart of the project: In September 2013, the pre-survey launched with an overwhelmingly high respondent rate at 1,300 participants. Since then, the long form survey—Changing Childbirth in BC—went live on Friday, January 10, and to the delight of the team, has also had a very high respondent rate of over 2,700 participants in the first week!
WHY MIDWIFERY CARE? RESEARCH TEAM LAUNCHES PROVINCE-WIDE ONLINE SURVEY-“CHANGING CHILDBIRTH IN BC: WHAT DO YOU THINK IS MOST IMPORTANT FOR YOUR BIRTH CARE?”
MIDWIVES EMERGENCY SKILLS PROGRAM | Sunya Lai Thom
Effective April 1, 2014,
after the upcoming
registration renewal
period, all midwives
will be required to
certify in emergency
skills every two years
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The next phase of the project will unroll in a series of community-led focus groups gathering qualitative data in areas eager for midwifery services, many of which are rural and remote, such as: Fort St. John.
We ask that you share the survey link with your clients, personal and professional networks. If you yourself have received maternity care in BC, or plan to, please share your experiences and participate! Together we can improve access to maternity services in the province.
fluidsurveys.com/s/changingchildbirthinbc_survey1/
By Mel Mundell
The CMBC recently announced an important change in emergency skills requirements for registrants. Effective April 1, 2014, after the upcoming registration renewal period, all midwives will be required to certify in emergency skills every two years rather than every three years.
As was noted in the January 13th announcement from Mary Burgoyne, “The recommendation to change in the emergency skills certification period to every two years came to the College Board from a number of sources, including the midwifery education program at UBC and a number of Midwives Emergency Skills Program (MESP) instructors. The CMBC Quality Assurance Committee supports this change as being in the public interest. The College understands that ESW courses are now more accessible to registrants than they were when the recertification policy was first put in place.“
The MABC is pleased to see MESP facilitators credited with impacting this change. We are also pleased that the accessibility of MESP has enabled this progressive new schedule for re-certification. With the high uptake of MESP by midwives prior to the 2013 renewal date (over 90 between Oct 2012 and March 2013), we anticipate a great number of midwives using MESP between April 1, 2014 and March 31, 2015. Improvements to the online learning component are underway – we look forward to launching in the spring of 2014.
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UBC DEPARTMENT OF FAMILY PRACTICE MIDWIFERY PROGRAM | Michelle Butler, Director
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UBC is pleased to announce the arrival of Dr. Michelle Butler as the new Director of the Midwifery Program as of 01 January 2014.
Michelle qualified as a midwife in 1990 in the UK and has extensive experience in the UK and Ireland in midwifery practice, education and research. She obtained her PhD in 2001 from the University of Nottingham with a study of competence and professional learning in midwifery. Michelle joins UBC from University College Dublin, where she was centrally involved in the development of midwifery programs, curriculum development and research, as Director of Midwifery programs, as Head of School and Dean, and as Subject Head for Midwifery. This included the introduction of the BSc Midwifery (direct-entry) in 2006 and the MSc Midwifery-Led Care in 2011.
Michelle has extensive experience in research and the supervision of graduate research (MSc/PhD) students and undergraduate students (summer scholars) in midwifery. Her research includes studies relating to professional issues and leadership in midwifery and nursing, the evaluation of direct-entry midwifery education, women’s health, and pregnancy and maternity care outcomes. She has worked closely with midwifery academics and practicing midwives in Dublin to build research capacity and to establish a joint research network.
Michelle has over 40 publications and is Associate Editor for BMC Pregnancy and Childbirth and reviewer for several other journals. She is a member of the Education Standing Committee at the ICM, and leads the Competencies and Standards Section. She is also a member of the Research Advisory Network and a Peer Reviewer at the ICM.
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At a reception on Wednesday, January 8th, Dr. Martin Dawes, Head of the Department of Family Practice formally welcomed Dr. Butler to UBC. Attendees included midwives, midwifery students, midwifery faculty and faculty from the Departments of Family Practice, Medicine, School of Population and Public Health, the College of Health Disciplines, and representatives from UBC senior leadership, the MABC and CMBC. The event was also attended by several faculty and midwifery leaders involved in the establishment of the midwifery program at UBC, including Elaine Carty. Michelle expressed her delight at taking up the position of Director at UBC and stated she was looking forward to working with everyone at UBC and in the midwifery community in BC to build on the tremendous achievements over the last decade.
Elaine Carty & Kim Campbell welcome Director Michelle Butler
CMBC’S Jane Kilthei, UBC Prof. Cathy Ellis & student Patricia Rohlfs, & MABC staff Patricia Alcantara
MIDWIVES ASSOCIATION OF BRITISH COLUMBIA YEAR END NEWSLETTER 2013
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In the summer of 2013, four UBC instructors, 6 midwifery students and one community health student spent 6 weeks at regional and national referral hospitals in Uganda, learning about maternal infant care in a low resource setting, working on the maternity wards and providing midwifery continuing education courses.
An example of the care that our instructors and students provided in collaboration with local midwives and obstetricians included care to: mothers whose lives and pregnancies were complicated by HIV, numerous sets of twins, mothers with breech deliveries, mothers affected by malaria and sepsis, and many young first time mothers who loved the attention and care provided by our senior students. The majority of clinical sites mirror these situations, and all have few Ugandan midwives providing the majority of care to dozens of mothers per day.
UBC Midwifery’s role is to offer updates in midwifery topics such as Emergency Obstetrical Skills, normal intrapartum care, and neonatal resuscitation to sites where the hospital directors or Ministry of Health officials think it is
UBC MIDWIFERY ‘STUDENTS FOR GLOBAL CITIZENSHIP’ 2013 |Cathy Ellis
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needed. At the same time that we offer the courses, our licensed midwives and students cover the wards so that the local midwives, interns and residents can attend. We travel to new sites with up to 3 of our Ugandan midwife trainers and provide mentorship to midwives to become trainers and co-instructors at new sites.
Our students participate in these continuing midwifery education courses, help with organization and small group simulation practice. We donate new mannequins to regional hospitals when we train trainers so that the work can continue after we leave.
In 2013, we offered courses in Masaka, Kampala and Kabale, thus providing updates to around 60 participants from midwifery and medicine. Our students in Mbale Regional Referral Hospital provided midwifery updates to dozens of clinical officers and midwifery students on topics
such as neonatal care and resuscitation.
In two clinical sites, we facilitated and financed the construction of much needed steps for mothers to climb up to the delivery tables, and repair of waterproof covering for delivery tables.
This year’s global clinical placement (2014) will have our largest group yet: 9 students who are planning to go to Uganda and two who are planning to go to Nepal. We are also looking forward to a co-presentation at the International Confederation of Midwives (ICM) Conference in Prague by Dr Mickey Rostoker (the family doctor volunteer in our global placements) and our co-instructor in Uganda, Prossy Musoke on ‘Task Shifting for Post-Abortion Care in Uganda’.
Lorna McRae, UBC Instructor, with Felicitas, RM Students Amanda Emsley & Patricia Rohlfs with mum & baby
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PPC is an Employee and Family Assistance Program (EFAP) and is an MABC benefit of membership available throughout the province. If you are a Registered General, Conditional or Non-Practicing Member of the MABC the
services of Personal Performance Consultants (PPC) are available to and your eligible dependents. This is an emergency counseling and referral service available throughout BC and across Canada. For information go to http://ca.ppcworldwide.com Or call: Toll free: 1-800-663-9099 ~ After hours: 1-800-324-9988 ~ In Vancouver: 604-431-8200
The new CGL Practice Program has been in effect for only a few months and there are 41 practices, for a total of about 90 midwives, on the program. Lee Fulsher expects more members to join the program as member’s unique renewal dates approach.
Members are happy with Shaw Sabey’s Program rates and ease of doing business. The MABC is very happy that we secured such a successful program!
In 2013 the MABC Board reviewed and approved this Shaw Sabey CGL Practice Program with contents coverage, and this program meets the CGL requirements of the Midwives Protection Program. For more information please contact Lee Fulsher at Shaw Sabey & Associates.
Please be aware that Commercial General Insurance (CGL) is mandatory for all practicing midwives. Please refer to the MABC CGL Policy Statement for details.
REPORT ON THE NEW COMMERCIAL GENERAL LIABILITY PRACTICE PROGRAM|Annwen Davies
Lee Fulsher, BA, CAIB, Account Manager Independent Business Team Shaw Sabey & Associates Ltd. | An Assurex Global Partner Direct 604 699 2266 | 800 684 1911 | 604 689 2441 | Fax: 604 331 0662 [email protected] | www.shawsabey.com
MIDWIFERY & IDM PROMOTION FUND POLICY
If you would like financial support to promote midwifery and/or your practice the Midwifery & IDM Promotion Fund Policy provides guidelines for granting members financial assistance and promotional material. A total annual fund of $5,000 is available to members for promotional initiatives. In addition, the MABC will set aside $5,000 specifically for public events held to celebrate the occasion of the International Day of the Midwife on May 5th. Public events that will be considered for this financial support include:
• Baby Fairs • Women’s Shows • Other Community Fairs • Health Related Conference • Practice promotion.
The Midwifery & IDM Promotion Fund Policy can found in the ‘member’s only’ section of our website at www.bcmidwives.com
PROMOTIONAL MATERIAL AVAILABLE!
Proudly display BC midwives posters in your clinic and community library, recreation centre & retail shops. Hand out rack cards at conferences & fairs, and offer car decals to your clients.
Promotional materials include, but are not limited to:
• Rack cards and posters • Car decals and balloons • Promotional Information board • “I Love BC Midwives” banner
MIDWIVES ASSOCIATION OF BRITISH COLUMBIA Year End Newsletter 2013
SAVE THE DATE!
MABC ANNUAL GENERAL MEETING 2014
Monday, May 12
Host Site
Large Lecture Theatre, Conference Centre, Providence, Level 1 St. Paul’s Hospital, 1081 Burrard Street, Vancouver
Remote Sites
Telehealth V/C sites available Web Conferencing available
Meeting begins at 10:00 am and ends at 5:00 pm
IMPORTANT DATES
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PSBC Inaugural Conference |February 21st – 22nd 2014
Health Mothers and Healthy Babies: New Research and Best Practice
Vancouver, Coast Coal Harbour
International Day of the Midwife | May 5th, 2014
ICM 30th Triennial Congress 2014 |June 1st – 5th, 2014
Prague, Czech Republic
CAM /ACSF 14th Annual Conference & Exhibit| November 5th – 7th, 2014
Saskatoon, Saskatchewan
MABC Benefits Plan Policy Renewal February 1, 2014
Look for the MABC Benefits Renewal Bulletin coming soon.
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MABC Year End Statements issued in February, 2014
MABC Year End Statements will be mailed out to individual members by the end of February 2014. There are two year-end statements:
1. MABC Universal Dues Statement for Jan-Dec 2013 2. MABC Year End statement 2013 of professional
liability insurance and administrative fees.
MSP 2014 Close Off Dates
January 3, 2014 July 3, 2014 January 21, 2014 July 21, 2014 February 3, 2014 August 5, 2014 February 18, 2014 August 19, 2014 March 4, 2014 September 3, 2014 March 19, 2014 September 18, 2014 April 3, 2014 October 2, 2014 April 16, 2014 October 21, 2014 May 5, 2014 November 3, 2014 May 20, 2014 November 18, 2014 June 3, 2014 December 3, 2014 June 18, 2014 December 16, 2014
