Join us for a workshop on preventing and healing secondary trauma and compassion fatigue. This is a day-long intensive taught specifically for birth professionals. We will explore how we are impacted by our birth work and will focus on how to reconcile what we experience in our work in a way that is both compassionate and honest as well as accountable and sustainable. This is an important topic for anyone working with women during the childbearing year.
This workshop is experiential in nature and will address:
·Understanding Compassion Fatigue, Caregiver Stress, Vicarious Traumatization and Burnout
·Signs and symptoms of CF/VT/Burnout
·Self assessment tools to determine ones risk of traumatization
·Warning signs
·Resiliency skills
·Self-Care Strategies
·Healing
Who should attend this workshop?
~anyone working with women during the childbearing year including; midwives, doulas, students, childbirth educators, lactation consultants and nurses.
Kristine Lauria will be presenting this workshop. Kristine has been involved in women’s health and healing for over 20 years. She integrates her experience as a traditional homebirth midwife, Certified Clinical Hypnotherapist (specializing in birth trauma), Certified EFT (Emotional Freedom Technique) Practitioner and Birth Counselor to bring a holistic approach to her work. She has worked all over the world with people from many cultural backgrounds and traditions, in many capacities. Her varied life, educational and professional experiences have contributed to a broad and well integrated view of life and the nature of human difficulties. She has an engaging and compassionate approach to counseling and teaching using a holistic, solution oriented model. She lives in Colorado with her son. www.restresearch.org
_______________________________________
DATE: January 24, 2009
TIME: 9a - 6p
PLACE: Chicago - location TBD
WORKSHOP FEE
$150.00
- checks and credit card accepted as payment through PayPal
Registration ends December 22, 2008 (limited space available)
To register or for more information, email: reststudy@… or call (303) 642-0995
_______________________________________
Continuing Education Units pending with MEAC, DONA & ICEA
CEUs available for ALACE
Certification of completion and CEUs awarded after the workshop
_______________________________________ Cancellation Policy:
The cancellation fee is $25. If you must cancel your registration and have already made payment, you may request a refund minus the $25 fee up to 3 working days prior to the event. After this date, no refunds will be issued and the workshop fee will be charged.
Alternatively, you can make substitutions for attendance or attend another workshop.
Please note that “No Shows” will be charged the full workshop fee.
Please inform Kristine Lauria at (303) 642-0995 or reststudy@…
MEAC is the Midwifery Education Accreditation Council. MEAC promotes excellence in midwifery education by supporting and accrediting midwifery schools around the country that prepare midwives for national certification as CPMs. MEAC is doing exciting, groundbreaking, and vital work for our midwifery movement. Just this month, the Milbank Memorial Fund, a non-partisan institute devoted to health policy analysis, issued a new report titled, “Evidence-Based Maternity Care: What It Is and What It Can Achieve”. The report cites data from the landmark study of CPMs published in 2005 and concludes:
The low CPM rates of intervention are benchmarks for what the majority of childbearing women and babies who are in good health might achieve.
MEAC currently accredits eight free-standing institutions and two programs that reside within universities, providing excellent midwifery education for more than 500 matriculating students.
Why does MEAC need our help now?
This year, the U. S. Secretary of Education deferred a decision to extend recognition of MEAC, requesting that MEAC provide evidence of a stronger financial and volunteer base. It is ESSENTIAL that MEAC satisfies the requirements to continue its recognition by the USED. This appeal to you hopes to accomplish two things:
1. Increase the capacity of MEAC’s Reserve Fund to cover one year’s operating budget ($120,000).
2. Demonstrate to the USED that MEAC has a strong base of support that can be called upon to respond swiftly and effectively in a time of need.
Please help us in this one-time capital campaign. We have come so far in the last decade. We can’t let it slip away. Your support is crucial and so much appreciated at this time! Please give generously. Large donations of $500-$1,000 will provide significant support. Smaller donations will help, step-by-step, to achieve this goal. We can do this together- it is an investment in our future!
Sincerely Yours,
The Leadership of the Allied Midwifery Organizations
*Donations to MEAC are tax deductible! Make checks payable to MEAC, POB 984, LaConner, WA 98257, www.meacschools.org
Chicago Community Midwives welcomes Karen Strange CPM to Chicago for her extraordinary Neonatal Resuscitation workshop
Join Karen Strange, Midwife and Neonatal Resuscitation Program Instructor, for a full-day Neonatal Resuscitation Course as she:
Incorporates the Midwifery Model of Care into Neonatal Resuscitation
Combines skill requirements with cutting edge information and pre- and peri-natal psychology research.
Recognizes and supports the conscious and aware newborn during transitions of birth
Clarifies Neonatal transitional physiology and the normal transitions of birth.
Realizes the relationship between physiology, psychology, and the hormones of birth.
Thoroughly integrates NRP steps into practice within an out-of- hospital setting.
Expand your knowledge with current evidence-based research.
Teaches you “Simple Tools” to help you help babies integrate their journey.
Fulfills or renews AAP/AHA NRP course of completion (you get the card).
Discusses, discovers, challenges and collaborates!
These classes are specifically designed and taught for out-of-hospital settings. Also suitable for MDs, EMT’s, CNM’s, CM’s, PA’s, CPM’s, DEM’s, RN’s, doulas, childbirth educators, students, apprentices, helpers–and anyone who may be present at a birth.
LEARN TO FEEL COMFORTABLE USING YOUR EQUIPMENT!
LEARN THE COUNTS IN AN EASY-TO-RECALL MANNER!
LEARN TO LEAVE YOUR FEAR BEHIND!
YOU WILL LOVE THIS CLASS WHEN YOU ARE DONE!
Come earn your Neonatal Resuscitation certification at this extraordinary workshop.
Karen Strange CPM practiced as Midwife and Clinical Director at Maternidad La Luz a high-volume birth center and midwifery school on the US/Mexico border. Later she had a small homebirth practice in the Dallas/Ft. Worth area. She served on the Texas Department of Health Midwifery Board and as chairperson of the Complaint Review Process Committee for six and half years. She has been an instructor for Neonatal Resuscitation (AAP/NRP) since 1991, tailoring her style for those who work in the out-of-hospital setting. Karen is an advocate for the conscious and aware prenate. Her courses uniquely shed light into the world of what babies truly experience in their journey to be born. She shares her “Simple Tools” to help babies integrate what goes on for them prenatally, in labor, birth, in the postpartum and even later on in life.
She shares her wealth of up-to-date, evidence-based knowledge in each session she teaches.
CLASS SIZE IS LIMITED SO REGISTER TODAY TO RESERVE YOUR SPACE!
New Attendees
(those new to Karen’s class):$195.00
Previous Attendees
(have taken Karen’s class before):$185.00
Class Location:
North side of Chicago
Sponsored by the Chicago Community Midwives
Directions sent upon received deposit and registration
Send Checks to Class Sponsor:
Chicago Community Midwives
* Incl. materials (NOT the NRP book), handouts, and AAP/AHA NRP card.
* Course approved by MEAC for 8 Contact Hours.
* A deposit of $85 is due at time of registration; the balance will be collected on the morning of the course.
* A full refund will be returned if you cancel due to a birth, illness or death. You must call before the start of class! Otherwise, a $50.00 course fee will be charged!
* Please bring a brown bag lunch for yourself or $ to order in sandwiches; there will be no time to leave the workshop to find lunch on your own, so please plan accordingly.
* You MUST be on-time to class or the class will end later in the day.
REQUIRED READING IN ADVANCE OF WORKSHOP: Ahead of time, all participants MUST read the Textbook of Neonatal Resuscitation 5th Edition 2006 which comes with a CD-ROM. The book is available from Amazon.com and expedited/ next day or 2 day shipping is available: http://www.amazon.com/Textbook-Neonatal-Resuscitation/dp/1581101872/ref=pd_bbs_sr_1?ie=UTF8&s=books&qid=1220537939&sr=8-1
Chapters 1 through 4 and 9 MUST be read before the class. If you need to be tested for medications and intubations, you must also read Chapters 5 & 6. Then I need to be informed that you need this in order to bring those tests and dolls to the class. To Register Online:
Please cut and paste the following Registration Form into e-mail. Fill it out with your information and e-mail to jacqued(at)chicagocommunitymidwives(dot)org .
Then, please make your deposit payment through PayPal. Visit the PayPal website and send a payment directly to Karen Strange at Karenmidwife@mac.com . Then, send Jacque an e-mail confirming payment (copy of e-mail receipt with personal information blocked out) to reserve your space.
To register through the mail:
Please print and fill out the following registration form. Mail it to the above address with a check for $85 made out to Karen Strange. Class size is limited and space is reserved when payment is received, so please send in your registration today!
Please e-mail the Chicago Community Midwives with any questions, jacque(at)chicagocommunitymidwives(dot)org.
Thank you and we’re looking forward to seeing you on the 17th!
Come join us for our new Homebirth and Midwifery MeetUp group! We get together the 3rd Tuesday of every month in Grayslake/Libertyville, in Chicago’s northern suburbs. Come chat with other parents and gentle birth professionals and learn about compelling issues in homebirth and midwifery from the perspective of the midwives model of care, homebirth and breastfeeding. Our MeetUp is a free program, sponsored by Chicago Community Midwives. Where:
Prairie Croissant Cafe
970 Harris Road, Prairie Crossing, Grayslake,IL
right across from the Prairie Crossing Libertyville Metra station on Rt. 137.
When:
6:30-8pm, 3rd Tuesday evening of every month
Breastfeeding moms and nurslings and peaceful little ones are always welcome!
Dinner, dessert and drinks available. www.prairiecroissant.com Topics:
November 2007: Doulas at Homebirth
2008:
January: Waterbirth
February 19: Dealing with Criticism and Getting Support for Your Homebirth Plans (an open discussion)
March 18: The Politics of Homebirth (understanding the legal and political issues involved with homebirth in Illinois)
April 15: Siblings and Children at Birth
May 20: Herbs for a Healthy Pregnancy, Birth and Postpartum
June 17: Ask the Midwife: An Open Q&A Forum with homebirth CNM Debbie Boucher
July 15: Peace on Earth Begins with Birth: Homebirth Can Change the World August 19: Optimal Fetal Positioning: Chiropractic Care for Pregnancy Wellness September 16: Insurance, Money and Homebirth October 21: Homebirth Dads November 18: Protecting your Pelvic Floor December 16: Joyful Homebirth Stories
Please sign up at our MeetUp site to RSVP, get updates (and to be informed in case of birth-related cancellation) and connect with other group members. http://homebirth.meetup.com/308
Questions? E-mail us at info (at) chicagocommunitymidwives (dot) org
We are thrilled to announce that Chicago Community Midwives’ advocacy efforts have paid off and in response to our request, Governor Blagojevich has issued a Proclamation honoring the Founders of La Leche League and declaring July 16-23rd La Leche League International Week! Congratulations La Leche League and congratualtions to each and every one of the incredible women who founded La Leche League 50 years ago.
CCM and La Leche League’s Gala to Honor the Founders was an incredible success and we would like to thank everyone who came together to share in this wonderful event!
Here is the text of the Governor’s Proclamation:
WHEREAS, La Leche League International, a nonprofit
organization dedicated to the promotion and support of breastfeeding
and recognized as a world authority on breastfeeding, is celebrating its 50th Anniversary;
WHEREAS, La Leche League International, founded and
incorporated in the state of Illinois, has spread to all 50 states and has a presence in over 75 other countries worldwide;
WHEREAS, The health and well being of mothers and babies in
Illinois have been greatly improved because of the efforts of La Leche League International for the past 50 years;
WHEREAS, Six of the organization’s seven Founders are
life long residents of Illinois: Marian Tompson, Mary White, Viola
Lennon, Edwina Froehlich, Mary Ann Cahill, and Betty Wagner Spandikow;
WHEREAS, Breastfeeding has been endorsed worldwide by health
professional organizations, governmental health ministries and departments and international agencies as the optimal infant feeding method;
WHEREAS, The LLLI Founders and La Leche League International are deserving of recognition for their dedication and achievements in educating and supporting parents and professionals in every aspect of breastfeeding;
WHEREAS, The La Leche League International 50th Anniversary will be celebrated at a number of events in Chicago during the month of July, 2007;
THEREFORE, I, Rod R. Blagojevich, Governor of the State of Illinois, do hereby proclaim
July 16 to 23 as La Leche League International Week in Illinois in recognition of the seven LLLI Founders -Mary White, Marian Tompson, Edwina Froehlich, Viola Lennon, Betty Wagner Spandikow, Mary Ann Cahill, and Mary Ann Kerwin, for 50 years of dedicated service to mothers and babies.
So go on out there and celebrate La Leche League International Week! Attend the LLLI 50th Anniversary Conference taking place this week here in Chicago. Make an automatic monthly donation to Chicago Community Midwives to support local gentle birth and breastfeeding education and advocacy. And nurse your baby in public! What better way to celebrate the incredible benefits of breastfeeding for baby, for mama and for the health and well-being of us all.
Happy La Leche League International Week, Everyone!
FOR IMMEDIATE RELEASE July 12, 2007 Contact: Jacque Shannon-McNulty
Board of Directors, Chicago Community Midwives
jacque(at)chicagocommunitymidwives(dot)org GOVERNOR BLAGOJEVICH PROCLAIMS JULY 16-23 LA LECHE LEAGUE INTERNATIONAL WEEK CHICAGO- Governor Rod Blagojevich has declared July 16-23 La Leche League International Week in Illinois in honor of the small group of mothers in the 1950s who formed the breastfeeding support group that grew into La Leche League International.
Governor Blagojevich and First Lady Patty Blagojevich have expressed consistent public support for breastfeeding as the optimal method of infant feeding to improve infant and child health in Illinois. The Governor’s Proclamation is a continuation of his policies aimed at promoting and encouraging breastfeeding in Illinois.
La Leche League International was founded 50 years ago by a group of Chicago area mothers seeking information and support for breastfeeding their babies. Breastfeeding was not the norm in the 1950s, and the small group of nursing mothers shared information and mother to mother support through their breastfeeding experiences. La Leche League International now operates in over 75 countries and is currently based in Schaumburg.
The founders of La Leche League are Marian Tompson, Mary White, Viola Lennon, Edwina Froehlich, Mary Ann Cahill, Mary Ann Kerwin and Betty Wagner Spandikow. One of the original La Leche League babies, Paul Froehlich, son of Edwina Froehlich, now serves as Illinois Representative of the 56th District.
La Leche League International will celebrate its 50th anniversary this year holding a conference in Chicago July 20-23. On July 16th , local nonprofit Chicago Community Midwives and La Leche League International will hold a Gala Dinner benefit and awards banquet to honor the Founders of La Leche League and to announce the Governor’s Proclamation. Several of the Founders of La Leche League, now in their 80s, will attend the event to personally receive their awards. The event will be held at Wishbone restaurant in Chicago, Monday July 16th from 5-8pm . Proceeds will benefit Chicago Community Midwives’ nonprofit programs educating about healthy birth and breastfeeding.
##### Background Information: Press Passes for Gala Honoring the Founders of La Leche League
Contact Jacque Shannon-McNulty Jacque(at)chicagocommunitymidwives(dot)org
La Leche League Organizational information and breastfeeding information and resources www.lalecheleague.org Chicago Community Midwives Organizational information and La Leche League Founders Gala information and tickets www.chicagocommunitymidwives.org Background on the Founders of La Leche League http://www.waba.org.my/wabalink/LLLI.pdf Text of Governor’s Proclamation: WHEREAS, La Leche League International, a nonprofit
organization dedicated to the promotion and support of breastfeeding
and recognized as a world authority on breastfeeding, is celebrating its 50th Anniversary;
WHEREAS, La Leche League International, founded and
incorporated in the state of Illinois, has spread to all 50 states and has a presence in over 75 other countries worldwide;
WHEREAS, The health and well being of mothers and babies in
Illinois have been greatly improved because of the efforts of La Leche League International for the past 50 years;
WHEREAS, Six of the organization’s seven Founders are
life long residents of Illinois: Marian Tompson, Mary White, Viola
Lennon, Edwina Froehlich, Mary Ann Cahill, and Betty Wagner Spandikow;
WHEREAS, Breastfeeding has been endorsed worldwide by health
professional organizations, governmental health ministries and departments and international agencies as the optimal infant feeding method;
WHEREAS, The LLLI Founders and La Leche League International are deserving of recognition for their dedication and achievements in educating and supporting parents and professionals in every aspect of breastfeeding;
WHEREAS, The La Leche League International 50th Anniversary will be celebrated at a number of events in Chicago during the month of July, 2007;
THEREFORE, I, Rod R. Blagojevich, Governor of the State of Illinois, do hereby proclaim
July 16 to 23 as La Leche League International Week in Illinois in recognition of the seven LLLI Founders -Mary White, Marian Tompson, Edwina Froehlich, Viola Lennon, Betty Wagner Spandikow, Mary Ann Cahill, and Mary Ann Kerwin, for 50 years of dedicated service to mothers and babies.
Innovative grassroots programs. Evidence-based professional education. Empowering, peer to peer public education. This is what sets Chicago Community Midwives apart.
Deeply rooted in our mission of educating the public and professionals about the midwives model of care, out of hospital birth and breastfeeding, Chicago Community Midwives strives to improve the lives and health of mothers and babies. What could be more precious and more critically important?
FOR IMMEDIATE RELEASE
November 19, 2005 Defensive Medicine Practice Leads to Dramatic Increase in Cesarean Section Rate CHICAGO- Cesarean section surgery rates have reached epidemic proportions in the United States according to new statistics released Tuesday by the Centers for Disease Control and Prevention. 29.1% of babies in the United States were born via cesarean section surgery in 2004, up from 26.1% in 2003 and an increase of over 40% since 1996. “The current c-section rate defies logic and it defies evidence-based medical practice,” states Chicago Certified Nurse-Midwife Sarah Simmons. “Women’s bodies have not changed from 1970 to 2005necessitating a jump from a 5% cesarean rate to29.1%. What has changed is the way obstetrics ispracticed, and this change has not led to betteroutcomes for infants.”
Despite drastically increasing cesarean rates, CDC statistics do not show accompanying improvement in infant outcomes. In fact, both the rate of low birthweight and pre-term birth increased. Low birthweight and prematurity have both been associated with infant mortality. The United States ranks 36 in the world for its infant mortality rate, behind countries such as Singapore, Iceland, Czech Republic, and Cuba.
“Women and babies rely on obstetricians to provide exceptional, evidenced-based care. The CDC statistics reveal that for too many women and babies, this is not happening,” states Jacque Shannon-McNulty, President of the nonprofit Chicago Community Midwives.
The World Health Organization declares that national cesarean section rates should be less than 10-15% of all births.
Nationally, the American College of Nurse-Midwives has called for Congressional hearings on the skyrocketing c-section rates, noting that many cesarean sections that are currently being performed are unnecessary and risky to the mother and to the baby.
Cesarean sections are often promoted as a safe and painless birth option, however cesarean section is a major abdominal surgery with researchers noting complication rates between 20 – 50%. Known complications for mothers include hemorrhage, infection, damage to other organs, placental anomalies in future pregnancies, increased risk of stillbirth in future pregnancies, and a 4 – 7 times increased risk of maternal death. Complications for babies include respiratory problems at birth, asthma, breastfeeding difficulty and lacerations.
“The most important thing a pregnant woman can do to prevent unnecessary cesarean section surgery is to educate herself. Pregnant women can not blindly trust that obstetricians will always do what is in the patient’s best interest. Practicing defensive medicine and blanket one-size-fits-all policies that lead to unnecessary cesarean section surgeries are facts of obstetric care in the US. Pregnant women need to protect themselves and become their own best advocates to ensure that they receive the very best evidence-based healthcare,” states Jacque Shannon-McNulty.
To further effective consumer education about cesarean section surgery, Chicago Community Midwives, a nonprofit organization working to improve maternal-child health, has created a program to foster new ICAN chapters in the Chicago metropolitan area. ICAN, the International Cesarean Awareness Network, is a national organization whose mission includes “preventing unnecessary cesareans through education, providing support for cesarean recovery, and promoting Vaginal Birth After Cesarean (VBAC).”
Chicago Community Midwives Acting Executive Director Rachel Dolan Wickersham states, “Mother to mother information sharing and support has a proven track record of success. ICAN groups provide women with the opportunity to access the information, resources and support they need to take back their healthcare and improve their births, for their babies’ health and safety and for their own”
Chicago-area women interested in finding or setting up a local ICAN chapter can contact Chicago Community Midwives by calling Rachel Dolan Wickersham at 630-832-3556 x. 2 or Gail Karlovsky at 630-305-4191.
# # # # Chicago Community Midwives is a 501(c)(3) nonprofit organization dedicated to improving maternal-child health by providing public and professional education about the Midwives Model of Care, out of hospital birth and breastfeeding. Sources: Centers for Disease Control and Prevention’s NationalCenter for Health Statistics document, “Preliminary Births for 2004: Infant and Maternal Health” http://www.cdc.gov/nchs/products/pubs/pubd/hestats/prelimbirths04/prelimbirths04health.htm American College of Nurse-Midwives call for Congressional hearings on rising c-section rates http://midwife.org/display.cfm?id=773 World Health Organization http://www.who.int/en/ International Cesarean Awareness Network (ICAN) http://www.ican-online.org/ Lamaze International http://www.lamaze.org/About/documents/Cesarean-section-position-paper.doc
FOR IMMEDIATE RELEASE Friday, June 17, 2005 Contact: Jacque Shannon-McNulty
President
Chicago Community Midwives jacque@chicagocommunitymidwives.org Study Finds for Healthy Women, Planned Homebirth with a Certified Professional Midwife as Safe as Birth in Hospital with a Doctor CHICAGO- The British Medical Journal publishes a study in the June 18th edition finding that women experiencing low-risk pregnancies who give birth at home under the care of a Certified Professional Midwife fare as well as low-risk women giving birth in the hospital under the care of a physician. “This study is the most current and most comprehensive North American study of Certified Professional Midwives and it clearly demonstrates that homebirth with a Certified Professional Midwife is safe,” states Jacque Shannon-McNulty, President of the nonprofit Chicago Community Midwives. “The Illinois State Medical Society has consistently opposed homebirth and Certified Professional Midwives as unsafe. Today’s study proves that the ISMS position is outdated and needs to be revised to reflect this peer-reviewed medical research. Chicago Community Midwives calls on physicians to examine the evidence and support Certified Professional Midwives and homebirth as safe, healthy birth options for the women who choose them.”
Certified Professional Midwives (CPMs) differ from the more familiar Certified Nurse-Midwives (CNMs). CPMs and CNMs are two distinct professions, with this study examining the practice of Certified Professional Midwives. Certified Nurse-Midwives are trained primarily as nurses with advanced training in midwifery. Certified Nurse-Midwives, according the American College of Nurse-Midwives, can provide the Midwives Model of Care ™ in a variety of settings including hospitals, freestanding birth centers or at home. In the Chicago area, the vast majority of CNMs practice in hospitals with a few local CNMs providing homebirth services. Certified Professional Midwives are non-nurse midwives with expertise in out-of-hospital birth, especially homebirth. The CPM credential is the only healthcare credential validating experience and competency in out-of-hospital birth. Twenty-one other states license Certified Professional Midwives. In Illinois, CPM practice is outlawed by judicial interpretation. Efforts at CPM licensure in Illinois are ongoing.
The study finds “Planned home birth for low risk women in North Americausing Certified Professional Midwives was associated with lowerrates of medical intervention but similar intrapartum and neonatalmortality to that of low risk hospital births in the UnitedStates.”
According to the BMJ article:
· Planned home births “had a low mortality rate during labor and delivery, similar to [rates] found in most studies of low risk hospital births in North America.”
· “Rates of medical intervention, such as epidural, forceps and caesarean section, were lower for planned home births than for low risk hospital births.”
· “A high degree of safety and maternal satisfaction were reported, and over 87% of mothers and babies did not require transfer to hospital” care.
· “At 6 weeks postpartum, 98.3% of babies were in good health, with no residual health problems. At sixweeks post partum, 95.8% of these women were still breast feedingtheir babies, 89.7% exclusively.”
· The study found no maternal deaths of women studied giving birth at home with Certified Professional Midwives and at the 6 week postpartum check-up, “98.4% of mothers reported good health, with no residual health problems.”
“These findings are very compelling,“ notes Shannon-McNulty, “For the well-being of mothers and babies, Illinois needs to increase access to this evidence-based model of maternity care.”
Chicago Community Midwives is a nonprofit organization dedicated to improving maternal-child health. CCM provides public and professional education about the Midwives Model of Care ™, out of hospital birth, and breastfeeding as evidence-based and health-giving modalities for improving maternal-child health.
# # # #
References:
Outcomes of planned home births with certified professional midwives: large prospective study in North America — Johnson and Daviss 330 (7505): 1416 – BMJ http://bmj.bmjjournals.com/cgi/content/full/330/7505/1416?ehomI
These classes are specifically designed and taught for out-of-hospital settings. Also suitable for MDs, EMT’s, CNM’s, CM’s, PA’s, CPM’s, DEM’s, RN’s, doulas, childbirth educators, students, apprentices, helpers–and anyone who may be present at a birth.