Document Sample
					        Volume III
           ISSUE 4
                                   METRO MIDWIVES
 September, 2008                   A Publication of ACNM, Region II, Chapter 1
Karen B. Burgin, CNM, MA,
      Editor-in-Chief              NEW YORK CITY CHAPTER
What’s Inside?                     Letter from the Chair By Betsy Arnold-Leahy, C M
Be inspired by two                 September ‘08,                            have a privilege, the right to vote. Our
exceptional midwives’              Another summer has come and gone;         foremothers, the suffragettes, were
successful efforts to              the first year of my term is over.        jailed and beaten so women would
improve the health of                                                        have the right to vote. Others have
                                   There is no further news on the Medi-
mothers, babies and                                                          died so that every American shares
families: Pat Loftman,             caid/Medicare funding issues state-
                                                                             this privilege. Regardless of your po-
CNM, at Harlem (this               wide or nationally. We will get any-
                                                                             litical affiliation, please exercise your
page) and Ruth Lubic,              thing new to you as soon as possible.
                                                                             right and responsibility as an Ameri-
CNM ( p.10).                       Please take the opportunity to vote       can: VOTE.
                                   this November. As Americans we

                                   HARLEM HOSPITAL EARNS BABY-FRIENDLY STATUS
Inside this Issue:          Page
                                   Harlem Hospital First in City to Be Designated Baby-Friendly
Chapter Contact Numbers 2          By Karen B. Burgin, CNM, MA
About Us                      3    Thanks to a monumental effort by health care professionals, the NYC Department
Miles for Midwives            5    of Health, and community groups, Harlem Hospital has been certified as Baby-
Chapter Committee News        6    Friendly, making it the only hospital in New York City to be so designated, and
Natl. Legislative Update      8    one of 46 in the entire United States (which has the dismal distinction of only
NYSALM Update                 8
                                   1.3% of maternity units certified Baby-Friendly, as opposed to 100% in Sweden,
                                   97%in Macedonia, and 64% in Norway).
Harlem Baby-Friendly          9
Ruth Lubic                   10    The certifying organization Baby-Friendly USA, sponsored by the World Health
                                   Organization (WHO) and the United Nations Children’s Fund (UNICEF),
Midwife’s Letter to Times 11
                                   awarded the certificate to Harlem in 2008 for having successfully established
AMA Resolutions               12
                                   UNICEF’s “Ten Steps to Successful Breastfeeding.” Midwives will be familiar
NPA Supports Homebirth        14
                                   with these steps, which include informing pregnant women about the benefits of
Students’ Column              15   breastfeeding, initiating breastfeeding within the first half-hour of life, feeding
Texas Birth Certif. Issue     17   healthy infants nothing other than breastmilk, providing 24-hour rooming-in, en-
Application Form              20   couraging breastfeeding on demand, training all personnel in the skills needed to
Downstate C.E. Program        21   implement these policies, and establishing breastfeeding support groups. (To re-
                                   view all ten steps, log onto UNICEF’s website
                                   Pat Loftman, CNM, Director of Midwifery at Harlem, was kind enough to share
                                   with us a chronicle of how this extraordinary accomplishment came about. The
                                   NYC DOH Bureau of Maternal, Infant and Reproductive Health convened a

                                                                                          (Continued on p. 9)

          COMMITTEE                         PHONE      ALTERNATE PHONE                   EMAIL
Executive Committee
  Chair        Betsy Arnold-Leahy   Email preferred   917 604-7717

  Vice Chair    Kristin Richman     718 625-5477      917 626-9781

  Treasurer     Patricia Burkhardt 718 855-9241       212 998-5895

  Secretary     Karen Grace         718 857-8358      347 742-8108

Nominating Committee

  Chair        Sally Mendelsohn     718 548-1995               

Standing Rules & Procedures

  Chair         Maria Fisher        646 456-6249      631 669-0892

Public Relations/Women’s Health

  Co-Chair      Chris Mc Closkey    718 832-7848               

  Co-Chair      Hilary Prager       845 863-4031      212 543-1612

Miles for Midwives

  Co-Chair        Joan Bryson       718 788-0595      718 986-3646

  Co-Chair        Kristen Leonard   718 499-9677               


  Chair           Karen Burgin      973 744-1327      347 432-3919
  Webmaster Frank Rose              718 499-9677      646 957-6944

Home Birth

  Chair           Kristen Leonard   718 499-9677               

Student Liaison

 Chair       Nancey Rosensweig      212-666-2768               


  Chair         Trinisha Williams   917 375-1763               


  Rep.            Alice Gilgoff     718 631-4241      845 658-3091

  Rep.            Laura Sheperis    646 675-5903      347 821-9963
Board of Midwifery

  Rep. Aleida Llanes-Oberstein 516 437-3541           718 270-7754

Student Scholarship

  Chair   Suzanne Schechter         917 804-1058      718 270-7757

ABOUT US                          Suzanne Schechter, CNM, MS, Column Editor

Circle of Life                     On July 24, Aleida Llanes-
                                   Oberstein’s son, Matthew
                                   Oberstein, conducted the
Arrivals                           New Amsterdam Summer
Downstate midwifery stu-           Orchestra, a collaboration
dent Tirana O-Banyoun-             between the New Amster-
Organ and her husband,             dam Symphony Orchestra (a
Charles Organ, welcomed            community ensemble
their first child, Daniel          founded in 1976) and the
Charles Organ, on July 30 at       Music in Chelsea series, in
11:53 a.m. Daniel was 20.5         front of a full house at St.
inches at birth and weighed        Peter’s Church in Chelsea. A
in at 7lb 15 oz. Mom is back       NY Times reviewer praised       Matthew Oberstein
to her studies this Fall and is    “the energetic young guest
anticipated to graduate in         conductor’s zesty rendition    Mollie Laffin-Rose, daugh-
August 2009.                       of Mozart’s Overture to ‘The   ter of MaryAnne Laffin,
                                   Impresario’.”                  graduated from Wesleyan
                                                                  University in May with a
                                   Matthew is principal con-
Passings                                                          BA degree in Philosophy.
                                   ductor and executive direc-
Ilana Stein, longtime mem-         tor of the Artemis Chamber
ber of the NYC birth com-          Ensemble and assistant con-    Julian Cavin-Zeidenstein,
munity, co-founder of the          ductor of the Regina Opera.    son of Laura Zeidenstein,
Metropolitan Doula Group;          He is the founder and con-     graduated from The Beacon
Director of Birth Focus;           ductor of the Purchase         School in June. He will be
DONA certified doula; and          Chamber Orchestra and Pur-     attending Brandeis Univer-
recipient of the 2007 Penny        chase Pops, and recently re-   sity where he was recruited
Simkin Award for Doula             turned to his alma mater as    for the baseball team. Julian
Spirit and Mentoring               guest conductor of the Pur-    also represented the United
(DONA International)               chase Chorus.                  States this summer in an
passed away on August 22           Matthew will be conducting     International Baseball Tour-
after a long illness. Contri-      the New Amsterdam Sym-         nament held in Oldenzaal,
butions in her memory may          phony Orchestra at Sym-        Netherlands, where he
be directed to the charity of      phony Space in New York        played shortstop. Julian’s
your choice or at Ilana’s re-      City on February 13, 2009.     team received the gold
quest to Smith Farm; Child-        For more information re-       medal!
birth Connections - Devel-         garding the concert visit
opment; DONA Interna-              http://www.symphonyspac
tional; Metropolitan Doula
Group; or                          3200                           Raffi Sabghir, Nina Sab-
                                                                  ghir’s youngest child, will
Midwives’ Children                                                (Continued on next page)
ABOUT US (Continued)            

be Bar Mitvah. As many            tion. Sabrina Hellman, Amy or
may recall, Raffi's survival      Alpern and Holly White are
was very much a miracle           experienced midwives (and
and he has overcome many          moms) who are offering
obstacles to arrive at this big   “intimate, playful and inter-    Big changes are happening
accomplishment. Mazel tov!        active” classes that are         at Clementine Midwifery!
                                  taught at the Brooklyn Soci-     In August, Barri Malek
                                  ety for Ethical Culture. For     joined the practice having
Gathering                         more information about the       recently returned from a
                                  services they offer, check out   year in Indonesia. As she
                                      joined the practice, Abby
Dorothea Lang hosted her
                                                                   Howe-Heyman retired. In
annual summer gathering at
                                                                   the hopes of spending more
her "cottage" on the shores       Practice News                    time with her family and
of the Hudson River on July
                                                                   nights in her bed, Abby de-
26. About 10 midwives,
                                                                   cided to leave midwifery
various family members and        Kliot Obstetrics & Gynecol-
                                                                   for now. This Fall, she took
significant others came to        ogy, Brooklyn, NY recently
                                                                   a faculty position as an As-
enjoy the beautiful scenery       merged with Boro Park Ob-
                                                                   sistant Professor of Nursing
of the Hudson Valley and          stetrics & Gynecology Asso-
                                                                   at Phillips Beth Israel School
the fellowship of other mid-      ciates. The Kliot name will
                                                                   of Nursing and is teaching
wives in this relaxed setting.    be retained under the new
                                                                   OB to future nurses.
Invited guest, Doris Haire,       organization. The merger
spoke to the group about          brings direct access to mid-     Meanwhile, Stacey Rees is
her tireless work to promote      wifery services to over 2500     back from maternity leave
awareness of the impact that      women in the Metropolitan        and holding down the fort
drugs used in pregnancy           area, with 3 locations: Pros-    through all the changes!
and birth have on infants in      pect Park South, Boro Park,
                                                                   For more information about
contrast to the non-              and Williamsburg. The Kliot
                                                                   Clementine Midwifery, visit
interventionist midwifery         Midwives are committed to
                                                                   the practice website @
approach. Not only was she        providing full scope mid-
a gracious hostess, but           wifery services including
Dorothea even donated the         low intervention in-hospital
proceeds of the luncheon to       births and co-management of
the NYS Fund for Mid-             women with multiple risk         Other News
wifery.                           factors. The midwives in the
                                  practice are Jeniffer Billing-   Anne Gibeau, Director of
                                                                   the Jacobi Medical Center
                                  ton, CNM, Lydia Kelly,
New Venture                       CNM, Rebekah Korrine,            Midwifery Service, recently
                                  CNM, Kristin (Lemko) Mal-        completed her doctoral
Three entrepreneurial NYC
                                  lon, CNM, and Maria              (Continued on next page)
midwives have recently
                                  Fisher, CNM. For more in-
started BklynBirth, a new                                          studies in Nursing Research
                                  formation, contact Maria
choice for childbirth educa-                                       and Theory Development at
                                  Fisher at mfish-
ABOUT US (Continued)              MILES FOR MIDWIVES
NYU’s College of Nursing.
Congratulations Dr. Gibeau!       JOIN US
With Pat Burkhardt’s retire-                  Miles for Midwives
ment this summer from the
NYU Midwifery Program,
Julia Lange-Kessler has as-
                                  Sunday, October 5, 2008
sumed the position of Pro-
gram Director. She is the         10:00 am-2:00 pm
first CM director of a nurse-
midwifery education pro-          Bartel-Pritchard Square
gram! She and Melissa Mo-         Prospect Park South
relli-Walsh are holding
down the fort as the pro-         Brooklyn, NY
gram is currently slated to
close with the graduates of
                                  The NY Chapter of the American College of
May 2010.                         Nurse-Midwives (ACNM) joins with the New
Jo Anne Davis relocated to
                                  Space for Women’s Health to Host
the Washington DC area to         the Annual Miles for Midwives Race
become Assistant Chair for
                                  with the addition of
Education and Practice in
the School of Nursing &           The New Space Annual
Health Studies of George-         Picnic.
town University.
Send items for our Decem-
                                  Join us for New York
ber issue to:                     City’s largest celebra-   tion of midwifery!

CHAPTER MEETINGS                  Download the registration form at
The remaining chapter   , and either
meetings for the year:            send it in or bring it on the day of the race—
Thursday, Nov. 6 at SUNY          OR register online at
Downstate; directions to fol-
low on list-serv.
Early December for our 4th
annual holiday dinner—
watch the list-serv for date,
time and location.

CHAPTER COMMITTEE NEWS                        

Nominating Committee                   follow the links. Members
                                                                can also mail in the applica-
After successfully conduct-    Home Birth Committee
                                                                tion form on the last page of
ing the 2008 Chapter elec-     The Committee meets bi-          this newsletter or email K.
tions, in which the Vice-      monthly in rotating homes.       Burgin for a form. Credit
Chair, Secretary and two       There are several practices      cards, debit cards and
Nominating Committee           participating on a regular       checks are all accepted.
members were elected, the      basis, and members appreci-
committee is now ready to      ate the mutual support they      Contact person: Karen Bur-
begin its efforts for 2009.    gain from the group. The         gin, CNM
Officers to be elected are     group is continuing to dis-
Chapter Chair, Treasurer       cuss the elimination of the
and three members of the       written practice agreement
Nominating Committee.          from the NYS midwifery           Student Scholarship
Chapter members interested     law.                             Committee
in running for office can
                               Contact person:                  The Chapter has thus far
contact the committee Chair,
                                                                awarded two annual schol-
Sally Mendelsohn.              Kristen Leonard, CNM
                                                                arships of $1000 each to a
Contact person: Sally Men-                highly qualified midwifery
delsohn, CNM                                                    student. The 2007 winner                                               was Maria Freytsis, CNM,
                               Membership Committee             and the 2008 winner was
                               Our 2009 membership cam-         Rani Shankar, CNM.
Standing Rules and Pro-        paign begins officially at the   The committee conducts the
cedures Committee              September Chapter meeting.       application process; a sub-
                               Anyone joining then or           committee then reviews and
This committee oversees re-
                               thereafter is a member for all   rates the entries, and the
visions of the chapter by-
                               of 2009. Our 2008 member-        winner is announced at the
laws. Chapter bylaws must
                               ship total reached 167, in-      June chapter meeting.
be consistent with ACNM
                               cluding lifetime members,
bylaws; a major revision of                                     We encourage all students
                               students and associates. We
these was approved this                                         who will be graduating in
                               hope to reach an even
year by the members of                                          2009 to apply!
                               greater number in 2009.
ACNM. Our own by-laws
                               The new annual dues rate for     More information will be
will be reviewed and re-
                               active members is $75, for       announced at the Novem-
vised as needed after the
                               first-year eligible members      ber Chapter meeting. The
new ACNM bylaws un-
                               $40, and for students and        application packet is avail-
dergo a process of study.
                               associates $30.                  able online at our website.
Members may obtain a copy
of the bylaws by emailing      Our website allows members       Contact person: Suzanne
Maria Fisher.                  to join or renew directly on     Schechter, CNM
Contact person:                line—log on to         

                      and          (Continued on next page)
Maria Fisher, CNM

CAMP (Committee for              Student Liaison                    thank you so much. It is so
the Advancement of                                                  greatly appreciated.
                                 Activities on hold for the
Midwifery Practice)              present.
Created in 2000, CAMP                                               Contact persons:
works to expand licensure of     Public Relations Commit-
                                 tee                                Hilary Prager, CNM
Certified Midwives (CMs)
with full-scope practice,        The Public Relations Com-
equivalent to CNMs, to all       mittee is pleased with the         Christiane McCloskey, CM
50 states.                       ongoing efforts of midwives
CAMP has continued its fol-      who continue to write letters
low-up work after passing        in response to midwifery
two motions at ACNM An-          and women’s health-related
nual Meeting in May. We          topics. We are all part of the
will be working closely with     Emergency Response Team.
                                 If you see a worthy news              NEED INSURANCE
the ACNM Board and
                                 item, don’t hesitate to pass it          ADVICE?
staffers to determine how
best to move forward on our      along and submit a reply.          There are a number of new
issues of legislation, educa-                                       options available for profes-
                                 Hilary is still training for the
tion, and public relations to                                       sional liability (malpractice)
                                 Marine Corps Marathon
further the expansion of the                                        insurance coverage. Suz-
                                 (October 26) to raise money
CM credential to other           for the Leukemia and Lym-          anne M. Smith. CNM, MS,
states.                                                             MPH, FACNM has offered
                                 phoma Society. Her longest
                                                                    to speak with midwives
If you are interested in         run to date is 15 miles, which
                                                                    who have questions about
working with CAMP or join-       felt like a huge accomplish-
                                                                    insurance issues. Suzanne
ing the list-serv, email Laura   ment until she realized that
                                                                    was a member of the
Sheperis at                      she would have to add 11.2
                                                                    ACNM Professional Liabil-             miles to that. If you have a
                                                                    ity committee/section of the
                                 friend or family member af-
Log onto CAMP’s website                                             Joint Risk Management
                                 fected by a blood disease—
for updated information                                             Committee from 1988-2004.
                                 leukemia, lymphoma, mye-
about the status of CMs in                                          Suzanne cannot provide
                                 loma—please share your
NY, NJ, RI and MA.                                                  specific advice, but can sug-
                                 story with Hilary. As she                                                gest information you need
                                 struggles with each step, she
                                                                    to consider when making
Contact person: Trinisha         thinks of those struggling
                                                                    your own decisions.
Williams, CM                     with cancer—the reason she
                                 is running. It puts                If you would like to contact              “struggling” into perspec-         her, please email her at
Peer Review Committee            tive! Please visit:       or
                                                                    call 718 783-8057.
Committee now dormant—
watch for upcoming news.         g/nyc/corps08/hprager

                                 To those who have donated,

ACNM NATIONAL LEGISLATIVE UPDATE                                    

By Karen B. Burgin, CNM, MA                                   Regrettably, in the final efforts to pass a slimmed-
                                                              down, veto-proof Medicare legislation, midwives’
                                                              reimbursement equity was among many CHAMP
The ACNM website and our Federal Lobbyist, Pat-               Act provisions not included in the final Medicare
rick Cooney, have provided us with the following              package. While ACNM was disappointed by this
information on this year’s recent Medicare legisla-           outcome, we are pleased with the considerable gains
tion. You will note that, although the final Medicare         made this session and ready to garner additional
package did not include midwives’ reimbursement               support for the provision as we carry it into the next
equity, there is reason to be optimistic because of the       session of Congress.
support we have gained thus far.
                                                              See the ACNM website for a
On July 15, 2008, Congress enacted Medicare legisla-          comprehensive overview of the provisions in the
tion by overriding President Bush’s veto in the Sen-          final bill. New York midwives are reminded that
ate by a vote of 70-26, following an earlier override         coverage for CM services must be continually em-
vote in the House on the same day. The House vote             phasized in whatever new provisions are made, as
was an overwhelming 383-41. The law is retroactive            up to this point CMs have not been specifically in-
to July 1, 2008, when the Medicare cuts officially be-        cluded. This will be a major lobbying point as we
gan.                                                          move into the next legislation session. Stay tuned.
The legislation places an 18 month delay on cuts to
Medicare reimbursement rates for all health care              NYSALM UPDATE     
providers, including CNMs. The legislation will also
incentivize a move to e-prescribing by providing              By Karen Burgin, CNM, and Laura Sheperis, CM
bonus payments to physicians and other providers,
including CNMs, who utilize this new technology in
2009 and 2010. The bill also establishes accreditation        The Non-Discrimination Bill passed both houses of
requirements for the provision of imaging services,           the NY State legislature this year. The law will en-
with the exception of ultrasound—a change to the              sure that NYS LMs will be entitled to apply for hos-
legislation that ACNM had sought.                             pital staff privileges and cannot be denied this right
                                                              just because of the profession they belong to. Mid-
ACNM’s top federal legislative priority in recent
                                                              wives will have the right to appeal any decision
years has been to enact a provision to gain reim-
                                                              with the Public Health Council.
bursement equity for midwives under the Medicare
program. Currently, CNMs are reimbursed at 65%                Members wrote letters in July, urging Gov. Paterson
of the Medicare physician fee schedule, reducing              to sign the bill. NYSALM informed us that the bill
assess to quality comprehensive women’s health                reached his desk on Sept. 12 and he has until Sept.
care services to those who are covered by the Medi-           26 to sign. There is no reason to believe that he will
care program, such as seniors and disabled women.             not sign the bill. NYSALM and our list-serv will
                                                              keep members informed.
Thanks to a tremendous effort by ACNM members
and the government affairs team, this provision had           There is no further news on the Governor’s health
gained unprecedented support in this session of               budget (see June Metro Midwives, p. 20) or on the
Congress, passing in the House as part of the Child           insurance issue. Watch the chapter and NYSALM
Health and Medicare Protection Act of 2007                    list-servs for updates.
(H.R.3162) (CHAMP Act) on August 1, 2007, and
gaining 24 Senate co-sponsors.
                                                                                       (Continued on p. 18)

meeting in 2003 of Harlem Hospital professionals           ing, the group conceived the goal of making Harlem
including midwives, obstetricians, perinatologists,        a Baby-Friendly hospital as a major solution to im-
neonatologists, social scientists, community-based         proving the health of mothers and infants.
organizations, New York City and New York State
                                                           John Palmer, Executive Director of Harlem Hospital,
DOH representatives and community members to
                                                           with funding from the NYC DOH, in 2005 invited
address the issues of maternal and infant mortality
                                                           Anne Merewood, an expert from Boston City Hospi-
and related health problems in Central Harlem.
                                                           tal, who worked with the group for over a period of
Four working groups were formed: Women’s and
                                                           two years, providing guidance and sharing her ex-
Clinical Health, Environmental Concerns, Male In-
                                                           pertise and experience from her own Baby-Friendly
volvement, and Mental Health Issues. These groups
                                                           institution. Pat Loftman kept the group on track,
tackled problems that contribute to maternal and
                                                           working with the Breastfeeding Coordinator in pre-
infant mortality, such as exposure to environmental
                                                           paring a manual based on the “Ten Steps to Success-
toxins including tobacco and pollutants from New
                                                           ful Breastfeeding.” In-service sessions were held for
York City-operated buses and idling buses in bus
                                                           all staff members and patients. Pat continually high-
depots concentrated largely in poor communities;
                                                           lighted breastfeeding statistics at monthly QA meet-
obesity; decreased access to health care; untreated
                                                           ings. Breastfeeding rounds were established on the
mental health disorders; insufficient access to
                                                           post-partum unit and breastfeeding of premature
healthy foods; and insufficient knowledge about
                                                           infants in the NICU was also addressed. The en-
healthy living habits such as exercise.
                                                           trance into the community of immigrant women
Pat Loftman, CNM, was chosen Chair of the                  from Africa made a major contribution, as breast-
Women’s Health/Clinical Care Group. The group              feeding was already the norm for them.
was composed of professionals from many disci-
                                                           After Harlem filed a certificate of intent, Baby-
plines, including midwives such as Dorothea Lang,
                                                           Friendly USA made a site visit and identified a few
CNM, pediatrics, nursing and neonatology, repre-
                                                           areas for improvement. Undaunted, the group
sentatives from the NYC Bureau of Maternal Infant
                                                           solved the problems and reapplied, and their efforts
and Reproductive Health, community groups and
                                                           were rewarded this year. At the time they received
community residents. Recognizing that a woman’s
                                                           the certificate the rate of breastfeeding at discharge
health status before, during and after pregnancy
                                                           was quoted at 81%; most recently it has risen to 90-
plays an important role in having a healthy baby,
the Women’s Health Group convened a Town Hall
Meeting in Central Harlem in December 2004 to pro-         Thanks to Harlem’s success, the NYC Department of
vide a forum for women of the community who had            Health has now made sure that all HHC hospitals
utilized OB/GYN services at Harlem Hospital to             have Breastfeeding Coordinators. Alan D. Aviles,
share their experiences. The surprise result was a         president of NYC HHC, has been quoted as being
recurring theme: the women wanted more informa-            supportive of breastfeeding as the optimal nutrition
tion and support around breastfeeding. They asked          for infants, and supports all HHC hospitals in their
for breastfeeding education, beginning in the first        own efforts to achieve the Baby-Friendly designa-
trimester. Women who had also given birth at North         tion.
Central Bronx Hospital provided dialogue about
their positive experiences, pointing out that staff
                                                           Pat Loftman, CNM, may be contacted at
members who encouraged breastfeeding were criti-
cal to their breastfeeding success. Gratified by the
demonstration of community interest in breastfeed-
                                                             The invitation to this event reads:

By Karen B. Burgin, CNM, MA                                  “Despite an annual health care expenditure that far
                                                             exceeds any other nation in the world, the United
                                                             States ranks a discouraging 28th in the developed
Ruth Lubic, CNM, EdD, FACNM, has no time for                 world in infant mortality (2004-CDC), behind almost
retirement. At age 81 she is more active than ever           every other industrialized country. Black infants are
working for the women, babies and families to                2.4 times more likely to die before age one than
whom she has dedicated her life.                             white infants, largely because of significant dispari-
Just this month Ruth appeared on the CBS Evening             ties in low birthweight and preterm births. Accord-
News, interviewed by correspondent Wyatt An-                 ing to the Institute of Medicine (2007), ‘the annual
drews about her views on the high U.S. infant mor-           societal economic burden associated with preterm
tality rate and how this can be reversed.                    birth in the U.S. was at least $26.2 billion in 2005.’

Ruth Lubic is the one to ask. She purposely founded          “The Developing Families Center here in the north-
the Developing Families Center in inner-city Wash-           east of the District of Columbia is an innovative ap-
ington, D.C. where the infant mortality rate is al-          proach to addressing these troubling disparities and
most double the national average, because she knew           has documented impressive improvements. The De-
that midwifery care could make a difference. In              veloping Families Center provides through three
eight years of caring for low-income families, the           service-providing partners:
Center has cut the rate of premature births in half
and has never lost a baby during birth.
                                                                •   Preconception care and pregnancy testing
What is her secret? As she told her interviewer, she
                                                                •   Case finding and home visiting
believes that prenatal education and respect for
women as human beings make all the difference. As               •   Effective Black parenting classes
she put it, “It’s time, respect, treating people with           •   Group prenatal care
                                                                •   Midwifery birth in birth center or hospital
                                                                •   Referral for mental health needs
Ruth Speaks at a Congressional Briefing
                                                                •   Breastfeeding and doula services
                                                                •   Fatherhood classes
On September 15, 2008, Ruth and her Center co-
sponsored a Congressional briefing in the House                 •   Postpartum follow-up and pediatrics
Office Building in Washington, entitled “An Innova-             •   Interconceptional care and family planning
tive Approach to Reducing Disparities in Preterm
                                                                •   Early childhood development care”
Birth, Low Birth Weight, and Cesarean Section
The other sponsors were Representatives Eleanor              Ruth was one of three featured speakers, the other
Holmes Norton, Donna Christensen, Lois Capps,                two being Ronald David, MD, M.Div., Former Medi-
Hilda Solis, Carolyn Maloney, Lucille Roybal-Allard          cal Director of DC General Hospital, and Linda A.
and Steve Cohen.

                                                                                        (Continued on next page)

RUTH LUBIC (Continued)                                        BOARD OF MIDWIFERY NEWS
Randolph, MD, MPH, President and CEO of the De-               Due to the budget crisis in New York State, all Board
veloping Families Center. Community members                   meetings are currently on hold. However, the State
also participated.                                            Education Department, Office of the Professions,
                                                              will hold re-scheduled meetings following confirma-
                                                              tion of just how much money remains in the dedi-
Ever feel discouraged about the difference midwives           cated account.
can make? Then think of Ruth Lubic, and take
                                                              Board Chair Aleida Llanes-Oberstein will notify
                                                              members via the list-serv as soon as a meeting is


By Karen B. Burgin, CNM, MA                                   To the Editor:
                                                              Re: “A Bundle of Joy Isn’t Enough?” by Thomas
                                                              Vinciguerra (Dec.6):
The PR Committee encourages all of us to contact
the media on issues we feel strongly about—and                As a midwife, I am glad to hear that women are be-
sometimes our voices are heard.                               ing honored by their partners for bearing children. I
                                                              only wish they were being honored by our society
On December 6, 2007, an article appeared in the NY
                                                              with more significant “gifts,” like paid maternity
Times entitled “A Bundle of Joy Isn’t Enough?” by
                                                              leave, breast-feeding friendly policies and afford-
Thomas Vinciguerra.
                                                              able, quality child-care programs.
                                                              Karen Trister Grace
                                                              Brooklyn, NY
The article deals with the fairly new practice in some
families of the new mother’s receiving a “tangible
bonus” from her partner as a reward for giving                HONORARY LIFE CHAPTER MEMBERSHIP
birth. These rewards have been called “baby mama
gifts,” “baby baubles,” or, most commonly, “push              Each year our chapter votes to honor one member
presents.” Jewelry (especially diamond jewelry) was           with an honorary lifetime membership, based on
quoted as being the most popular gift, others being           that person’s contributions to the chapter and to our
art work and a hot tub for the whole family.                  profession.

The article quotes a survey taken by BabyCen-                 This year’s deadline for nominations is October 28,,, in which about half of pregnant women               2008. Contact any chapter officer or member of the
said they wanted such a gift, and 38% got one.                Executive Board (listed on p. 2) to propose your
About 40% of both groups said that the baby was               nominee. Please include a brief statement of why
reward enough, and several of the couples inter-              you feel the person deserves the award. The vote
viewed disapproved of the practice as being too ma-           will be taken at the November 6 chapter meeting.
terialistic.                                                  Previous honorees are Koko Roy (deceased), Lily
Karen Trister Grace, CNM, our Chapter Secretary,              Hsia, Pixie Elsberry, Dorothea Lang and Karen Bur-
wrote the following letter:                                   gin.


By Joan S. Bryson, CNM, LM                                      and recommending specific strategies to improve
                                                                the continuity of care for the small proportion of
                                                                women and families choosing home birth.
                                                                At least one health plan has already used AMA
This is the first of a series of information articles to        Resolution to issue a new policy denying reimburse-
keep you informed of the ongoing political agenda               ment for home birth.
of the AMA and ACOG as well as what is being said
                                                                In the addenda to the AMA letter, ACNM also calls
and done in response. The following was taken
                                                                on AMA to support its policy agenda to ensure a
from the ACNM Website. MANA, the APA and
                                                                qualified midwifery workforce, and calls for AMA
many other organizations have come out against the
                                                                to work with ACNM and other stakeholders to pri-
resolutions. As you probably are aware, much con-
                                                                oritize a focus on the larger issues plaguing our na-
troversy has been generated in the media regarding
                                                                tion’s maternity care system that are affecting a sig-
these resolutions.
                                                                nificant proportion of childbearing families in the
The American Medical Association’s 2008 resolu-                 US.
tions included Resolution 204, which opposes the
                                                                Resolution 204, “Midwifery Scope of Practice and
creation of boards of midwifery and calls for
greater physician oversight in midwifery practice;
Resolution 205, in which AMA declares its intention             In this resolution, introduced by the American Col-
to support state legislation to promote hospital and            lege of Obstetricians and Gynecologists (ACOG),
birth center birth over home birth; and Resolution              AMA graciously resolved that “AMA only advocate
214, which declares that nurses who are Doctors of              in legislative and regulatory arenas for the licensing
Nursing Practice only be able to practice under the             of midwives who are certified by the American Col-
supervision of a physician and as part of a medical             lege of Nurse-Midwives.” However AMA also re-
team with the final authority and responsibility for            solved to:
the patient under the supervision of a licensed phy-               “Support state legislation that only authorizes
sician.                                                               regulatory oversight of midwifery by a board
On August 1, ACNM President Kitty Ernst sent a                        of nursing and/or medicine;”
letter voicing ACNM’s opposition to Resolutions 204                “Continue to monitor state legislative activities
and 205. “CNMs and CMs are autonomous health                          regarding the licensure and scope of practice
care professionals,” said Ernst. “ACNM considers it                   of midwives;” and
vital to ensure proper CNM/CM representation on
regulatory boards overseeing our practice to ensure                “Work with state medical societies and inter-
appropriate and well-informed decision-making on                     ested specialty societies to advocate in the
scope of practice and other issues. An appropriately                 interest of safeguarding maternal and neona-
configured board of midwifery could meet this                        tal health regarding the licensure and the
need.”                                                               scope of practice of midwives.”

Ernst described Resolution 205 as an intrusion on               The stated rationale for this resolution is proposed
women’s right to choose home birth. “We strongly                legislation in Massachusetts that would create a
oppose efforts to legislate site-of-birth choices for           Board of Midwifery and grant licenses to Certified
women and their families,” she declared, adding                 Professional Midwives (CPMs). It would also grant
that “the scientific evidence strongly supports that            licenses to CMs who are currently not recognized in
planned home birth under established selection cri-             Massachusetts. The creation of a Board of Mid-
teria is a safe alternative to hospital birth.”                 wifery would remove CNMs from the current over-
                                                                sight exercised by the Massachusetts Board of Regis-
The letter includes a number of addenda (see                    tration in Nursing. summarizing this evidence, ex-
ploring the drivers behind the home birth choice                                   (Continued on next page)

BARRIERS (Continued)                                               BILLING & CODING WORKSHOP

Resolution 205, “Home Deliveries”
In this resolution, also introduced by ACOG, the
AMA resolved to:                                                   COMING OCTOBER 10 IN BROOKLYN!
   Support the recent American College of Obstetri-
      cians and Gynecologists (ACOG) statement
      that “the safest setting for labor, delivery, and the        INCREASE THE FINANCIAL HEALTH
      immediate post-partum period is in the hospital,
                                                                         OF YOUR PRACTICE!
      or a birthing center within a hospital complex,
      that meets standards jointly outlined by the
      American Academy of Pediatrics (AAP) and
      ACOG, or in a freestanding birthing center that              ACNM and SUNY Downstate Midwifery
      meets the standards of the Accreditation Associa-
      tion for Ambulatory Health Care, The Joint Com-              Education Program are co-sponsoring an
      mission, or the American Association of Birth                all-day Billing and Coding Workshop
      Centers”(1) and
                                                                   conducted by Joan Slager, CNM, CPC,
   Support legislation in support of the concept that
      the safest setting for labor, delivery, and the
                                                                   winner of this year’s Dorothea Lang Pio-
      immediate post-partum period is in the hos-                  neer Award for her work in billing and
      pital, or a birthing center within a hospital                coding. Joan is the author of two books
      complex, that meets standards jointly out-
      lined by the AAP and ACOG, or in a free-                     on the subject and also chaired the Busi-
      standing birthing center that meets the stan-                ness Section of the ACNM Division of
      dards of the Accreditation Association for
      Ambulatory Health Care, The Joint Commis-
                                                                   Standards and Practices.
      sion, or the American Association of Birth                   Joan will use real-life case studies to pro-
                                                                   vide participants with the tools needed
The AMA cites the growing number of states recog-
nizing Certified Professional Midwives and recent                  to improve their knowledge of the nu-
media attention on celebrity home births as the pri-               ances of billing and coding for women’s
mary rationales for Resolution 205. The Resolution
also implies that home birth is inherently unsafe.                 health services.
Resolution 214, "Physician Supervision of DNPs"                    This workshop has been approved for 7
In this resolution, AMA resolved to:                               hours of CEUs by ACNM and the Ameri-
   Institute a policy that nurses with Doctor of                   can Academy of Professional Coders.
       Nursing Practice (DNP) degrees be allowed
       to practice only under physician supervi-                   To learn more, including fee, visit
For more about the AMA and the resolutions, visit                  cfm
the AMA website,
                                                                   To register, visit
1.                             BCRegistration_form_10_10_08.pdf
press_releases/nr02-06-06-2.cfm, accessed March


In July, 2008, the National Perinatal Association (NPA) issued this position paper
supportive of home birth:

ISSUE:             There has arisen a recent movement by some members of the medical community to
                   outlaw planned home births. 1-2% of all US births take place at home. This statistic has
                   remained stable over the past few decades.
BACKGROUND:        Although the number of home births in the United States is small, in many European
                   countries large percentages of babies are born safely outside hospitals. The Nether-
                   lands, where up to 40% of all births occur at home, has the lowest percentage of mortal-
                   ity and morbidity in the world.
                   In Britain, the Royal College of Obstetricians and Gynecologist declares that “There is
                   no reason why home births should not be offered to women at low risk of complica-
                   tions and it may confer considerable benefits to them and their families.”
                   In a recent study in the British Medical Journal comparing planned home birth to hos-
                   pital births, it was found that in North America, babies were born at home just as safely
                   as in the hospital. The British National Health Service believes there is “no evidence to
                   support the assertion that home birth is a less safe option for women experiencing un-
                   complicated pregnancies.”
                   The Governing Council of the American Public Health Association (APHA) recom-
                   mends that a woman’s informed choice of birth at home must be respected and appro-
                   priate home birth maternity services be made available.
                   A 2008 Cochrane Database review of “Home vs Hospital Births” concluded that there
                   was no strong evidence to favor planned hospital birth vs planned home birth for low-
                   risk pregnant women. “Planned hospital birth may even increase unnecessary inter-
                   ventions and complications without any benefit for low-risk women.” In the United
                   States 50% of all labors are induced, an ever-increasing number of births are through
                   major surgery, and there is a recent epidemic of late pre-term births.
POLICY:            The National Perinatal Association (NPA) believes that planned home birth should be
                   attended by a qualified practitioner within a system that provides a smooth and rapid
                   transition to a hospital if necessary. Safety for all births must be evaluated through an
                   objective risk assessment, especially for non-hospital births. NPA supports and respects
                   families’ rights to an informed choice of their birth setting.
STRATEGY:          Support and respect families’ choice of birth settings
                   Provide education and information regarding the option of out-of-hospital birth

NPA website:


                           OUR FUTURE IS IN GOOD HANDS


Back Row, Left to Right:
Faculty Members C. Melissa
Morelli-Walsh, Julia Lange-
Kessler, Jo Anne Davis,
Patricia Burkhardt
Front Row, Left to Right:
Marie Reddick, Diana Ortiz,
Cara Bailey

                                                   SUNY DOWNSTATE

                                                   Back Row, Left to Right:
                                                   Barla Abraham, Cassarah
                                                   Gosman-Pappas, Julie O’Con-
                                                   nor, La Tosha Ruiz, Nisha
                                                   Arikupurathu, Keena Gittens
                                                   Front Row, Left to Right-
                                                   Laurie Ourlicht, Dieu Ngo,
                                                   Marsha Nelson

                                                   (Continued on next page)

2008 GRADUATES (Continued)

Back Row, Left to Right: Carolyn Slattery, Dara Fields, Bridget Slinger, Ashlee Lyvers, Sara
Church, Auben Flores, Rachel Whitfield
Front Row, Left to Right: Rani Shankar, Kathleen McKenna, Ellen Razgaitis, Jo Zasloff, Gina Ei-
chenbaum-Pikser, Robyn Brancato

       WE BACK


Midwife Birth Certificates Rejected by State                  As a midwife, I am appalled to learn that the State
Department for Passport Applicants                            Department now refuses to accept the validity of
                                                              birth certificates signed by midwives who attended
                                                              women at home births as legal documents for ob-
By Ellen Catalinotto, CNM                                     taining a U.S. passport.
Midwife-signed birth certificates from home deliver-
                                                              This unfair and racist practice targets Latinos and
ies are being rejected by the State Department as
                                                              African Americans, who have had a long tradition of
valid documentation for obtaining a U.S. passport.
                                                              midwife-attended births. It is creating havoc espe-
This is occurring in the southwest as many people
                                                              cially in Texas and the southwest where many peo-
apply for passports, which will be required for
                                                              ple frequently travel to Mexico and now find that
travel to Mexico starting next year.
                                                              they cannot obtain the passports that will be soon be
This practice targets Latino communities in border            required to cross that border.
states where midwives have served families for
generations and is a serious threat to the profession         Just 45 years ago there were no Medicaid or Medi-
of midwifery. According to the Brownsville (Texas)            care to pay for health care for poor or disabled preg-
Herald of Aug 23, Mary Saldaña, a practicing mid-             nant women. Segregation was the law of the land in
wife in Brownsville for 39 years, says "People now            southern states --where only whites could be admit-
think that if they go to a midwife their child won't          ted to most hospitals. Rural areas had few good
be able to get a passport," and are leaving midwifery         roads to transport women in labor. Many African
care. “Saldaña once delivered several babies per              American and Latina women could not afford to de-
week. Now, she said, she delivers several per                 liver in hospitals, could not get transport to the hos-
month.” Read the full article, which gives an inter-          pital in labor, and could be denied admission to the
esting history of local midwifery, at                         hospital even if they overcame the hurdles of cost                 and travel. Midwife births at home were the only
89413___article.html/passport_midwives.html                   option for women in these circumstances.

On Aug 11 a Wall Street Journal article described
                                                              To deny the validity of midwife-signed birth certifi-
“panic in south Texas… that has [passport] appli-
                                                              cates is to resurrect and continue these injustices and
cants scouring school warehouses and church of-
                                                              human rights violations of the not so distant past.
fices” to locate alternate forms of documentation,
such as baptismal and grammar school records,
                                                              Furthermore, refusing to accept midwife-signed
when their birth certificates have been rejected. “The
                                                              birth certificates puts the State Department in the de
situation threatens to isolate thousands of people in
                                                              facto position of regulating our profession by de-
the Rio Grande Valley who regularly travel back
                                                              legitimatizing the documents we are legally author-
and forth to Mexico for work or family reasons.”
                                                              ized to sign. The State Department clearly has no
                                                              right or authority to regulate midwifery practice.
                                                              The excuse given for not recognizing these birth cer-
Below is a letter I wrote to the State Department
                                                              tificates is that some midwives were
( objecting to this policy.
                                                              convicted of falsely providing them to babies born

To Whom It May Concern:                                                             (Continued on next page)

BIRTH CERTIFICATES (Continued)                                 CORRECTIONS TO JUNE ISSUE

in Mexico. Some of these cases occurred as long ago            Metro Midwives wishes to correct two errors that
as almost 50 years. Such instances should be han-              appeared in our June, 2008 issue:
dled by local jurisdictions on a case by case basis,
                                                               From the Annual Meeting report, p. 14: The SUNY
with a presumption of innocence. Instead, the State
                                                               Downstate Midwifery Program’s Doctorate of Mid-
Department is imposing collective punishment on
                                                               wifery degree will offer the following six tracks: Re-
every midwife and every baby she has delivered.
                                                               search, Practice, Education, Administration, Eth-
                                                               ics/Policy and International Midwifery. Two of the
Ellen Catalinotto, CNM                                         tracks were inadvertently omitted.
Addendum: As we go to press, on September 9 the
ACNM issued a statement reassuring the public that
                                                               From the article “NYC Midwives are Winners,”
birth certificates signed by CNMs/CMs are accepted
as documentation of U.S. citizenship. So far only
those signed by traditional parteras have been ques-           This year’s recipient of the SUNY Chancellor’s
tioned.                                                        Award for Student Excellence, Maria Freytsis, CNM,
On the same date the Washington Post reported that             was listed as the first SUNY Downstate student and
the American Civil Liberties Union has filed a law-            the first student from the College of Health Related
suit in Texas on behalf of some of those denied pass-          Professions to win this award. This should read,
ports. According to the Post, the ACLU “alleges that           “the first SUNY Downstate midwifery student,” de-
the government is systematically discriminating                leting the reference to the College of Health Related
against U.S.-born citizens on the basis of ethnicity           Professions.
and national origin. Attorneys for the plaintiff assert        In the interests of accuracy we encourage readers to
that such arbitrary bans disproportionately affect             notify us whenever errors are discovered.
rural and poor people who have less access to doc-

METRO MIDWIVES EDITORIAL STAFF                                 NYSALM UPDATE (Continued)
Karen Burgin, CNM, MA, Editor-in-Chief                                             At the NYSALM Board of Directors meeting on Sep-
                                                               tember 9, the Board decided to move forward and
Suzanne M. Smith, CNM, MS, MPH, FACNM
                                                               introduce legislation in January of 2009 to eliminate                                            the written practice agreement. NYSALM knows
Suzanne Schechter, CNM, “About Us” Column Edi-                 that many midwives feel very passionate about this
tor                            issue and they will need committed midwives to
                                                               help with the task. They invite anyone who is inter-
Marcy Perlman Tardio, CNM, “The Art of Mid-
                                                               ested in participating in the process to call Kristin
wifery” Column Editor
                                                               Walsh, CNM, NYSALM President, at 518-852-7965.
Ellen Catalinotto, CNM, Reporter-at-Large

HELP A SISTER MIDWIFE                                        ADVERTISING POLICY
                                                             In consultation with the Chapter Executive Board,
                                                             Metro Midwives has instituted an advertising pol-
On September 14 a benefit was held in Stone Ridge,
                                                             icy open to chapter members only.
NY, for Joanne McParland, CNM, a graduate of
SUNY Downstate’s Midwifery Program. She has                  For a small fee that goes to benefit the chapter,
had a homebirth practice in the New Paltz area for           members may submit midwifery-related advertise-
years, and is a beloved member of the community.             ments to run in one issue of Metro Midwives. Ads
Many of us remember her fondly.                              are subject to approval by Metro Midwives staff.
Joanne has unfortunately become seriously ill. She is        Advertising in Metro Midwives does not imply an
undergoing treatments and is unable to work.                 endorsement of any product or service by ACNM,
                                                             Region II, Chapter 1, or by Metro Midwives or its
Proceeds from the benefit are being used to help her
with her living expenses so that she can focus on
healing. Even though the benefit is over, contribu-          Costs are $25 for 1/4 page, $50 for 1/2 page and
tions are still most welcome.                                $100 for a whole page.
You can send a check in any amount to “The Joanne            Members are invited to submit advertisements at
McParland Fund.” Mail to P.O. Box 134, Cottekill,            any time to Karen Burgin for inclusion in the up-
NY 12419.                                                    coming issue ( Once the ad is
                                                             accepted you will be notified of the cost and where
                                                             to send your check, made out to ACNM, Region II,
Thank you so much.      K. Burgin, Editor                    Chapter 1.

Dear Fellow Members,                                         regulates weight and energy levels, decreases
                                                             sugar levels in people with diabetes, has detoxi-
                                                             fication properties, aids in healthy digestion and
My name is Sonya Ostroy. I am your colleague.                many more. I’ve been using their products and
I have used alternative medicine in my practice              recommending them to my patients, relatives
for four years and see very good results. That’s             and friends. I have seen good results in treating
why I decided to share information with you.                 different kinds of infections such as yeast infec-
I found an extraordinary company—Forever                     tions and BV, as well as successful treatment of
Living Products International in Arizona. For                furuncles, and decreased dosage of their medi-
30 years Forever Living Products has dedicated               cations in patients with diabetes after using
itself to seeking out nature’s best sources for              Aloe Vera products. My patients lose weight
health and beauty and sharing them with the                  and feel more energetic using the program Lean
world. Forever Living Products is the world’s                and Clean.
largest grower, manufacturer and distributor of              If you would like to get more information about
Aloe Vera products and bee products in over                  products and research, please email me at my-
124 countries. The Aloe Vera plant is very well-    or call 718 551-8603.
known for centuries for beneficial properties to
the human body: it provides immune support,                  Sincerely, Sonya Ostroy

(* indicates required fields. If you have no email but want to receive faxes, membership updates, reminders, job postings, action
alerts, etc. then fax is ‘required’)
Membership Information:                                                               *Date ________________
Name ___________________________________* Telephone _________________*Fax ______________
*Home Street Address______________________________ Apt. _______City___________________
*State ________________*Zip Code_______________                          ***Email________________________
License number ___________________ Year you joined the Chapter                __________________
Payment Due:                                                                  First time member? Yes [ ]   No [ ]
______ $75 Active Membership
———- $40 First Year Eligible CNM/CM
———- $30 Student or Associate Member
______ $750 Onetime, Lifetime Active Membership
If you wish to pay by credit or debit card: (Visa or Master Card only)
Card #: _____________________________________ Exp. Date: _________________
Master Card _____ Visa _____                     Credit _____ Debit _______
Name as it appears on card: ________________________________________
Signature: _______________________________________________________
Make check payments to: ACNM, Region II, Chapter 1
Mail checks with completed application to:
Patricia Burkhardt, Treasurer, 49 Strong Place, Brooklyn, NY, 11231-3708


Check all that apply:    Practice Site:
Home________ Hospital________ Birth Center________ Full Scope________ GYN only______
AP/GYN only_______ Private________ Hospital Service _______ Hosp. PVT.Faculty _________
Official Name of Practice/Service
Official Address of Practice:
*Director of Practice/Service (If not you) ______________________________________________
Street __________________________________City _______________State________ Zip ______
Web address:__________________________________e-mail _____________________________

Thank you for your participation in the Chapter. Karen Burgin & Joan Bryson, Membership committee

                                    Women’s Health Update:
                                               November 14 & 15, 2008

                                                     November 14th
                              Aleida Llanes-Oberstein, CNM, LM, MS, FACNM
                                                       Midwifery Faculty
                                                        8 am — 11 am

                                        Prescribing Antibiotics and
                                        Antibiotic Resistance in the
                                           Primary Care Setting
                                            Valerie Roe, CNM, LM, MS
                                                      Midwifery Faculty
                                                     11:15 am — 1:15 pm

                                        Gastrointestinal Conditions
                                       Dawn Morton-Rias, Ed-D, PA-C
                                Dean, College of Health Related Professions &
                                         Physician Assistant Faculty
                                                     2:30 pm — 4:30 pm

         O.7 Specialty Credits have been approved by the American College of Nurse-Midwives

                                      November 15th
                                         Beyond Kegels:
                         Pelvic Floor Strength, Flexibility & Awareness
                          An Interactive Workshop for Practitioners
                                    Richard Sabel, MA, MPH, OTR, GCFP
                                              Occupational Therapy Faculty
                                             Bill Gallagher, MS, PT, CYI
                                                       Physical Therapist
                                                        9 am — 4:30 pm
    O.675 Specialty Credits have been applied for from the American College of Nurse-Midwives

                                                            450 Clarkson Avenue, Box 1227, Brooklyn, NY 11203-2098
                                                                   Tel. 718-270-7740/7754 • Fax 718-270-7634
                                               for Travel Directions
             College of Health Related Professions
                                                                  e - m a i l : a l e i d a . l l a n e s - o b e r s t e i n @ d o wn s t a t e . e d u
             Midwifery Education Program

                                  Registration Form
REGISTRATION FEES (Circle applicable category)                              Name:_____________________________________________________
◊ Early Bird Postmarked by 10-24-08                                         Profession:______________________ Title:_____________________
          November 14th Only $60                                            Mailing Address:________________________Apt:_______
                SUNY Downstate Preceptor $45                                City:_____________________State:_______Zip Code:____________
                Student $45                                                 Phone:_____________________________
          November 15th Only $60                                            Fax:________________________________
                SUNY Downstate Preceptor $45
                Student $45
          November 14th & 15th $110                                         Institutional Affiliation:___________________________________
                SUNY Downstate Preceptor $80
                Student $80                                                 E-mail Address:____________________________________________
◊    Regular Registration:
          November 14th Only $75                                                               Method of Payment
                   SUNY Downstate Preceptor $60                             Check made payable to:
                   Student $60                                                    SUNY Downstate Midwifery Education Program
          November 15th Only $75                                            Mail to:
                   SUNY Downstate Preceptor $60                             SUNY Downstate Medical Center
                   Student $60                                              Midwifery Education Program
          November 14th & 15th $140
                   SUNY Downstate Preceptor $110
                                                                            450 Clarkson Avenue, Box 1227
                   Student $110                                             Brooklyn, N.Y. 11203
    Registration includes continental breakfast, lunch & syllabus.

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