The Balancing Act - Association of Ontario Midwives

Hockley Valley ResortTheMay 6-8, 2013BalancingSustaining MidwiferyActAOM 29 th AGM and ConferenceConference ProgramAssociation of Ontario Midwives

Platinum SponsorGold sponsorBronze Sponsorsupporting

Conference at a GlanceMonday May 6 Tuesday May 7 Wednesday May 87 a.m.6:03 a.m. 6:02 a.m. 6:00 a.m.8 a.m.9 a.m.REG.DESKBKFASTEX. HALLREG.DESKBKFASTEX. HALLREG.DESKSTUDENTBKFASTYOGABKFAST10 a.m.11 a.m.12 p.m.1 p.m.2 p.m.3 p.m.4 p.m.5 p.m.PRECONFERENCEWORKSHOP 1PRECONFERENCEWORKSHOP 1LUNCHPRECONFERENCEWORKSHOP 2ESWESW LUNCHAGMLUNCHEX. HALLSPINKSKEYNOTEPLENARYBREAK AND EX. HALLPLENARYPLENARYPLENARYBREAK AND EX. HALLPLENARYCONCURRENTSESSIONSPLENARYLUNCHEX. HALL1A, 1B or 1C2A, 2B or 2CBREAK3A, 3B or 3CCAMPBELLKEYNOTE6p.m.7 p.m.8 p.m.9 p.m.RECEPTIONANDOPENINGCEREMONIESDINNER ANDAWARDSCEREMONY10 p.m.11 p.m.12 a.m.DANCEBONFIREEta Aquarids Meteor ShowerBest view: east after midnightMay 4-8 Peak show: May 5-6Conference program and speakers subject to change. 3

Conference PoliciesOn-site RegistrationLimited on-site registration will be available and may notinclude meals or refreshments provided by the conference.Conference SubstitutionsSubstitute delegates may arrive during the conference withpermission from the person originally registered. Pleasemake every effort to notify us in advance.Bringing your Baby?If you will have your infant with you at the conference,please contact us so that we may assist with any specialneeds you may have. Thank you for respecting the speakersand other conference attendees by leaving a session if yourinfant needs to settle. Child care is not provided.Professional Development FundComplete cost of registration of the conference, ESW andpreconference sessions are eligible for reimbursementunder the PD Fund. Those travelling more than 100 kmone way to attend the conference are also eligible forreimbursement of up to 30% of the registration fee towardstravel and accommodation cost. Members who belong topractices designated as “rural” or “remote” according tothe 2008 TPA-MPG Funding Agreement are eligible for anadditional travel subsidy.Those wishing to take advantage of the 2013-2014 PD Fundreimbursement cycle can submit an application right away.PD Fund forms can be picked up and dropped off at theconference registration desk. You must submit a completedapplication by March 31, 2014 at the latest.Hockley Valley Resort793522 3rd Line EHSOrangeville, ON L9W 5X7866-HOCKLEYinfo@hockley.comAccommodationsBest Western PlusOrangeville Inn & Suites7 Buena Vista DriveOrangeville, ON L9W 0A2519-941-3311Free parking is available at both sites for AOM delegates.In addition, free shuttle service will be available betweensites, including transportation home from evening events.429th Annual AOM General Meeting and Conference I May 6-8 2013

Silent AuctionMidwives and supporters have donated items for a silentauction that will take place during the conference. TheseItems will be on display until the morning break onWednesday, May 8. The winners will be announced duringthe conference wrap-up at 4:30 p.m. on May 8.All proceeds will be directed to the Ghislaine FrancoeurFoundation for Midwifery in Haiti. Personal items such asartwork and crafts are especially encouraged.If you are bringing items for the auction, you can drop themoff at the registration desk.ExhibitorsAssociation of Ontario MidwivesFill out your Passport!AOM Benefits TrustTour the ExhibitorBest Start Resource CentreHall, talk with all theCalmoseptine, Inc.wonderful exhibitorsChoices Childbirth Servicesand collect stickersDoula C.A.R.E. Inc.from each booth.Equitable Life of CanadaEnter your full cardHIROCin a draw to winHUB Internationala fabulous prize!Midwifery Education Program:Deposit full cards atPreceptor Support Programthe registration desk.Ministry of Health andLong-Term CareMorneau ShepellNewborn Screening OntarioPure Midwifery Equipment & Supplies Ltd.The Stevens Company Ltd.Exhibitor location and hoursMontclair DMay 6, 6:15 pm – 9:30 p.m.May 7, 7:30 am – 6:30 p.m.May 8, 7:30 am – 2:50 p.m.Note: Meals and breaks will be in the exhibitor spacePoster PresentationsNew this year! Watch out for poster presentations fromAOM members, staff and MEP students. Posters will berotating in various locations throughout the conference siteand an award will be given to the best presentation.Conference program and speakers subject to change. 5

Monday, May 6Conference Schedule7:30 a.m. - 9:00 a.m.Registration/breakfastMontclair Foyer9:00 a.m. - 12:00 p.m.Preconference Workshop 1 (a.m. session)Sponsored by HIROCMontclair ABPerinatal Mental HealthCindy-Lee Dennis, PhDPostpartum depression is one of the most commonforms of maternal morbidity with approximately 13% ofwomen from diverse cultures experiencing this condition.This workshop provides tools for midwives to work withwomen at risk for and experiencing perinatal mental healthissues. Screening, prevention, management planning andsupporting breastfeeding outcomes will be discussed.These tools can be applied to a variety of client populationsincluding newcomers and women in rural and remotecommunities with poor access to services.9:00 a.m. - 12:00 p.m.Preconference Workshop 2 (a.m. only)Sponsored by HIROCMontclair CThe Pen is Mighty - Protocol WritingElizabeth Allemang, RM; Michelle Kryzanauskas, RM, MA;Tasha MacDonald RM; Bobbi Soderstrom RM;Vicki Van Wagner RM, PhD(c)Practice protocols form an important part of the evidencebaseddocumentation of local standards under whichmidwifery practice groups operate. This workshop features apanel presentation illustrating the importance of protocols,how they differ from guidelines and tips for developingevidence-based protocols that reflect local communitystandards. The benefits of having protocols vs not havingthem will be discussed. Participants will have an opportunityto work in small groups to develop new protocols or toupdate protocols from their own practice groups.629th Annual AOM General Meeting and Conference I May 6-8 2013

9:00 a.m. - 12:30 p.m.ESW Recertification Workshop (a.m. session)Don Carlos/Otello12:00 p.m. - 1:00 p.m.Preconference lunchWorkshop 1 and 2 lunch in foyer12:30 p.m. - 1:30 p.m.ESW Lunch (A.M. and P.M. Sessions)Restaurant 851:00 p.m. - 4:30 p.m.Preconference workshop 1 (p.m. session)Sponsored by HIROCMontclair ABJoy, Resilience … and Sometimes Vicarious TraumaTed Bober, MSW, RSWMidwives most often experience personal resilience andpositive professional growth in response to high stressand traumatic events. At one time or another in a career,professionals may also experience distress, grief or vicarioustrauma (VT). This workshop will: outline a framework forunderstanding stress, grief, burnout and VT; discuss waysto mitigate VT; and have participants develop practicalplans to enhance their own and their colleagues’ wellbeingand resilience. In this interactive workshop, we will learnfrom each other and from the fields of traumatic stress,performance psychology and mindfulness.1:30 p.m. - 5:00 p.m.ESW Recertification Workshop (p.m. session)Don Carlos/Otello3:30 p.m. - 5:00 p.m. (by invitation)Eye Prophylaxis SubCommittee MeetingTwin Hearth B5:00 p.m. - 6:00 p.m. (by invitation)Diversity Work GroupTwin Hearth B5:00 p.m. - 7:00 p.m.Conference RegistrationMontclair FoyerConference program and speakers subject to change. 7

6:30 p.m. - 9:30 p.m.President’s Reception and Opening Ceremonies,Exhibitors, sponsored by HIROCMontclair ABC and Foyer6:30 - 7:30 Reception: tasting tables7:30 - 8:30 Speakers:lisa M. Weston, RM, AOM PresidentWendy Katherine, BA, MBA(c) Keynote SpeakerWith greetings from our sponsorsHIROC and Morneau Shepell8:30 - 9:30 Reception continuesOne of Ontario’s pre-registration midwives, Wendy Katherinehas been improving women’s and children’s health for morethan 28 years. Wendy served as head midwife and clinicalteacher at Women’s College Hospital and held successivepositions at the AOM, including on the negotiation team and asdirector of professional issues, insurance and risk management.Since joining the Ministry of Health and Long-Term Care in2000, Wendy managed a more than 500% funding expansionto the Ontario Midwifery Program. She led teams establishingthe Midwifery Outcomes Report, Better Outcomes Registry andNetwork , and many wider health system projects includingOntario’s Integrated Cancer Screening Strategy. As manager ofthe Women’s and Family Health Unit in Health System Strategyand Policy Division, she oversees policy projects that includethe Provincial Council of Maternal Child Health, Prenatal andNewborn Screening Ontario and the Health Equity ImpactAssessment and Birth Centres, among others.Tuesday, May 77:30 a.m. - 8:30 a.m.Conference Registration, AGM Registration,Breakfast and ExhibitorsMontclair Foyer and Montclair D8:30 a.m. - 12:00 p.m.Annual General MeetingMontclair ABC12:00 p.m. - 1:00 p.m. (by invitation)Hospital Integration Committee Working LunchTwin Hearth B829th Annual AOM General Meeting and Conference I May 6-8 2013

12:00 p.m. - 1:00 p.m. (by invitation)Ontario Midwives Research Network Working LunchTwin Hearth A12:00 p.m. - 1:00 p.m.Lunch and ExhibitorsMontclair D and Montclair ABC12:30 p.m. - 1:00 p.m.Presentations from orangeville andalliston practicesMontclair ABC1:00 p.m. - 1:15 p.m.Opening RemarksMontclair ABCLisa M. Weston, RM1:15 p.m. - 2:00 p.m.Keynote Address: Work-life HarmonyMontclair ABCNora Spinks, CEO, The Vanier Institute of the FamilyQuality of life, happiness and harmony, success andsatisfaction: we all want it. We want to be able to reachour full potential, to be fully engaged and able to reachour personal and professional goals and objectives. And,sometimes we just want to get through a crazy day or findtime to sleep. Learn how to manage your time, energy andresources and succeeding in all aspects of their lives. Norawill share her insights and provide information and inspireus to do our best and be our best.Nora is the CEO of the Vanier Institute of the Family, aninternationally recognized leader in work-life and well-being,organizational development and human resources management.Nora has extensive experience working with the private, publicand voluntary sectors.2:00 p.m. - 3:00 p.m.PlenaryMontclair ABCThe Impact of Birth Centres in OntarioAyeshah Haque, BSc; Judy Rogers, RM, MAThis presentation addresses the implications of the comingbirth centres in Ontario. One aspect of the presentationaddresses the potential opportunities provided by birthcentres to contribute solutions to current challenges facingmidwifery including limitations on hospital privileges, growthConference program and speakers subject to change. 9

of existing midwifery practice groups, the promotion ofnormal birth, clinical learning opportunities for midwiferyand interprofessional students, and the importance of outof-hospitalbirth. Another part of the presentation exploresresults from a survey of midwifery clients on their views ofbirth centres as an option for place of birth and the possibleimpact on planned home and hospital birth rates.3:00 p.m. - 3:30 p.m.Break, ExhibitorsMontclair D3:30 p.m. - 4:15 p.m.PlenaryMontclair ABCOrganizational Models of Midwifery Care Across Canada:Maintaining Principles, While Maximizing ImpactAnne M. Malott, RM, MSN, PhD(c)In keeping with the interest in evaluating the sustainabilityof maternity care in Canada and the role midwifery canplay in the provision of maternity services, this presentationprovides a descriptive review of three maternity carepractices across Canada that offer unique approaches tomeeting the diverse needs of women and caregivers indifferent settings. Reviewing organizational models in otherareas of the country has the potential to inform approachesto increasing the impact of midwifery in Ontario.4:15 p.m. - 5:15 p.m.Plenary PanelMontclair ABCKeeping Birth Close to HomeMadeleine Clin, RM; Carol Couchie, RM; MichelleKryzanauskas, RMThe best provision of rural and remote maternity care iscollaborative, woman- and family-centred, and culturallysensitive. This panel will consider unique challengesfacing Ontario midwives practicing in rural and/or remotesettings. Also, panelists will discuss potential next steps inimplementing structural and community-based changesto facilitate sustainable maternity care options for bothmidwives and their clients in these communities.5:30 p.m. - 6:30 p.m.Queer Midwives Meet-upExecutive Director’s Suite: Room 453Come and meet other queer and/or LGBT-identified1029th Annual AOM General Meeting and Conference I May 6-8 2013

midwives and students. In response to popular demand, thissocial event offers a safe, trans- and queer-positive space forLGBTQ members of the midwifery community to connect.No registration is needed - just show up!6:30 p.m. - 8:30 p.m.Gala Dinner and Awards CeremonySponsored by Morneau ShepellRestaurant 858:30 p.m. - 1:00 a.m.Dance and BonfireRestaurant 85 and Patio8:30 - 1:00 Dance9:00 - 11:00 BonfireFree shuttle to Best Western available all evening!Wednesday, May 87:30 a.m. - 8:30 a.m.RegistrationMontclair foyer7:30 a.m. - 9:00 a.m.Benefits Trust Sponsored morning Yoga andsmoothies Breakfast, ExhibitorsMontclair patio (weather permitting) or foyer7:30 a.m. - 9:00 a.m. (pre-registration required)student breakfastRestaurant 85, Private Room9:00 a.m. - 10:00 a.m.Plenary PanelMontclair ABCA Mile in Their ShoesShawna Clouthier, Chair, Pregnancy and Infant Loss Network;Hiltrud Dawson RN, BTech, IBCLC; Maya Hammer, MAThe unique, close relationship between midwives andclients is an essential part of the midwifery model, butalso leaves midwives vulnerable to distress when clientsexperience loss and pain as it relates to perinatal trauma.This session, hosted by a panel of trauma experts, will explore:• the core beliefs of death and grief and how theyinfluence the provision of care;Conference program and speakers subject to change. 11

• trauma screening and treatment options for clients;• resiliency and self-care strategies for midwives.10:00 a.m. - 10:30 a.m.Break, Exhibitors, last call for Silent AuctionMontclair D10:30 a.m. - 11:15 a.m.Plenary, Sponsored by HIROCMontclair ABCCommunication Techniques for Resolving Conflictwith PeersChantal Thorn, PhDOur tendency to “know” causes us to trust wholeheartedlyin our perception of what another person means. Theseassumptions set the tone and influence our intention,and therefore our ability, to do a good job during difficultconversations. Chantal will present tools and ways formidwives to learn to doubt their certainty about someoneelse’s intentions in order to do a much better job duringdifficult conversations. While these tools are simple andspecific, they can be challenging to use in practice becauseof what happens psychologically and cognitively during“fight or flight” stress reactions.11:15 a.m. - 12:00 p.m.PlenaryMontclair ABCContinuity and Sustainability: Contradiction andCo-relationJulie Kivinen, Director of Policy, College of Midwives ofOntario; Vicki Van Wagner RM, PhD(c)Continuity of care(r) has been a major focus of researchfor midwives internationally. This presentation sharesresults from a CMO-initiated study that explored how aninternational and interdisciplinary perspective on continuityof care(r) could inform policy planning in Ontario. Resultsfrom a systematic review and key informant interviewsdemonstrated continuity as a key factor in the sustainabilityof midwifery. Continuity of care(r) is explored as “a means oran end” and reflections are made on the relationship betweenmidwifery autonomy, job satisfaction, women’s experience ofmidwifery care and clinical outcomes. This presentation willinclude recommendations for Ontario midwives.1229th Annual AOM General Meeting and Conference I May 6-8 2013

12:00 p.m. - 1:00 p.m.Lunch and Poster Winners Announcement,ExhibitorsMontclair D and Montclair ABC12:00 p.m. - 1:45 p.m. (meeting by invitation)Aboriginal Midwives Practicing in OntarioTwin Hearth B1:00 p.m. - 1:45 p.m.Breakout 1aMontclair ABCTiny, Perfect Baby? Promoting Best Practice for PrenatalIdentification of Small for Gestational Age BabiesBeth Murray Davis, RM; Helen McDonald RM, MHScThis interactive workshop will use a case-based approach todiscuss commonly encountered issues faced by midwiveswith respect to the detection of inappropriate fetal growth.This presentation will: review definitions of and risk factorsfor SGA (small for gestational age) and IUGR (intrauterinegrowth restriction); discuss the various diagnostic strategiesfor prenatal identification of SGA, including biometricand biophysical tests; explore SGA case studies withspecial emphasis on the concepts of growth velocity andcustomized fetal growth curves. Participants will have anopportunity to develop customized fetal growth curves.Breakout 1bOtelloBalancing Student Needs and Client Experience: Howto Keep Women at the Centre of Care while Advocatingfor StudentsJulie Corey RM, MHScPreceptors can sometimes feel caught between theirroles of midwife and preceptor. This session will look atsources of that tension and creative solutions to providingpersonalized and inclusive care. Participants are invited toshare strategies that have worked for them.Breakout 1cDon CarlosBORN Standard Reports: Making it Easier to Understandand Improve Your OutcomesLiz Darling, RM; Vivian Holmberg, BORN; Dana Sidney, BORN;Vicki Van Wagner RM, PhD(c)Conference program and speakers subject to change. 13

We would like to thank ourPLATINUM SponsorOfficial sponsor ofPreconference Sessions

Next year’s conference infoAOM 30 th AGMand ConferenceCelebratingyears ofRegulated Midwiferyin OntarioMay 5-7, 2014Toronto