The Best Beginnings: Personalized, 24-Hour Support for Moms and Newborns

This article was published in our 2015 Annual Report.

Gifford's Birthing Center

(L to R): Bonnie Hervieux-Woodbury, Ronda
Flagherty, Karin Olson, Kim Summers, Mary Borie, Bonnie
Solley, Jennifer Davis

For more than 35 years women have traveled from all over to have their babies at Gifford. Our nurses are famous for their loving care — many have helped welcome multiple siblings to a family.

“Our certified nurse midwives and Birthing Center nurses provide compassionate, personalized labor support for low-intervention births,” said Director of Women’s Health Bonnie Hervieux-Woodbury. “Women are attracted to Gifford because we offer a variety of choices, including epidurals and the back-up support of three ob/gyn physicians.”

Gifford Capital Campaign Approaches $5 Million Goal

Vision for the Future CampaignRANDOLPH – Vision for the Future, the largest capital campaign in Gifford’s 113-year history, is making a final push to wrap up its $5 million fundraising goal. With just
$397,000 to go, the campaign committee is asking everyone to consider contributing to help raise this final amount.

Silently launched in 2013, the campaign has raised more than $4.6 million to support a 3-phased project: building a new Menig Nursing Home to anchor a senior living community, the creation of private inpatient rooms at the main medical center, and a new, updated Birthing Center.

“Our campaign goal was ambitious, but our vision was as well—to improve our facilities so we can continue to provide the best possible healthcare for future generations in our community, from newborns through old age,” said Gifford’s Development Director Ashley Lincoln. “I’ve been so moved by the hard work of our volunteer campaign steering committee and the generous support we’ve received from our community.”

Lincoln notes that over the course of just one year campaign contributors have been able to see firsthand the impact their gifts have on the lives of their neighbors:

• Residents transitioned into the beautiful new 25-bed Menig Nursing Home in Randolph Center last year and they will celebrate a one-year move-in anniversary in May.

• The hospital opened 25 new private inpatient rooms in December, 2015.

• In June the new Birthing Center will open in a centralized location, with upgrades and four new private rooms overlooking a courtyard garden.

“It is exciting to see that our target is within reach,” Lincoln said. “Our donors’ enthusiasm, and their faith in our stewardship of their gifts, has supported us throughout the entire campaign. We are so close now—I hope people will be inspired to help us wrap up our funding in June.”

For more information about Gifford’s Vision for the Future campaign call Ashley Lincoln at 728-2380 or visit http://www.giffordmed.org/VisionfortheFuture.

Gifford Welcomes Certified Nurse-Midwife Julia Cook

Certified nurse-midwife Julia Cook

RANDOLPH – Certified nurse-midwife Julia Cook has joined Gifford’s team of midwives, and is now seeing patients in our Randolph and Berlin clinics.

Cook received a Master of Science in Nursing from Frontier Nursing University in Hyden, KY. Her clinical interests include adolescent care, patient education, and helping women to be active participants in their ob/gyn care.

Born in rural Louisiana, she moved to a suburb of Atlanta while in High School, and went on to get an associate of Science in Nursing from Georgia Perimeter College. She was first attracted to ob/gyn care after the birth of her first child 16 years ago.

“The midwives who cared for me were amazing—they empowered me as a woman and as a new mother,” she said. “I was intrigued by what they did, and asked them what I needed to do to start on that career path.”

When Cook finished her training she began to look for work in a smaller community, and was drawn by the story of Gifford’s Birthing Center and its pioneering efforts in family centered birth. She also appreciates that her work will include opportunities for well-women and adolescent care.

“I feel that education is so important when it comes to women’s health,” she said. “I especially enjoy working with adolescents because they are at a time in life when information about how to be healthy is taken with them as they transition into adulthood.”

Cook says her husband and four children are also excited about moving to New England, and the family looks forward to living in a smaller community and exploring all the new things Vermont offers.

To schedule an appointment, or to learn more about Gifford’s Birthing Center, please call 802-728-2401.

Gifford Birthing Center Welcomes Two Certified Nurse Midwives

Two certified nurse midwives have joined Gifford’s Birthing Center team: Ali Swanson, who comes to Randolph from a practice in Winnipeg, Manitoba, and Vermont native Susan Paris. Established in 1977, Gifford’s Birthing Center was the first in Vermont to offer an alternative to traditional hospital-based deliveries, and continues to be a leader in midwifery and family-centered care.

Ali Swanson

Ali Swanson

Ali Swanson grew up just north of Chicago and received a BA from the University of Wisconsin at Madison, and a Bachelor of Science in Nursing, and a Master of Science in Nursing from the University of Illinois at Chicago. Her clinical interests include adolescent health and waterbirth.

After working as a midwife in the inner city of Chicago for two years, she was attracted to the Canadian midwifery model (where midwives function as autonomous providers who assist in childbirth in homes, hospitals, and free standing birthing centers) and obtained her Canadian licensure. She most recently was a registered midwife at the Winnipeg Regional Health Authority. Wanting to relocate to Vermont, she is excited to have found a community hospital where she can draw on her experiences in both hospital and out-of-hospital settings.

“Birth is a life-changing event and a very unique experience,” says Swanson. “It is all about trust and a woman’s relationship to her body, her family, and her midwife. I want to help a woman experience it in a way that is supportive and comfortable for her.”

Susan Paris

Susan Paris

Susan Paris, raised in Jeffersonville, Vermont, always knew she wanted to help women with labor and delivery. “Midwifery is in my bones,” she says.

She received a BS from Johnson State College, an Associate in Nursing from VTC, and a Master of Science in Midwifery from the Midwifery Institute of Philadelphia. She most recently worked as a labor, delivery, recovery, and postpartum nurse at Martin Memorial Health Center in Florida, and has also worked at Copley Hospital and the University Medical Center of Vermont. Paris says she brings a supportive and friendly approach to her work, and also a sense of humor—“It’s supposed to be fun too!” Her clinical interests include the prenatal and birthing experience, well-women care, and adolescent care. She is pleased to be back in Vermont and part of a team that offers women a broad skill set and choices in style as well as personality.

“With childbirth you need to have many ‘tools,’ available and consider many options –you never can predict how the process will go,” said Swanson. “I want to help women along the path they’ve chosen, but I’m always prepared to adapt and be ready to move in a different direction when needed.”

The Birthing Center team brings extensive knowledge and skill to their work: four licensed midwives and three board-certified obstetricians/gynecologists with expertise in high-risk pregnancy and birth collaborate when needed to provide compassionate, 24-hour care. At each step of the process they work to personalize the process, helping women choose their best options for a positive and rewarding birth experience.

Ali Swanson and Susan Paris are currently accepting new patients. To learn more about the Birthing Center, please call 728-2257.

Gifford’s 2014 Highlights: July – September

The following article appeared in our 2014 Annual Report.

July

Gifford concert seriesThe White River Valley Chamber of Commerce and Gifford once again partner to offer concerts and now a farmer’s market on Tuesday evenings throughout the summer in the Gifford Park. Two community barbecues — one by Stagecoach and one by the Randolph Center Fire Department — also draw a crowd.

podiatrist Dr. Samantha HarrisPodiatrist Dr. Samantha Harris joins the Gifford Health Center at Berlin, providing full spectrum surgical and non-surgical podiatric care.

Gifford’s midwives hold an open house to introduce their new team to the community.

August

Dr. Kenyatta NormanAfter working at Gifford since January as a locum tenens physician, orthopedic surgeon Dr. Kenyatta Norman makes her position permanent.

A “Heartsaver CPR” certification course is offered to the community.

Last Mile RideJP’s Flea Market, formerly the Randolph Antique and Artisans Fair, is held in the Gifford park on Aug. 9. Cars line the street looking for deals and meals.

The ninth annual Last Mile Ride raises a record $60,000 for end-of-life care. This year’s event is spread over two days and attracts a record 386 Sue Schoolcraftparticipants.

Sue Schoolcraft of Randolph gains media recognition statewide for her work to make personalized quilts for Menig residents. Her work is supported by the Last Mile Ride.

ob/gyn Dr. Sean TubensOb/Gyn Dr. Sean Tubens joins the Gifford Ob/Gyn and Midwifery team from his hometown of Baltimore, bringing total laparoscopic hysterectomies to Gifford for the first time.

September

Dr. Melissa ScaleraDr. Melissa Scalera, an Ob/Gyn, joins Gifford’s women’s health team, providing complete gynecologic and obstetrics care in Randolph.

Colorado couple, sports medicine physician Dr. Nat Harlow and family nurse practitioner Christina Harlow, join Gifford’s Sharon sports medicine and Randolph primary care practices respectively. Dr. Harlow is fellowship trained. Christina holds a doctor of nursing practice degree.

Dr. Jeff LourieFamily nurse practitioner Jeff Lourie joins the Gifford Health Center at Berlin.

Project Independence of Barre officially merges with Gifford.

Gifford’s 2014 Highlights: January – March

The following article appeared in our 2014 Annual Report.

January

Gifford's first baby of 2014The first baby of the year is born to Casandra Perry of Bethel. Baby Bryden is welcomed on Jan. 2 at 3:48 a.m.

A “Matters of the Heart” series is offered monthly all year long for heart patients, or anyone looking to improve his or her heart health. Also offered: Chronic Conditions Support Group, Caregiver Support Group, Diabetes Group Education Classes, childbirth classes, and a new Mood Disorder Support Group.

A “Quit In Person” tobacco cessation class helps those addicted to smoking or other tobacco products to quit.

A “Chronic Pain Healthier Living Workshop” is offered at the Randolph House. The six-week free series addresses coping with chronic pain.

Alison WhiteExperienced nurse leader Alison White joins Gifford as vice president of patient care services – a role that oversees the Hospital Division, including inpatient care, the Birthing Center, Ob/Gyn and Midwifery, the Emergency Department, Menig nursing home, and Adult Day Program.

After considerable input from providers, staff, and clergy, the Gifford board passes a policy implementing the Patient Choice at End of Life law. The policy allows willing primary care providers to prescribe lethal prescriptions but prohibits use of such prescriptions in the hospital setting.

February

An educational event shares Gifford’s “Vision for the Future” with Corporators. The vision focuses in part on constructing a senior living community in Randolph
Center.

Gifford Medical Center AuxiliaryThe Gifford Medical Center Auxiliary awards $19,000 to various Gifford departments, including equipment for inpatient units, pulse oximeters for primary care offices, play equipment and furniture for The Robin’s Nest Child Enrichment Center, and a handheld scanning device for Materials Management.

Dr. Robert CochraneExperienced hospitalist Dr. Robert Cochrane joins Gifford’s hospitalist (inpatient care) team.

An “Infant and Child CPR” class helps new parents and families learn lifesaving techniques.

A “Home Alone and Safe” course teaches children 8-11 how to respond to home alone situations.

March

A “Babysitter’s Training Course” is held for area pre-teens and teens seeking greater expertise in safe child care.

Dr. Michael ChamberlandChiropractor Dr. Michael Chamberland joins the Sharon Health Center sports medicine team.

A “Healthier Living Workshop” series begins, providing the chronically ill free information on improving their health.

A second “Quit In Person” tobacco cessation class is held, this time at the Gifford Health Center at Berlin.

Vermont Health ConnectGifford’s Health Connections office and Blueprint for Health team partner with Bi-State Primary Care to offer free help signing up for Vermont Health Connect. Help is available each weekday, but on March 6 and March 13 extra “navigators” come to Gifford to help even more people sign-up in advance of a March 15 deadline.

Diabetes Education ExpoGifford’s annual Diabetes Education Expo is merged with a Health Fair for all chronically ill and offered on March 14.

Gifford holds its 108th Annual Meeting of its corporators, announcing achievements of 2013, unveiling a new video about Gifford, and hearing a special presentation from Green Mountain Care Board Chairman Al Gobeille. Corporators elected Matt Considine of Randolph to the board and re-elect Lincoln Clark of Gifford corporatorsRoyalton. Grants were announced, including $25,000 in William and Mary Markle Community Foundation funds to 10 area towns’ schools to support exercise and healthy eating programs. The Philip D. Levesque Memorial Community Award, in memory of Gifford’s late president, is awarded to the Orange County Parent Child Center.

Gifford staff raise $520 for the March of Dimes by wearing “Blue Jeans for Babies”.

April VanderveerGifford’s mammography and nuclear medicine departments earn three-year, national re-accreditations from the American College of Radiology.

Certified nurse-midwife and women’s health nurse practitioner April Vanderveer joins Gifford’s 24-hour midwifery team.

Gifford Scores above National Average on Infant Feeding Practices

Performs better than 84 percent of national facilities with similar number of births

first New Year's babyGifford Medical Center ranks above the national average for infant feeding practices in maternity care settings, according to the most recent Centers for Disease Control and Prevention’s (CDC) survey of Maternity Practices in Infant Nutrition and Care (mPINC).

Gifford scored 91 of 100 points, performing better than 84 percent of facilities nationwide with a similar number of births per year (less than 250). Across Vermont, the average mPINC score was 88; the national average score was 75.

“Gifford has always been a leader in providing women’s and obstetrics services and supporting moms and babies,” said Alison B. White, vice president of Patient Care Services at Gifford. “This report reflects the excellent care programs embedded in our pregnancy and maternity care, which create an environment that promotes and supports health and nutrition practices.”

Nationally 2,666 facilities providing maternity services responded to the 2013 mPINC survey (83 percent).The survey evaluates participating facilities in seven dimensions of care, a group of interventions that improve breastfeeding outcomes:

  • Labor and delivery care
  • Postpartum care
  • Breastfeeding assistance and contact between mother and infant
  • Facility discharge care
  • Staff training
  • Structural/organizational aspects of care delivery

For more information on the mPINC survey visit: http://www.cdc.gov/breastfeeding/data/mpinc/index.htm.

Gifford’s Birthing Center: For more than 35 years, Gifford’s Birthing Center has been the standard of care for women in Vermont, and today continues to be a leader in family-centered care, obstetrics, and midwifery. For more information call 802-728-2257 or visit http://www.giffordmed.org/BirthingCenter

Local Crafters Donate Quilts for Gifford Babies

Crazy Angel Quilters donate warm, colorful quilts to Gifford’s Birthing Center

Crazy Angels

Left to right: Gifford Birthing Center Assistant Nurse Manager Kim Summers, Crazy Angel quilter Kayla Denny, and Karin Olson, RN

Gifford Medical Center’s youngest patients can leave the hospital wrapped in warmth and vibrant color thanks to a generous donation of 36 baby quilts, lovingly crafted by a group of “Crazy Angels.”

Kayla Denny, of East Bethel, brought two plastic bins filled with beautiful, carefully folded quilts to Gifford’s Birthing Center on January 20, 2015. She explained that the Crazy Angel Quilters— her mother Bobbie Denny, grandmother Gladys Muzzy, and friends Kitty LaClair, and Maggie Corey—have been meeting weekly for over a year to create the donated baby quilts.

“You don’t know how happy it makes us to be able to offer these to families,” Gifford Birthing Center Assistant Nurse Manager Kim Summers told Denny as she and Karin Olson, RN admired the colorful selection of donated quilts.

Denny, a CAT scan technologist at the Dartmouth-Hitchcock Medical Center says she learned to quilt after her mother taught her to sew her own scrub tops for work when she finished her X-ray training. She fell in love with the craft and has been creating beautiful quilts ever since.

Crazy Angel Quilts

Baby Lola Alsup wrapped in a quilt donated by Crazy Angel Quilters

Inspired by Project Linus, a national nonprofit that provides homemade blankets to children in need, the The Crazy Angels wanted to do something for local children. “We all loved to sew and enjoyed sewing together,” said Denny. She estimates that each quilt takes five hours to complete. When not sewing with the Crazy Angels, Denny creates quilts to sell through her business, Sew Many Stitches.

Within hours of the donation, Monica and AJ Alsup of Thetford Center, VT, stood before a bed covered with quilts, trying to choose one for their day-old daughter. The happy family left for home with a sleeping baby Lola, warmly enveloped in playful owls, pink hearts, and polka dots.

Ob/gyn team provides comprehensive care — and now total laparoscopic hysterectomies

This article was published in Gifford’s Fall 2014 Update Community Newsletter.

Gifford ob/gyn teamGifford’s women’s health team has grown to include two new ob/gyns.

Dr. Sean Tubens and Dr. Melissa Scalera have joined gynecologist Dr. Ellamarie Russo-DeMara, as well as Gifford’s certified nurse-midwife team, in caring for women.

Dr. Sean Tubens
Dr. Tubens is a native of Baltimore who joined the U.S. Marines out of high school. He went on to work in his father’s trade – as a hairdresser – before illness took his parents’ lives just months apart. Dr. Tubens found himself wanting to do more and pursued a career in medicine.

He attended Towson University in Baltimore, graduating magna cum laude in just three years while working full-time. He went on to Ross University School of Medicine in Dominica in the West Indies and New Jersey and completed his ob/gyn residency at Bayfront Medical Center in St. Petersburg, Fla. During his residency, he worked exclusively on high risk pregnancies and performing gynecologic
surgeries.

His work at Bayfront earned him recognitions for excellence in laparoscopic surgery, excellence in reproductive endocrinology and as outstanding resident teacher of the year.

When it came time to look for a job, Dr. Tubens looked for a warm and friendly community where he and his wife could settle with their two huskies.

He has found that in Vermont and at Gifford.

“People are so welcoming. They smile. That’s very attractive,” said Dr. Tubens. “We hope we can spend the rest of our lives here.”

Dr. Melissa Scalera
A native of New Jersey, Dr. Scalera was the first person in her immediate family to go to college. She earned her bachelor’s degree in psychology from Williams College located just three miles south of Vermont in Williamstown, Mass. She worked at a direct marketing company that made and sold leather books before deciding that she wanted a change.

“I want to be a doctor,” she decided, quit her job, and moved in with her parents. With no science classes to her credit, she did two years of post-baccalaureate studies in the pre-medical curriculum at nearby Seton Hall University in South Orange, N.J., before attending the New Jersey School of Medicine at the University of Medicine and Dentistry in Newark. She went on to residency at Albany Medical Center in nearby New York.

Since then she has worked for 13 years as an ob/gyn physician in Washington, Texas, Oregon, Pennsylvania, New Zealand, and North Carolina. A love of snow and skiing has brought her and her family to Vermont, and to Gifford.

“Gifford,” she says, is “a really fantastic match for me.”

A new team
Dr. Scalera brings a love of all things ob/gyn to the practice. Dr. Tubens is a new resource in high-risk pregnancies, gynecologic surgery as well as office procedures. Specifically, Dr. Tubens offers urogynecology procedures for uterine prolapse, bladder and rectal prolapse, and urinary incontinence. He also performs total laparoscopic hysterectomies – something not previously offered at Gifford.

Dr. Tubens and Dr. Scalera are currently working exclusively in Randolph. Their skills meld nicely with Dr. Russo-DeMara, who focuses on gynecologic and menopause care. Dr. Russo-DeMara works out of Gifford’s Bethel and White River Junction practices. Joining them are Gifford’s midwifery team, which focus on prenatal care and births as well as well-woman care in Randolph and Berlin.

“This new team is providing comprehensive women’s health medical and surgical services, from contraception to menopause management and everything in between,” explained Alison White, Gifford vice president of patient care services.

Ob/Gyn Dr. Melissa Scalera Joins Gifford Team

Dr. Melissa Scalera

Dr. Melissa Scalera

On her road to becoming an ob/gyn, Dr. Melissa Scalera flirted with Vermont. First there was her undergraduate studies at Williams College just three miles south of the Vermont border in Massachusetts. She crossed the border for Chinese food, antiques, and skiing. Later her residency was at Albany Medical Center in nearby New York.

Now she and her ski enthusiast family are thrilled to be calling Vermont home.

Dr. Scalera has joined Gifford Ob/Gyn & Midwifery in Randolph.

Originally from New Jersey, Dr. Scalera was the first person in her immediate family to attend college.

Her mother made a list of “academically acceptable” schools, starting with Harvard, that her daughter would be “allowed” to attend, Dr. Scalera recalls. Williams was on it. Scalera loved the school and everything about learning. Initially she thought that she’d major in Spanish literature or art history. “Choose something else” was her dad’s reply.

She graduated with a degree in psychology in the middle of a recession and applied for any and every job she could find. She took a position with a direct marketing company that made and sold leather bound books.

Hunched over a budget report one night at 10 p.m. at that long-ago job, she had an epiphany.

Unhappy stuck in a cubical all day, she wanted to be more active, look at fewer spreadsheets, see the sun, and talk to people.

About the same time, she had seen an ob/gyn for a routine exam and blood work. The exam went well, but the follow-up appointment to go over the results of the blood work with a different doctor was less than stellar. He was cranky, didn’t listen, and she left thinking “I can do better than that.”

Twenty-one and full of confidence, she called her mom and said, “I want to be a doctor.” She quit her job, moved in with her parents, and did two years of post-baccalaureate studies in the pre-medical curriculum at nearby Seton Hall University in South Orange, N.J.

She went on to the New Jersey School of Medicine at the University of Medicine and Dentistry of New Jersey in Newark, earning her doctor of medicine degree in 1997. A four-year ob/gyn residency followed at Albany Medical Center in New York.

She spent the next 14 years working as an ob/gyn physician in the United States, in Washington, Texas, Oregon, Pennsylvania, and North Carolina, and in New Zealand.

Her work in New Zealand was meant to be a six-month adventure. She liked it so much she stayed seven years. Her role in New Zealand was that of a specialist. Midwives in New Zealand provide complete obstetric care for low-risk births. General practitioners’ offices provide Pap smears and routine gynecologic care. Dr. Scalera consequently handled high-risk maternity cases, colposcopy or abnormal Pap smears, and gynecologic surgeries.

“I basically backed up every mid-wife in town.”

“I think Gifford and Vermont are the closest to New Zealand that I’m going to get and still be in the continental U.S.,” says Dr. Scalera, who returned to the States to be near family but looked north for snow.

Dr. Scalera and her family, including her husband of 20 years, Bob Pressey, son Michael, 11, and daughter Catherine, 5, are living in Randolph, where they are loving the community and the school system. They hope to find an older home to buy within walking distance of Gifford.

“I think people are really, really nice, and already kids are coming over to ask if my son would like to come out and play,” says Dr. Scalera, remembering her own childhood of neighborhood children at play and wanting that for her family.

Dr. Scalera is board certified by the American Board of Obstetrics and Gynecology and The Royal Australian and New Zealand College of Obstetricians and Gynecologists.

She describes her bedside manner as “friendly.” “I like people and I love to talk,” she says. Her clinical interests include general obstetrics and gynecology.

“Gifford,” she says, is “a really fantastic match for me.”

Dr. Scalera is accepting new patients. Call her at Gifford Ob/Gyn & Midwifery at (802) 728-2401.