Public Sign-On Letter Against ACNM's Anti-Trans Actions

*Midwives, if you haven't already signed on to this letter, please visit the google doc here to do so. Once you've signed the letter it's no longer visible, so I'm publishing it here for accessibility. The letter writers and original signers are included below, and the letter with public signatures will be updated here.*As ACNM members, we submit this letter to raise our concerns about the ACNM Board of Directors’ (BOD) recent actions in making decisions about access to care for transgender and gender non-conforming (TGNC) people in closed session and without any mechanism for transparency or accountability. We submit this letter on Transgender Day of Remembrance in the spirit of honoring the lives of those we have lost to transphobia, and fighting for the rights of those who continue to survive. We are publishing this letter publicly so that midwives and midwifery students can sign on in solidarity. We are alarmed to learn that at their October 2018 Board meeting, the newly-elected BOD 1) failed to approve proposed revisions to the ACNM Position Statement on care of TGNC people, and 2) failed to uphold the March 2018 decision of the previous BOD, which had confirmed that the midwifery core competencies as they currently stand already include gender affirming hormone therapy for TGNC people. Instead, the BOD rejected the Position Statement, stating that “neither hormone therapy or care of natal men [sic] is a core competency.” These actions were motivated by concerns regarding midwifery care of transgender women and non-binary people assigned male at birth (referenced by the BOD as “natal men”), and are in direct opposition to the recommendations of the Gender Equity Task Force (GETF) Chair and the Core Competencies Committee Chair. No midwives who identify as TGNC or who provide care to TGNC communities participated in the closed discussions related to these motions.Frustratingly, the BOD is able to withhold the detailed minutes of their discussion per protocol that only open session minutes are released publicly. The BOD included only very vague information on this discussion in the open session minutes. This is particularly concerning given that these BOD decisions have significant implications for work currently underway by the GETF and a number of ACNM committees. In reviewing the available open session notes, it is notable that the only topics from open session that were moved to closed session were related to midwifery care of TGNC people.With this letter, we intend to alert the BOD and ACNM’s membership of:

1. 1. The presence of the many current and future midwives who stand in support of transgender, non-binary, gender-diverse and intersex people;

1. 1. The importance of midwifery care for these communities;

1. 1. The ethical implications of the BOD’s lack of transparency; and

1. The practice implications of these decisions on us all.

The BOD’s actions are very concerning in that they create an impression that gender affirming hormone therapy - widely recognized as straightforward and lifesaving care - is not appropriate for new-to-practice midwives. This creates a barrier to increasing the number of providers equipped to provide this care, a development that is very problematic given the significant and well-documented health disparities experienced by TGNC communities. It is important to remember that midwives - including new midwives - are well versed in many forms of hormone therapy (such as for contraception and for management of menopausal symptoms), and that these other therapies are uncontested in their inclusion in the core competencies. Therefore, the BOD’s exclusion of  only gender affirming hormone therapy specifically and unethically targets TGNC people.While we cannot presume to know the exact intent of BOD members participating in these decisions, the impact is clear. These decisions are transphobic; they send a message that the current BOD does not view transgender women as “real women” simply because some transgender women have a penis; otherwise they would be deemed inherently appropriate for midwifery care under the ACNM vision of “a midwife for every woman.” Importantly, midwives are able to care for people with penises when it comes to circumcision, as part of expanded midwifery practice. Thus, these motions are clearly not an issue of scope, but of what ACNM leadership finds uncomfortable politically or personally. The BOD did not specifically state concerns regarding midwifery care of transgender men and non-binary people assigned female at birth. In more neutral circumstances this could be perceived as reassuring or benign. However, in the context of the BOD’s actions it raises concern that the BOD perceives transgender men as “women” regardless of their gender identity, simply because some of these individuals may have breasts, ovaries, a uterus, and a vagina. This negates the true selves and humanity of these individuals, and tarnishes the value of midwifery care by filtering care provision through a lens of transphobia. Biological determinism, the act of reducing a person’s identity to their body parts, is inhumane, abhorrent, and unconscionable. This is the first time the BOD has attempted to make any distinctions between TGNC individuals based on anatomy. Previous BODs have intentionally described TGNC care inclusively, recognizing that gender is a spectrum and that anatomical distinctions reinforce biological determinism. Our peers in allied professions which have historically defined their scope of practice as “care of women” (Obstetricians/Gynecologists and Women’s Health Nurse Practitioners) have long affirmed that care of all TGNC people - including transgender women - is important and within their scope. Our own prior BOD did the same in March of this year. Yet the current BOD has decided to change course entirely, in a move that favors biological determinism and is particularly foreboding given the current political climate.Within the past month, the Department of Health and Human Services released a memo stating that it is planning to require that gender be identified as a biological condition determined by genitalia at birth. Immediately, over 2,600 experts in the field, including both scientists and care providers, published a response, stating that to define someone by genitalia is “not only fundamentally inconsistent with science, but also with ethical practices, human rights, and basic dignity.” Why are we, as a profession, reversing our prior well-thought-out decisions and joining in a widespread assault on the rights, bodies, and health of transgender and non-binary people? Why have we sided with anti-science and transphobic positions by defining who midwives can take care of based on their genitals alone? This position places midwives in the inappropriate position of acting as “gender police” tasked with determining who is “woman enough” to receive midwifery care, and leaves the many midwives already providing sexual and reproductive healthcare to gender diverse patients in professional and licensure limbo. Given research that indicates people of color are more likely to identify as TGNC than their white counterparts, limiting access to care for TGNC people also serves to further the already significant health disparities experienced by communities of color. The truth is that midwives take care of people, not body parts, and that body parts are not inherently gendered. As midwives we pride ourselves on treating the whole person. We care holistically, we believe what people tell us, and we meet patients where they are. These BOD decisions are ethically in conflict with core midwifery values. Instead of providing guidance for clinicians, they require that we choose between practicing midwifery, and participating in a political decision by our professional organization that privileges bigotry and ignorance over the people harmed by that bigotry. They violate midwifery’s ethical obligations as care providers and reinforce the systemic oppressions already experienced by TGNC and intersex people. They use midwifery as a tool to amplify harm rather than increase equity. That is not acceptable. We will not stand by as this BOD makes decisions that dehumanize the patient populations we are honored to serve. We will not stand by as this BOD makes decisions that dehumanize our own midwife colleagues who are TGNC or intersex. We ask the BOD to do the following:

1. 1. Commit to holding all future discussion of this issue in open session;

1. 1. Reinstate the March 2018 decision that care of TGNC individuals and provision of gender affirming hormone affirmation therapy falls within entry midwifery care as outlined in the Core Competency document Section V.C.

1. 1. Approve the revised Position Statement and revised Core Competencies documents as submitted by the GETF to the BOD for the October 2018 meeting, without the addition of restrictions on the care of transgender women or the provision of gender affirming hormone therapy

1. 1. Charge the GETF and other relevant ACNM Volunteer Committees to work collaboratively to review and update the Midwifery Scope of Practice document to include care for TGNC individuals.

1. 1. Publicly acknowledge the damage that has been done by the BOD’s recent actions, and outline a plan for accountability in the future, including BOD and DOME additional training in gender diversity and impact on health disparities.

1. 1. Use respectful and inclusive language when referring to TGNC individuals and communities in all communications and public documents; guided by ACNM’s Issue Brief on “Use of Culturally-Appropriate Terminology for Gender-Diverse Populations

1. Charge the Ethics Committee to review public documents that have potentially political implications.

We, as individuals deeply committed to increasing healthcare access to TGNC populations, hope that you will join us as we continue to strive towards a more inclusive path for midwifery. These signatures below affirm and signify the gravity of the harm we feel these decisions have brought forth by excluding vulnerable individuals from midwifery care.We invite you to consider taking the following steps:

1. 1. Signing this letter in support of inclusion of midwifery care for all bodies;

1. 1. Sharing this letter with peers, friends, colleagues, and students;

1. 1. Educating people about affirming language and engaging in conversations in a way that supports all people;

1. 1. Sending a personalized letter to a regional representative or the BOD;

1. 1. Running for office, and/or intentionally supporting the leadership of TGNC midwives in regional and national leadership roles, so that we have a Volunteer structure that understands TGNC issues;

1. Sending a letter to your current midwifery Director or the Director at your Alma Mater, with copies to DOME, to advocate for the inclusion of this education in midwifery programs.

For midwives and midwifery students who are TGNC and LGBQ identified: The Queer and Transgender Midwives Association (QTMA) is dedicated to supporting and representing LGBTQIA2S+ midwives and student midwives as they train and grow as providers and people. QTMA provides educational opportunities, advocacy, community and tools for their members, all grounded in an intersectional ideology and framework. It envisions a world where all LGBTQIA2S+ midwives and student midwives have the resources and representation they need to thrive in practice and in their community. QTMA is fiscally sponsored by the birth justice organization, Elephant Circle. Interested folks can connect with QTMA on their Facebook page or by emailing QTmidwives@gmail.com. Sincerely,Stephanie Tillman (she/her), CNM, University of Illinois, Region IV - Chair, ACNM Gender Equity Task ForceSimon Adriane Ellis (they/them, he/him), CNM, Kaiser Permanente Washington, Region VII - Member, ACNM Gender Equity Task ForceNoelene K. Jeffers, (she/her), CNM, Region II, Member, ACNM Gender Equity Task ForceMargaret Haviland (she/her), CNM, WHNP-BC, Kernodle Clinic, Region III, Member - ACNM Gender Equity Task ForceSigney Olson (she/her), CNM, WHNP-BC, Columbia Fertility Associates, Region II - Member, ACNM Gender Equity Task Force Lily Dalke (she/her), CM, LM, Planned Parenthood NYC, Region I - Member, ACNM Gender Equity Task Force; Member, ACNM Core Competencies CommitteeNikole Gettings (she/her), CNM, Region III- Member, ACNM Gender Equity Task ForceAnne Gibeau (she/her/hers), CNM, PhD, Director of Midwifery - Midwifery Practice, Jacobi Medical Center, Region 1, New York State Association of Licensed Midwives - Downstate Region Representative; Member - ACNM Gender Equity Task ForceMáiri Breen Rothman (she/her), CNM, MSN, FACNM, Director, M.A.M.A.S., Inc., Region II; Member - ACNM Gender Equity Task ForceMeghan Eagen-Torkko (she/her), PhD, CNM, ARNP, University of Washington Bothell and Public Health Seattle-King County, Region VII — Member, ACNM Ethics CommitteeLee Roosevelt (she/her), PhD, MPH, CNM, University of Michigan, Region IVJenny Nelson, (she/her), CNM, Region IJennifer M. Demma (she/her) MSN, APRN-CNM, Family Tree Clinic, Region VRob Reed (they/them), CNM, ARNP, IBCLC, Swedish Medical Center, ACNM Region VII - WA ACNM Affiliate Vice PresidentSignatoriesCeleste Chavez (she/her), Tripler Army Medical Center, Hawaii Affiliate TreasurerTraci Gamet (she/her), Legacy healthWilla Campbell (she/her), Prime Healthcare, Region 1Esther Stein (she/her/they/them), SUNY Downstate, New YorkElizabeth Donnelly (she/her/hers), Kaiser DSA, Planned Parenthood NorCal, CNMA - Health Policy Vice ChairMary Mumford Haley (she/her), , CNM, East Bay Community Action ProgramOlivia Arakawa (she/her), Kaiser Permanente, WAKatie DePalma (she/her), CNM, George Washington University/Georgetown UniversityKathryn Jones-Stadler (she/her), APRN-CNM, Region IVMichelle Palmer (she), CNM, RI Home Birth, Home birth and birth center chairKaren Trister Grace (she/hers), CNM, MSN, Division of ResearchAmy Richane (she/her), CNM, Cooley Dickinson Womeb’s HealthRachel Horne (she/her), SNM, Frontier Nursing University, MarylandLaura Leatherman-Clark, (she/hers), CNM, FNPRuth Tatara (she/her), CNMCecilia Duran (she/her), CNM, Region ISarah Obermeyer (she/her), CNM, Eisner Health, Region VIIErin Dench (she/her), CNM, WHNP-BC, Georgetown University, Orlando Health, Region 3; Florida Affiliate SecretaryKristin Wiley (she/her), CNM, Women’s Health Associates, LLCKira Weier (she/her), CNM, Park Nicollet Clinic, Region VAmy Levi (she/her), CNM, University of New Mexico, Region VI - Chair, Midwives for Sexual and Reproductive Health and Abortion CaucusBree Herndon (she/her), DNP, CNM, ARNP, Multicare Covington Medical Center, Region VIIJane Bradley (she/hers), SNM, Vanderbilt UniversityMichelle Kaufman (she/her), CNM, Reading Birth Center - Tower Health Medical Center, Region 2Aleeza Wachs (she/her), SNM, University of PennsylvaniaSharyn Ginsberg (she/her), retired CNMKatie Isaacs (she/her), CNMRachel Ritter (she/her), CM, Region IJuniper Moon (they/them/she/her), Student Nurse Midwife, Seattle UniversityMorgan (she/her), SM, Birthwise Midwifery schoolAndrea Altomaro (she/her), CNM, Henry Ford Health SystemMarleigh Higgins (she/her), SNMSusan Barton (she/her), CNM, Case Western Reserve UniversityCarlye Atkinson (she/her/hers), CNM, Planned Parenthood of Northern New England, Region IElizabeth Gabzdyl (she/her), CNM, DNP, Seattle University and Neighborcare, Region VIIMichelle Burton (she/her), RN - labor and delivery, future CNM, Florida HospitalKristin Covey (she/her), SNM, University of Washington, WashingtonKaity Molé (she/her), CNM, Southern Maryland Women’s Healthcare, Maryland/DCAmanda Heffernan (she/her), CNM, El Rio Birth & Women’s Health Center, Region VIElin Shartar (she), CNMShannan Healy (she/her), SNM, Emory University, Region IIIJill Langan (she/her/hers), M.Ed., RN, Yale School of Nursing, Region ISarah E Brooks (they/them), RN, BSN, Family Planning Associates Medical Group of ChicagoLeonne Tanis (she/her), SNM, Yale Nursing School, Region IIsabella Knoth (she/hers), SNM, University of Texas, Region VIAna Delgado (she/her), CNM, UCSF and Zuckerberg San Francisco General Hospital, Region 7 - RPC Steering CommitteeJennifer Banda (she, her), CNM, Franciscan Medical Group, WAMegan (she), Student Nurse, Columbia UniversityMarkie Jayne Van Orman (she/her/hers), SNM/SWHNP, Georgetown University, Planned Parenthood League of MassachusettsCortney Holmes (she/her), CPM, future CNM, Birthingway College of Midwifery, taking prereqs toward nurse midwifery at Portland Community CollegeNikki Skrinak (she/her), CNM ,Region VISam (Miss), SM, McMasterKatherine Woodall (she/her), CNM, North Shore Birth Center, Beverly, MA, Region IAly Ringle (she/her), SNM, University of WashingtonMichelle Farber (she/her), CNM, ARNP, Northwest Hospital/University of WashingtonEllie Miller (she/her), SNM, SUNY Downstate, Region IPatricia Nast (she/her), CNMLucille (she/her), CNM, Planned Parenthood, Region 7Angela Wells (she, her, hers), CNM, Promedica, Region IV - PAC BoardKate Blumenthal (she/her), BSN, RNC OB, University of Pennsylvania Health SystemClaire Hamp (she/her), SNM, Case Western Reserve University, Region IVElisabeth Larson, (she/her), BS, University of Illinois at ChicagoAnnette Payot (she/her/hers), CNMSabr Lyon (they/them), consumer, patient - I’m furious, hurt, and afraid for my future births.Kairsten Thies (she/her/hers), CNMAbigail Reese (she/her), CNMSiobhan Whalen (she/her), SNM, SUNY DownstateCatherine Dezynski (she/her), DNP, CNM/WHNPMelodee Corne (she/her), CNM, Planned Parenthood of Indiana and Kentucky, Region IVMolly Bernish (she), CNMHolly Pranaat (she/her/hers), CNM, UR Midwifery Group, Region I - New YorkAdela Griswold (she/her), CNM, Virginia Department of Health, Region IIKate Rowe (she/her), SNM, Seattle UniversityAlison Spillane (she/her), MSW, SNM, The George Washington UniversityCynthia Belew (she/her/hers), CNM, UCSFHannah Holt, (she/her), RN, future SNM/CNM/DNPAubre Tompkins (she/her), CNM, Frontier Nursing University Alum, Region VI - CO ACNM Affiliate Vice-ChairLeanne Benson (she/her), CNM, Region IMadison (she/her), SNM, Columbia University, New YorkKatie DuCharme (she/her), CNM, Department of DefenseAnna Pestine (she/her), CNMJessica Vaughan (she/her), CNM, Crusader Community Health, IllinoisMari-Carmen Farmer, (she/her), MSN, CNM, WHNP, Drexel University College of Medicine, Region 2 - ACNM Core Competencies Committee, ACNM Midwives of Color Mentoring Subcommittee, Vice President of Philadelphia Chapter of the ACNM PA AffiliateStephanie Sandwich (she/her), CNMLaura Rice (she/her), SNM, Baylor University, TexasTanya Wills (she/her), LM, CNM, IBCLC, Manhattan Birth MidwiferyEmily Zeno Yeast (she/her), CNM, Samaritan Health Services, Region VII - Vice Chair, ACNM Government Affairs CommitteeErin Marten (she/her/hers), CNM, Mercy HealthRachel Newhouse (she/her), CNMDeanna (she/her), SM1, Mount Royal UniversityHannah Persyn (she/her), SNN, University of WashingtonHope von Gunten (she/her), BA, RN, SNMJoanna Sullivan (she/her), CNM, Providence Health ServicesKelly McGrath (she/her), SNM, AGPCNP, Shenandoah UniversitySherrie Just (she/hers), SNM, Frontier Nursing UniversityRosa Vuojolainen (she/her), SNM, SUNY DownstateNicolle Uban (she/her), Ph.D, CNM, APRN, Luna Women’s Wellness and Birth Center, Region VSandra Hodges (she/her), MSN, WHNP, CNM, El Rio Birth and Women’s Health Center, Tucson, AZEmily Martyn (she/her), CNM, Brattleboro Memorial HospitalSierra Shaffer (she/her, SNM, Yale School of NursingAmanda McPherson Shafton (she/her), CNM, Allegheny Health Network, Region II -President PA-ACNMLaura Wiese (she/her), SNM, Emory UniversityMiriam Rosenberg (she/her), CNM, Legacy Emanuel Midwifery, Region 6Nicola Given (she/her), SNM, Oregon Health & Science University, Region VIIMx. Michele James-Parham (they/them/theirs), TM, Amethyst Midwitchery & WomancraftLisa Russell (Miss), LM, CPMAngela Beach-Hart (she/her), CPM, BirthingwayWindi Muraszka (she/her), CNM, Wyckoff Heights Medical Center, Brooklyn, NY, Region 1Melissa (she/her), CNM, Special Beginnings Birth & Women’s CenterAlys Moore (she/her), CNM, FNP-C, Vanderbilt University Medical Center/ Baby + Co, Region IIIMarlena Holt (she/her), RNStacie Walker (she/her), CNM, MotherCraft, Inc.Jeanne Stagner (she/her), CNM, La Clinica de FamiliaRossi Airy (she/her), RN, BSN, SNM, Georgetown UniversityKatie Danielson (she/her), CNM, Georgetown UniversityCaroline Miller (she/her), SNM, OHSUElizabeth Kitue (she/her), CNM, Beth Israel Deaconess Plymouth OBGYN & Midwifery, Region IAnne Rosa (she/her), CNM, University of MichiganAriela Borkan (she/her), CNM, The Birth Center, Wilmington DESuzanna Avery (she/her), SNM, University of WashingtonEmily Hart Hayes (she/her), CNM, WHNP, University of Utah, Region VI - Chair, Midwives-PACSage Ungerleider (she/her), CNM, Baystate OB/GYN Group, Region I - MA affiliate PR co-chairJenifer E. Smith (she/her), SNM, Georgetown University, Region IIRowan O’Connell-Barger Price (she/her/hers), SM, Yale School of NursingTierra Salmón (she/her), TM, Andaluz Waterbirth CenterRoxanne Lundin Crittenden (she/her/hers), RN, Nurse-Midwifery Student, Vanderbilt University School of Nursing, TennesseeClaire Harper (she/her), CNM, Medecins sans frontiers, Region II - Midwives-PAC Board MemberChelsea Velovich (she/her/hers), CNM, FNP-C, HMG NYC , Region I, ACNM MemberSandra Donover (she/her/hers), CNM, Penn MedicineMorgan Nuzzo (she/her), CNM, The DuPont ClinicVanessa Treaster (she), DNP, CNM, Atlanta Birth Center, Southeast, Secretary of the Georgia affiliateEmily Hardy (she/her), CNM, WHNP, Stanford UniversityAlyssa (she/her), SMKristen Janiszewski (she/her), CNM, Region IIJessica Albrecht (she/her), CNM, Women’s Birth & Wellness Center, Region IIIKimberly (she/her), SNM, Pennsylvania Hospital/Frontier Nursing UniversityKatie Grinnell (she/her), SNM, OHSU - ACNM national student liaison for OHSUMelissa Avila (she/her), CNMKathryn Melvin (she/her), CNM/WHNP, MPH, Owensboro Health, KYLuci DeVoy (she/her), CNM (Soon to Be DNP)Sabrina Zionts (she/her), SNM, Yale School of NursingDina Daines (she/her), CNM, The George Washington University, DCLauren Mangold (she/her), APRN, CNM, Mayo Clinic RochesterJacqueline Linder (she/her), CNM, Dr. Paul Byrne, Region 1Merrick Soderstrom (they/them), NB recipient of midwifery careDelmar Bauta, (they/them), SMRebeca Moretto (she/her), CNM, Women’s Birth and Wellness Center, North Carolina - Fundraising ChairVida Mia Ruiz (she/her), CNMMolly Altman (she/her), CNM, University of WashingtonHeather Hogan (she/her), CNMOlivia Corrado (she/her), CNM, Valley Medical CenterRosa Jarvis (she/her/hers), RN, BSN, OCN, Centracare HealthLaura Burnett (she/her), LM, NMIDanica Beebe (she/her), CNM, Wellspan ObGyn Lancaster, Region IIAngela Love (she), CNM, Midwife LoveDanielle Lips (she/her), SM, Gentle Birth Services of BisbeeMarjorie Camarda (she/her), SNM, Oregon Health and Science UniversityKathryn Lechner (she/her), CNM, Accent on Women’s HealthLisa Greenberg (she/her), CNM, ARNP, Valley Medical CenterTalita Oseguera (she/her), SNM, UCSF, Region 7Judy Politzer (Ms), CNM, GPHA, PATel Viehmann Cunningfolk (they/them), LM, CPM, Taproot MidwiferyElizabeth Lamme (she/her), CNM, Medstar Washington Hospital Center, Region 2Megan Felling (she/her), LM, CPM, Around The Circle Midwifery, Médecins Sans FrontièresAnita Jaynes (she/her/hers), CNM, MS, MA, Nebraska MedicineAlyssa DeConto (she/her), CNM, Yale School of NursingCaitlin Campbell (she/her), CNM, MSN, MScPH, Region VIIKatie McNiven (she/her), RM, IBCLCAlice Schreiber (she/her/hers), MSN, RN, SNM, Columbia University, Region 1 - ACNM SANMS Liason, Columbia UniversityZoe Gutterman (she/her), CNM, MPHN, Region II - DC Affiliate ChairCiara Thomson-Barnett (she/her), MSN, CNM, WHNP, Planned Parenthood Columbia Willamette, Region VIINicole Chaney (she/her), CNM, University of PennsylvaniaKristin Giroux (she/her), CNMChristine Borden (she/her), CNM, Healthy Woman OBGYN, Region 2Katie McDevitt (she/her), CNMBridget LaGro (she/her), SNM, Frontier Nursing University, Region VAundria Radmacher (she, her), CPM, ACNM affiliate memberKirsten Garner (she/her), CNM, Swedish Medical CenterShelly Cooper (she/her), CNM student, OHSUMaria Rowe (they/them)Gwendolyn Neumeister (she/her), SNM, Oregon Health and Science University, Region VIIJohanna Hatch (she/her), RN, SNMRachel Willey (she/ her/ hers), RN, BSN, SNM, University of California, San Francisco, Region VIIKai Shatteen-Jones (they/them/she/her), SMNicole Barclay (she/her), SMRebecca Fino-Fugate (she/her), CNM, Planned Parenthood, Region VIIJennifer Blattner CNM (she/her), CNM, Kaiser Permanante, CaliforniaDevin Salazar (she), CNM, Legacy Silverton Medical CenterHeather Mecone (she/her/hers), CNM, Geisinger and Frontier, Regions II and V - Previous PA Co-chairStephanie Fitting (she/her), CNM, Region IVMax Farber (he/him/his), SNMMartina Chwascinska-Szarek (she/her), CNM, Dignity Health, Region VII - President, CNMA Santa Cruz-Monterey Bay ChapterKatrina Kilroy (she/her), RM, Past president-Canadian Association of MidwivesLaura Greet (she/her), CNMJessie Blumim (she/her), CNM, Region IICelina Hickson (she/her), CNM, Chittenden Regional Correctional Facility, Region IMolly Tollefson (she/her), SNM, University of PennsylvaniaMackenzie Douglass (she/her), CNM, MSN, APRN, University Hospitals, Case WesternJessica Dacic (she), SNM, Frontier Nursing UniversityJessica Grant (they/them/she/her), CNM, Evangelical Community Hospital, Region 2Shaina (her/she), CNM, Bay Area Midwifery CenterMary Di Masi (her/she), CNMJulia Steinrueck (she/her), RN, SUNY Downstate Midwifery ProgramHelen Clark (she/her), SNM, Emory, Region 5Emily Joubert (she/her), CNM, Women’s Birth and Wellness Center, Region 4Mychal Reilly (she/her), CD(DONA), SMJulia Goldin (she/her), RN, SNM, IBCLC, UCSFCarolyn Moffatt (she/her), RM, Private practice midwife, Ontario, CanadaNandi Andrea Hill (she), CPM LM, Self-employed, SouthwestLisa Shwartz (she/her/hers), RN, PMHNP intern, University of California, San FranciscoMo Deken (they/them), SNMAvery Klepacki (she/hers), SNM, OHSU, Region 7Lena Soo Hee Wood (she/her), CNM, The Oregon Clinic | OBGYN and Midwifery East, Region 7Allison Koch (she/her), CNM, Women’s Birth & Wellness Center, Region 3Natalee Hartwig (she, her), CNM, Planned Parenthood Of WIAmber Bell (she, her), SNM, UCSFGina Martínez (she/her)Madison Cassels (she/her/hers), JD, Denver Area Labor Federation/Penn State LawEmily Johnson (she/her), SNM, University of New MexicoKristine Oglesby (she/her), CNMNicole Walker (she/her), MSN, CNM, Seattle UniversityJill Peters (she/her), CNM, FNP, Planned Parenthood of the Great Northwest and Hawaiian Islands, Region VIICaranina Palomino (she/her/hers), SNM, UCSF, Region VIIAlexis Nolan (she/her/hers), CNM, Planned Parenthood of Northern New England, New EnglandMetta Weaver (she/her), CNM, Treasure Valley Midwives, Region VIIAshtyn Wylie (she/her/they/them), SNN, Frontier Nursing University, PASarah Levitan (she/her), CNM, Salud Para La GenteRachel Johnson (she/her), CNM, Swedish Medical GroupChasity Mille (she/her), SM, MCUAimee Tom (she/her), CNMSureyya Stone (she/her), SNM, University of New MexicoNicole Demakis (she/her), SM, MMCI, MidwestJanna Stults (she/her), CNM, Willow Midwife Center, Region VILindsey Liggan (she/her), PT, DPT, WCS, PRPCCarolyn Mank (she/her), MSN, CNM, IBCLC, MissouriEllen Solis (she/her), CNM, Carle Health Systems ; University of Illinois, Chicago, Region 4 – DGEElise Fogel (she/her), CNMJulia Scheinman (she/her/hers), CNM student, Yale School of NursingDanielle Nazarenko (she/her), CNM, Region IJenna Benyounes (she/her), DNP, CNM, WHNP-BC, Region II - Conference Planning CommitteeAmy Maynard (she/her), CNMLee McKeever (she/her), RN, SWHNP, Region IIJen Johnson (she/her), CNM, Cambridge Health Alliance, Region 1 - Diversity and Inclusion CommitteeL'Oreal Kennedy (she/her), DNP, CNM, ARNP, CBEC, CN-BP, Valley Medical CenterJennifer Matera (she/her), CNM, Birth Center of DenverT (she/her), studentSusan Way (she/her), CNM, WHNP, Region VIIAustin Wilson (she/her), CNMElizabeth Markey (Ms), CNMSigney Olson (she/her/hers), CNM, Columbia Fertility Associates, Region II – GETFKaren Lopez-Acero (she/hers), SNM, UCSFCaitlin Goodwin (she/hers), CNM, Baby + Co, Region IVMadelyne Greene, (she/her), PhD, RN, University of Wisconsin-MadisonAmy Langenfeld (she/her), APRN, CNM, University of MinnesotaKeely Robinson (she/her), CNM DNP student, Neighborcare Health - Washington State ACNM chapter Diversity Task Force memberEmily Stallings (she/her), SNM, The Ohio State UniversityKatie Jones (she/her), CNM, OHSURosalie Elkinton (she/her), SNM, Yale School of Nursing, Region 1Belle (she/her/they/them), Community College of Allegheny CountyLodz Joseph (she/her), CNM, MPH, CBE, CD, AAPHC Miriam Worthy Womens Health Center, Region IIICandace Mabbitt (she/her), CNM, Providence Midwifery Group, Region VII - GAC Region VII RepTracy Ryan (she/her), CNM, Mountain Midwifery CenterAna Rapoport (she/her), CNM, KaiserAbigail Wetzel (she/her), CNM, FNP, CNEMGBrittany Ellison (she/her/hers), CNM, DNPCharlotte (she/her), CNM, Boulder Community Health, ColoradoMarissa Neiman (she/her), CNM student midwife, SUNY Downstate Medical Center, Region 1Katrina Lipinsky (she/her), SNM, University of Pennsylvania School of NursingAmanda Cushing (she/her), CNM, Southcentral Foundation, Region VIIAli Kanat (she/her), SNM, OHSU, Region VIIMelissa Kitzman (she/her), CNM, WHNP, Fairview Health Services, Region VJohanna Jetton (she/her), CNM, Kaiser Permanente Santa Rosa, Region 7Kateryn Nuñez (she), CNM, HeartScience MidwiferyRachel Loth, BSN, University of PennsylvaniaLauren Yaussy (she/her/hers), RN, future CNM student, Avista Adventist Hospital, Colorado AffiliateNatalie (she/her), CPM Candidate, Steel City MidwivesCassandra Selby (she/her), CNM, Women's Clinic of Northern Colorado, Region VIAmanda Cagle (she/her/they/them), Student midwife, Midwives College of UtahMargaret David (she/her), CNM, SCF, AKMorgan Busse (she/her), DNP FNP, University of WashingtonKate Donaldson-Fletcher (she/her), SNM, USCFMallory Otto (she/her), SNM, University of Colorado, CO student representativeMar Schupp (they/them/ele/elx), SNM, UCSF, Region VIIMegan Gordon (she/her), SNM, UICMary Kern (she/her), CNM, FNP-C, Region VIICourtney Wipf (she/her), SNM, Columbia University School of Nursing, Region 1Nechama Sammet Moring (she/her/hers), CPMVictoria Speck (she/her), CNM, Region VIIJessica Cingel (she/her), CNM, Health Quest Medical Practice, Hudson Valley New YorkChantal Davis (she/her/hers), SNM, UCSFHolly Houston (she/her), CNM, Connectus HealthKatherine Parker Bryden (she/her/hers), CNM, Covenant Medical Center, Region V - Treasurer, Iowa AffiliateAsh Harlan (she/her), CNM, Kaiser Permanente, Region VII - Inclusion and Diversity TaskforceShirley Ma (she/her/hers), Student nurse ,UCSFPaula Li (Ms), CMT, Self-employed, CaliforniaMadelyn Peterson (she/her), SNN, UCSFKristyn Leftridge (she/her), MSN CNM, Region 2Dara (she), CNM, Ascension, Region VChristi Stone (she/her), CNMHolly Thomason (she/her/hers), SNM, University of New Mexico, South West/New MexicoHannah Haigler (she/her), CNM, WHNP-BC, MSN, NS, Mt Auburn Hospital, Planned Parenthood, Region IMichaela Lambert (she/her), SNM, UCSF, Region VIIRonnie Falcao (they/them/their), LM MS CPMKala Kluender (she/her), CNM, Valley View HospitalGeraldine Lee (she/her), LM, ARNP, FNP-C, The PolyclinicKatie Page (she/her), CNM, Centra Health, Region 2 - Chair, Professional Liability SectionStephannie Furtak (she/her), SNM, UCSF, Region VIIMayra Lizzette Yñiguez (she/her/hers), MPH, Student RN WHNP CNM , UCSF, Region VIIKelly Reid (she/her), SM, Mcmaster UniversityKim Dau (she/her), CNM, UCSF, Region VIIKathryn Feniello (she/her), RN, SNM, Frontier Nursing University & The Birth Center at Lifecycle WomanCareStephanie Martinez (they/them), CNM, IBCLC, Gentle Birth Care, Region IVAnika Gannom (she/her), SNM, University of WashingtonBrittany Hogue (her), SNM, Frontier University, New YorkMarissa Peterson (she/her), Doula, Midwifery StudentBritt Urban (she), CNM student, UCSFOlivia (Female), CNMHannah Gottschall (she/her), CNMErin Gardiner (she/her), Registered Midwife (ON, Canada)Laura Selvidio (she/her), SNMSilvia E. Arabia (she/her/hers), SNM, UCSF, Region VIILindsay Canning (she/her), SNM, UW School of NursingAli Starling (she/her), CNM/WHNP, MPH, IHSLastascia Coleman (she/her), CNM, University of Iowa, Region V - Iowa Affiliate Director-at-largeChristine Weinmeister (she/her), CNM, The Vancouver Clinic, Region VII - PreceptorHeather Milovina (she/her), CNM, WHNP-BC, CPM, Stellar Women’s Health Specialists, Maui, HawaiiKatherine Miller (she/her/hers), MA, University of Colorado DenverMary Gallagher (she/her), CNM, Women’s Healthcare Associates, Region VIICarissa Lawrence (she/her), CNM,WHNPMargaret Henschel (she/her), CNM, Planned Parenthood MarMonte, CALyndsay McCarver (she/her), BSN student, Wayne State UniversitySusannah Donahue (she/her), CNM, Boro Park Midwifery, Region 1Becky Hertogs (she/her & they/them), CNM, The Midwifery Institute at Jefferson (Philadelphia University + Thomas Jefferson University)Annie Kuntz (she/her), CPM, LMBridie Johnson (she/her), LMSW, American Indian HealthEmi Klemic (they/them), Student midwife, Laurentian UniversitySarah Dumas (she/her), CNM, Region Women’s Birth and Wellness Center, Region IIIElizabeth Moore (she/her), RN, Kaleida HealthJames R Carter (he/him), PhD, MPH, Wright State UniversityErika Enk (she/her/hers), CNM, MPH, Access Community Health Network, Region IVSarah Branson (she/her), CNM, MotherCare Midwifery, Region 2Efe Osaren (she/her), Student midwifeKelly McBroom (she/her), CNM, PhD(c), Seattle University/Kaiser Permanente, Region 7Tarah Hoag (she/her), RM, Toronto, CanadaLarissa Crownover (she/her), CNM, UPMC Pinnacle, Region IIRebecca Prosser (she), CNM, Jefferson OB/GYNKatie Shannon (she/her), CNM, MAMAS, Region 2Ashley Woodruff (she, her), CNM, Region IILaura Marie MacPherson (she/her), CNM, IBCLC, Swedish Medical GroupEmily Green (she/her), CNM, Lifecycle WomanCare, Region IISusan M. Taylor (they/them), ARNP-FNP, Sea Mar Community Health CenterChristina Hagan (she/her), SNM, Emory, Region 3Avery Fisher (they/them), CNM, AFA OB GYN, Region IJaclyn Graham, she/her, SNM, Shenandoah UniversityKathy Peacock (she/her/hers), CNM, MSN, M.A.M.A.S. Inc.Corinne Sakyi (she), CNM, Partridge Creek OBGYNLisa Gendron (she/her), SM, National College of MidwiferyMadeline.Gardner (she/her), SNM, Frontier Nursing University, Region VElizabeth Brandeis (she/her/hers), RM, Association of Ontario MidwivesLauren Siverly (she/her), Student midwife, Yale UniversityAlice Sattler (she/her), CNM, Connectushealth, Region 3Amanda Lorraine Johns (she/her), SNM, Frontier Nursing University, Region IIICynthia Mason (she/her), CNMHeather Brechin (her), RM, CanadaAmber Latsch (she/her), CNM, Mercyhealth Rockford ILMarlies Biesinger (she/hers), SNM, Columbia University, Region ILauren Abrams, (she/her), CNM, Mount Sinai Hospital, New YorkJamie Rose Carroll (she/her), CNM, Northwell Health , Region 1Kate R. Scully-Ortega (she/her/hers), MPH, SNM, Yale School of Nursing, Region 1Erin Laver (she/her), RM, London Health ScienceYvonne Oldaker (she/her), CNM, MPA, Planned Parenthood of Illinois - Corresponding Secretary, Illinois ACNM AffiliateKatelyn Richer (she/her), SNM, Yale School of NursingMegan Jones (she/her), CNMTara Kaufman (she/her), SNM, The Ohio State UniversityMaria Mayzel (she/her), CNM, WHNP-BCJanice Enriquez (she/her), CNM, WHNP-BC, Planned Parenthood of Orange and San Bernardino CountiesMelissa Bucher (she/her/hers), Nurse-midwife student, University of PennsylvaniaBrie Zillhardt (she/her/hers), CNM, Fairview Health System, Region VCarolyn Kirwan (she/her), SNM, Yale School of NursingAllie Nickels (she/her), RM (registered midwife-Canada), MoHLTCBrianna Gehring (she/hers), CNM, Jamaica Hospital Medical Center, Region IKate Suire (she/her), CNMRobin Hewlett (she/her), SNM, Frontier Nursing UniversityCarly Bendzans (she/her), CNM, Region IVAshley Seibert (she/her), SNMAnna Cherry (she/her), CNM, WHNP-BC, Emory University School of Medicine, Region IVChristie Satterfield Marsh (she/her), CNMMegan Marx (she/her/hers), CNM, Columbia University , Region 1Jessica Dillard-Wright (she/her), MA, MSN, CNM, Region 3 - Ethics committeeValerie Oliver (she/her), CNMSarah Stetina (she/her), CNM, AMITA Health, OMG Women’s Health, Region IVKatharine Wilson (she/her), WHNP-BCMallory Klocke (she/her, they/them), CNM, Carafem Health Center, Region IVBridget Divane (she/her), SNM, University of Illinois at ChicagoSarah LaGrand (she/her), CNM, Advanced OB-GynJenna Wetzel (she/her/hers), SNM, Columbia University, Region 1Emma Sanger-Johnson (she/hers), SNM, Columbia UniversityMeagan Morse (she/her), SNM, UCSFBethann Jumper (she/her), SNM, East Carolina University, SLCEmily McGahey (she/her), CNM, Region IIAmy Liss (she/her), EdD, RN, CD(DONA), PCD(DONA), LCCE, CLC, Columbia University School of Nursing, DNP Midwifery CandidateNancy Ngok (she/her/hers), SNM, Columbia UniversitySuzanne Elkind (she/her), CNM, North Shore Birth CenterCori Hompesch (she/her), CPM (lapsed), Student RN, NYURobin Tucker (she/her or they/their), CNM, Team Health/OB/GYN Hospitalists of Loudon and HIPS DC - Washington DC Affiliate SecretaryChristina McPherson (she/her), CNMMindee Zilic (she/her), CNMMeagan Thompson (she/her), SNM, University of MinnesotaMegan Lewis (she/her/hers), SNM, Vanderbilt UniversitySara Culver (she/her), SNM, Yale School of NursingMegan Belleavia (she/her), CNM, OMG/Amita Women’s HealthcareMaggie Burtch (she/her), SNM, UCSF, Region VIIMelicia Escobar (She/her), MSN, CNM, WHNP-BC, Georgetown University, Region IIChloë Hall Lubell (she/her), CNM, WHNP, Central Park Midwifery, Region 1Christina Eichelberg (she/her), SNM, Frontier Nursing University, Region IVEdan Thomas (she/her), Registered Midwife RM, Midwives Collective of TorontoAmy Romano (she/her), CNM, SVP Clinical Programs, Baby+Co.Katharine Hutchinson (she/her), DrPH, CNMAndrea Phillips (she/her), SNM, Frontier Nursing University , Region 3 - Student Representative, ACNM Political Action Committee BoardAmber Goodrich (she/her), CNM, Covenant Medical Center, Region V - IA Affiliate PresidentGenevra DiLorenzo (she/her), SNM, SUNY Downstate, NY, Region 1 - Region 1 student representativeLysbeth Franco (They), CNM, University of Louisville PhysiciansAna Svibruck (she/hers), SNN, Yale School of NursingAdair Flynt (she/her), CNM, Teton County Public Health, Region VILauren Smith-Donohoe (she/her), CBE, SMMaria Luisa Mendoza (she/her), SM, Midwifery Institute at Jefferson University, Region IKelsey Laurer (she/her), CNMMargaret Farrell (she/her), SNM, Frontier Nursing University, NJAshley Baker (she/her), SNMBrooke Cadwell (she/ her), CNM, Billings Clinic- Bozeman OB/GYNChristine Mamas (she), Student- doula, Rowan CollegeCharity P Cooper (she/ her), CNM, University of Illinois, Region 4 - Vice President Illinois Board of NursingLily Jordahl (she/her), SNM, Columbia University School of NursingSierra (she/her), MA, LLP, Ann Arbor Birth & Family IncKim Flleming (she/her), CNM, Baby+Co Winston Salem, Region IIIMcKenzie Middlebrooks (she/her), StudentDanielle Boudreau (she/her/hers), CNM, WHNP-BC, Brattleboro OBGYN - Member, SANMCRachel Yanda (she/her), CNM, UCSF, Region 7Debra Bruin (she/her), SMClare Sherley (she/her/hers), CNM, Multicare Health System, Region VIIMolly Doody Femake, CPMTenley Spatz (she/her/hers), CNM, UCSF, San Francisco/Norrhern CaliforniaMeghan S Kilmer, RN, SNM, University of Illinois at ChicagoLauren (she/her), RN, applying for cnmAlison Willis (she/her), CNM, CPMC Mission BernalMonique Morales (she/her), SNM, Yale School of NursingElizabeth Smith-Tyko (she/her), CNM, Santa Rosa Birth CenterMichelle Baird (she/her), CNMJoanna Bronkema (she/her/hers), CNM, Mother to Mother Midwifery, San Diego, CAEva Fried (she/her/hers), DNP, WHNP, SM, Region IV - Affiliate Development and Support Committee, Publications Committee, Membership and Marketing Committee, Students and New Midwives SectionDeb Rhizal (she/her), CNM, University of Michigan, MichiganMargaret Flesher (she/her), CNM, Denver Health Medical CenterJessica (she/her), Student Midwife, UICDr. Teri Mitchell (she/her), CNM, TexasRobina (she/her), CM, Self employedNatalie Jacobson-Dunlop (she/her), MS, APRN-CNM, HealthEast, Region VTiffany Briggs (Ms), CNM, Frontier Nursing University, SoutheastLaurel Bernstein (she/her), CNM, MPH, Alameda Health System and San Francisco Department of Public HealthShoba (she/her), SNM, Frontier Nursing UniversityLauren Cotton (she), RN, Fairfield UniversityDanika Severino Wynn (she/her), CNM, IBCLC, Planned Parenthood of Southern New EnglandMichelle (she/her), CNM, OBGYN NORTHLinda Simon-Price (non-gendered), CNMRachanee Yaemsang (she/her), CNM, George Washington UniversityKori Pienovi (she/her), CNM, Women’s healthcare associatesBarbara Gremaud (she/her), RN, CPM, SNM, First Breath Birth and Wellness CenterMissouriBecky Knight (she), CNM, WABeverly Maldonado (Female), CNM, Midwifery Care Associates, MarylandNadia Robinson (she, her, hers), RN midwifery student, Vanderbilt University School of Nursing, TennesseeKaren Merzenich (she/her), SNM, UCSFKate (she/her), CNM, Women's Healthcare AssociatesTasha Brown (she, her, hers), SNM, Georgetown University, Region 5Amber Chiapuzio (she/her), SNM, University of Washington, SeattleMonica M Arce (she/her/hers), CNM IBCLC, Virginia Garcia Women’s ClinicSuzanne Adkins (she), CNMHeather Sheriff (she/hers), CNM, Kaiser PermanenteJessica Wing (she/her), RNKristen Joy Galbreath (she), SNM, University of New Mexico, Region VIClaudia Booker (she/her), CPM Home Birth Midwife for All, Birthing Hands Midwifery and Birth ServicesJasmine (she/her), CNM, Highland Hospital, Northern CaliforniaHannah Purkey Chin, (she/her), SNM, Oregon Health and Science UniversityEmily Selvidge, CPNP (she, her), MS, IBCLC, UCSFLaura J. Valle (she/her), DNP, APRN-CNM, Mount St. Jospeh University, Region IVErin Farah (she/her), PhD, CNM, UIC, Region 4Jamesina Harrick (she), CNM, Lifecycle WomanCare, Region 6Cassie Hodge (she/her), SNM, OHSUDiane Rubin (she/her), SNM, University of PennsylvaniaCatey Brannan (she, her), SNN, University of Colorado, Denver, COKelly Abedi (she/her), SNM, Frontier Nursing UniversityJulia Lange Kessler (she/her), CM, DNP, FACNM, Georgetown University-PD for Midwifery/WHNP & WHNP Programs, Region I – Chair, Division for the Advancement of MidwiferyEmily Butcher (she/her), SNMGloria Leyva Gonzalez (she, her, hers), SNM, UCSFBrian (him), MPA, PNWDana Cosentino (she/her), SNM, New York University, Region 1 - SLC for NYU, SANMC MemberAllison Tannery (she/her), SN, Doula, Kennesaw State UAlexandra Holey (she/her), CNM, Oregon Health and Science University, OregonMick Moran (they/them), Full-Spectrum Doula, The Doula ProjectKatrin Dial (she/her), CNM, Southern Tennessee Regional Health System, Region II - AL Legislative LiasonNicole Heig (she/her), CNM, Region 1Mac VanTilburg (they/them), CNM, Philadelphia Midwife CollectiveChristina Chuchuru (she/her), SNM, Georgetown University, PAC Student RepJessica Deis (she, her, hers), SNM, Frontier Nursing UniversityRebecca Langley (she/her), CNMShoko Odani (she/her), SNM, UCSF, Region VIIDeborah Gallegos (she), RN, UCSFKatherine Kelly (she/her), CNM, Baby+Co., Region VIILily Shaffer (she/her), SNM, University of PennsylvaniaSigny Toquinto (she, her), CNM, UCSF School of Nursing - New Graduate, Region VIILillian Bronson (she/her), CNM, Renown HealthMaureen Andersen (she/her), SNM RN IBCLC, Oregon Health and Science UniversityIsabel Brewster (she/her), SNM, Frontier Nursing University, Region 1Katy Welter (she/her), CNM MPH, University of Pennsylvania, Region VMartha Kaempfe (me), CNM (retired), University of Illinois (at time of retirement), Region IVJillian Cauley (she/hers), CNM, Sutter Pacific Medical Foundation, Region 7, Northern California Rep to CNMADi Schempp (they/them, she/her), RN, PHN, future SNM, Fairview RidgesAbigail Jones (she/hers), SNM, Vanderbilt University, Region IIIKate Mitchell (she/her/hers), CNM, Tribal Health/LA County, Southern & Northern California; Arizona; MontanaBridget Rochios (she/her), CNMRachel Garcia (she/her), BSN, SNM, IBCLC, University of New MexicoSarah Colbath (she/her), SNM, SUNY DownstateJoelle Leacock (she/her), CNM, Massachusetts General Hospital, Region 1Leslie Stork (she/her), CNM, OB GYN & Midwifery Associates of IthacaLindsay Delaire (she/her), CNM, Planned ParenthoodAja Aviles-Soto (she/her), SNM, Frontier Nursing University, WIKym Guadalupe (she/her/hers), CNMJessica Tsipe Angelson (she/her), CNM, Boro Park OB/GYNKathryn Sibbold (she/her), CNM, Lakeland Health System, MichiganSydney Kopp-Richardson (she/her/hers), M.S. Urban Policy, Supportive Housing Network of New York, Region 1Colleen Peck (she/her/hers), CNM, Planned Parenthood NYCKelly Klene (she/her/hers), MSW, LSW, Savio HouseElizabeth Diaz Ordaz (she/her/hers), SRN, Regis UniversityPatience Nelson (she/her), CNM, WHNP, Georgetown UniversityLuisa Moeller (she, her), DNP, CNMAnna Graybill (she/ her), HumanHannah Kopp-Yates (she/her), CNM, Sutter Pacific Medical Foundation, Region 7Michaela Olin (she/her), BSN, RNMolly (she/her), CNM, Emory University/ Southside Medical CenterJillian Barovick (she/her), CNMStacey Eason (she/her), SNM, Frontier Nursing University, Region VKarli Schwanke (she/her), SNM, Frontier Nursing University, Region VISara Jennerjohn (she / her), SNM, University of Minnesota, Region VLori Powers (she/her), CNM, WHNP-BC, DeKalb Womens Specialists, Region 3 - GA affiliate treasurerShana Norberg (she/her), CNMAnna Wei (she, her), CNM, NYDr. Mary Jo Podgurski (she/her), RN, past president of Lamaze International, AASECTZoe Due (she/her), SNM, IllinoisLisa Davis (she/her/hers), CNM, Frontier Nursing/Kaiser Oakland, California - CNMA committee chair on Addressing Structural Racism and Diversity in nurse-MidwiferyRegan Watson (she / her / hers), SNM, UCSFAsmara Gebre (her/she), CNM, University of California San FranciscoNicole DeNuccio (she/her), RN, CLC, LCCE, Maimonides Medical Center, Frontier Nursing University, Region 1Emily Dixon (she/her/hers), SNM, Emory University, GA/SoutheastLisa Marcus (she/ her), CNM, Reading HospitalDani Bulinski (she/her), SNM, Emory, GAAndrea Shelton (she/her), SNM, University of WashingtonLaura S. (she/her), midwifery studentSara Minahan (she/her), CNM, Alameda Health System, CaliforniaCaitlin Miller (she/ her), CNMBrittney Wood (she/her), SNM, UC San Francisco, CaliforniaCorinne Westing (she/her), CNM, Gentle Birth Care, Oak Park, ILShaina Herring (she/her), CNM, Region IVJulie Brown (she/her), CNM, Region IVRachel Muroff (she/her), SNM, Frontier Nursing University, Region ICarrie Holschuh (she/her), CNM, PhD, San Francisco State University School of NursingKathleen Britten (she/her/hers), SNM, Gentle Birth Care, ChicagoSuzanne Ziemke (she/her), CNM, Women First OB/GYNJulia Vermeuelen (she/her), SNM, Yale School of NursingBrittany Torke (she/her), CNM, Oakhurst Medical Center, Region 3Caitlin Madison (she/her/hers), CNM, WHNP-BC, Planned Parenthood of the Saint Louis Region and Southwest MissouriHeather Veitch (she/her), CNM, Lovelace Medical Group, Region VISamantha Buckholtz (she/her), CNM, Oroville Hospital, Oroville, CA, Region 7Melissa Holderread (she/her), CNM, Lakeland healthDina Brimm (Ms), RNC OB, UIC midwifery studentKatrina Wu (she/her), CNM, Bethel University, Region V - Bylaws Committee, Home Birth SectionJudy Lazarus (she/her), DNP, CNM, FACNM, University of Washington/ Neighborcare, Region VII - Chair, Clinical and Academic Educators CommitteeTarra Castillo (she/her), CNM, Virginia Garcia Memorial Health Center, Region VIIAngela Hartley (she/her), CPM, LMAmanda Bujaucius (she/her), CNMMarisa Schwarz (she/her), SNM, Columbia UniversityCarol O'Donoghue (she/her), CNM, FNP-BC, Penn Family Care/University of Pennsylvania, Region IICaroline Hanschen (she/her), CNM, WHNP-BC, Region VIIMiranda Flowers (she/her), CNM, Greenville Health System, Region IIIHannah Crement (she/her), SNM, Texas Tech University Health Science CenterNora Drummond (she/her), CNM, University of Michigan, Region IVJeannine Maytan (she/her), CNM, Marquette University, Region IJacob Arrington (he/him/his), SN, KSULaura Laney (she/her), SNM, Frontier Nursing UniversityAmy Wren (she/her), CNM, Wake ForestIone Chan (she/her), CNM, Rural health clinic, Region 7Meghan Nolan (she/her), SNM, UICJessica Burke-Lazarus (she/her), CNM, Neighborcare Health, Seattle, WAKelsie Bedard (she/her), SM, Birthwise Midwifery SchoolKatherine Meine (she/ her), DNP, CNM, Milwaukee County Jail, University of Wisconsin OshkoshAmber Crouch (she/her), SNM, Frontier Nursing University, Western RegionJenna Noelke (she/her), CNM, Swedish Medical Center, Region VIICicily Jeannette (she/her/hers), MSN FNPAshley Skluzacek (she/her), SNM, University of WashingtonAlison Tinker (she/her/hers), MSN, RNJulie Carlson (she/her), CNM, Home Birth Practice, Region ISummer Diegel (they/them), student, Seattle UniversityCamille Williams (she/her), CNM, Lifespan Physician Group / Ob-Gyn Associates Midwifery Service, Region 1 - JMWH Peer ReviewerCassie Applegate (she/her), CNM, Apple Tree Midwifery, South DakotaHolly Cost (she/hers), CNM, UCSF/San Francisco General HospitalKathleen Reutter (she/her/hers), CNM, University of California, San Francisco, CNMAErin Kinmont (she/her), SNM, UCSF, Region VIIRosie Lawrence-Pine (she/her), SNM, UCSF, Region VIIPam Lee (she/her), CNM, MSN, Virtua Health Network, Region IISheila Kaufman (she/her), CNM, Region 2Amy Mathieu (she/her), CNM, Lowell Community Health Center, Region 1Autumn Rosendo (she), RN, Baby butterflies family transitionsAndrea Christianson (she/her), CNM MS FACNM, Region III - Member: Home and Birth Center Comm, C-MAC; SGACEbony Saavedra (she/her), CNM, Atlanta, GAMeredith Barish (she/her), CNMAmaryllis Hager (she/her/hers), CNM, WHNP-BC, YSN, PPNNEMeaghan Doyle-Malone (she/her), CNM, Trinity Health of New England, Region 1Mary E. Baker (she/her), CNM, Newton Wellesley Hospital, Region1Mary K. Williams (she/her), CNM, Prevea Health System, Green Bay WIJamie Hellman (she/her), CNMMimi Niles (she/ her), CNM, New York University, Region I - New York State Association of Licensed Midwives - Executive Board SecretaryLaura Meyers (she/her), CNM, Women's Birth & Wellness CenterAmy Davenport (she/her, they/them), CNM, MPH, UNC School of Medicine, Department of OB/Gyn, Division of MidwiferyEmily Leslie (she/her), CNM, Neighborhood Family Practice, Region IVIsabella Pribyl Dodds (she/her), SNM, OHSUStephanie Goldsmith (she/her), CNM, Connecticut Childbirth and Women’s CenterCTChristine Besel (she/her), CNM, Region VIIRoberta Ward (she/her), CNM,FNP,DNP, PIMC, AZChristina Elmore (she/her/hers), CNM, University of Utah, Region XI - Membership & Marketing committee; affiliate presidentCara McGuinness (she/her/hers), CNM, Boston medical centerSarah Procko (she/her), CNM, Carle Foundation Hospital, Region IVViolet Trisolini (she/her/hers), future SNM & CNM, Nell Hodgson Woodruff School of Nursing at Emory UniversityRachel Dunn (she/her), AGNP, University of ChicagoWendy Gordon (she/her), LM, CPM, MPH, DM(c), Bastyr University Dept of Midwifery, Association of Midwifery EducatorsKaren Hays (she/her, they/them), CNM, Bastyr University, Washington State -Disaster Caucus co-chairJasmine Farrish (she/her), SNM, Texas Tech University Health Science CenterJasper Moon (they/them), CPM LMT, Growing Season Reproductive WholenessAdriana Brau-Diaz (she/her), CNM student, University of Pennsylvania, Philadelphia, PAHannah Bergbower (she/her), SNM, University of PennsylvaniaAshleigh Shiffler (she/her), CNM, Colorado Nurse Midwives, Region VIKara McQuillan (they/them), CNM, Philadelphia Midwife Collective, PhiladelphiaRachel Mortensen (she/her), SNM, Frontier Nursing UniversityAnnie Leone (she/her), CNMCatherine Boshe (they/them), CNM, Cooley Dickinson HospitalLaurel Yoder (she/her), CNM, Spectrum Health Lakeland (Michigan)Cindy Stoffel (she/her), CNM, MPH, Erie Family Health CentersChelsea Perrin (she/her), SNM, University of MichiganMichele Handelman (she/her/hers), LM, CNM, Mount SinaiSarah Nasatir-Hilty (she/her), SNM, Emory UniversityKelly Roberts (she/her), MSN, Frontier Alum, Region 1, MA AffiliateJackie Gruer (she/her), MSN, CNM, FACNMAngela Ferrari (she/her), CNM, MGHEmily Margolies (she/her), DoulaTricia Carlisle (she/her), SM, Midwives College of UtahSasha Bariffe (she/her/hers), SM, NARM - PEPTamara Gardner (she/her), CNM, University of New Mexico, Region VIJennifer Morgan (she/her), CNM, University of Washington/Seattle King County Public Health, Region VII-WADiana Rumbo (she/her), SNM, UC San Francisco, Region VII - GAC student representativeKoren Corbett (she/her), CNM, The Oregon Clinic, Region 7Lorraine Rose-Lerman (she/her), CNM, Kaiser PermanenteMarian Acquistapace (she/her), CNM, Dignity OB/GYN, Santa Cruz , CaliforniaHannah Cutts (she/her), SNM, Yale School of NursingBritish Holloman (she/her), MA, Family Tree ClinicMeagan Chuey (she/her), CNM, University of Michigan PhD candidate, Region IVAlison McDonald (she/her), CNM, New York-Presbyterian/Allen HospitalRegion IArlene (she/her), SNM, University of Washington, Western WashingtonRebecca Fay (she/her), DNP, APRN, CNM, WHNP-BC, FACNM, Frontier Nursing University, Region IV - Secretary, Membership & Marketing Committee; Member, Affiliate Development & Support CommitteeMissy Furlette-Koski (she/her), CNM, West Suburban Midwife Associates, Region IVErin Wright (she/her/hers), DNP CNM APHN-BC, Johns Hopkins University School of Nursing, Region 2 - Ethics committee/clinical educators committeeLauren Ervin (she/her), CNM, DNP, Southern Maryland Women’s HealthcareEsther deJong, CNM (she/her), CNM, Region IIIKate Zeichner (she/her), CNM, Washington Permanente Medical GroupMadeline Spahr (she/her), CNM, Planned Parenthood of Northern CAKathryn McFadden (she/her), SNM, SUNY DownstateRebekah Ashton (she/her), SNM, RNC-OB, IBCLC, University of Washington, Region VIIOlivia Kroening-Roche (she/her), CNM, OHSUFlorence H Chien (she/her), SNM, UCSF, Region VIIJoy McElyea, (she/her), CNMAnn McFarlane (she/her), CNM, Providence Regional Medical CenterMary Lou Kopas (she/her), CNM, University of Washington, Region VII - former WA Affiliate PresidentHeide Cruikshank (she/her), CNMAlison Young (she), CNM, Planned Parenthood, CaliforniaIvyrose Lopez (she/her), SM, Birthwise Midwifery SchoolLaura MacCarald (she/her), CNMAutumn Vergo (she/her), CNM, Dartmouth Hitchcock, Region 1Kathryn Dittenber (she/her), SNM, University of MichiganSarah Benckart (she/her), SNM, UCSF, Region VIIKalisto Nanen (he/Xe/they), SNMLydia Doublestein (she/her), CM, Region IINina Simon (she/her/hers), CNM, MSN, PRESBYTERIAN MEDICAL GROUP ALBUQUERQUE NEW MEXICO.Sam Cook (she/her), CNM, Kaiser Permanente Northwest RegionEmily Grose (she/her), CNM, Southdale ObGyn, Region VSara Warr (she/her), CNM, Fort Belvoir Community Hospital, VAMadeline Harris (she/her/hers), RN, student nurse midwife, Vanderbilt UniversityTherese Horan (she/her), ARNP, CNM, Bellingham OBGYN, WashingtonJocelyn Dugan (she/her), MBARachel Allen (she/her), MSN, WHNP, Equality Health Center Concord, NHSarah Enteen (she/her), SNM, Columbia University, Region 1 - SLCRosie Lindeke (she/her), CNM, Planned Parenthood of the Great NW, Region VIIMac Brydum (he/him), CD (DTI), CBE (DTI), CLEC, MSWJenna Brown (they/them), Future midwifery studentAshleigh Shiffler (she/her), CNM, Colorado Nurse Midwives, Region VIMelissa Rubin (She/Her), CNM, Valley Medical Center, Region VIIPatanjali de la Rocha (they/them), CD(DONA), MSWc, University of WashingtonErianna Flores (she/her), CNM, Ob-Gyn and Midwifery Assoc of Ithaca, Region 1Katana Ratliff (she/her), RN, CNEP student, Baptist Hospital Louisville, Frontier Nursing UniversityAlix Zongrone Carney (she/her/hers), SNM, Columbia UniversityBarbara Williamson (she/her), CNM, Petaluma Health Center, Bay Area - Northern CAJennifer Glorioso (she/her), SNM/WHNP student, Georgetown UniversityJulie Flanagan (she/her), SNM, Georgetown UniversityLisa Kiser (she/her), DNP, CNM, WHNP, University of Arizona, Region VIMartha Orlet (she/her), SNM, Vanderbilt UniversityAnna Haas Silva (she/her), SNM, Jefferson UniversityAllison Hillner (she/her), SNM, University of PennsylvaniaJenna Pollak (she/her/hers), Student midwife, student RN, WCUCandice Segree (she/her/hers), SNM, Columbia University, Region 1Tanya Belcheff (t/t/t's), CNM, Frontier Nursing University, Region VCatherine Lukes (she/her), CNM, ND, LMG, Albuquerque, NMPaige Martin (she/her), SNM, University of PennsylvaniaEileen Thrower (she/her), PhD, APRN, CNM, FACNM, Frontier Nursing University, Region III - Program committee member, Affiliate Development & Support committee member, Georgia Affiliate PresidentDaniel Stec (he/him), CNM, FNP, Vice President of Indiana AffiliateKasey (KC) Benchimol (they/them), WHNP, University of PennsylvaniaKathleen Norman (they/she), SNM, University of WashingtonCarolyn Bernier (she/her), SNM, NYU, Region 1Alisha Cigalotti (she/her), SWHCNP, Frontier Nursing UniversityElizabeth Edmondson (Ms), CNM, Retired, GeorgiaAndrea Humphrey (she/her), CNM student, University of Washington, Seattle - Student representativeSandi Angotti (she/her/hers), SNM, EmoryCharlee Haller (she/her), SM, Bastyr UniversityJen Robinson (she/her), CNM, WHNP-BC, MS, Albuquerque, NM, Region VIMarlena Springstubb (she/her/hers), SNM, Yale UniversityPrecious Yarborough (she/her), CLE, Region VIIJacqueline Lynch, CPM, RM (she/her/hers), CPM, RM, Moon Song Midwifery, LLC., ColoradoKatrina Mendoza (she/her), Health worker, West Side Community Health ServicesShelby Szych (she/her/cis), CNM, Mercy HealthAshley Medley (she/her), SNM, Yale School of NursingGenna Purcell (she/her), CNM, Planned Parenthood NorCalJennifer Schuman (she/her), CNM, PMHNP/S, MSN, Presbyterian OB/GYN - Rio Rancho, NM, Region VIMichele Ankrim (she/her), Student Nurse, SNM, University of WashingtonErin Andrew (she/her), SNM, University of Washington, UPenn Student RepHannah Walters (she/her), SNM, Emory UniversityGayle Riedmann (she/her), CNM, West Suburban Midwife Association, Region IV, President, Illinois AffiliateKailia Wray (she/her/they), SNM, Oregon Health & Science UniversityValor Hopes (she/her), CNM, WHNP, HealthEastMoira Tannenbaum (she/her/hers), CNM, IBCLC, Region II and IV, State Government Affairs CommitteeKatrina Nardini (she/her), CNM, WHNP-BC, MSN, MPH, University of New MexicoKari Ward (she/her), DNP, CNM, Broadlawns Medical CenterAriele Bauers (she/her), CNM, University of New MexicoElaine Brightwater (Ms., friend), CNM retired, Resources for Change, New MexicoGinger Maule (she/her), CNM, HonorHealthSarah Maguire (she/her), CNM, NP-C, University of MichiganMartha Rode (she), CNM, Univ of New Mexico, VIMariah Falin (she/her), CD, VIIKim Selznick (she/her/hers), SNM, Yale School of NursingRebekah Gilley (she/her), CD{PALS}, VIIAdi Afeka (she/her), CNMDeb Phelps (she/her), CNM, Kaiser Washington, VIIVanessa Garcia (she/her), SNM, UCSFLynda Driskell (she/her), CNM, VIIMichelle (she/her), CNM, Fertility Center of OregonHeidi Heiser (she/her), SNM, University of WashingtonHannah Wurz (she/her), CNM, Kaiser Permanente of Washington, VIIAndrea Gucinski (she/her), SNM, University of WashingtonShelby Alexa (she/her/hers), SNM, University of Pennsylvania, NYCMalisa McClure (they/them), studentHannah McGrew (she/her), Future CNM, current student, VanderbiltRachel Doster (she/her/hers), SNM, Vanderbilt UniversityErica Imaoka (she/her), SNM, Baylor University, Region IV, Student Legislative ContactAlyssa Mull (she/her), CNM, Beaumonth HospitalAimee Clark (she/her), CNM, Northwestern Medicine, Region IVCynthia Jacinthe (she/her), DNP, CNM, University of Chicago MedicineHillary Kieser (she/her), CNM, APRN, Gentle Birth Care, Region IV, ACNM Home & Birth Center CommitteeLinda A. Graf (she/her), DNP, CNM, WHNP-C, DePaul University Chicago, Region IVMaureen Brocks (she/her/hers), RN, WHCNP student, Frontier Nursing UniversityMary Kay Ayers (ze), Midwife, Birth Center at PCC, Region IVEliza Burelle (she/her/hers), CNM, Denver Health, Region IVAnita Mendoza (she/her), SNM, Frontier Nursing UniversityMegan Dawson (she/her), CNM, St. Anthony HospitalJulie Leung (she/her), CNM, UICNicole Shapiro (she/her), CNM, UW HealthJanet Ferguson (she/her), CNM, Erie Family Health, Region IVRyan Pryor (he/him/his), RN, FNP-BC, SNM, Jefferson College of Health Sciences, ACNM Student Representative - JeffersonMary Leung (she/her), CNM, Region IVChristine Higgins (she/her), CNM, FNP-C, CCRN, Region IIISusan Kamin (she/her/hers, CNM)Emily Behrend (she/her/hers), SNMClaudia Cornejo (she/her), SNM, Vanderbilt School of NursingLorna Mazoff (she/her/they/them), LM, CPM, Journey Midwife Services, Seattle, WAMargaret Ladner (she/her), CNM, University of Illinois at Chicago, Region IVAshley Dykes (she/her), RN, SNM, Vanderbilt UniversityEmily Beck (she/her), CNM, UCSF and ZSFGJenna Magallanes (she/her), SNM, University of MichiganLaili Falatoonzadeh (she/her), CNMSarah Long (she/her), CNM, Family Health Centers - WA, Yale School of Nursing 2017Sascha James-Conterelli (she/her/hers), DNP, CNM, FACNM, Yale School of Nursing, Region I, New York State Association Licensed Midwives (President), Friends of Midwives of Color (Treasurer), Membership and MarketingLisa Jensen (she/her), CNM, Region VIIKaren Jefferson (she/her), CM, FACNM, JJB Midwifery, Region I, Chair Committee of Midwife Advocates for CMsYvonne Griffin (she/her), DNP, CNM, University of Washington, Region VIIAnnie Moffat (she/her), LM retired, Clinical Advisor - Open Arms Perinatal ServicesElizabeth Bodner (she/her), CNM, Graduate, Seattle University, Currently employed in CanadaEmily Fitzgerald (she/her), CNM, Hennepin Health Care, Region V, Treasurer MN Affiliate, Chair MN Affiliate Committee for Equity and JusticeTanya Tringali (she/her), CNM, Adjunct Faculty, NYU, Region III, FOMOCC SecretaryClaribel Marmol (she/her), SNM, Emory UniversityPamela Wadsworth (she/her), PhD, WHNP-BC, RN, Western Michigan UniversityShannon Wolfinbarger (fluid), CNM, IHSSara Flores (she/her), CNM, Kaiser Northern CaliforniaMisty Molina (she/her), ARNP, CNM, WHNP, PHN, King County Public Health, Region VIIJacqueline (she/her), CNM, Illinois Valley Community HospitalCara Busenhart (she/her), PhD, APRN-NM, CNM, FACNM, University of Kansas - Program Director for Nurse-Midwifery and Advanced Practice, Region VRitamarie Testa (she/her), CNM, South Shore Hospital, Region IAnna Flood (she/her), student nurseVicki Asturrizaga (she/her), CNMLauren Lo Bue (she/her), SNMBrittney Harper (she/her), SNChristina Jacobson (she/her), CNM/WHNP, Naval Medical Center San DiegoHeather L. Gourley (she/her), Future CNM/FNP, NAP. Kim Lindsey (she/her), CNM, University of IllinoisJill Cassells (she/her), CNM, Women's Center of Southern New EnglandCortney White (she/her), CNM, WHNP-BCVictoria Carlson (she/her), SRN, Platt College of NursingJennifer Mohr (she/her), CNM, Evergreen Healthcare, Region VIIJen Tramantana (she/her), CNM, KaiserJamie Gallagher (she/her), CNM, GAHannah Murphy (she/her), CNMAmbery Peasley (she/her), CNM, UTROPRose Watson-Ormond (she/her), SNM, MPH, Yale School of NursingJanice Locke (she/her), CNM, FNP, Central Maine Medical Center, Region ILauren Strain (she/her), LM, CPM, Vashon Island MidwiferyAdela Griswold (she/her/hers), CNM, Alexandria Health Department, Region IIMichelle Chiafulio (she/her), CNM, Northwell Health Physician Partners, Midwifery at HarrisonMadison Knox (she/her), SNM, Columbia UniversityJennifer Rosenberg (she/her), pre-SNM, Nashville State Community CollegeNoelle Miller (she/her), CNM, Planned Parenthood of the Rocky MountainsFedelma McKenna (she/her), CNM, NCHS, Sand Diego, CAStephanie Sandwich (she/her), CNMKayla Murphy (she/her), CNMAndrea Phillips (she/her), SNM, Frontier Nursing University, Region 3, PAC Student RepresentativeKylie O'Connor (she/her), SNM, NYU Langone / FNULori Powers (she/her), MS, CNM, WHNP-BC, DeKalb Women's Specialist, Region 3, Affiliate TreasurerGenevieve Smith (she/her, they/them), RN, CDCole Ambrust (she/her), LCSWShauna O'Neal (she/her), CNM, FNP-C, Women's Healthcare Associates, Region VIIMonica Fields (she/her), CNM, US ARMY, Region IAndrea Gekas (she/her), MPH, CNS, CNM, WHNP, Georgetown University, Region 7Mariela Rich (she/her), CNM, Muskegon Family Care, Region IVClaire Moynihan (she/her/they/them), SNM, Jefferson University, Region IDarcy Jones (she/her), CNM, Planned Parenthood of the Rocky MountainsElizabeth Eklund (she/her), MSN, CNM, SANE-A, Planned Parenthood of the Rocky MountainsChristina Marea (she/her), CNM, Georgetown University, DCCourt Durfee (he/him/they/them), BSN, RN, CLC, CD(DONA), SNM, Frontier Nursing University, Region IColette Long (she/her), SNM, Emory UniversityCourtney Benedict (she/her/hers), CNM, FNP, Planned Parenthood, Region VIIEmilee Lazo (she/her), CNM, Alivio Medical Center, Chicago, ILGannon Johnson Ward (she/her), CNM, Planned Parenthood of Southern New EnglandHolly Powell Kennedy (she/her), CNM, Yale University, Region IDanielle Walker (she/her), SNM, Frontier Nursing UniversityAiden Harrington (they/them or Saur), APN, CNM, AAHIVS, Howard Brown Health Center, Chicago, ILKelly Lemon (she/her), CNM, WVU Medicine, Region IIAnna Harty (she/her/hers), SNM, Vanderbilt UniversitySara Barco Foster (she/her), SNM, OHSUEmily Tess Johnson (she/her), CNM, FNP, El Rio Community Health ClinicBrittany Simplicio (she/her), CNM, University of New Mexico HospitalKristina Wilson (she/her), SNM, Georgetown UniversityJennifer Lynd Eissfeldt (she/her), CNM, MS, Gundersen Clinic, WI