Title: 'Out-of-Hospital Midwives: Improving Compliance with Hearing Screening'
Track: 1 - EHDI Program Enhancement
Keyword(s): home birth, birth centers, midwives, out-of-hospital birth, screening compliance
Learning Objectives:
  1. Identify the unique characteristics of out-of-hospital midwives and their clients that hinder their compliance with newborn hearing screening mandates.
  2. Using Utah's experience as a model, implement strategies for overcoming these barriers.


Newborn hearing screening laws and programs are usually implemented with little consideration of (or input from) midwives delivering in out-of-hospital settings (homes or birth centers). Often these midwives are not well-integrated with local health departments or other medical institutions in their communities. Many may not even be aware of their responsibilities to perform or obtain hearing screening for their newborn patients. As a result, states generally see low hearing screening rates for babies born under their care. The Utah Department of Health created an outreach program which greatly increased the rates of newborn hearing screening among babies born out-of-hospital in Utah. This session will show what Utah did to increase screening rates and share ideas for how could you duplicate this success.
Presentation: Monday_Willis_1135_ShannonWnek_1686.pdf

Handouts: Handout is not Available
CART: Topical Session 1- 1686.doc
Suzanne Smith - Primary Presenter,POC
BetterBirth, LLC
     Credentials: Certified Professional Midwife (CPM), Licensed Direct-Entry Midwife (LDEM)
      Suzanne has been a practicing midwife for 20 years. She was a primary author of the Direct-Entry Midwife Act (to license midwives in Utah) and was the first midwife to hold that license. She is a past president of the Utah Midwives' Association, was the Academic Dean for the Midwives College of Utah for seven years, and chaired Utah's Direct-Entry Midwifery Board and its Rules Committee. She currently serves as the midwife representative on the State of Utah's Hearing Screening Committee. She operates two successful birth centers and a home birth practice with three other wonderful midwives.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Krysta Badger - Co-Presenter
Utah Department of Health
     Credentials: Data Manager, Newborn Hearing Screening Program, Utah Department of Health
      Krysta Badger is the Data Manager for the Newborn Hearing Screening Program at the Utah Department of Health. She has also worked as the LTFU Coordinator at the Utah Department of Health.

Financial -

Nonfinancial -
Shannon Wnek - Co-Presenter
Utah Dept of Health
     Credentials: Au.D., CCC-A
      Dr. Wnek is the Utah Early Hearing Detection and Intervention (EHDI) Audiology Coordinator, responsible for providing audiological and programmatic support to birthing facilities, hospital audiologists and midwives across the state. In addition, she regularly completes Quality Assurance activities and is considered the “Utah EHDI Compliance Officer”. Clinically, Dr. Wnek graduated with her Doctor of Audiology from the University of Utah in 2009 and is a pediatric audiologist at the Utah Department of Health Children with Special Healthcare Needs Bureau,. She is a graduate of the URLEND (Utah Regional Leadership Education in Neurodevelopmental Disabilities) program with a special emphasis on Infant and Pediatric Audiology. Her interests include early identification of hearing loss and supporting families of children with special healthcare needs.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.