An Open Letter to the MEAC Board of Directors

Midwifery, Midwifery students, Reflections on racism and oppression in midwifery

The National College of Midwifery is encouraging preceptors and alumni to write letters to the MEAC board of directors using the following language:I am writing to voice my strong opposition to your proposed ban on all out of country clinicals for MEAC students.” Their suggested letter template is not only inaccurate in calling this a proposed “ban,” but this act by NCM is also divisive and fails to acknowledge the careful process that has led to MEAC’s proposed moratorium.

The suggested statement is divisive in that it forces an unneeded dichotomy of extremes. One “camp” decries all out-of-country service learning activities as unethical and the other “camp” assumes that these activities are mutually beneficial for students and the communities they serve.

We are arguing for a third “camp”, one in which MEAC, MEAC schools and other stakeholders including potential host countries/ sites, approach this complex issue with open minds and hearts, and agree to thoroughly explore the concept of culturally competent and ethical care in the context of service learning, whether here in the US, abroad, or both.

We commend MEAC for recognizing the complexity and multi-layered nature of the problem:

“It is clear from the evidence presented by the workgroup that, due to language and cultural barriers, disparities of power, wealth, and privilege, and the difficulties of obtaining informed consent when students are practicing upon a vulnerable or disadvantaged population, many out-of-country clinical placements for student midwives have caused significant harm to the mothers and babies being cared for, to host communities, and to the students themselves. The MEAC Board is deeply concerned about the possibility of students from our member schools perpetuating or being involved in ethical violations, abuses, and exploitation in pursuit of their clinical education.”

We look forward to a creative and collaborative exploration of these complex issues while ensuring that we are not currently engaging in potentially harmful activities. The moratorium proposed by MEAC affords our profession this opportunity. We applaud the MEAC leadership for this bold and appropriate action.

  1. Kathryn Haines, LM, CPM
  2. The Rev. Patricia Ross, OSL, CPM
  3. Marijke van Roojen, LM, CPM
  4. Makeda Kamara, CNM, MPH, M.Ed
  5. Erin Ryan, LM, CPM
  6. Claudia Booker, LM, CPM-PEP process
  7. Wendy Gordon, LM, CPM, MPH
  8. Krystel Viehmann, LM, CPM
  9. Jaqxun Darlin, student midwife
  10. Laura Marina Perez, CPM, LM
  11. Shauntée Henry
  12. Silke Akerson, CPM, LDM
  13. Audrey Levine, LM, CPM
  14. Anne Hirsch, LM, CPM
  15. Kelly Milligan, CPM
  16. Amy Rae Zimmerman
  17. Maria Teresa Noth
  18. Dionne Corcoran, CPM, LM
  19. Annie Moffat
  20. Meg Novak, CPM
  21. Brooke Casey, LM, CPM, IBCLC
  22. Jennie Joseph, LM
  23. Rachel Zazlow
  24. Brenda Burke, CPM, MSW, RN
  25. Grace Hannon, CPM, LM
  26. AnnMarie RianWanzeck, LM/CPM
  27. Kayla Quinlan Frawley, LM, CPM
  28. Cheryl Clearwater, LM
  29. Tiffany Shank, student midwife
  30. Angelique Chelton
  31. Connie Wakaluk, student midwife
  32. Lorrie Leigh, RN
  33. Joelle Ceremy, LM
  34. Nicole Morales, LM CPM
  35. Neva Gerke
  36. Rachael Cook
  37. Helena Wu
  38. Racha Tahani Lawler, LM
  39. Janine Stiles, CPM
  40. Angelita Nixon, APRN, CNM
  41. Jeanette McCulloch, IBCLC
  42. Susan Smartt Cook, CPM
  43. Holly Arends Murphy, CPM
  44. Mary Helen Ayres, CPM
  45. Donna Mitchell, CPM, CLC
  46. Angela Miller, LM
  47. Amy Jo Rist, CPM, LDM, LM
  48. Treesa McLean, LM
  49. Katherine Bramhall, CPM
  50. Michele James-Parham, Traditional Midwife
  51. Kristin Kali, LM, CPM