ACNM is - Midwifery Education Programs

The Business of Being Born, which resultedin a flurry of media debate in avenues asprominent as the New York Times, Timemagazine, Newsweek, and Good MorningAmerica as well as community outlets likeWashington Parent magazine.Promoting the MidwiferyModel of CareACNM core messages weredesigned to educatewomen about the benefitsof midwifery care.Midwives do more than care forpregnant women; they are experts inwomen’s health and provide care forwomen from adolescence throughmenopause and beyond.Midwives trust patients to make gooddecisions, are passionate about helpingwomen understand their choices, andrespect the power of women’s bodiesand birth.For pregnant women, midwives offercomprehensive prenatal care and askilled continuous presence duringlabor, maximizing the likelihood of ahealthy baby, healthy mother, and asatisfying birth experience.ACNM staff attended the premier screening of TheBusiness of Being Born in New York City. From leftto right: Consultant Mairi Breen Rothman, CNM,MSN; Senior Technical Advisor Leslie Ludka,CNM; and Executive Director Lorrie Kline Kaplan.Building awareness of midwiferyin the US is a primary goal for ACNM.Many women are simply unaware of themidwifery model of care—a model characterizedby personalized, preventive,evidence-based care. While births attendedby certified nurse-midwives (CNMs) andcertified midwives (CMs) have increased byan impressive 33% over the past decade,midwives still attend a minority of USbirths. 1 Many women also don’t know thatCNMs and CMs are fully trained to functionas primary care providers.However, US women are showing signsof a shift in awareness. Numerous mediaoutlets publicized midwifery in 2008, whichled to a growing trend of questioning thehigh-tech norm for maternity care. Mediapersonality, actress, and mother Ricki Lakeand filmmaker Abby Epstein highlightedmidwives and birth in their documentary,Fit PregnancyPublic Education ProjectArticulates the Midwifery MessageMidwives put their message in the mail withthese midwifery-themed US postage stampsavailable through Stamps.com.Recognizing the magnitude of competinginformation about birth and women’s health,ACNM took the first step in articulating themidwifery message by launching the PublicEducation Project (PEP), which is fundedby the A.C.N.M. Foundation. In cooperationwith Jones Public Affairs, a focus group ofACNM members, and a survey of womenand their partners in 13 US cities, ACNMcrafted three core messages designed toeducate women in their 20s and 30s aboutACNM staff andmembers contributedto articles coveringmidwifery in thesepublications andbroadcast outlets.4 1. Births: Final Data for 2006. National Vital Statistics Reports: Vol 57, No 7. 2009.American College of Nurse-Midwives Annual Report 2008

(NAPS)—Every year, morethe benefits of the midwifery model of care.The messages were then integrated intomidwifery-themed postage stamps. Movingforward in 2009, our strategy will be to usethe messages to:• Educate consumers about theshortcomings in US maternity care.• Position midwives as the solution tothose shortcomings.• Make women aware that midwives areavailable in their communities.While 2008 was a year for formingstrategies, 2009 will be a time for mobilizingACNM members with concrete tools tomainstream midwifery care by spreadingthe word in their communities. Thanksto continued funding by the A.C.N.M.Foundation, we expect the PEP campaignto make an even larger impact in thecoming years and push us closer to ourvision of midwives attending 20% of USbirths by 2020.ACNM Members ReachBoston-area Women and FamiliesMore than 1,500 people attended ourfirst-ever Women’s Health Expo in Boston,where Mayor Thomas M. Menino declaredMay 24 Boston Nurse-Midwifery Day.Especially designed for consumers, theexpo featured a birth film festival, healthand vision screenings, and hundreds ofexhibitors, intensifying the annual traditionof public outreach in the city that hosts theACNM Annual Meeting & Exposition.Boston Mayor Thomas M. Menino declaredMay 24 Boston Nurse-Midwifery Day at the firsteverACNM Women’s Health Expo.Online and Social Media EffortsIn 2008, we embraced online and socialmedia as tools to facilitate communicationwith members and to encourage memberto-memberinteraction. We completedan in-house redesign of www.midwife.org, improving the user experience andportraying an image that accurately reflectsour professional association. We alsocreated an ACNM Facebook page atwww.facebook.com/pages/American-College-of-Nurse-Midwives/51674209724as a space for members and theirsupportive clients and families to connect.ACNM’s top-ranked Web site, midwife.org,received more than 100,000 monthly visits.Women Turning To MidwivesFor Personalized CareHealthy IdeasAccording to the American Collegeof Nurse-Midwives, midwivesare independent providers whocare for women through all stagesof life and are trained to handlethe majority of complications thatmay arise during pregnancy andbirth. To find a midwife, visitwww.mymidwife.org.More and more women are discoveringand embracing the fullrange of midwifery services—forthemselves and their babies.than 4 million women give birthin the United States. That’s morethan 10,000 every day, whichleaves many new mothers—andtheir babies—feeling lost in thecrowd.In order to find a more “boutique”approach to prenatal andprimary health care, a growingnumber of women are turning tomidwives. According to the Centersfor Disease Control, in 2005, midwivesattended more than 300,000U.S. births—and more women areseeing midwives for family planning,annual exams and for helpnavigating normal life transitions.“When you decide to visit amidwife, you can expect a specialkind of care. Some midwivesspend up to an hour with firsttimepatients, and most midwivesstay with women through theentire birth process,” says CathyCollins Fulea, a certified nursemidwifeand midwife expert atwww.RealSavvyMoms.com.Certified nurse-midwives(CNMs) and certified midwives(CMs) are independent providerswho care for women through allstages of life and are trainedthrough graduate-level educationto handle the majority of complicationsthat may arise duringpregnancy and birth. Most CNMsand CMs attend deliveries in hospitals,and with low rates ofinduction, cesarean section andepisiotomy, midwives maintain animpressive safety record for bothmothers and babies.As experts in women’s health,midwives focus on early detectionof problems and emphasize attentive,individualized care to minimizethe chances of complications.During birth, midwives watchcarefully to ensure mother andbaby are doing well and practicejudicious use of interventions—including pain control and fetalmonitoring—when appropriate.“Midwives approach birth,puberty and menopause as normallife events rather than medicalproblems,” explains Fulea. Midwivesdon’t try to “fix” women ifthere’s not a complication. They’rethere to provide the care, supportand information women need toensure good health.To find a midwife near you,visit www.mymidwife.org.ACNM staff used the core messages to writethis syndicate press piece, which generated172 news articles in 16 states, reaching morethan 6 million readers.More and more women are discoveringand embracing the fullrange of midwifery services—forthemselves and their babies. ///Women Turning To Midwives ForPersonalized CareOver 500 signs on public buses and trainspromoted the consumer-focused ACNMWomen’s Health Expo.In 2009, we plan to harness the power ofsocial media to engage members and consumersin a conversation about midwiferyand women’s health. Plans are in progressfor an ACNM blog—Midwife Connection.ACNM’s Find a Midwife®at www.midwife.org/find.cfm assistsconsumers in locating midwives intheir communities.

ACNM RepresentsMidwives and ClientsIn 2008, ACNM representativesbrought the midwifery perspective to:•ACOG Committee on Patient Safety andQuality Improvement•After Cesarean Planning CommitteeMeeting•AMCHP Meeting on EmergencyPreparedness and MCH Populations•American Legislative Exchange Council•CDC/ACOG MaternalMortality Study Group•Champion Nursing Council•Changes to Vital StatisticsData Purchasing Conference•Childbirth Connection’s TransformingMaternity Care Initiative•Coalition for Improving Maternity Services•Coalition for Patients’ Rights•Global Health Council Countdown to2015 Community Meeting•Global Health Missions Conference•Healthy People 2020•Indian Health Service InvitationalGathering on Indigenous Birthingand Midwifery•International Confederation of Midwives•March of Dimes PrematurityAwareness Campaign•National Coalition on Health Care•National Conference of State Legislators•National Institute of Child Health andHuman Development Fetal Heart RateConsensus Meeting•National Institute of Health ConsensusDevelopment Conference on Vaginal Birth•National Priorities Partnership•Patient Centered Primary CareCollaborative•Reproductive Health TechnologiesProject Collaborator’s Roundtable•Surgeon General’s Conferenceon the Prevention of Premature Birth•US Breastfeeding Committee•US Centers for Disease Control ChildhoodLead Poisoning Prevention Program•US Surgeon General’s Conference on thePrevention of Premature BirthImproving Care for Women and Babies (cont’d)will allow ACNM, the American Associationof Birth Centers, and the Midwives Allianceof North America to share data resources ina uniform, central database. The resultingcomprehensive pool of data will improvedocumentation of midwifery care outcomesin all birth settings and will be used tosupport legislation, policy, and clinicaldecisions in favor of midwifery care andbest practices for women and babies.We also participated in numerous meetingsand events where key decisions influencingthe care of women and babies weremade. Particularly of note was our participationin the National Quality Forum (NQF)Perinatal Measures Steering Committee.Although “pregnancy and childbirth” is thesecond most common reason for hospitaladmission, there has been no comprehensive,national, standardized set of qualitymeasures for hospital performance relatedto childbirth. The steering committee guidedan NQF project to establish a national setof perinatal performance measures that willencourage quality care improvement formothers and infants. The official measuresare expected to be released next year.ACNM member Mary Callahan, CNM, atthe ICM Congress in Glasgow, Scotland, withmidwives in traditional country dress.ACNM delegates at the ICM Council Meeting.From left to right: Katherine Camacho Carr,CNM, and Joyce Thompson, CNM.ACNM representatives attended theInternational Confederation of MidwivesCongress (ICM) in Glasgow, Scotland,which drew more than 3400 midwives frommore than 90 countries. ACNM delegatesalso attended the ICM Council Meetingwith 138 delegates from 65 countries. TheCongress and Council Meeting occur justonce every three years.Evidence-based Research andClinical ResourcesACNM contributes to and refines the pool ofevidence-based research that guides carefor women and babies. In 2008, our peerreviewedjournal, the Journal of Midwifery& Women’s Health, published a groundbreakingstudy, “The Lived Experience ofWidowhood in Pregnancy,” which examinedexperiences of pregnant women whosehusbands died in the 9/11 attacks or whileserving in the US military. This was thefirst study to examine the experiences ofpregnant widows. Two continuing educationissues were published: “Infectious Disease”and “The Effects of Violence and Traumaon Women’s Health.” JMWH also launched“Global Exchange,” an online column forinternational women’s health reports.The Journal of Midwifery & Women’s Health processed307 submissions with an acceptance rate of 30%.8 American College of Nurse-Midwives Annual Report 2008

The ACNM Annual Meeting & Exposition—the College’s premier event for midwivesand other women’s health professionals—offers a unique opportunity to share professionalresources and serves as a forumfor original, unpublished research. At the53rd Annual Meeting in Boston, we hostedtwo research forums as well as Meet theResearchers sessions with 15 posterpresentations. Topics ranged from how birthis portrayed on reality television to women’sexperiences of shame and isolation duringmenopause. Of particular interest was astudy presented by student nurse-midwivesKelly Burrell Roberts and Allison Vitonisentitled “Certified Nurse-Midwives ReduceCesarean Section Rates amongMassachusetts Hospitals.”Grants Fund Global OutreachWhile ACNM’s primary focus is increasingaccess to midwifery care in the US, ACNMis strongly committed to reducing maternaland neonatal mortality worldwide. Fundedlargely by the US Agency for InternationalDevelopment (USAID), ACNM global outreachmade a difference in Afghanistan,Albania, Ethiopia, Ghana, Kenya, Liberia,Nigeria, Pakistan, and Tanzania in 2008.•Certified Nurse-Midwife/Certified Midwife asFirst Assist at Surgery•Male Circumcision•Midwifery Certification in the United States•Midwives as Hospitalists/Laborists•Oral Health•Postpartum DepressionJMWH Shares with WomenThe Journal of Midwifery & Women’sHealth now offers more than 40 “Sharewith Women” patient education handouts.Topics published in 2008 include:• Cord Blood Banking—What’s It AllAbout?• HPV, Cervical Cancer, and You• Induction of Labor• Intimate Partner Violence• Intrauterine Devices• Staying Healthy on a Vegetarian DietThis copyright-free series is availableat www.Midwife.org/share_with_women.cfm for all health care providersto print and share with patients.ACNM received USAIDfunds for global outreach innumerous developing countries, includingAfghanistan, Albania, Ethiopia, Ghana, Kenya,Liberia, Nigeria, Pakistan, and Tanzania.ACNM publishes clinical bulletins, position statements, issue briefs, and a QuickInfoseries containing accurate, up-to-date information on topics relevant to midwiferyand women’s health. New and revised documents of 2008 include:•Premature Rupture of Membranes (PROM)at Term•Principles for Licensing and RegulatingMidwives•Providing Oral Nutrition to Women in Labor•Vacuum Assisted Birth•Women and SmokingNew Edition of Life-Saving SkillsManual for Midwives PublishedACNM staff and consultants train midwives,physicians, and other health care providersin safe delivery practices and other life-savingskills to help reduce maternal mortality indeveloping countries.Designed to help reduce maternalmortality in developing countries, ACNM’sLife-Saving Skills Manual for Midwives wascreated by experienced midwives for use insettings with only the most basic resources.First developed in 1990, it has beenused by nongovernment and governmentorganizations in Africa, Asia, the Americas,and the Caribbean. The LSS manual hasdrawn international praise, including that ofLiberian President Ellen Johnson Sirleaf.The revised and expanded fourth editionfeatures ten modules written in easy-totranslatelanguage and includes a pocketsizedclinical reference book. Publicationof the new edition was made possible inpart through a generous donation by theA.C.N.M. Foundation, Inc., and the AvertingMaternal Death and Disability Program atColumbia University.Life-Saving Skills training teaches the importance ofpreventing hypothermia by putting a hat on a newbornimmediately after birth. ACNM’s Beanies for Babiescampaign collects donated baby hats and distributes themaround the world where baby hats are often not available.

Forging the Future ofMidwifery in the USACNM reached out to potentialstudents, employers, policymakers,legislators, physicians, administrators,international health community leaders,and others through regular exhibitsat trade shows and professionalassociations.Nurse-midwifery and midwiferyeducation programs are accreditedby the ACNM Accreditation Commissionfor Midwifery Education(ACME)—an autonomous agencyrecognized by the US Department ofEducation. Only graduates of ACMEaccredited programs are eligibleto sit for the national credentialingexam for certified nurse-midwivesand certified midwives.Increasing funds for midwifery educationis a major component of ACNM’s currentfederal policy agenda. We have anambitious vision for US midwifery: by 2020,midwives will attend 20% of births. Whilethis vision certainly depends on removingbarriers to midwifery practice, this is anespecially challenging call to action forthose involved in midwifery education andtraining. One of our FutureFocus goals isto produce 1000 newly certified CNMs andCMs by 2015. If 40 programs produce 25graduates annually, we can reach our goal.Nurses receive an 11.5% return everyyear of their professional life on theinvestment made in a master’s-levelmidwifery program.The State of Midwifery EducationIn 2008, there were more than 300 newlycertified CNMs and CMs—the highestin four years. There was an increasein applications to ACNM AccreditationCommission for Midwifery Education(ACME, formerly the Division ofAccreditation) programs, and a new costbenefitanalysis of midwifery educationshows these applicants are pursuing aworthwhile investment. In the analysis,scheduled for publication in 2009, thebenefits of midwifery education outweighthe expense incurred by students,academic institutions, clinical sites, andtaxpayers. Most impressive is that nursesreceive an 11.5% return every year of theirprofessional lives on the investment madein a master’s-level midwifery program.Innovation and InteractionBoost Recruitment EffortsWe held our first annual Become aMidwife Forum at the ACNM 53rd AnnualMeeting. More than 100 potential studentsparticipated in this free, interactive careerevent, which featured action stationsequipped with birth simulators, pelvicmodels, and access to midwifery studentsand practicing midwives.Ensuring HighAcademic StandardsAs we strive to increase the annual numberof midwifery graduates, ACME remainscommitted to ensuring that the highestquality standards are in place for midwiferyeducation and continuing professionalcompetence. ACME accredits 37 programsat colleges and universities across the USand Puerto Rico and one freestandingmidwifery education program.Over 100 potential students participated inthe first ACNM Become a Midwife Forum—a free, interactive career event designed torecruit more midwives.10 American College of Nurse-Midwives Annual Report 2008

FinancialsDec 2007 Dec 2008*The Active-Supporting membership categorywas created in 2008 by merging Associateand Active-Retired CNMs/CMs. Friends ofthe College are included in the Associatemembership category.2008 was a challenging and volatile year fornonprofit and for-profit organizations alike.In the professional membership associationsector, organizations grappled withunpredictable revenue streams related tomembership dues, meeting attendance, andcorporate support, as well as in investmentaccounts, which in recent years has been asource of operating revenues.ACNM faced these challenges as well.During 2008, ACNM operating revenueswere up by 4% compared to 2007. This waslargely attributed to increased grant activityand publication sales. Operating expenses,however, exceeded revenue, resultingin a net operating loss primarily due tounexpected losses on the 2008 ACNMAnnual Meeting, a core revenue sourcefor ACNM. In response, ACNM is makingsignificant changes to the Annual Meetingbeginning in 2010.Citigroup/Smith Barney continued to serveas the investment firm and advisors toACNM in 2008. The associates of this firmwork closely with the ACNM Finance andAudit Committee to ensure that reservefunds are invested in alignment with thefinancial policies of the College. 2008 was avolatile year for all investors. ACNM endedthe year 2008 with net assets of $1.7 millionreflecting a loss of over $1 million, duemostly to investment losses. While theselosses were significant, the percentagedecline in value was actually less thanaverage losses in the marketplace asreported by the Standard & Poors and othermajor indices. ACNM remains committed tosafeguarding the investments of the Collegeby adhering to financial policies designed tomaximize returns over the long-term.In 2008, more than $3.7 million (76% of ourtotal expenses) was invested in providingcore member services, such as professionalpractice programs and resources, legislativeand regulatory advocacy, promotion ofthe midwifery profession, and individualmember assistance. ACNM strives toprovide superior services to our membersand representation for the profession whilepositioning the organization for continuedgrowth. This is accomplished by maintainingan appropriate level of national officeinfrastructure to support these activities.ACNM’s 2009 balanced budgetincludes continued support for existingactivities as well as capital improvementsto benefit the College. ACNM is exploringnew revenue opportunities consistent withour mission, while assuring that moneyspent realizes value for the College and itsmembership. We are financially sound tocontinue to pursue our mission.Finally, it must be noted with appreciationthat the financial position of the Collegeis positively impacted by the manydedicated members who serve on divisions,committees, task forces, and in othervarious volunteer positions within theCollege. Although not directly reflected inthe financial statements, many memberswork numerous hours without compensationand thus provide tremendous value to ourorganization. ACNM extends its thanks toits members for their continued commitmentto nurse-midwifery and to ACNM.ACNM’s audited financial statements for2008 and previous years are accessible formembers only at www.midwife.org/financial_statements.cfm.(continued on page 12)

AMERICAN COLLEGE OF NURSE-MIDWIVESSTATEMENT OF FINANCIAL POSITIONDECEMBER 31, 2008AMERICAN COLLEGE OF NURSE-MIDWIVESSTATEMENT OF ACTIVITIES FOR THE YEAR ENDEDDECEMBER 31, 2008CURRENT ASSETSCash and Cash EquivalentsInvestmentsAccounts and Other Receivables, NetPrepaid ExpensesInventoryTotal Current AssetsPROPERTY AND EQUIPMENTEquipmentFurnitureLess, Accumulated DepreciationProperty and Equipment, NetOTHER ASSETSTOTAL ASSETSCURRENT LIABILITIESAccounts PayableAccrued Salaries and BenefitsDeferred Membership DuesOther Deferred RevenueTotal Current LiabilitiesOTHER LIABILITIESDeferred Rent ExpenseASSETS$231,6342,700,315618,917111,31155,332$3,717,510$303,419128,265(381,883)$49,801$19,226$3,786,537LIABILITIES AND NET ASSETS$139,973108,7881,289,786270,979$1,809,526$191,234OPERATING REVENUEMembership DuesGlobal Outreach ProgramsMeetings and ExhibitsPublicationsAdvertising and RoyaltiesProduct SalesContributions and SponsorshipInterestOtherTotal Operating RevenueOPERATING EXPENSESMember ServicesProfessional Practice & Health PolicyGlobal Outreach ProgramsMeetingsPublicationsDivisions and CommitteesTotal Operating ExpensesCHANGE IN NET ASSETS FROM OPERATIONSOTHER CHANGES IN NET ASSETSLoss on InvestmentsTOTAL CHANGE IN NET ASSETS$1,689,1991,109,765705,972396,591189,43599,420157,4363,844216,159$4,567,822$755,488984,9201,164,9931,245,866558,695156,857$4,866,819$(298,997)(756,734)$(1,055,731)TOTAL LIABILITIES$2,000,760NET ASSETS, BEGINNING OF YEAR2,841,507NET ASSETS, UNRESTRICTED1,785,776NET ASSETS, END OF YEAR$1,785,776Financials (cont’d)TOTAL LIABILITIES& NET ASSETS$3,786,536ConceivexCord Blood RegistryFour corporations became ACNM IndustryPartners in 2008. Find out more atwww.midwife.org/industry_partners.cfm.Operating Revenue13%17%6% 4% Global OutreachMembership Dues23%37%Meetings & ExhibitsPublications/Advertising& RoyaltiesSales, Contributions& Subscriptions12 American College of Nurse-Midwives Annual Report 2008OtherOperating Expenses37%3%24%36%

A.C.N.M. Foundation, Inc.Kerry-Ann DaCosta, SNM,Government Affairs CommitteeStudent Representative“The A.C.N.M. Foundation’s Midwives ofColor-Watson Scholarship helped to offsetexpenses incurred for [my work] in Hargeisa,Somaliland. This was such a priceless experience,and it was financially feasible thanks tothe A.C.N.M. Foundation.”Supporting midwifery for the good of women, infants, and familiesSupporting midwifery is an affordable, practical, and powerful way to make a difference in the lives ofwomen and their families. The A.C.N.M. Foundation is a 501(c)(3) organization that promotes excellencein health care for women, infants, and families through the support of midwifery. Thanks to the collectivepower of all of our donors--whether they gave $10 or $10,000--the Foundation was able to support importanteducation, research, leadership, and policy work that makes a meaningful difference for all midwives.Nurturing MidwivesSince 1967, the Foundation has sponsoredhundreds of midwives and midwifery studentsin their efforts to enrich the lives of womenand their families. In 2008, thanks to thecontributions of thousands of donors, theFoundation supported seven basic midwiferyscholarships, including three Midwives ofColor-Watson scholarships, one GraduateFellowship, two Varney Participant awards,and a W. Newton Long Research Award.Raising PublicAwareness of MidwiferyThe A.C.N.M. Foundation provided crucialstart-up funds to launch the Public EducationProject (PEP)—a program designed toraise awareness about the many benefits ofchoosing a midwife for both maternity andprimary health care. The Foundation was theprimary supporter of the PEP in 2008, and willcontinue support in 2009. (Read more aboutthe PEP on page 4.)Jenifer Poell, SNM,Government Affairs CommitteeStudent Representative“The A.C.N.M. Foundation Edith B. WonnellScholarship made it possible for me to spendmy midwifery Integration near the Texas-Mexicoborder at Holy Family Birth Center. I feelfortunate that I was able to spend a semester ofmidwifery school in a birth center setting andI believe that my experiences there will alwaysshape my midwifery practice.”Addressing VitalPublic Policy issuesAt the end of 2008, the Foundation awardedits first-ever Deanne R. Williams PublicPolicy Fellowship. This award is especiallytimely given the focus on health care reformin the Obama administration. The 2008award recipient, Lisa Summers, CNM, DrPH,FACNM, will create a white paper directedtoward health care policymakers, using theapproaches currently at the forefront of policydiscussions, and addressing how each ofthese approaches can be applied toimprove care for childbearing women andtheir families. The award will enable midwivesto represent the interests of women and theirfamilies in this promising time of reform.Introducing Nursesto Careers in MidwiferyThis year we launched a new project intendedto introduce more RNs to careers in midwiferyand provide medical facilities with muchneeded staff training to reduce preterm laborand birth. With an educational grant fromHologic, Inc., the Foundation developed aseries of ten training sessions for RNs tolearn intrapartum sterile speculum exam andspecimen collection. Each in-person sessionis led by clinically expert certified nursemidwivesand certified midwives, therebyexposing participants to the profession ofmidwifery. The initial training sessions havebeen well received and many institutionsaround the country are interested in hostingfuture sessions.Improving Maternal Health in Developing CountriesFoundation funds supported the fourthedition of the Life-Saving Skills (LSS)Manual for Midwives—a comprehensivemanual designed to help reduce maternalmortality, especially in developingcountries. The LSS manual and trainingprogram encourage an expanded role formidwives in recognizing and responding tolife-threatening emergencies.First developed in 1990, LSS has beenused by nongovernment and governmentorganizations in Africa, Asia, the Americas,and the Caribbean (read more on page 9).For more information about the A.C.N.M.Foundation’s 2008 accomplishments, please seeour online report supplement atwww.midwife.org/annualreport2008.cfm.(continued on page 13)

ACNM Foundation (cont’d)BOARD OF TRUSTEESCarolyn L. Gegor, CNM, MS,FACNM, PresidentDiana Jolles, CNM, MSN,Vice PresidentNancy Jo Reedy, CNM, MPH,FACNM, SecretaryEllen Martin, CNM, MS, FACNM,TreasurerBarbara Hughes, CNM, MS, MBA,FACNMMarsha Jackson, CNM, MSN,FACNMJan Kriebs, CNM, MSN, FACNMElaine Moore, CNM, MSNRoberta Poirier, CNM, MS,FACNMJo-Anna Rorie, CNM, MSN, MPH,FACNMKay Sedler, CNM, MN, FACNMChristopher ShieldsFrances T. Thacher, CNM, MS,FACNMLisa Veach, CNM, MSNEunice K.M. Ernst, CNM, MPH,DSc (Hon), FACNM, ex-officioMelissa D. Avery, CNM, PhD,FACNM, FAAN, ex-officioFOUNDATION STAFFSusan Berkun, DirectorLisa Paine, CNM, DrPH, FACNM,Development ConsultantAWARDS FOR 2008LeadershipACNM Leadership SeminarsAmerican College ofNurse-MidwivesACNM Annual MeetingEducation Session SponsorshipsAmy Romano, CNM, MSN, andMayri Sagady Leslie, CNM,MSN, “An Interactive, Evidence-based Birth PlanningTool on the Web”Jean Watson-Driscoll, PhD,“Post-partum Mood Disorder”Ruth Johnson, CNM, MSN, CS,MPA, & Ruta Nonacs, MD, PhD“Anti-depressant MedicationDuring Pregnancy and Lactation:The Leading Edges”Excellence in Teaching Awards23 Midwifery Program FacultynationwideResearchFellowship for Graduate EducationDebra Erickson-Owens, CNM,PhD (c)W. Newton Long AwardBlue Bradley, CNM“Highlighting Best Practices inMidwifery Care: BenchmarkingProject Publication”Lisa Kane Low, CNM, PhD,FACNM, and Kerri Schuiling,CNM, PhD, FACNMEducationVarney Participant AwardsJana Sund, SNMErin Langenkamp, SNMBasic MidwiferyEducation ScholarshipsEdith B. Wonnell, CNM ScholarshipJenifer Ann Poell, SNMA.C.N.M. Foundation, Inc. MemorialScholarshipLisa Lauren Gowan, SNMMargaret Edmundson ScholarshipRobyn Brancato, SNMTUMS Calcium For Life Scholarshippresented by GlaxoSmithKlineKatherine Bussard, SNMMidwives of Color-WatsonScholarshipAna Luisa Ralston, SNMKerry-Ann DaCosta, SNMRani Shankar, SNMRecognitionThe Dorothea M. Lang Pioneer AwardElizabeth “Beth” Cooper, CNM,EdD, FACNMJoan Slager, CNM, MSN, DNP,FACNM22nd Annual Therese Dondero LecturerPaul B. Batalden, MD, “CreatingChange in Health Care”The A.C.N.M. FoundationStaff Appreciation AwardRebecca Jacob, CommunicationsManagerPublic Policy:Deanne R. Williams Public PolicyFellowshipLisa Summers, CNM, DrPH,FACNMSpecial Initiatives:Public Education ProjectAmerican College ofNurse-MidwivesAnnual Meeting Live Learning CenterTo allow ACNM members to obtainCEUs beyond the Annual MeetingAmerican College ofNurse-MidwivesFaculty Training Program for TeachingIntrapartum Sterile SpeculumExamination for Registered NursesLisa Paine, CNM, DrPH,FACNM, ACNMF, Co-DirectorElaine Germano, CNM, DrPH,FACNM, ACNM, Co-DirectorMAJOR DONORS IN 2008Corporations and FoundationsHologic, IncMarch of DimesHarold K. Raisler FoundationRubena Flores AssociatesThe Hutchinson Dyer GroupThe John & Frank SparacioCharitable FoundationVarney’s, Inc.In-Kind DonationsLynne FoyHugh Thacher, SFWEDe Gwyn GemsGraphiis Illustration/DesignT.S. Deacon Economos& AssociatesDonations over $1000Ann Keating, CNMKatherine L. Dawley, CNMYoko Nagato, CNMElaine Moore, CNMJoyce Thompson, CNM, Dr.PH,FACNMMary Breckinridge DonorsAnonymousLeah L. Albers, CNMRoyda Ballard, CNMMary Barger, CNMMary M. Barnett, CNMRebecca Barroso, CNMDeborah M. Bash, CNMSharon Bond, CNMHelen V. Burst, CNMKatherine C. Carr, CNMLeslie Cragin, CNMEllen Craig, CNMCandace Curlee, CNMKatherine L. Dawley, CNMCarolyn L. Gegor, CNMBarbara Graves, CNMLaraine Guyette, CNMKate Harrod, CNMBarbara Hughes, CNMAnn Keating, CNMHolly P. Kennedy, CNMJoyce L. King, CNMJan M. Kriebs, CNMM & D Care Inc.Ellen Martin, CNMJudith Mercer, CNMElaine Moore, CNMLinda Nanni, CNMYoko Nagato, CNMBarbara A. Petersen, CNMRoberta R. Poirier, CNMNancy Jo Reedy, CNMJoyce Roberts, CNMJo-Anna Rorie, CNMKay Sedler, CNMSuzanne M. Smith, CNMPamela K. Spry, CNMLetitia Sullivan, CNMTanya Tanner, CNMJoyce Thompson, CNMLisa Veach, CNMHeidi A. Von Nieda, CNMCatherine Walker, CNMBequests52 Charter Members of the MidwiferyLegacy Circle14 American College of Nurse-Midwives Annual Report 2008

ACNM Staff, Divisions,Committees, and LiaisonsLiaisonsACNM National Office StaffExecutive OfficeExecutive Director: Lorrie Kline KaplanExecutive Assistant/Office Manager:Kathleen PrzybylskiSenior Staff Researcher: Kerri Schuiling, CNM,WHNP, PhD, FACNMAssociate Director of Meetings and IndustryRelations: Sharon Kirksey-Walcott, CMPMeetings Manager: Andrea WatkinsInformation Technology Manager:Fausto MirandaDepartment of MembershipDirector of Membership: George HamiltonMembership Coordinator: Meaghan AirelMembership Assistant: Erika HernandezDepartment of ProfessionalPractice and Health PolicySenior Technical Advisor:Leslie Ludka, CNM, MSNProfessional Services Consultant:Mairi Breen Rothman, CNM, MSNProgram Coordinator: Monica GreenfieldDepartment of Finance & AdministrationDirector of Finance: Meredith Graham, MBAStaff Accountant: Kim BarnesFinancial Specialist/Program Coordinator:Diane TateDepartment of CommunicationsCommunications Manager: Yolanda J. LandonOnline Communications Manager: Eleni HailuWriter and Editor: Melissa GarveyMelissa Avery, CNM, PhD, FACNM, FAANEmalie Gibbons Baker, CNMMary Barger, CNM, MPH, FACNMGeorgia Blair, CNMGinger Breedlove, CNM, ARNP, PhD, FACNMMarilyn Brooks, CNMDiane Boyer, CNM, FACNMMary Brucker, CNM, PhD, FACNMMarilyn Pierce Bulger, CNM, FNP, MNBarbara Camune, CNM, DrPH, FACNMDepartment of Government RelationsDirector of Government Relations:Joanna King, Esq.Federal Lobbyist: Patrick CooneyEducation Projects Manager: Elaine Germano,CNM, DrPH, FACNMContinuing Education Coordinator:Melinda BushJournal of Midwifery & Women’s HealthEditor-in-chief: Francie Likis, CNM, DrPH, NPDeputy Editors: Patty Aikins Murphy, CNM,DrPH, FACNM, Tekoa King, CNM, MPH,FACNMManaging Editor: Stephanie BergwallDepartment of Global OutreachDirector of Global Outreach: Anne AtkinsonHyre, CNM, MSN, MPHSenior Technical Advisors: Annie Clark,CNM, MPH, Diana Beck, CNM, MS,Holly Blanchard, CNM, MSNProgram Manager: Duncan MugukuAccreditation Commissionfor Midwifery EducationEducation Administrative Assistant: Jo Ann BurkeChair: Mary Brucker, CNM, PhD, FACNMCommissioners: Carol Gisselquist, MA,Laraine Guyette, CNM, PhD, FACNM,Heather Reynolds, CNM, MSN, FACNM,Susan E. Stone, CNM, DNSc, FACNM,Sally Tom, CNM, EDM, FACNM, DawnDurain, CNM, MPHKatherine Camacho Carr, CNM, PhD, FACNMTerri Clark, CNM, PhD, FACNMMary Curran, CNMSarah Coulter Danner, CNMJanet Engstrom, CNM, PhD, FACNMEunice K.M. Ernst, CNM, MPH, DSc(Hon), FACNMBarbara Fildes, CNM, MS, FACNMCathy Collins-Fulea, CNM, MSN, FACNMElaine Germano, CNM, DrPH, FACNMMeredith Goff, CNM(continued on page 16)

ACNM Staff, Divisions, Committees, and Liasons (cont’d)Divisions and CommitteesDivision of EducationChair: Barbara Camune, CNM, DrPH, FACNMSection Chairs: Joyce Brewer, CNM, MSN,PhD, Julia Lange Kessler, CM, Valerie A.Roe, CNM, FACNM, Karen Schelling, CNMDivision of ResearchChair: Amy Levi, CNM, PhD, FACNMSection Chairs: Terri Clark, CNM, PhD,FACNM, Cara Krulewitch, CNM, PhD,FACNM, Lisa Hanson, CNM, PhD, FACNM,Katharine O’Dell, CNMDivision of Standards and PracticeChair: Lisa Kane Low, CNM, PhD, FACNMSection Chairs: Laurie Jurkiewicz, CNM,William F. McCool, CNM, FACNM,Joan Slager, CNM, DNP, CPC, FACNM,Saraswathi Vedam, CNM, MSN, RM,Ann Weathersby, CNMAll Hazards Preparedness CommitteeChair: Robbie Prepas, CNM, JDArchives CommitteeChairs: Kathleen E. Powderly, CNM, LisaVeach, CNM, MN, FACNMBylaws CommitteeChair: Jan Kriebs, CNM, FACNMEthics CommitteeChair: Elizabeth Sharp, CNM, DrPH, FACNMGovernment Affairs CommitteeChair: Heather Bradford, CNM, ARNPLiaisons (cont’d)Mary K. Guidera, CNMCarol Hayes, CNMBarbara Hackley, CNM, MSNKatie Huffling, CNMBarbara Hughes, CNM, MS, FACNMAnne Hyre, CNM, MSN, MPHLaurie Jurkiewicz, CNMTina Johnson, CNM, MSRima Jolivet, CNMInternational Health CommitteeChair: Barbara Anderson, CNM, DrPH,FACNMMidwives of Color CommitteeChair: Bridget Howard, CNMNominating CommitteeChair: Suzan Ulrich, CNM, DrPH, FACNMMidwives Political Action CommitteeChair: Katy Dawley, CNM, PhD, FACNMProgram CommitteeChair: Kate Fouquier, CNMStudent CommitteeChair: Angela Wilson-Liverman, CNMUniformed Services CommitteeChair: Kathryn Tate, CNMAward WinnersACNM AwardsHattie Hemschemeyer Award: Joyce E.Roberts, CNM, PhD, FAAN, FACNMKitty Ernst Award:Diana Caplan Jolles, CNM, MSRegional Awards for ExcellenceRegion I: Elizabeth “Biddy” Fein, CNM, MPH,RNC, FACCE-RRegion II: Rebecca Choitz, CNM, KateMcHugh, CNM, MSN, FACNM, andDenise Roy, CNMRegion III: Zerica Whittingham, CNMLorrie Kline KaplanJoanna King, EsqTekoa King, CNM, MPH, FACNMMary Ann Laffin, CNM, FACNMLeslie Ludka, CNM, MSNTeresa Marchese, CNM, PhD, FACNMMarion McCartney, CNM, FACNMRobbie Prepas, CNM, JDNancy Jo Reedy, CNM, MPH, FACNMJudith Rooks, CNM, MPH, FACNMRegion IV: Martha Cook Carter, CNMRegion V: Sue Ann Breems, CNMRegion VI: Connie Swentek, CNMACNM Best Book of the Year Award:Barbara Hackley, CNM, MSNJMWH AwardsBest Article of the Year Award: BarbaraHackley, CNM, MSN, Abigail Feinstein,CNM, MSN, and Jane Dixon, PhDMary Ann Shah New Author Award: FeliciaMancini, CNM, MSN, MPH, andco-authors Cristina Carlson, APRN, BC,and Leah Albers, CNM, DrPH, FACNM,FAANDivision of Research AwardsBest Research Forum Presentation: CathyEmeis, CNM, PhDBest Student Presentation of Research: KellyBurrell Roberts, CNM, and Allison Vitonis,SMBest Poster Presentations of Research: KathrynOsborne, CNM, MSN, Lisa Hanson, CNM,PhD, FACNM, Ruth Zielinski, CNM, LisaKane Low, CNM, PhD, FACNM, PatriciaAikins Murphy, CNM, DrPH, FACNM2008 ACNM FellowsTerri Clark, CNM, PhD, FACNM, BarbaraFildes, CNM, MS, FACNM, Cara Krulewitch,CNM, PhD, FACNM, Kate McHugh, CNM,MSN, FACNM, Valerie Roe, CNM, FACNM,Susan Stapleton, CNM, MS, FACNM, andSuzan Ulrich, CNM, DrPH, FACNMMairi Breen Rothman, CNM, MSNJoan Slager, CNM, DNP, CPC, FACNMJoyce Thompson, CNM, DrPH, FACNMJackie Tillett, CNM, ND, FACNMSaraswathi Vedam, CNM, MSN, RMDonna Vivio, CNM, MS, MPH, FACNMCecilia Wachdorf, CNMColleen Conway-Welch, CNMJan Weingrad, CNMJulie Womack, CNM16 American College of Nurse-Midwives Annual Report 2008