MAY 2020 | Newsletter
California Nurse-Midwives Association
Annual Meeting Update
Hello midwife community! We wanted to acknowledge that it remains unclear if holding an Annual meeting in August will be a healthy decision. We are looking at options including a virtual meeting or simply pushing the timing of the meeting to next year given we will all need community coming out of 2020 and this pandemic.
Please know we are looking at our current contract and seeing what our options will be. We will be fully transparent on our decision making, refund decisions and scheduling moving forward. We know many of us look to this meeting with excitement to connect and learn with one another and we acknowledge that changing this is disappointing.
I look forward to sending out more information once we have it and connecting with everyone once it is safe to do so. Thank you all for your continued work caring for pregnant people and their families during this very different time. Stay safe and well.
Work Group to Support the California Nurse Midwifery Foundation
Want a fun, low impact way to contribute to advancing access to midwifery care, diversification of the midwifery workforce, and promoting anti-racism and reproductive justice in maternity care in California? Come support the brand-new California Nurse-Midwives Foundation by joining our working group to support the foundation board. We are a lean group and want to make sure we have more eyes, ears, and hearts participating in review of funding requests and grant proposals. No prior foundation experience required, we only have 1 short monthly meeting per month, and a huge contribution could be made by just giving us 2-5 hours per month of your time. Please reach out to any of the foundation board members Kathleen Belzer (email@example.com), Ana Delgado (firstname.lastname@example.org), or Kavita Noble (email@example.com) if you have questions or to express interest!
Attorney General’s Request for outreach about barriers to abortion care
The office of Xavier Becerra, the California Attorney General, reached out to CNMA to inquire about medication abortion and barriers to access during COVID-19. Because medication abortion (specifically, mifepristone) carries the FDA "REMS" designation, patients must be seen in person to have an examination in order to get the medication. The Attorney General of California led a coalition of 21 attorneys general in sending a letter to the U.S. Department of Health and Human Services and the U.S. Food and Drug Administration (FDA) requesting that they increase access to reproductive healthcare, including safe and legal abortion, during the COVID-19 pandemic. The coalition urged the Administration to waive or utilize its discretion on enforcement of its Risk Evaluation and Mitigation Strategy (REMS) designation, which impedes women’s access to the medication abortion with Mifepristone, so that Telehealth can be better utilized for prescribing of mifepristone. They reached out to us to ask for any specific examples/experiences of barriers to treatment for patients who desire medication abortion during COVID-19. Please contact Holly Smith at firstname.lastname@example.org if you have concerns or have experiences you would like to share.
Join the CNMA Board
CNMA has two NEW Board positions and the Treasurer position that are open for election. Please see below and reach out if you are interested.
In 2019 CNMA renewed our bylaws and created two new BOD positions. The goal is to have members on the board who can speak to concerns, issues and needs faced by specific communities of midwives or the communities that are served by those midwives. Additionally CNMA is working toward increasing the board skill set around reproductive justice and anti-racism work.
To that end, CNMA is looking for two new board members from communities whose voices are under-represented on the CNMA Board of Directors, including but not limited to folks who identify as BIPOC, disabled, LGBQ and Trans, Rural, Poor, Home-birth and/or Birth Center midwives.
If you identify as being from one or more of these communities and can speak to the needs and issues faced in your community, please join us! You can read more about the position below. If you have questions/want to learn more please reach out to email@example.com
How to Apply for the two BOD positions or the Treasurer position:
Please provide your email and bio to Ali Young firstname.lastname@example.org to be included in our ballot.
Application Deadline 5/25/2020
Bios and info on candidates go out: 6/1/2020
Voting begins: 6/10/2020
Voting Closes: 7/25/2020
Announcement of new BOD members: 8/1/2020
Introduction of new BOD members: 8/28/2020
You can see the CNMA Bylaws here and the descriptions for for all of the BOD roles here.
We continue to work very hard behind the scenes. In March, BOD and HP leadership conducted a virtual "Lobby Day" with many key Senators, and we continue to meet with key stakeholders regarding proposed amendments to our bill. The legislature is not set to reconvene until at least May 4 and we still do not know how bills will be prioritized at that time. However, Senator Dodd has been clear that SB 1237 is one of his priority bills, and in fact an essential bill during COVID-19. As we close in on May 4, it is critical that you submit your letters of support for the Business & Professions Committee as soon as possible! This means, you, physician colleagues, patients/clients, RNs, and any other supporter. Sign on letters are all located at https://www.cnma.org/sb1237, now available as a simple Google Form with easy instructions! We are also working hard on obtaining letters of support from organizations. Please let us know of an organization we should reach out to for support. Contact Kathleen Belzer, CNMA President Kathleenbelzer@gmail.com or email@example.com
The Governor’s Executive Order
On 3/30/2020, Governor Gavin Newsom released an Executive Order ’To facilitate the continued provision of care to individuals affected by the Covid-19 outbreak...' As part of the Executive Order, waivers may be filed with the Department of Consumer Affairs to address healthcare workforce issues during the pandemic. We filed a waiver for temporary removal of physician supervision and outlined that this is necessary in order to:
reduce unnecessary work for MDs in the hospital setting (reduce redundant work, such as signing charts, confirming pharmacy and discharge order, etc) so that they can focus on COVID support.
ensure that no freestanding birth center/home birth practice is forced to stop practicing. We focused on the current high demand for community birth and highlighted that MDs may be inclined to give up the added burden of CNM supervision in the community setting due to higher than usual workload for them at this time.
ensure that "midwife to midwife" help can continue without unnecessary barriers, e.g., if a CNM in the out of hospital setting needed to quarantine, this would effectively shut down their practice unless support/help from other midwives was easily obtainable.
We are waiting to hear back from the Department of Consumer Affairs and will inform you as we have information to share.
Kathleen Belzer, CNMA President
Holly Smith, CNMA Health Policy Chair
Have you heard of Every Mother?
Image courtesy of Every Mother
In these days of Covid 19 and social distancing, so much of life has changed. With these changes, our support of and recommendations to patients has had to shift as well. Simple recommendations like, “exercise for the health of you and your baby” can bring new anxieties. The days of going to the gym, walking with friends, and hiking busy trials have had to pause. Yet, we know exercise in pregnancy and beyond is good both for our physical and mental health. Safe, at-home exercise programs, developed specifically for pregnancy and postpartum are available. The one I use personally and recommend to my patients is Every Mother. Every Mother is an affordable app-based fitness program developed specifically for pregnancy, post partum, and beyond. With easy to follow videos, people of all fitness levels can safely exercise at home. Beyond a fitness program, Every Mother offers its members an online community with other pregnant individuals and new parents, and has articles on a range of topics on health, pregnancy, and parenthood. This is one way to access the connections many pregnant and postpartum individuals need at this challenging time. We know that support before, during and after birth is key to well-being.
If you would like to learn more about Every Mother, go to www.Every-Mother.com. In these hard times, I am thankful my patients have a program they can do safely at home while keeping their minds and bodies healthy.
An important message from MOCC’s Student Representative, Mar Schupp:
It seems 2020 has been a tumultuous whirlwind we are constantly trying to flow, adapt, and respond to. COVID-19 continues to have deep and widespread impacts on our communities magnifying the already present healthcare inequities- particularly those within the Black diaspora and Native communities. Thank you to each of you for your ongoing labor to uplift, self educate, organize, and caretake.
For those interested, two non-denominational meditation app resources available include:
Liberate - a free meditation app developed by and for the Black & African Diaspora
Headspace - currently, a free mediation app for all healthcare providers; otherwise it requires a subscription.
As we continue onward, we hope you will take 8-10 minutes of your time to complete one of the two Needs Assessments below. These Needs Assessments are our attempt to gather more data on what the priority needs are for midwives of color that are either CNM/CM or students pursuing those educational tracks across the US as we vision towards the future. Your participation will help us to identify where to best focus our resources.
One survey link is directed at students and recent graduates of color within the last two years and the other is for current practicing/retired midwives of color. If you have been in practice for more than 2 years, please fill out the survey for current practicing/retired midwives. You only need to fill out one or the other. We are interested in targeting all students and midwives of color regardless of their membership status with ACNM. We anticipate the Needs Assessment will take at minimum 8 minutes of your time possibly 15 minutes depending on the level of detail you wish to share with us. We will be reviewing the responses and using them to direct our work over the next year.
If you have questions about these Needs Assessments please contact Felina Ortiz at firstname.lastname@example.org.
Please complete the Needs Assessment by May 31, 2020.
Practicing Midwives: https://form.jotform.com/201135194153143
Students & New Graduates: https://form.jotform.com/200224300362031
Midwives of Color Committee (MOCC)
Karen Perdion, CNM Director of the UCSD Midwife Service and Benchmarking For ACNM will become a Fellow in ACNM in May at the virtual mtg and Mary Barger, CNM, FACNM, PHD will be awarded the prestigious Dorothea Lang award, also virtually at the ACNM Annual Mtg. As the CNMA Southern California Rep, I just wanted to offer a hearty congratulations to these 2 outstanding CNM’s. These awards are well deserved.
Rebecca C. Garrett-Brown, CNM
Questions? News? Want to get involved?
Email us at email@example.com
That's all for this month's issue. Catch you next time!
-CNMA MEDIA TEAM
Visit us at cnma.org