Ina May Gaskin
Ina May Gaskin, MA, CPM, PhD(Hon.) is founder and director of the Farm Midwifery Center, located near Summertown, Tennessee. Founded in 1971, by 2011, the Farm Midwifery Center had handled approximately 3000 births, with remarkably good outcomes. Ms. Gaskin herself has attended more than 1200 births. She is author of Spiritual Midwifery , now in its fourth edition. For twenty-two years she publishedBirth Gazette , a quarterly covering health care, childbirth and midwifery issues. Ina May’s Guide to Childbirthwas released in 2003 by Bantam/Dell, a division of Random House and has been translated into Italian, Slovenian, German, and French. Ina May's Guide to Breastfeeding was published in 2009 by Bantam/Dell, and her newest book, Birth Matters: A Midwife's Manifesta , was published in 2011.
She has lectured all over the world at midwifery conferences and at medical schools, both to students and to faculty. She was President of Midwives' Alliance of North America from 1996 to 2002. In 1997, she received the ASPO/Lamaze Irwin Chabon Award and the Tennessee Perinatal Association Recognition Award. In 2003 she was chosen as Visiting Fellow of Morse College, Yale University. In 2009, she was conferredw with the title of Honorary Doctor by the Faculty of Health and Human Sciences of Thames Valley University in London, England. In 2011, she was chosen as one of four recipients of the Right Livelihood Award (also known as the Alternative Nobel Prize), given in an award ceremony before the Swedish Parliament in Stockholm.
Ms. Gaskin has lectured widely to midwives and physicians throughout the world. Her promotion of a low-intervention but extremely effective method for dealing with one of the most-feared birth complications, shoulder dystocia, has resulted in that method being adopted by a growing number of practitioners. The Gaskin maneuver is the first obstetrical procedure to be named for a midwife. Her statistics for breech deliveries and her teaching video on the subject have helped to spark a reappraisal of the policy of automatically performing cesarean section for all breech babies. As the occurrence of vaginal breech births has declined over the last 40 years, the knowledge and skill required for such births have come close to extinction.
Ms. Gaskin’s center is noted for its low rates of intervention, morbidity and mortality despite the inclusion of many vaginally delivered breeches, twin and grand multiparas. Their statistics were published in “The Safety of Home Birth: The Farm Study,” authored by A. Mark Durand, American Journal of Public Health , March, 1992, Vol. 82, 450-452. She was featured in Salon magazine’s feature “Brilliant Careers ” in the June 1, 1999 edition. The Sun magazine published an interview with her in its January 2012 issue.
Ina May will be presenting the following talks at the 2013 conference:
This session will review the types of breech presentations and incidence, risk factors for breech presentations, complications associated with breech presenations, and principles of breech management.
Sphincter Law and Its Implications for Birth in the 21st Century
Following this session participants will be able to list some of the basic properties of sphincters, be able to explain why reversal of cervical dilatation has not been widely documented in medical literature of the 20th and 21st centuries, although it was during the 19th century and earlier, explain why laughter, coughing and vomiting may aid the opening of sphincters, and describe ideal settings to maximize chances for normal physiological birth to take place.
Surviving Shoulder Dystocia
This session will enable participants list 3 factors that may lead to shoulder dystocia, explain why the lithotomy position may cause or exaggerate the degree of shoulder dystocia, and be able to explain the steps of freeing a severely stuck baby.
The objectives of this talk are for participates to be able to explain why epidurals may contribute to higher rates of occiput posterior presentations at birth, list 3 strategies for prevention of occiput posterior presentations in late pregnancy, and list 3 strategies for reducing labor pain in cases of occiput posterior presentation.
Dealing with Long, Difficult Births: How to Avoid Burnout
This session will provide you with tips and techniques on how to navigate a lengthy and / or difficult birth, including: keeping your feelings to yourself, remaining calm, self-reflection, consulting with colleagues, debriefing the client, recognizing the healing process, and getting professional help for yourself.
Working with Mothers Who Fear Birth
In this presenation Ina May will review:
- Why pathological fear of birth has increased over the last four decades including: the effect of higher cesarean rates, effect of higher induction rates, media portrayal of birth, and time limits on labor
- Antidotes to fear: need to teach that sharing birth horror stories is bad manners, need for women who had horrific births to relate their stories in a therapy situation, good pregnancy preparation, good videos to share
- Need for doulas for every woman giving birth in place where midwives cannot provide one-on-one care
- Need for survivors of sexual abuse or PTSD from previous birth to get special counseling