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• W4221042022 abstract "On Dec 28, 2022, Kitty's eldest daughter Rosie called to tell me that Kitty had died peacefully during the night at her home in Perkiomenville, Pennsylvania, at the age of 95.1 I had lost my dear friend, mentor, teacher, motivator, and conscience. I know that many of you felt the same way when you heard the news. I first met Kitty in 1989 when I arrived at her home in Perkiomenville to attend our Frontier Bound orientation class for the Community-Based Nurse-Midwifery Education Program (CNEP). Days were spent attending classes, and evenings were spent with Kitty as she inspired us to go forth and serve women. I remember many of the things she said in those days because she repeated them frequently to me and many of you over the years. “All health care begins with the care of the mother; if you care for the mother she can care for her family.” “YOU must exponentially expand the number of midwives.” “You must follow the money.” “Midwifery is a calling, not a job.” “Hospitals were built for the practice of medicine, always remember that.” She told us story after story that made us realize that we were coming into a profession of passionate change agents, that we were standing on the shoulders of the committed midwives who came before. Kitty had moral courage and she instilled in us a sense of responsibility to do well, to do all that we could to improve the lives of the families that we would serve. We were also instilled with a sense that we could accomplish anything that we set our minds to. As time moved on I learned more about Kitty and her life's work: her early work as a cadet nurse during World War II; her role as a newly graduated midwife riding to patients’ homes on horseback at the Frontier Nursing Service; her service as a home birth midwife at Maternity Center Association in New York City; her position as the midwifery education program director at Columbia University; her work as an early childbirth educator; her partnering with her good friend Ruth Lubic to establish the freestanding birth center as a valid part of the health care system; her work with Judith Rooks and others to publish the first the birth center study in the New England Journal of Medicine;2 her service as both the youngest ever President of the American College of Nurse-Midwives (ACNM) and again, decades later, as the oldest ACNM President. One of Kitty's most creative and impactful achievements was the design and launch of the CNEP, now Frontier Nursing University.3 When Kitty saw a problem, she acted on it. During the 1980s, she and many others were deeply concerned about the small number of nurse-midwives graduating each year in the United States. She was further distressed by both the lack of access to nurse-midwifery education because programs were primarily located in academic health centers in urban areas and because the educational programs lacked content regarding how to establish and manage birth centers and safely provide out-of-hospital birth options for families. She was convinced that if we could design a program that allowed students to attend without relocating, we could reach nurses in rural and underserved areas who had limited educational opportunities. Kitty designed and implemented the first distance learning program for nurse-midwives in 1989 at a time when the Internet was not yet in use. Her family, husband Al, son Ted, and daughters Kate and Rosie all worked beside her to make it happen. She was advised by others that it would never work, that you could not teach nurse-midwifery at a distance and that it was too risky. Kitty said later “the greatest risk was not to risk at all.” She was right; there are now more than 3800 nurse-midwifery graduates from the program Kitty designed. During her lifetime as a midwife, Kitty spent countless hours talking to all about the importance of the freestanding birth center, midwifery care, and the need for women to give birth in a place that is safe and puts the woman at the center and in control. She was always available to give advice, brainstorm problems, and encourage all of us to follow our dreams. Kitty's fingerprints are all over the development of nurse-midwifery in our country, and countless midwives have felt her touch on their work throughout their careers. She told me (and I'm sure many others) that ideas come and sit on our shoulders. We can grab that idea and do something about it or it will float away and go to someone else's shoulder. It is now up to all of us to grab those ideas and implement them to increase the number of midwives and improve health care outcomes for all people in our country. Thank you, Kitty. While we will all miss you greatly, know that you have prepared us well to take on the challenges and the work ahead." @default.
• W4221042022 created "2022-04-03" @default.
• W4221042022 creator A5070575887 @default.
• W4221042022 date "2022-03-01" @default.
• W4221042022 modified "2023-09-27" @default.
• W4221042022 title "A Tribute to Eunice K. (Kitty) Ernst: A One of a Kind Midwife" @default.
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• W4221042022 doi "https://doi.org/10.1111/jmwh.13360" @default.
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