Mairi Breen Rothman, CNM, MSN
Candidate for Region II Representative
See Mairi’s CV here
Question: What challenges to midwifery practice have you observed/experienced either nationally or in your region, and what solutions would you suggest or implement to eliminate that barrier?
Answer: The healthcare system in the United States has become an unwieldy structure that must either change or collapse. Fortunately, change seems to be the order of the day, and midwives are well-positioned to play an important role in that change. In order to do this to the best of our ability, we need to expand the robustness of our own organization, both internally and externally.
Internally, we are working to grow our membership and optimize the functioning of each individual affiliate. ACNM’s ongoing effort to become more diverse and inclusive is an important part of this growth.The reorganization of regions has also been very helpful, making it easier for affiliates to communicate with each other and with the national organization. I celebrate the fact that I can now drive to every state in less than a day, and I look forward to visiting every affiliate in Region II in the next few months, taking part in the ACNM-wide effort to increase our numbers and our ability to advance the profession on the national and local levels.
During my first term, ACNM has been at the center of a movement toward mainstreaming midwives and securing the midwife’s role as portal of entry to maternity care. Externally, the challenges that face us as a profession require communication across previously-held boundaries in order to partner with other organizations—CPMs, obstetricians, maternal-fetal medicine specialists, nurses, and so on—in crafting a maternity care system which allows a woman to move smoothly, and with respect and kindness, from one form of care to another as indicated by her health needs.
I have been honored to play a part in some of the positive changes happening in our relationships, both within our own organization and with other organizations, and would welcome the opportunity to continue this work.