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Women Centered Care Initiative (WCCI)

A Reproductive Advocacy Organization

Jennifer Summerfeldt

on 14 November 2013

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Transcript of Women Centered Care Initiative (WCCI)

Women Centered Care Initiative (WCCI)
A national organization which advocates for *women's reproductive rights and dignity, and gives a credible voice to midwives, doula's and traditional birth attendants.
Women Centered Care Initiative (WCCI)
A Reproductive Advocacy Organization

What if we continue to neglect to respond?
An increased number of midwives will lose stamina and continue to experience burnout due to imposed barriers
Job dissatisfaction due to pressures to conform and appease medical institution
Continued number of Midwives, aligned with core midwifery model of care, will be faced with registration challenges decreasing the number of practicing midwives
A potential rise in the number of unregistered, unrepresented, birth attendants who risk legal ramifications due to barriers in place for education and registration process
Will continue to be unable to meet increasing public demand
Potential Challenges
Brief Overview of The Current Situation
The rights of women and their holistic care providers are being neglected and violated. There are limited and ineffectual avenues for recourse or opportunities for healing which leave many women unheard, disempowered, and traumatized.
These experiences, when left unresolved, can lead to increased rates of mental illness, postpartum depression, and post traumatic stress disorder, which impact the overall wellness of family and community health.
There are limited ways to hold the predominate medical establishment accountable or question modern practices and procedures. Today's advancements in science and information sharing offer insight into an efficient and effective women centered model of care, which supports the dignity and hormonal health of women and the overall well-being of care providers. WCCI will offer advocacy and training in this model for families and holistic care providers.
The Women Friendly Initiative
The creation, implementation, & delivery of the 'Women Friendly Initiative' (WFI) is one of our key projects. WCCI is basing the idea on the 'Baby Friendly Initiative' (BFI), launched in 1991 by the World Health Organization (WHO), to improve maternity services that protect, promote, and support breastfeeding. Within Canada, as of 2008, 18 health care facilities (9 hospitals & birthing centres and 9 community health services) had been designated "Baby-Friendly" across the country(WHO, 2011). It is our goal that the WFI will influence accountability standards with changes in protocols and procedures that harm, traumatize, humiliate or infringe upon reproductive and maternity health rights. Using an angle that is inclusive and complimentary to what advancements have already been made within the field of Medicine, it is our hope that medical establishments will be proud to become an accredited "Women Friendly Establishment". This would increase the public trust factor and potentially decrease conflicts between medical staff and client. To simply state, we are building and implementing an accreditation process and standards for 'women friendly establishments'
How will this be accomplished?
WCCI has three primary branches of focus:
1) Holistic Care Provider (HCP) membership based advocacy services
2) Women's reproductive funded advocacy and healing services
3) Women Friendly Initiative both funded and membership
The Women Centered Care Initiative will envision, initiate, facilitate, and implement policy changes by supporting women's and Holistic Care Providers' needs for dignity, respect, and integral treatment and care. Our services will contribute to the healing of physical, mental, and emotional health fostering healthy families, communities, and future generations.
1) Holistic Care Providers (HCP) who are aligned with the 'midwifery model of care'. Referring to midwives, doulas, or traditional birth attendants who are the primary supporters of informed choice and women centered care. They support the hormonal health and dignity of childbearing women.
Important Distinctions
2)Women in their childbearing years, who have experienced any mistreatment, violation, disrespect or infringement of rights through inappropriate treatment, care, or procedures during their childbearing years.
Services Provided for Women
Fielding complaints
Generating options
Campaigning about reproductive rights
Funded counseling services
Group Healing Circles
Workshops & Training
Open sourced blog forum
Research data base & library
Initiation and implementation of the Women Friendly Initiative, a program to influence policy and practice within medical establishments
Many women do not know that they experienced trauma or an infringement of rights
There is a need to create public awareness about the link between PTSD and Postpartum depression, anger, psychosis, lack of bonding & attachment, lack of enthusiasm to mother, overwhelm, or emotional shut due to poor maternity experiences
Need to shift public mentality about what 'normal birth' is and what it is not, and the overarching impact on their well-being
A big challenge is to not be discarded and discredited as another 'birth activist organization telling the medical community that they are wrong'.
A large undertaking with many dimensions of work
A need for cross Canada research and networking
Potential backlash from medical community and establishment who feel threatened that their care and services are being scrutinized and disrespected
Potential backlash from midwifery community seeing it as a threat
to their professional advancements
A need for funding to support all dimensions of services
Success will Bring
Sustainable practices and services which promote the health and wellness of women and mothers
Empowered and healthy Care Givers
A collective voice raising awareness about the overarching effects of inappropriate treatment and care
Decreased cases of postpartum depression & PTSD
Increased access to community resources and support
Increased well-being within families
Access to women centered health care
Cooperation with medical establishments to influence change
Better understanding about informed consent
Employment contracts that protect the integrity of the midwifery model of care
Positive and supportive avenues for care givers to voice complaints, receive support, and build effective practices
Equalized distribution of power amongst professional care providers
Funded doula services & training programs for vulnerable populations

Desired Results for Holistic Care Providers
Meaningful avenues for conflict resolution
Core midwifery values protected
Access to legal representation
Access to counseling services
Harmonize certification standards across Canada
Security of tenure
What would the impact be for Holistic Care Providers?
Current research supports the need for a 'women centered initiative' which can and will:

Increase attachment & bonding between mother and baby (Dr. M. Odent)
Decrease violent & addictive behaviors (Dr. G. Mate)
Decrease PPD & PTSD due to birth trauma or gynecological violations (Dr. P. Levine)
Increase self esteem & confidence (Dr. Odent)
Contribute to the healing of abuse or trauma cycles (G. Mate)
Support intact hormonal responses that increase love bonding, connection, and commitment to mothering (Dr. S. Buckley)
Protect the primal years which imprint the overall health of individual (Dr. M. Odent)
Increase empowerment through voicing violations
and in return, hold care givers accountable
What we already know
Examples of Reproductive Violations:
Non informed consent, coerced into saying 'yes'
Forced procedures after asking care provider to stop
Made to feel inadequate, stupid, shameful, or incapable
Dismissed by care giver
Lack of respect and regard for knowledge and desires,
Humiliating positions which neglect dignity
Lack of access to fulsome maternity information and services
Unnecessary painful gynecological examinations or procedures
HCP Membership Branch
Midwifery annual fee of $500 or $50/month, based on fee structure for professional association and colleges.
Doula/TBA annual fee of $350 or $35/month due to substantially less income levels
Public fee for those who want to support the initiative $250 or $25/month
Women's Branch
Needs assessment and intake
Access to counseling and healing services when needed
Training offered at NFP rates
Public awareness campaigns
Healing circles
Funded holistic birthing classes
Support in filing a complaint against care giver
Some Necessary Steps to Initiate WCCI
Secure funding
Develop and secure key co-workers
Develop marketing campaign, branding, web presence
Be able to receive incoming memberships
Focus on advocacy services for each branch
Create a system to respond to incoming calls and letters
Store women's stories of breached rights in research data bank
Begin to collect the testimonials of Holistic Care Providers who have been witness to violating protocols or procedures that were endured by their clients and store in data bank
Continue global market research
Connect with global advocacy organizations & key industry professionals to build solid relationships cross Canada and internationally
Create outline and greater vision for the Women Friendly Initiative
Campaign to assist in shifting public perspective about natural birth to that of a need for love, bonding, hormonal and mental health for the overall well-being of woman, mother, baby, family, and community.
Financial Overview
Describe the next steps
Finalize business plan and structure
Secure funding via different sources
Funding campaign for donations
Meetings with different sources of support
Formalize job description and secure foundational employees
Develop board of directors
Meet with referred lawyer
Meet with midwives and doulas
Meet with psychologists, counselors, social workers
Marketing campaign to raise public awareness about services offered
Volunteer representatives - discuss this option similar to victim services
Develop a clear marketing message
Brand and logo development
Web presence
Canada wide networking campaign
Development of the 'Women Friendly Initiative'
Thousands of citizens voices will go unheard
Protocol & procedures left unquestioned
Lack of accountability within current medical establishments
Increased numbers of PPD, addiction, & mental illness
A lack in Women centered and inclusive care
An important need will have been left unaddressed
Infringements will continue to occur without response or support.
Brief List of Resources
Dr. Michel Odent - Primal Research Data Bank
Dr. Sarah H. Buckley - OBGYN Australia
Dr. Gabor Mate - Addiction and Primal Bonding
Midwifery Today - Global Midwifery Journal
DONA & CAPPA - Doula Certification
MANA - Midwifery of North America
Dr. Vimy - Primal & Perinatal Psychology
Dr. Joseph - Trauma Recovery and PTSD
CAM- Canadian Association of Midwives
Debora Pascali - Global Birth Advocate
Ina May Gaskin - National Birth Awareness and Author
Robbie Davis Floyd - Midwifery & Birth Anthropologist
Profit/Loss Projection
Reproductive and Maternity health rights
Traumas encountered within the predominant medical paradigm
A 'Women Friendly Initiative' which protects the reproductive and maternity health rights and dignity of all women
The impact of breached rights on the mental and emotional health of women and their care providers
Legal and bureaucratic barriers which affect a caregiver's ability to practice in alignment with the 'midwifery model of care'
How to access local and national resources that inform and empower women
Examples of violations for HCP:
Exclusive and rapidly changing certification standards
Limited access to recognized programs of study
Offering informed consent leaves professional registrations and livelihoods at risk
Having hospital privileges revoked with no qualifying reason
Midwives being reprimanded or punished from medical establishment for practicing in alignment with the midwifery model of care
Professional Associations which do not advocate for or protect the rights of their own members
Witnessing violating and violent treatment of clients with no option for recourse without fear of reprisal
Disregard for experience, program of study and professional ability
Shunning and shaming by medical professionals
‘A woman’s relationship with her [care] providers is vitally important. Not only are these encounters the vehicle for essential lifesaving health services, but women’s experiences with caregivers can empower and comfort or inflict lasting damage and emotional trauma.’ White Ribbon Alliance, Respectful Maternity Care, 2011
Women’s Rights:
1. Every woman has the right to receive care in childbirth from an autonomous and competent midwife
2. Every newborn baby has the right to a healthy and well informed mother
3. Every woman has a right to be respected as a person of value and worth
4. Every woman has a right to security of her body
5. Every women has a right to be free from any form of discrimination
6. Every woman has a right to up-to-date health information
7. Every woman has a right to participate actively in decisions about her health care and to offer informed consent
8. Every woman has a right to privacy
9. Every woman has a right to choose the place where she gives birth

Midwives’ Rights:
1. Every midwife has the right to a midwifery-specific education that will enable her to develop and maintain competency as a midwife
2. Every midwife has the right to practice on her own responsibility and scope of practice of a midwife
3. Every midwife has the right to be recognized, respected and supported as a health professional by public and other medical professionals
4. Midwives have the right to access a strong midwifery association that can contribute to midwifery and maternity policy and services at a national level

Women’s and Midwives’ Rights:
1. Midwives and women have the right to a system of regulation that will ensure a safe, competent and autonomous midwifery workforce for women and their babies.
2. Midwives and women have the right to national midwifery workforce planning to ensure sufficient midwives to meet the needs of women and babies
3. Women and midwives have the right to be respected by governments and government institutions for health and education
4. The midwifery profession has the right to be recognized as a separate and distinct profession
According to the International Midwives Organization ICM,
there should be recognition of the following as basic human rights for women and midwives across the globe; namely that:
WCCI will increase public awareness about:
Presented by:
Jennifer Summerfeldt

Services Provided for Holistic Care Provider
Fielding complaints
Generating options
Member advocacy
Networking opportunities
Legal guidance and representation
Campaigning & lobbying
Mediation and conciliation within a restorative model
Challenging professional standards and protocols
Counseling services
Professional Development
Open sourced blog forum
Research data base and library
To respect each others prof standards and skills and abilities and be able to work in harmony alongside each other within the medical establishments

WCCI Serves Two Distinct Groups
The term women refers to anybody who has female reproductive organs and genitalia. We are an inclusive organization that also supports transgendered people who may identify as male, however, still have female sexual organs intact.
The 'Midwifery Model of Care' is a term used to differentiate between the medical model of care. One of the main key points to note is the active practice of informed consent and viewing the mother/family as authority over body and baby.
"The midwifery model establishes the pregnant woman as an active partner in her own care and recognizes her as the primary actor and decision-maker. A major part of the midwife’s role is providing the information and support the woman needs to make her own decisions. A midwife helps the woman identify problems and gives her information, options, and the authority to make her own choices."
Judith Rooks , Our Bodies, Our Selves
As a social advocacy organization we aim to:
Question the way policy is administered
Participate in the agenda setting as significant issues arise
Be inclusive and engaging
Propose policy solutions
Open up space for public dispute
Provide campaigns that promote women centered model of care
Span nationally to create relationships with provincial representatives who can provide necessary services for support

Potential for global recognition and implementation of a large movement for change by introducing WFI
Increased awareness and access to women centered services within a socially responsible organization
Contribution to the health and wellness of women, mothers, families, and communities
To build a local and national community supporting & strengthening a collective voice and vision for women centered care and informed consent
To collectively influence change through a collaborative, progressive, and restorative process
Assisting and serving thousands of women by helping them be heard and find healing
To support Midwives so they can maintain alignment with their core values
Three possibilities 1) fully funded services from grant and donation funds, 2) Tiered membership 3) Combination of both in which the public will receive:
Desired Results for Women
Meaningful avenues to resolve trauma and conflict with care givers
Women's dignity protected
Access to counseling services
Access to alternative healing services
Access to training and courses
Greater understanding about rights and needs
Being heard and understood
To become aware of, and be supported to speak about, harm encountered. To trust that a course of action will be taken in attempts to reduce future violating and disrespectful procedures and protocols.
Have a written breastfeeding policy that is routinely communicated to all health care staff.
Train all health care staff in skills necessary to implement this policy.
Inform all pregnant women about the benefits and management of breastfeeding.
Help mothers initiate breastfeeding within one half-hour of birth.
Show mothers how to breastfeed and maintain lactation, even if they should be separated from their infants.
Give newborn infants no food or drink other than breastmilk, not even sips of water, unless medically indicated.
Practice rooming in - that is, allow mothers and infants to remain together 24 hours a day.
Encourage breastfeeding on demand.
Give no artificial pacifiers to breastfeeding infants.
Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.
The Criteria for
a Hospital's Baby Friendly Accreditation Include:
Full transcript