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PACEs in Maternal Health

Tagged With "Pregnant women"

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“Momnibus” Bill Package Targets Black Maternal Health Disparities (Patient Engagment)

Karen Clemmer ·
By Sarah Heath, March 12, 2020, Patient Engagement A package of legislative proposals aims to prop social determinants of health funding to target black maternal health disparities. The package of nine bills, titled the Black Maternal Health Momnibus Act of 2020 , is sponsored by Representatives Lauren Underwood and Alma Adams, as well as Senator Kamala Harris. The legislation builds on existing laws focusing on black maternal health disparities specifically by supplanting efforts to address...
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More Clinicians Need to Address Postpartum Depression and other Postpartum or Perinatal Mood and Anxiety Disorders

Robyn Brickel, M.A., LMFT ·
“It’s okay to tell me that you’re not okay.” Postpartum depression (PPD) and postpartum or perinatal mood and anxiety disorders (PMADs) are the most common medical concerns for women after childbirth. Yet few medical and mental health professionals really know how prevalent and serious PPD and PMADs are. There is a great need for better screening to identify women struggling with postpartum disorders. Likewise, more therapists and mental health providers need to know about treatment...
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New Postpartum Depression Drug Could Be Hard To Access For Moms Most In Need [NPR]

Karen Clemmer ·
One in nine women in the United States suffer from depression after childbirth. For some women, postpartum depression is so bad that they struggle to care for their children and may even consider or attempt suicide. This week, the Food and Drug Administration approved a new drug that can help, the first drug approved specifically for postpartum depression. While researchers and clinicians are excited about the drug's potential, some foresee obstacles to making it available to women who need...
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New psychology study finds adverse childhood experiences transfer from one generation to the next [UCalgary.ca]

Samantha Sangenito ·
Women who suffer four or more adverse childhood experiences before the age of 18 are more likely to face pregnancy and postpartum problems, which they may in turn pass on to their children in a “cascade of risk,” according to a new study in The Journal of Pediatrics. The study, led by the University of Calgary’s Sheri Madigan — Canada Research Chair in the Determinants of Child Development, a member of the Alberta Children’s Hospital Research Institute and an assistant professor in...
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NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]

Jessica Porten ·
My second daughter, Kira Elle, was in the NICU for 13 days, which most would consider a "short stay". But I can attest that being separated from her at birth severely impacted my mental health in extremely negative ways. Shortly after bringing her home, I was able to identify within myself that I had Postpartum Depression and Rage. Only now, at 7 months postpartum, am I starting to address my trauma from the NICU through the use of Brain Spotting in my therapy sessions. Linked is an article...
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No ACEs, low resilience worse than high ACE and resilience scores, study finds

Laurie Udesky ·
What does measuring resilience tell us about pregnant women who have experienced ACEs? For one thing, it affirms that understanding how a mom-to-be weathers difficult experiences gives greater meaning to her ACE score and what it might mean for her children. That was one of the takeaways from a recent study in the Journal of Women’s Health entitled “ Adverse Childhood Experiences and Mental and Behavioral Health Conditions During Pregnancy: The Role of Resilience ,” says Dr. Carey Watson,...
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Nobel Winner’s Research Shows Home Nurse Visits for New Moms Boost Children’s Cognitive Skills [The74Million.org]

Samantha Sangenito ·
When medical professionals make home visits to first-time mothers, their children’s cognitive skills and socio-emotional development improve, reports a new paper authored by acclaimed economist James Heckman. The study is the latest evidence from the Nobel Prize winner that such initiatives, while benefiting children of both genders, make a greater impact on boys. Heckman’s research focuses on one of the first implementations of the Nurse-Family Partnership, a home visitation program that...
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One way Childhood Trauma Leads to Poorer Health for Women [news.osu.edu]

By Jeff Grabmeier, Ohio State News, September 17, 2019 Researchers have long known that childhood trauma is linked to poorer health for women at midlife. A new study shows one important reason why. The national study of more than 3,000 women is the first to find that those who experienced childhood trauma were more likely than others to have their first child both earlier in life and outside of marriage – and that those factors were associated with poorer health later in life. The findings...
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Opinion: To End Intimate Partner Violence, We Must Focus on Racial Justice and Healing [calhealthreport.org]

By Marc Philpart and Jacquie Marroquin, California Health Report, November 13, 2019 Like millions of Californians, the crisis of intimate partner violence has had a profound impact on our lives. The violence our family members experienced has created a ripple effect, setting us each on a unique journey for healing—as individuals, as families and as a community. While our journeys have been distinct, they have led to a similar understanding: Ending domestic violence is possible, but only if...
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Parental Depression and Its Impact on Child and Family Well-Being [CANTASD]

Karen Clemmer ·
Parental Depression and Its Impact on Child and Family Well-Being On March 9, 2018, The National Child Abuse and Neglect Technical Assistance and Strategic Dissemination Center ( CANTASD ) hosted a Digital Dialogue with Jessica Dym Bartlett, the Deputy Program Area Director for Early Childhood Development & Child Welfare at Child Trends . The conversation focused on the impact of parental depression on child and family well-being . This [ ARTICLE ] document summarizes the conversation...
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Parenting, Menopause & ACEs After-the-Chat Summary: Carey Sipp

Christine Cissy White ·
Have you talked with friends, siblings or co-workers about Parenting with ACEs while going through the change? Do you have any fascinating facts to share about how your OBGYN prepared or supported you when thrown by midlife, hormonal shifts and emotional residue from traumatic stress? Me either. And it's a shame. A lot of people parent, go through menopause, and have survived a bunch of ACEs. Conversations and information shouldn't be so hard to find. But they are. T hat's the reason we...
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Parenting, PTSD & ACES / Live Chat Event from Parenting with ACEs Series

Christine Cissy White ·
Our next online chat event is fast approaching. All are welcome. Date: Tuesday, June 13th, 2017 (10 AM PST / 1 PM EST) Topic: Parenting, PTSD & ACEs. Guests: Dawn Daum & Joyelle Brandt are parents, writers, advocates and trauma survivors. Together, they edited the forthcoming Parenting with PTSD anthology and created an online community for parents recovering from childhood abuse. They educate mental health, human service and other professionals about the challenges and lived...
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Perinatal Trauma Informed Care and the Trauma Sensitive Intake

Kate White ·
Monday, March 4, marks the beginning of Birth Psychology Month for the Association for Prenatal and Perinatal Pyschology and Health (APPPAH). This monthlong celebration features a panel of speakers around trauma informed practices for pregnancy, birth, and postpartum care. APPPAH received a grant for this project, so live lectures are free. Our first two speakers will be on Monday at 7 pm and 8:30 pm Eastern time. Jennie Birkholz, Principal of Breakwater Light, LLC, Trauma informed educator...
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Petaluma Health Center leads effort to link women to services

Karen Clemmer ·
Sonoma County was one of six sites selected nationally to participate in a CityMatCH practice collaborative to prevent substance exposed pregnancies. In 2012 Rebecca Munger CNM, PHN the Sonoma County Maternal, Child, Adolescent Health Coordinator lead a broad coalition of reproductive health champions who worked across sectors and settings to develop a trio of strategies to reduce substance exposed pregnancies. The first strategy developed with CDC and WHO technical support was a bundled...
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Please stop saying parenting is hard for everyone & read Parenting with PTSD instead

Christine Cissy White ·
Sometimes, we feel anxious, intrusive, or afraid when changing or bathing or own babies. Sometimes, we feel sick to our stomachs and worried while potty training, nurturing, or disciplining our toddlers. Sometimes, we feel shame-filled and ill-equipped when talking about puberty, body parts, or sexuality because of how and where we were compromised by caregivers as children as in our bodies, homes, and families. P arenting is brutally hard for some. If affection, attention and intimacy have...
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Post-natal PTSD: 'I relived childbirth over and over again' [BBC News]

Karen Clemmer ·
Anna Simpson says the therapy she went through has helped her recover
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Harvard study - Postpartum Depression symptoms - not a secret to keep to yourself

Anna Sutton ·
Importance of universal screening! The worst kept secret for some women because they are filled with shame or simply don't know things can and will be better! For some it's the shame they're afraid of.....this Harvard study explains why it should not be a secret. Time to get it out in the open. Sometimes just asking a mom gives permission to talk! http://www.health.harvard.edu/blog/postpartum-depression-worst-kept-secret-2017020811008
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Postpartum Depression: Why The Word ‘Should’ Is So Dangerous [HuffingtonPost.com]

Samantha Sangenito ·
You should be happy. You should be thinner. You should always be filled with joy. You should be breastfeeding. You should be equally attentive to your other children. You should be socializing. You should be stronger. You should be more resilient. You should be more than what you are. Sound familiar? We live in a society that tells women how they should feel, think and look as mothers, even in early motherhood. Such repeated messages are easily internalized and, inevitably, they lead to...
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Pregnancy can be life-threatening for black women. SB 464 can change the equation [sacbee.com]

Alicia Doktor ·
Black History Month has come and gone. It is a month that reminds us of the resilience, fortitude and strength black Americans have exhibited to stay alive and thrive in this country. Black women in particular have borne the brunt of adverse experiences created by the nation’s racist foundations. While significant strides have been made, black women continue to suffer needlessly and disproportionately from the seeds of white supremacy that many of us continuously work to uproot. The issue of...
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Pregnant Behind Bars: What We Do And Don't Know About Pregnancy And Incarceration [NPR]

Karen Clemmer ·
There are 111,616 incarcerated women in the United States, a 7-fold increase since 1980. Some of these women are pregnant, but amid reports of women giving birth in their cells or shackled to hospital beds , prison and public health officials have no hard data on how many incarcerated women are pregnant, or on the outcomes of those pregnancies. A study published in The American Journal of Public Health Thursday changes that. The study included 57 percent of the US prison population (New...
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Pregnant women with substance use disorders need treatment, not prison [STAT]

Karen Clemmer ·
By Eric Gay, June 4 2019, Associated Press M ore than 210,000 women spent Mother’s Day 2019 in America’s prisons and jails. Two-thirds of them are mothers of young children; an unknown number are pregnant. Many of them have substance use disorders with a significant history of trauma and mental health problems. Some have been incarcerated solely for the alleged crime of substance use during pregnancy, and many have lost custody of their children because there aren’t enough treatment centers...
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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]

Karen Clemmer ·
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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What Is Postpartum Depression? Recognizing The Signs And Getting Help [npr.org]

Marianne Avari ·
By Rhitu Chatterjee, NPR, January 28, 2020. Shortly after she gave birth to her son last May, Meghan Reddick, 36, began to struggle with depression. "The second I had a chance where I wasn't holding [my son], I would go to my room and cry," says Reddick, who lives with her son and husband. "And I probably couldn't count how many hours a day I cried." Reddick is among the many women who suffer from depression during pregnancy and after childbirth . "There's this kind of myth that women...
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What You and Your Family Need to Know About Maternal Depression [nytimes.com]

Alicia Doktor ·
For the first time, a national health panel has recommended a way to prevent depression during and after pregnanc y. This condition, known as perinatal depression, affects up to one in seven women and is considered the most common complication of pregnancy. The panel, the United States Preventive Services Task Force, said two types of counseling can help keep symptoms at bay. Its recommendation means that under the Affordable Care Act, such counseling must be covered by insurance with no...
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When getting mom and baby to the right hospital is a matter of life or death [centerforhealthjournalism.org]

Alicia Doktor ·
The U.S. has some of the best perinatal care on earth, but kids die before the age of 1 here at a higher rate than the most of the developed world. A big part of the problem is that high-risk pregnant women and newborns aren't getting the right care during their time of need. That's a problem lawmakers across the country are increasingly trying to address. Indiana, for instance, recently passed a law establishing a system that rates hospitals on the complexity of neonatal and maternal care...
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When pregnant women who abuse opioids are treated like criminals, their babies suffer (latimes.com)

Laws that punish women who abuse drugs during a pregnancy are often billed as a way to protect unborn babies from addiction. But new research finds they have the opposite effect: After states enact laws treating pregnant drug users as unfit mothers or criminals, the number of newborns who contend with drug withdrawal jumps significantly. The new findings suggest that laws that criminalize a mother’s drug use during pregnancy or threaten to remove newborns from their mothers’ care discourage...
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When we become mothers, do we forget we are sexual beings too??

Anna Sutton ·
This is a fascinating Ted Talk on sexuality for pregnant and postpartum women. Makes you think about one more type of loss that women may experience when they transform into a mother. Loss isn't always bad and is sometimes a necessity even to grow, but not acknowledging loss can contribute to mental health issues for women in all stages of their life. https://www.ted.com/talks/sofia_jawed_wessel_the_lies_we_tell_pregnant_women
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Why Aren't We Talking About Postpartum Mood Disorders in Immigrant Women [PMag.com]

Samantha Sangenito ·
About six weeks after she gave birth to her first son, Jaya, an immigrant from India to the United States, began to suffer feelings of inadequacy as a mother. She felt sad, helpless, useless to her newborn and husband. She imagined her death and described it to her mother over long-distance calls. "I told her that I felt reckless," she says. "I didn't feel the need to be careful about myself and my safety." Jaya (not her real name) began to cross busy intersections with less caution, hoping...
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Why pregnant women with depression often slip through the cracks [theconversation.com]

Alicia Doktor ·
Judy’s first pregnancy was planned, and she was looking forward to having a baby. Yet, halfway through the pregnancy, something changed. She began to feel down and bad about herself. She had less energy and struggled to concentrate. Thinking this was a normal part of pregnancy, she ignored it. After she delivered her son, it all got worse. She felt as if she was in a black hole of sadness. She often gave her son to her mother, thinking he was better off without her. It wasn’t until a year...
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Why reducing a pregnant woman’s toxic stress can improve the health of her unborn child

Kurt Doehnert ·
PBS NEWSHOUR: Researchers are trying to better understand the biology of stress and its impact on child health. Now, data suggests those connections may form as early as the womb, with studies indicating frequent and prolonged adversity for pregnant women can affect the development of their babies. Stephanie Sy reports on a program aimed at easing the stress and struggles of mothers and their unborn children. ...
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Why Reducing Toxic Stress can Improve the Health of an Unborn Child [pbs.org]

By Stephanie Sy, Public Broadcasting System, December 17, 2020 Researchers are trying to better understand the biology of stress and its impact on child health. Now, data suggests those connections may form as early as the womb, with studies indicating frequent and prolonged adversity for pregnant women can affect the development of their babies. Stephanie Sy reports on a program aimed at easing the stress and struggles of mothers and their unborn children. [ Please click here to read the...
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Why therapy during pregnancy should be required [WashingtonPost.com]

Samantha Sangenito ·
People frequently consider going to therapy before they make a major life transition, such as getting married or changing careers. But what about when embarking on a monumental shift such as parenthood? Women, who are advised to exercise and watch what they eat while they are pregnant, don’t always think of psychotherapy as an important part of their prenatal care regimen, but it can be critical to the well-being of mother and baby, both during and after pregnancy. For many people, pregnancy...
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Why Treating Postpartum Depression As Trauma is Key to Good Care

Robyn Brickel, M.A., LMFT ·
Most health professionals understand postpartum depression (PPD) and other mood disorders are a serious mental health concern. Raising awareness of postpartum mood and anxiety disorders (PMADs) is so important for two reasons. First, professionals need to be more proactive with evaluation and diagnosis. Women very often hide their struggle with overwhelming anxiety, worry and depression. Just because a new mom arrives for a checkup, nicely dressed and with her makeup on, it’s not safe to...
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Women Giving Birth in Low-Income Countries Often Endure Abuse [reuters.com]

By Linda Carroll, Reuters, October 22, 2019 Women are often mistreated during labor and delivery at hospitals in low-income countries, a new study suggests. During in-person observations of births at urban hospitals in Ghana, Guinea and Nigeria, researchers found that more than 40 percent of women experienced physical or verbal abuse, stigmatization or discrimination related to race or ethnicity, according to a report in The Lancet. Surveys of women who had recently given birth in those...
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Women Need Professional Emotional Support During High-Risk Pregnancies, Study Finds [sciencedaily.com]

By Rutgers University, Science Daily, December 16, 2019 The study appears in the journal Psychology of Women Quarterly. About 15 percent of pregnancies worldwide are high-risk, making premature delivery, low infant birth weight and other poor outcomes more likely. In the United States, 10 percent of pregnant women require hospitalization because they have hyperemesis gravidarum, pre-eclampsia, kidney infections, gestational diabetes or are at risk for imminent delivery, among other...
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New D'Achille center at West Penn wraps services around new moms struggling with depression [Pittsburgh Post-Gazette]

Karen Clemmer ·
A variety of services for women with pregnancy-related depression is now available in a new facility at West Penn Hospital, the dream of a McCandless man who lost his wife to the condition and those he inspired who want individualized care available to every woman. West Penn patient Tishla Jones of Lincoln Place said she found herself feeling overwhelmed and distancing herself from others, including her older children, after the birth of her fourth child, now 10 months. She was referred by...
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Association of Special Supplemental Nutrition Program for Women, Infants, and Children with Preterm Birth and Infant Mortality [jamanetwork.com]

By Samir Soneji and Hiram Beltran-Sanchez, JAMA Network, December 4, 2019 Key Points Question: Is receipt of Special Supplemental Nutrition Program for Women, Infants, and Children benefits during pregnancy associated with preterm birth and infant mortality among low-income expectant mothers in the United States? Findings: In this cohort study of 11 148 261 pregnant women with Medicaid coverage between 2011 and 2017, the proportion who also received Women, Infants, and Children benefits...
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Babies born to mothers using WIC are 33% less likely to die in 1st year of life: Study (ABC News)

Karen Clemmer ·
By Dr. Monica Saxena, December 5, 2019, ABC News. The study compares mothers who are on the program to those who aren't. The children of low-income mothers who benefit from the federal government's Special Supplemental Nutrition Program for Women, Infants and Children are one-third less likely to die during their first year of life than babies born to mothers without WIC benefits, according to a new study. The study, published in the Journal of American Medicine, comes as many federal...
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Beyond Mom: Postpartum depression can impact a partner’s well-being, too [WashingtonPost.com]

Samantha Sangenito ·
Like any expecting couple, Brett Pipitone and his wife, Laura, knew that having a child would upend their daily routine. But no research or planning prepared them for their biggest challenge: postpartum depression. “It was an incredibly stressful situation,” Brett said. After giving birth to their daughter in 2014, Laura found herself “wanting to disappear” and completely disengaged from her surroundings. She’d call Brett at work in tears, and he’d rush home to help. He wound up taking much...
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Beyond Paper Tigers is Back!

Jennifer Hossler ·
Back for the second year, Beyond Paper Tigers conference will take place June 28th and 29th in Walla Walla, WA. Featuring Dr. Ken Ginsburg from Children's Hospital of Philadelphia as the keynote speaker, BPT builds on the story of one community and how they've learned that embracing trauma-informed care and implementing ACEs science truly takes a village. Operationalizing the latest in brain science, BPT will provide concrete strategies for intervention with youth, families, and communities...
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Beyond The Preventing Maternal Deaths Act: Implementation And Further Policy Change [Health Affairs]

Karen Clemmer ·
By Katy B. Kozhimannil, Elaine Hernandez, Dara D. Mendez, Theresa Chapple-McGruder. Feb 4, 2019, Health Affairs Maternal mortality is a death that occurs during pregnancy or within one year postpartum from “a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.” In the United States, maternal mortality is a clinical, public health, and social crisis. Between 1990 and 2013, maternal mortality...
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Breastfeeding and COVID-19 Guidance Updated (California WIC Association)

Karen Clemmer ·
The CDC guidelines titled " Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings " have been updated to clarify considerations related to visitors and essential support persons to pregnant women who have known or suspected COVID-19 infection; prioritized testing of pregnant women with suspected COVID-19 at admission or who develop symptoms of COVID-19 during admission; testing of infants with suspected...
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CA announces robust perinatal depression prevention for Medi-Cal recipients

Laurie Udesky ·
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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California Legislature Approves Bill To Reduce Maternal Mortality Rate For Black Women (Podcast) [kpbs.org]

By Jade Hindmon, KPBS, September 12, 2019 California has the lowest maternal mortality rate in the country, according to the United Health Foundation's health rankings. But black women in California continue to die at a rate three to four times higher than white women from pregnancy or delivery complications. Several advocacy groups believe racial bias in the health care system in to blame. To address the disparity, California lawmakers approved Senate Bill 464, the California Dignity in...
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Call for Abstracts for NCHDV 2020 conference

Karen Clemmer ·
The National Conference on Health and Domestic Violence (NCHDV) seeks submissions that highlight research reports, practice innovations, advocacy initiatives, educational advances, and/or community programs that address one or more aspects related to domestic/sexual violence, other forms of violence, and health. The Call for Abstracts (CFA) invites leaders working in the fields of health and domestic/sexual violence to present their work at the 2020 Conference. Submission Deadline: Monday,...
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CERCH: the connection between blood pressure and fear of deportation in women of Mexican origin

Karen Clemmer ·
MCAH professor Kim Harley and Brenda Eskenazi of Center for Environmental Research and Children's Health (CERCH), and MCAH program head Julianna Deardorff co-authored a recent study in the Journal of the American Heart Association on the positive correlation between fear of deportation and increased blood pressure among women of Mexican origin. The study was highlighted in an article on cnn.com . Read the CNN article about the study here .
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Child and Maternal Health in Rural Areas Lags the Nation, Highlighting Barriers to Access [PEW]

Karen Clemmer ·
By Stacey Millett, February 25, 2020, for PEW Trusts Cross-sector solutions needed to address complex challenges One in five Americans lives in a rural area, including about 18 million women of reproductive age, but key indicators, including mortality figures, show that the health of mothers and children in these communities lags behind that of their urban peers and is worsening. Nationwide, child mortality rates have declined over the past decade, but recent research shows that improvement...
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Childbirth Can be Another Source of Trauma for Women Who Were Abused [irishtimes.com]

By Arlene Harris, The Irish Times, February 7, 2020 While it may be an innate and mainly joyful event, many pregnant women feel anxious at the thought of going through labour and can suffer emotional and physical distress during the delivery itself. And there is one group of women for whom there is an extra level of trauma associated with the arrival of their unborn child – those who have been victims of sexual assault. Hazel Larkin is a sexual abuse survivor and over the coming months will...
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Circumstances of Overdose Among Street-Involved, Opioid-Injecting Women: Drug, Set, and Setting (PubMed)

Karen Clemmer ·
Conclusion: While all overdoses result from the pharmacological action of drugs, some overdoses were triggered by circumstances occurring in women's set or setting. Overdose prevention policies should embrace not only individual-level behavioral interventions, but also structural measures to address stress, social isolation, and risky drug use contexts that plague the lives of street-involved women who inject opioids. [ Please click here to access the full journal article. ]
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CMS Issue Brief: Improving Access to Maternal Health Care in Rural Communities

Karen Clemmer ·
In an ideal maternal health system, all women would have access to comprehensive, seamless medical care with links to behavioral, economic, and social supports. Additionally, they would be engaged with this system before, during, and after pregnancy. Across the United States, many women are not receiving care in this ideal system, and women in rural communities face unique challenges that make it harder for them to reach this ideal or any care at all in some cases. Because maternal health...
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