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Birth at the Border: A Case Study of Refugees and Migrants at the Tijuana-San Diego Border
Over the past years, Tijuana, Mexico, has seen an influx of U.S.-bound refugees and migrants, many of whom have escaped incredibly difficult situations in their country of origin. With no or little access to healthcare, pregnant women and girls are often most vulnerable. Parteras Fronterizas / Borderland Midwives caters to the unique needs of this underserved patient population by utilizing a holistic approach that combines midwifery, traditional and Western medical practices.
This presentation explores the unique challenges pregnant migrants and refugees face at the US/Mexico border. It highlights the importance of the midwifery model of care and dives into how midwives and healthcare providers can provide compassionate, trauma informed and comprehensive care despite difficult and limiting circumstances. The presentation will also discuss global health and midwifery skills that can help dismantle health disparities.
This presentation is approved for 1 R-CERP, 1 ACNM CEU and 0.1 MEAC Midwifery CEU..
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CNM Ximena Rojas Garcia is a Midwife and licensed Obstetric Nurse from the National Autonomous University of Mexico, she comes from a line of traditional midwives. Ximena has 15 years of experience in her field and as a Midwifery Professor, she has certifications in Obstetrical Emergencies, Neonatal Resuscitation, Water birthing and Acupuncture. Ximena founded "Partería y Medicinas Ancestrales," the only Mexican Midwifery NGO that includes Midwives from all paths and programs, which was instrumental in providing maternal health access during the humanitarian crisis after the arrival of thousands of asylum seekers from Haiti, Congo and Central America to the US-Mexico border.
Ximena has been collaborating with Stanford University's Obstetricians, Gynecologists and Pediatricians to train Midwives and Health providers at the US San Diego-Tijuana border to improve birth outcomes. She organizes direct relief to support trauma recovery responding to crises and disasters as a member of Acupuncturists Without Borders. Ximena also created a Doula training program, responsible for training more than 300 Doulas in Mexico, Colombia and Guatemala, aimed at eradicating obstetric violence, lowering the frequency of unnecessary c-sections, and decreasing maternal and newborn mortality.
Ximena is one of the founders and co-directors of Refugee Health Alliance and currently practices clinically at Justicia en Salud RHA Sexual & reproductive health free clinic. She established the first free birth center in Baja California, Mexico that serves vulnerable populations including displaced migrants, asylum seekers, deportees, sexual assault survivors, black, brown and indigenous families who historically had faced forced sterilizations, higher maternal death and newborn death. Her philosophy of birth is: Birth is a unique experience like a ceremony that heals trauma and the next generations when we hold space for it to happen.
1. List at least 3 health challenges pregnant refugees and migrants encounter at the US/Mexico border.
2. Describe trauma informed care & cultural humility when providing midwifery care for refugees and migrants.
3. List at least 3 global health and midwifery skills that help close the gap in health access.
4. Describe how this midwifery model of care can be translated to migrant/refugee sites in other areas of the world.
Over the past years, Tijuana, Mexico, has seen an influx of U.S.-bound refugees and migrants, many of whom have escaped incredibly difficult situations in their country of origin. With no or little access to healthcare, pregnant women and girls are often most vulnerable.
Parteras Fronterizas / Borderland Midwives caters to the unique needs of this underserved patient population by utilizing a holistic approach that combines midwifery, traditional and Western medical practices.
This presentation explores the unique challenges pregnant migrants and refugees face at the US/Mexico border.
It highlights the importance of the midwifery model of care and dives into how midwives and healthcare providers can provide compassionate, trauma informed and comprehensive care despite difficult and limiting circumstances. The presentation will also discuss global health and midwifery skills that can help dismantle health disparities.
Accreditation
CERPs - Continuing Education Recognition Points
Applicable to IBCLC Lactation Consultants, Certified Lactation Consultants (CLCs), CBEs, CLE, Doulas & Birth Educators. GOLD Conferences has been designated as a Long Term Provider of CERPs by IBLCE--Approval #CLT114-07.
This program is approved for 1 R-CERP.
Midwifery CEUs - MEAC / NARM Contact Hour
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) for 1 Contact Hour (0.1 MEAC CEU).
It is also recognized by the North American Registry of Midwives (NARM) for 1 CEU/Contact Hour. Please note that 0.1 MEAC CEU is equivalent to 1.0 NARM CEU/Contact Hour.
ACNM CEUs
This program is approved for 1 Contact Hour (CE) by the American College of Nurse-Midwives. This credit is applicable to Nurse-Midwives, Certified Midwives, Registered Nurses and may be accepted by other certifying bodies.
Additional Details
Viewing Access Time: 2 Weeks
Tags / Categories
(IBCLC) Clinical Skills, (IBCLC) Education and Communication, (IBCLC) Psychology, Sociology, and Anthropology, Birth Advocacy, Midwifery
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