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PACEs in Maternal Health

Tagged With "Pregnant women"

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Racism, Not Race, Causes Health Disparities for Black Mothers (nonprofitquarterly.org)

The health disparities that exist for Black mothers in America are well documented. Black women are three to four times more likely to die from childbirth than their White counterparts. Yet, aside from listing “being Black” as a risk factor for maternal death, little has been done to address this alarming statistic. The inaugural Black Maternal Health Week , held from April 11–17, 2018, sought to change this through offering a forum for continued conversation. Importantly, they shed light on...
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Rebecca Pearson: Mental health: depression and anxiety in young mothers is up by 50% in a generation

Linda Manaugh ·
Back when it first started, 17% of young pregnant women in the Children of the 90s study reported symptoms severe enough to indicate clinical levels of depression. This figure was already worryingly high in the 1990s, but in their daughters’ generation it is even more common: 25% of the second generation of the study – women under the age of 24 who are becoming pregnant now – are reporting signs of depression and anxiety. Children of the 90s started following the mental and physical health...
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Recent return from deployment tied to preterm births for military women [Reuters Health News]

Karen Clemmer ·
(Reuters Health) - Military women who give birth within six months of returning from deployment are twice as likely to have premature babies compared to other soldiers, a U.S. study suggests. Researchers examined data on 12,877 births to U.S. soldiers from 2011 to 2014 and found that, overall, 6.1 percent of these deliveries were premature. But for mothers who had returned from deployment within the past six months, 11.7 percent of deliveries were premature, versus just 5.9 percent of births...
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Redesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner And More Often [npr.org]

Alicia Doktor ·
This story was co-published with ProPublica . Doctors would see new mothers sooner and more frequently, and insurers would cover the increased visits, under sweeping new recommendations from the organization that sets standards of care for obstetrician-gynecologists in the U.S. The 11-page "committee opinion" on " Optimizing Postpartum Care ," released Monday by the American College of Obstetricians and Gynecologists , represents a fundamental re-imagining of how providers, insurers and...
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Reducing Maternal Mortality [nytimes.com]

Alicia Doktor ·
Women in the United States face a far greater risk of dying from childbirth complications than in many other wealthy countries. Now the federal government has taken a step toward addressing the problem with the Preventing Maternal Deaths Act , signed in December, which will provide federal grants to states to investigate the deaths of women who die within a year of being pregnant. A report released by the Commonwealth Fund in December that looked at 11 high-income countries found that...
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Researchers study the economics of implementing maternal health programs through self-help groups [Research Matters]

Karen Clemmer ·
For a long time, self-help groups comprising of 10-20 individuals from the same village, mostly women, have been established in many parts of India to address financial needs, livelihood and productivity. In recent years, efforts like Maharashtra’s Mahila Aarogya Samiti , and Kerala’s Kudumbashree initiative have tried to engage such informal groups to increase access to health services and awareness about maternal health schemes like the Janani Suraksha Yojana . Although studies have shown...
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Sacramento Report: Bringing Postpartum Depression Out of the Shadows

Karen Clemmer ·
Those federal funds will become available to states through the Bringing Postpartum Depression Out of the Shadows Act , passed in 2016 by Congress. The money can be used for screening, assessing and treating maternal mental health disorders, but the state Department of Public Health needs to apply. AB 1893 would require them to do so. About one in nine women nationwide experience symptoms of postpartum depression, according to the Centers for Disease Control and Prevention. The California...
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Save the Date: 2020 Healthy Mothers and Healthy Babies Conference

Karen Clemmer ·
Mark your calendars! Perinatal Services BC will be hosting the biennial Healthy Mothers and Healthy Babies Conference in conjunction with UBC Interprofessional Continuing Education. Innovation and equity: The foundation to quality perinatal care in 2020 This conference is hosted by Perinatal Services BC, a part of the Provincial Health Services Authority. It is an exciting meeting of the minds; an opportunity for health care professionals interested in the care of pregnant and postpartum...
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Senator Harris to Reintroduce Maternal CARE Act [CWA E Newsletter]

Karen Clemmer ·
Sen. Kamala Harris has announced a proposal to address the worsening maternal mortality crisis in the U.S., and deep racial disparities in care across the country. Harris' proposal highlights the fact that African American women are three times as likely to die from pregnancy-related complications compared to their white counterparts - and not just among poor women, according to the CDC . Harris proposes to create a new $25 million program aimed at fighting racial bias in maternal care by...
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Should you bring your unborn to work?

Anna Sutton ·
Moms are maxed out. Pregnant moms are maxed out, especially for many families who survived the economic recession because many women hold more recession proof jobs. But stress, especially for the pregnant woman isn't such a great thing for the unborn,...
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Six Local Women Launch First Health Care Co-op Owned by Immigrants [Madison 365]

Karen Clemmer ·
By L. Malik Anderson, June 6, 2019, Madison 365 Six women sought out to serve their community as Promotores de Salud (Community Health Workers) but ended up founding Roots4Change / Raíces Para El Cambio, the first cooperative of its kind led by Latina and indigenous women. “All of them were interested in health. All of them were interested in making a difference in their lives first and the lives of their family and the lives in the community,” Mariela Quesada Centeno, the inaugural Centro...
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science

Carey Sipp ·
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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States weigh bans on shackling jailed moms during childbirth [AP News]

Karen Clemmer ·
SALT LAKE CITY (AP) — Michelle Aldana gave birth to her first child chained to a hospital bed. Then serving time at the Utah state prison on a drug charge, she says she labored through the difficult 2001 birth for nearly 30 hours, her ankles bleeding as the shackles on both her legs and one arm dug in. “I felt like a farm animal,” she says. The practice of keeping inmates shackled during childbirth was once common around the United States, but that’s gradually been changing after women began...
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Strategies to Improve Maternal Mental Health in California [California Budget Bites]

Karen Clemmer ·
(Posted May 1, 2019) Today marks World Maternal Mental Health Day and the start of Mental Health Awareness Month . Maternal mental health (MMH) is vital to the health and well-being of children and families. When mothers feel emotionally healthy and well supported, they are better able to develop strong bonds with their children, which promote children’s physical, mental, and emotional development. Conversely, when mothers experience mental health conditions during pregnancy or after giving...
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Suffering in Silence Mood Disorders Among Pregnant and Postpartum Women of Color

Karen Clemmer ·
Pregnancy and childbirth can bring joy and fulfillment to a woman's life. They can also bring anxiety, depression, and stress. If left untreated, postpartum depression and other mood disorders can grow severe and even fatal for both the mother and her child. The American Psychological Association estimates that 1 in 7 women experience postpartum depression, yet the true statistic is unknown, as most women do not recognize the symptoms associated with the condition. 1 According to the World...
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Symptoms of Depression During and After Pregnancy

Lori Turk ·
In order to have the best chance of improving outcomes for the mother and infant, routine screening and treatment for depression should begin early in pregnancy, a time when women have increased contact with the health care system.
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The Developing Brain & Adverse Childhood Experiences (ACEs)

Lisa Frederiksen ·
Thanks to an explosion in scientific research now possible with imaging technologies, such as fMRI and SPECT, experts can actually see how the brain develops. This helps explain why exposure to adverse childhood experiences can so deeply influence and change a child's brain and thus their physical and emotional health and quality of life across their lifetime. The above time-lapse study was conducted over 10 years. The darker colors represent brain maturity (brain development). I have added...
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The Maternal Mortality Rate In The US Is High. Colorado Is Spending To Try To Stop It [Colorado Public Radio]

Karen Clemmer ·
By Natalia V. Navarro, CPR, June 18, 2019 Nicole Pember has two healthy daughters but during both pregnancies, she could have died. Not only did she have preeclampsia twice, but she also had HELLP syndrome and severe postpartum depression “We just kind of have this expectation also that women just suffer for the good of everyone and it makes it really easy to miss very serious problems,” Pember said. “Things like Preeclampsia, the symptoms are very similar to just kind of like being pregnant...
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The pandemic may be intensifying postpartum depression. But there are resources to help. (The Lily)

Karen Clemmer ·
By Juli Fraga, May 8, 2020, The Lily. On March 18 — a day before California became the first state to issue a stay-at-home order — Courtney Pladsen, 34, a nurse practitioner who lives in Portland, Me., gave birth to her first child. Like many of the hundreds of thousands of U.S. women who have given birth during the coronavirus pandemic, Pladsen’s life was turned upside down. In preparation for parenthood, Pladsen and her husband had lined up support: a lactation consultant to help with...
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The prevalence and clinical correlates of adverse childhood experiences in a cross-sectional study of primary care patients with cardiometabolic disease or risk factors (BMC)

Karen Clemmer ·
From the article: To our knowledge, this is the first study to investigate the incidence and clinical correlates of ACEs in primary care patients who already have cardiometabolic disease or are at elevated risk based on conventional risk factors. Open Access LINK to article Background Adverse childhood experiences (ACEs) are associated with risk of poor adult health, including cardiometabolic diseases. Little is known about the correlates of ACEs for adults who have already developed...
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The Rise of the Trauma-Informed Mothers

Dawn Daum ·
The next generation is less likely to wear predisposed shackles of trauma because as trauma-informed parents we are re-wiring the traumatically stressed DNA that was passed down to us.
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The Type of Postpartum Depression No One Talks About [Health.com]

Samantha Sangenito ·
Postpartum depression is recognized and understood today more than ever before, thanks to advances in research and public awareness campaigns. While the stigma around the disorder isn’t entirely gone, many new moms who might have once suffered in silence are reaching out for help—and speaking out about their experiences. But women aren't the only group that can be affected by postpartum depression: New dads can struggle with it too. Fathers don’t suffer from depression in the same way, or at...
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The Unexpected Perk Of My Group Pregnancy Care: New Friends [CA Healthline]

Karen Clemmer ·
I had always imagined going through pregnancy surrounded by family and friends. But when I found out I was pregnant, my husband, Alex, and I had just moved from San Francisco to Chicago. I knew almost no one. I ended up finding a community where I least expected it: at a medical office. CenteringPregnancy is group prenatal care offered by more than 600 practices across the country. Rather than the standard 15-minute individual visits in an exam room, women who are due around the same time...
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'They Took My Kid': Rural Docs Help Moms Fight Addiction [medpagetoday.com]

By Ashley Lyles, MedPage Today, November 19, 2019 Patient: I'd gotten pregnant again and I was using through my whole pregnancy, and I didn't receive prenatal care. He was born and he's fine and everything. The [Department of Social Services] let me bring him home. Then a week after I had him, I relapsed really, really bad. Then, I got really messed up and they took my kid. Reporter: The opioid epidemic has taken a toll in rural areas, especially on pregnant women. Doctors and healthcare...
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This Psychologist Is Changing The Face Of Therapy For Black Women [HUFFPOST]

Carey Sipp ·
[DFINNEY PHOTOGRAPHY] J oy Harden Bradford, an Atlanta-based therapist who founded the mental health platform Therapy for Black Girls , is an advocate for black women’s well-being. The founder of the website Therapy for Black Girls is working to empower black women to make their mental health a priority. Slowly but surely, mental health has moved from the sidelines to the center of our national conversation around well-being. But discussing feelings and emotions is still a touchy subject in...
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TIC: News and Notes for November 2019

Scott A Webb ·
ACEs, Adversity's Impact Podcast: Dr. Nadine Burke Harris Vital Signs: Estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention - 25 states, 2015-2017 Animal study shows how stress and mother's abuse affects infant brain LGBTQ, traumatized homeless youth more vulnerable to being trafficked: Report How do these pediatricians do ACEs screening?Early adopters tell all When family relationships become toxic: The trauma of...
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TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]

Scott A Webb ·
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
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Trauma-Informed Care and a Therapist Saved my Life

Cassidy Webb ·
Between 55 and 99 percent of women who attend addiction treatment and between 85 and 95 percent of women with a history of mental illness have a history of trauma. Among this trauma , the vast majority happened during childhood. Whether the trauma involves neglect, sexual assault, or dysfunction within the family, the need for trauma-informed care in both addiction treatment and in the mental health field is of great importance. When I found myself at a detox facility 1,300 miles away from...
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'Understanding Trauma': Program Shows Doctors the Biases Indigenous Women Experience [cbc.ca]

By Daniela Germano, Canadian Broadcasting Corporation, October 1, 2019 An online training program is aiming to educate health-care professionals about biases Indigenous women may experience as highlighted by allegations of recent coerced sterilizations. Dr. Naana Jumah, an obstetrician-gynecologist at the Thunder Bay Regional Health Sciences Centre and assistant professor at the Northern Ontario School of Medicine, said the idea for the program came in 2011 when she was doing her residency.
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UNDOING HARM: plastic surgeons tackle reconstruction for circumcised women [Sarasota Herald Tribune]

Karen Clemmer ·
She called it her “deepest, darkest secret,” one she had never even shared with her husband. When Saffiatu Sillah was growing up in the West African nation of Sierra Leone, a ritual circumcision left her with scar tissue that caused pain with pain during sex and agony during childbirth. After her second child was born, Sillah, a pharmacist then living in Philadelphia, searched for medical help. To read the full article, written by Pam Belluck and Maddie McGarvey of the NYT, click click HERE
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Uninsured Native Americans Often Lack Needed Prenatal Care [ocregister.com]

By Yesenia Amaro and Deepa Bharath, Center for Health Journalism News Collaborative, October 4, 2019 For almost two years, Sylvia Valenzuela relied on the federal Indian Health Service system to get the primary care she needed. But when she had to see an OB-GYN for her prenatal care, she was on her own. What followed, she said, was a nightmare in which she struggled to obtain and keep Medi-Cal coverage, leaving her uninsured for a critical stretch of her pregnancy. Valenzuela says she would...
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Untreated perinatal paternal depression: Effects on offspring (www.ncbi.nlm.nih.gov)

Christine Cissy White ·
Note: So many of us mistakingly believe hormone-related changes in pregnant women are the only cause of depression for new parents. Not so, as many fathers and adoptive parents know. This abstract suggests the following: Hence, facilitating access to vigorous and evidence based treatments is a public health opportunity for improving the quality of life of depressed parents and their children. Evidences emerging from this review actually suggest that the traditional gender-focused approach to...
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Untreated Postpartum Depression and Anxiety Costs California Billions, Report Concludes [CA Health Report]

Gail Kennedy ·
Untreated mood and anxiety disorders associated with pregnancy are costing California billions of dollars in health care spending, social services expenses and productivity losses, according to a new report. The study , conducted by the research firm Mathematica with funding from three foundations including the California Health Care Foundation, estimates the cost of untreated perinatal mood and anxiety disorders (PMADs) in California at $2.4 billion for all births in 2017. This includes...
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Violence, Drugs, Mental Illness May Account for Half of Maternal Deaths [PsychCentral.com]

Samantha Sangenito ·
Intimate partner violence, substance use and mental illness may be as threatening to health and survival during pregnancy as medical issues, according to a new study. In the study, researchers from the Boston University Medical Center note that mortality rates for pregnant women are increasing in the U.S. Many are due to medical causes thought to be directly related to pregnancy, such as hemorrhage, thromboembolism and hypertensive disease. Although substance use, serious mental illness and...
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Webinar: Key findings from the Listening to Mothers in California Survey

Bonnie Berman ·
Webinar: Key findings from the Listening to Mothers in California Survey. For more information and to register, please see below. Webinar is Thursday, September 20 , from 12-1:00 PM In 2017, a team led by the National Partnership for Women & Families surveyed more than 2,500 women in California about their views and experiences with childbirth. The results, which will be released September 12, reveal what is and isn't working with maternity care in the Golden State. Join us Thursday,...
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What Happens When Hollywood is Not Trauma Informed? MMH Advocates are Calling for Warning and a Boycott of Charlize Theron's New Movie "Tully" [huffingtonpost.ca]

Jessica Porten ·
"'... It's very disappointing the illness would be so grossly misdiagnosed in a major motion picture when we know that only 15 percent of women who experience a postpartum mood disorder get treatment because of the stigma and shame associated with it,' Zoblin told HuffPost Canada. 'I think mothers should be made aware going into the movie that it might be triggering.'" Warning: this post and the linked article contain spoilers for the new movie "Tully". The previews for this movie would lead...
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How a famous hospital turned around its low rate of screening moms for depression [CenterForHealthJournalism.org]

Samantha Sangenito ·
With two maternal mental health bills on the California governor’s desk and one already signed , a Los Angeles hospital’s work to screen new mothers for depression could soon become a statewide model. Cedars-Sinai in Los Angeles worked hard to bring up its low rate of screening postpartum women for depression. If signed, one of the new bills would require obstetric teams to do the same. The hospital’s screening success is largely due to the dogged persistence of clinical psychologist Eynav...
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How It Feels & How We Heal: Parenting with ACEs Chat Quotes (You Tube, Database, PDFs, Links)

Christine Cissy White ·
Parenting with ACEs is sharing inspiration, information, and expertise from our chat series in 3 formats. Parenting with ACEs: How It Feels & How We Heal Quote Collection (pdf version below as well) Quotes Database (pdf version below as well) Links to Chat Transcripts and before and after-the-chat blog posts. Thanks to everyone who showed up, who shared, and who is doing the important work that is our mission (prevent ACEs, heal trauma, build resilience). We know that work happens...
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How social factors drive up suicide rates among pregnant women [TheConversation.com]

Samantha Sangenito ·
Pregnant women in South Africa who live in poor communities are more likely to consider or attempt suicide than the general population. That’s a key finding from a recent study we undertook at Hanover Park. The research found 12% of pregnant women living in low-resource communities had thought of killing themselves during the previous month. In the same period, an additional 6% of pregnant women reported they had started to enact a suicide plan or attempted to end their lives. Rates of...
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How to get more low-income moms screened for depression? CMS says, ‘Bill me!’ [CenterForHealthJournalism.com]

Samantha Sangenito ·
In recent years there’s been a surge in awareness of how common and debilitating maternal depression can be. As the research accumulates and media coverage keeps apace, the idea that depression and related disorders can wreak serious havoc on a mother and affect her baby’s development has given fresh urgency to efforts to get moms more help. Among policymakers, growing recognition of the problem has translated into new programs, with a number of states encouraging screenings and treatment.
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Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach

Kate White ·
The Association for Prenatal and Perinatal Psychology and Health is excited to bring together 10 talented practitioners to explore the Trauma Informed Practices that help improve birth outcomes and support human development right from the very start. The Adverse Childhood Experiences Study (1998) launched the importance of trauma and trauma informed care in our health and educational systems. We suddenly had a measure of how early experiences in childhood could correlate with adult disease.
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Intimate Partner Violence Screening and Intervention: The American College of Preventive Medicine Position Statement (Abstract) [sciencedirect.com]

By Tanya M. Phares, Kevin Sherin, Suzanne Leonard Harrison, et al., American Journal of Preventive Medicine, December 2019 The purpose of this paper is to produce a position statement on intimate partner violence (IPV), a major sociomedical problem with recently updated evidence, systematic reviews, and U.S. Preventive Services Task Force guidelines. This position statement is a nonsystematic, rapid literature review on IPV incidence and prevalence, health consequences, diagnosis and...
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Introduce mental health checks for new mothers, ministers told Six-week checkup would help the 50% of UK mothers with mental health problems

Dawn Cretney ·
New mothers should receive a mental health checkup six weeks after giving birth to help tackle possible postnatal depression and other problems related to having a baby, ministers have been told. A cross-party group of 60 MPs and peers have written to Steve Brine, the minister for public health and primary care, demanding that all mothers in England have an assessment of their emotional and mental health carried out by a GP, practice nurse or health visitor. They say that making such...
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Making the Good Stuff Louder: Trauma Dad, Bryon Hamel

Christine Cissy White ·
Byron Hamel, (AKA Trauma Dad ), is a filmmaker , children's rights and men's wellness advocate. He's also a father with "ACEs through the roof," who survived child torture at the hands of a man now on death row for infanticide. Before the Father & ACEs chat started last week (see full chat transcript ), we discussed if and how to give a trigger warning. Hamel's experienced horrific trauma during childhood. He didn't want to traumatize those on the chat but wanted to be honest.
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Maternal Mental Health Awareness

Karyna Mayora-Linzer ·
Please see the link below for the MATERNAL MENTAL HEALTH infographic for social media ACEs Intern/Volunteer, Elizabeth Najmabadi MPH, and myself developed to bring awareness to Perinatal Mental Health. Thank you to all who gave us support and feedback as well as the Perinatal Mental Health Partnership community partners for allowing me to post organizational logos on the flyer to show where maternal mental health services are available for mothers in Sonoma County. Please share with your...
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May is Maternal Mental Health Awareness Month [CDPH MCAH]

Karen Clemmer ·
There is #NoShame in dealing with maternal depression. Asking for help is a sign of #strength. Want to learn more? Visit our resource page to watch videos, download stress relief coloring sheets and find help for women and their families. www.cdph.ca.gov/MaternalMentalHealth #MaternalMentalHealth #maternalmentalhealthCA To learn more click HERE
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Medicaid can vastly improve maternal health, study [Modern Healthcare]

Karen Clemmer ·
Expanded access to Medicaid was associated with 1.6 f ewer maternal deaths per 100,000 women compared with states that didn't expand the program, according to a new study. The i nfant death rate also fell more dramatically in Medicaid expansion states—by more than 50% from 2010 to 2016. Those findings were in a report released Wednesday by the Georgetown University Center for Children and Families. Researchers found that expansion states saw greater drops in the uninsured rate among women...
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Milwaukee doulas ask for the community's help to lower black maternal and infant mortality [Journal Sentinel]

Karen Clemmer ·
Vanessa Johnson is a Milwaukee doula and registered nurse. She provides doula services — prenatal, and labor and delivery support for expectant mothers — to her clients through A Miracle Happened Birth Services . ... A few months ago, Johnson said, she was talking with some of her colleagues about the same things their conversations always come back to. How the infant and maternal mortality rates are unacceptably high in Wisconsin. And how they're even higher in the African-American...
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Mom's Candid Post About Returning to Work from Maternity Leave Will Crush All Your Doubts [Working Mother]

Karen Clemmer ·
Lindsay Mitchell at home with her daughter Sloan during her maternity leave.
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Mommy Mentors Help Fight The Stigma Of Postpartum Mood Disorder (npr.org)

Becoming a mother is often portrayed as a magical and glorious life event. But many women don't feel joyful after giving birth. In fact, according to the American Psychological Association , almost 15 percent of moms suffer from a postpartum mood disorder like anxiety or depression, making maternal mental health concerns the most common complication of childbirth in the U.S. And even though these mental illnesses affect millions of women each year, new research shows 20 percent of mothers...
 
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