A joint workshop with Debra Betts and Claudia Citkovitz exploring acupuncture treatment for birth preparation, medical induction, miscarriage and stillbirth and breech. This session will use clinical sketches to facilitate small group discussions about specific areas of clinical practice. Following an introduction on the topic by Claudia and Debra, participants will be divided into small groups and given different scenarios to devise treatment plans for. These scenarios will illustrate the realities of clinical practice, red flags that require special attention, and Chinese medicine considerations for clinical practice. After groups have discussed the case and come up with treatment plans, Debra and Claudia will lead a feedback session, adding suggestions and illustrating what they see as essential safety considerations when treating difficult and high-risk cases:
· Birth preparation. What separates birth preparation from induction of labour and examining how individual constitutional treatment impacts on labour.
· Medical induction. Working with women when a medical induction is necessary: including vaginal birth after caesarean section (VBAC), Gestational diabetes, Premature rupture of membranes (PROM) and polyhydramnios.
· Dealing with adverse outcomes including miscarriage, foetal demise and stillbirth.
· Breech. Examining the impacts of dosage for moxibustion on BL 67, additional treatment s to the use of BL 67 and dealing with the women who present with complications such as twin pregnancies.
Learning objectives - Workshop participants can expect to
- improve their labor preparation treatment planning based on TCM pattern differentiation as well as medical complications and risk factors
- learn approaches for working with adverse outcomes such as miscarriage, fetal demise and stillbirth
- deepen their understanding of UB67 moxa in breech, including issues of dosage as well as twins and other complications
First session: (1 ½ hours). Birth preparation. What separates birth preparation from induction of labour and examining how individual constitutional treatment impacts on labour.
Break
Second session: (1 ½ hours).Working to enhance Medical induction. Working with women when a medical induction is necessary: including vaginal birth after caesarean section (VBAC), Gestational diabetes, Premature rupture of membranes (PROM) and polyhydramnios.
Lunch
Third session: (1 ½ hours). Dealing with adverse outcomes including miscarriage, foetal demise and stillbirth
Break
Fourth session: (1 ½ hours). Breech. Examining the impacts of dosage for moxibustion on BL 67, additional treatment s to the use of BL 67 and dealing with the women who present with complications such as twin pregnancies.
Claudia Citkovitz, PhD, LAc., has led the Acupuncture Service at NYU Lutheran since 2004, supervising 8 acupuncturists who provide inpatient care and clinical instruction in the areas of neurological and orthopedic management, rehabilitation, labor and delivery, pain management. Dr. Citkovitz studied Chinese language in Beijing and acupuncture at the Pacific and Tri-State colleges in New York. An internationally known lecturer on acupuncture practice and research methodology, she lectures regularly for the American College of Traditional Chinese Medicine, the Oregon College of Oriental Medicine and the Pacific College of Oriental Medicine, the University of Westminster in London and the British Acupuncture Council. Her PhD study on acupuncture during acute stroke rehabilitation was the first conducted in the United States, as was her 2006 study of acupuncture during labor and delivery. Dr. Citkovitz is a frequent peer reviewer and Editorial Board member on journals including Acupuncture in Medicine, BMC Pregnancy and Childbirth, the Journal of Alternative and Complementary Medicine, Explore, and Meridians. She is a past member of the NCCAOM’s Task Force on Hospital-Based Acupuncture, the Tri-State College Advisory Board and the Touro College Institutional Review Board, and is currently a Commissioner of the Accreditation Commission for Acupuncture and Oriental Medicine.
Sarah Budd trained as a general nurse and midwife, then as an acupuncturist in London and Nanjing from 1985 to 1988.
She set up an acupuncture service in Plymouth Maternity Unit, then completed a degree in Complementary Health Studies at Exeter University. She was given the first and only full time post as acupuncturist midwife in the UK National Health Service. Over 8,000 pregnant women have been treated with acupuncture in Plymouth, and the service was joint winner of the Prince of Wales' Foundation for Integrated Health Award in 2001.
Sarah worked as a Research Assistant in the Acupuncture Research Resource Centre. She has contributed to text books and journals and continues to teach in acupuncture colleges / universities, at conferences and via Webinars. She recently retired from the NHS but still has a private acupuncture practice and runs courses for midwives and couples on the use of Acupressure for preparation and pain relief in labour. She also set up the first TCM acupuncture course exclusively for midwives in the UK. She is currently studying for an MSc in Advanced Oriental Medicine.