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PACEs in Maternal Health

June 2021

Expanding Access to Doula Care: Best Practices for State Legislation [mhtf.org]

By Sarah Hodin Krinsky and Christina Gebel, Maternal Health Task Force, May 31, 2021 Much has happened since we wrote the first blog in this series, Expanding Access to Doula Care: State of the Union in January 2020—not only regarding policy, but also the maternal newborn health landscape more generally. After the COVID-19 pandemic hit the U.S. in March 2020, we started seeing and hearing about hospitals across the country banning doulas from supporting clients during birth. In some cases,...

Creating Space to Discover a Baby’s Intentions (Claudia M. Gold, MD)

At the outset of a Zoom visit with 7-week-old son James in my behavioral pediatrics practice, his mother Sondra explained to me that he is “stiff because of my medication.” While feeding him a bottle she told me she was unable to breastfeed due to the effects of MAT (medicated assisted treatment, now called medication for opioid use disorder, or MOUD.) It was not concern about her current use of methadone, which is widely considered to be safe for breastfeeding, but rather the in-utero...

Sensory and Emotional Experience: Linked from Birth (Claudia M. Gold, MD)

Katie and Jason came to me at their wits’ end over four-year-old Mabel’s frequent meltdowns. “She’s been like this from birth,” Katie explained at our first visit. She described needing to nurse Mabel as an infant in a dark, quiet room because she was so easily distracted by sights and sounds. When I asked them to tell me about a recent specific moment of disruption, they described a visit to a county fair. Mabel was clearly so hungry that she was falling apart, yet despite the abundance of...

Mothers' depression impacts mother-infant relationships (sciencedaily.com)

Research has found that women with depression during pregnancy, or with a history of depression, had a reduced quality of mother-infant interaction at both eight weeks and 12 months after their babies were born. In a study funded by National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre (BRC) researchers examined whether depression, either before or during pregnancy, affects the mother-infant relationship. The research was published Tuesday 25 May in BJPsych Open.

There’s Something Wrong with My Baby: Beyond Reassurance (Claudia M. Gold, MD)

Mei, mother of four-month-old Amy, called to make an appointment in my behavioral pediatrics practice. Her thick accent made it difficult for me to understand her concern over the phone. She arrived at my office with her husband, Yuan, who spoke little English. I learned that they had recently immigrated from China. Although I had a blanket on the floor covered with toys, Mei stood tentatively, her movements awkward and hesitant, until I suggested she put Amy down. Immediately Amy gave me a...

Wrestling Ghosts & Parenting with ACEs Discussion on 6/15/21 at 7p.m. EST

Join Wrestling Ghosts Director, Ana Joanes, and the Transform Trauma with ACEs Science Film Festival co0sponsors for a discussion about Parenting with ACEs on Tuesday, June 15, 2021, at 7 p.m. EST. Please go here to pre-register for the Zoom follow-up film discussion. Here's one of my favorite scenes from Wrestling Ghosts where the author of Childhood Disrupted: How Your Biography Becomes Your Biology and How You Can Heal, Donna Jackson Nakazawa, explains how and why early trauma impacts...

How PACEs Connection Members can watch Wrestling Ghosts this weekend

Wrestling Ghosts is the fourth and final film in the Transform Trauma with ACEs Science Film Festival series and is available to all PACEs Connection member this weekend. To watch any time from Friday, June 11th through Sunday, June 13th, 2021: Join the Transform Trauma with ACEs Science Film Festival interest-based community on PACEsConnection Go to this blog post to find the link and the password to stream Wrestling Ghosts. There will be a follow-up discussion on June 15, 2021 at 7 p.m.

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