CPM Symposium
CPM Symposium Report
Issue 5, November 2012
In This Issue
State of the World's Midwifery: International Strategies for Strengthening Midwifery
Policy Imperative and Perinatal Outcomes
Understanding the Upward Trend in Home and Other Out-of-Hospital Births
Future of Home Birth in the United States: Addressing Shared Responsibility
Reflection! Relationships! Information-sharing!! Action!

Resources - State of the World's Midwifery

The State of the World's Midwifery report is available at the ICM web site, where you'll also find information about midwifery around the world and the global standards for education, regulation and associations.

Penny Simkin Products 
Symposium Report Sponsor

Policy Imperative and Perinatal Outcomes - News and Updates


Click here for the Strong Start for Mothers and Newborns Initiative website. The latest Strong Start endeavor is the Public-Private Partnership to Reduce Early Elective Deliveries. Building on the work of the Partnership for Patients, a public-private partnership launched by the U.S. Department of Health and Human Services, this initiative will test ways to encourage best practices and supports providers in reducing early electives deliveries prior to 39 weeks. A webinar describing the initiative will be held November 28th and can be accessed at this link.

Meanwhile, the Maternity Action Team of the National Quality Forum has also been working on development and implementation of a plan to reduce elective deliveries prior to 39 weeks to 5% or less and reduce cesarean section in low-risk women to 15% or less. Their meetings are open to the public via webinar. The October meeting can be accessed here. You can follow these and other federal policy news on Childbirth Connection's Transforming Maternity Care blog.

Data Brief on Trends in Home Birth


Future of Home Birth - Related News/ Information


On November 16, 2011, Congresswoman Lucille Roybal-Allard (CA-34) recognized the Home Birth Consensus Summit on the floor of the U.S. House of Representatives.  See the video here.

Related Resources


Home birth summit follow-up initiatives include multidisciplinary projects related to improving transport protocols, enhancing access to Medicaid coverage across maternity care settings, developing birth place decision aides for women, home birth data collection and research, and development of curricula to expose all maternity professionals to all settings and types of providers. Find out more by clicking here.

Kay Kanne  

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Midwifery care can improve the health of women and babies! But midwives are struggling around the world to maintain their rightful place in the provision of maternity care. Here in the United States, Certified Professional Midwives are attending more births, but full participation in the health care system is restricted by a lack of universal recognition and our own limited understanding of federal health policies intended to improve the health of mothers and babies.

Home birth is increasingly popular but more needs to be done to support safe, culturally competent, and respectful care for women who are choosing home birth. This exciting session focuses our attention on these topics and what we can do to strengthen the position of CPMs in the U.S. in order to serve more women and their families.

State of the World's Midwifery: International Strategies for Strengthening Midwifery to Improve the Health of Women and Babies  


Frances Ganges In June 2011, a landmark report on the "State of the World's Midwifery," coordinated by the United Nations Population Fund (UNFPA), revealed the high rates of maternal, fetal and newborn mortality in 58 countries around the world. This information has now become a focus of global efforts to realize the right of every woman to the best possible health care during pregnancy and childbirth, and is a clarion call to increase the number of skilled, educated and competent midwives throughout the world.

The International Confederation of Midwives (ICM) is working with countries and regions, including midwifery organizations in the U.S., to implement the new global standards for midwifery education, regulation and association in order to strengthen midwifery and meet the needs of women worldwide. Frances Ganges, CNM, MPH, represents the Americas Region on the ICM Board of Directors. Her experience spans 20 countries in reproductive, community and maternal-newborn health projects with US and international organizations, including several midwifery associations.


Policy Imperative and Perinatal Outcomes
Stephen Cha, MD, MHS 
Stephen Cha


The Strong Start for Mothers and Newborns Initiative supports reducing the risk of significant complications and long-term health problems for both expectant mothers and newborns. An initiative of the Center for Medicare and Medicaid Innovation, Strong Start was described by Stephan Cha,, MD, MHS.

Stephen is the Chief Medical Officer for the Center on Medicaid and CHIP Services and provides clinical input and guidance for the health coverage for nearly 60 million people who are served by these programs.

 Click here to access a pdf of the presentation.
Understanding the Upward Trend in Home and Other Out-of-Hospital Births
Marian MacDorman, PhD 
Marian MacDorman


Home births are on the rise again after several decades of decline according to a new Data Brief issued by the National Center for Health Statistics on January 26, 2012, which examines trends and characteristics of home and other out-of-hospital births.

Lead author of the report, Marian MacDorman, Ph.D, is a senior statistician and researcher in the Reproductive Statistics Branch at the National Center for Health Statistics, Centers for Disease Control and Prevention. She has published extensively on home and out-of-hospital birth, cesarean section, induction of labor, preterm birth, infant, fetal and perinatal mortality, and other topics related to the birthing process.


Future of Home Birth in the United States: Addressing Shared Responsibility  
Saraswathi Vedam


The Home Birth Consensus Summit - The Future of Home Birth in the United States: Addressing Shared Responsibilities was convened in October 2011, bringing together stakeholders and leaders to open dialogue and discuss the status of home birth within the greater context of maternity care in the United States. Saraswathi Vedam, RM, FACNM, MSN, lead organizer of the Summit, spoke to the momentum that is building across disciplines for improving the care of women choosing home birth in the U.S.

Reflection! Relationships!
Information-sharing!! Action! 


The CPM Symposium 2012 was designed to be interactive because we know that we have so much to learn from each other. Please share your opinions, ideas, resources, and news related to the topics addressed in this report or the symposium generally. We'll post responses in the next report.

Simply hit "reply" to send us your thoughts!

All the best,

CPM Symposium - NACPM & AME