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PACEs in Maternal Health

Tagged With "complex health needs"

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NICU Stay Associated With Later Mental-Health Problems [medscape.com]

By Anne Harding, Medscape, February 6, 2020 Spending time in the neonatal intensive-care unit (NICU) is associated with an increased risk of psychiatric disorders in childhood and adolescence, according to a new population-based study. "In childhood, the risks of separation anxiety, specific phobia, oppositional defiant disorder and ADHD (attention-deficit/hyperactivity disorder) were particularly pronounced while adolescents tended to struggle more with oppositional defiant disorder," Dr.
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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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Nominate a Trauma-Informed Care Champion: #TICchampion

Mariel Gingrich ·
Becoming a trauma-informed organization requires clear communication about the transformation process, and support from staff at all levels of an organization. Often these efforts are spearheaded by “trauma-informed care champions”— individuals committed to raising awareness regarding the health effects of trauma and toxic stress and improving care for people who have experienced trauma. This week, the Center for Health Care Strategies (CHCS) invites you to recognize people around you who...
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Nothing About Them Would Stand Out in a Crowd

Alice Kenny ·
photo credit: chuttersnap/unsplash.com By Alice M. Kenny (pseudonym) (The article below is an excerpt from my new book, Crazy Was All I Ever Knew: The Impact of Maternal Mental Illness on Kids . I have used a pseudonym to protect the privacy of family members.) The emotions adult children of parents with mental illness experience are a mixed bag. Sometimes a jumble. Guilt, loss, grief, and resentment are among the emotions that persist or bubble to the surface in adulthood. Some feel...
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NPPC shares lessons learned and results from ACEs screening pilot sites

Laurie Udesky ·
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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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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Opioid exposed Newborns - are we missing the mark and forgetting about MOM?

Anna Sutton ·
A recent NPR interview (All Things Considered) with Dr. Joshua Sharfstein , a pediatrician and professor at the Johns Hopkins Bloomberg School of Public Health sheds some light on the impacts of the perinatal opioid epidemic. Yes, babies are born with Neonatal Abstinence Syndrome and these newborns are struggling, but one must wonder if we have missed the mark on where else to focus efforts? Did we forget about the mother/infant dyad and that prevention and early intervention efforts might...
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Our future mothers...

Anna Sutton ·
In keeping with the spirit of what 2020MOM launched last week at their Spring Forum in LA...let's begin to make the connection between how Adverse Childhood Events impact our future mothers in terms of mental health. If we want our kids to be okay,...
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Parent Handouts updated and available In Dari, English & Spanish

Christine Cissy White ·
The updated parent handouts are now available in Spanish as well as English and Dari. Here's the blog post with links to all three versions of each flyer. All versions of the Understanding ACEs and Parenting to Prevent & Heal ACEs parent handouts can be downloaded, distributed, and used freely. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow, who is responsible for making the Spanish and Dari translations available. These are updates of the...
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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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Parental Depression Forecasts Kids' Later Physical Health [news.uga.edu]

By Allyson Mann, University of Georgia Today, October 24, 2019 When parents suffer from depression, kids may be at risk for physical health problems in young adulthood, according to a study from researchers including the University of Georgia’s Katherine Ehrlich. The results revealed an association between parental depression and youth metabolic syndrome—a condition that forecasts substantially increased risk for cardiovascular disease and diabetes. “The good news is that while parental...
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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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Parenting with PTSD One Liners & Parenting with ACEs Chat Reminder

Christine Cissy White ·
Parents with PTSD from ACEs sharing what's hard about parenting while post-traumatically stressed: "Managing the terror around the possibility of everyone being a perp." "How to talk to children about why they won't meet X relative." “There was a point when I would feel completely overwhelmed by something as simple as having to make breakfast and school lunches at the same time.” "I didn't understand that not all parents reacted or were triggered the way I was." "was stone set on not...
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Parents of premature babies face a further trauma - PTSD [BBC News]

Karen Clemmer ·
BBC News July 28, 2018 Suzanne Ruart's son Aiden spent three months in a neonatal unit as a result of being born three months early. A year after her son came home Suzanne realised she'd been suppressing symptoms of post-traumatic stress disorder (PTSD). "After the first time I saw him resuscitated I developed a crippling anxiety that every time I walked into the neonatal unit there would be bad news, and this anxiety has never really left me since. "I manage it now because I talk a lot...
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Penn Nursing Conference Stresses Need for Mental Health Awareness in Health Care [thedp.com]

By Anya Tullman, The Daily Pennsylvanian, October 21, 2019 A student-run conference in the School of Nursing Saturday drew nearly 200 students and community members to talk about incorporating mental health awareness into health care. The "Reimagining Mental Health" conference featured speakers from across the Philadelphia and Penn communities who discussed harm reductionist and trauma-informed approaches to health care. "Harm reduction" refers to the practice of medical professionals...
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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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Positive Relationships Can Buffer Childhood Trauma and Toxic Stress, Researchers Say [bostonglobe.com]

By Kay Lazar, The Boston Globe, October 15, 2019 Traumatic events and toxic relationships during childhood can cast long shadows, often damaging mental health well into adulthood. But a growing body of research suggests sustained, positive relationships with caring adults can help mitigate the harmful effects of childhood trauma. And specialists say pediatricians, social workers, and others who work with kids should take steps to monitor and encourage those healthy relationships — just as...
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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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Practicing Psychiatry During a Coronavirus Pandemic (MGH Center for Women’s Mental Health)

Karen Clemmer ·
By MGH Center for Women’s Mental Heath, April 7, 2020. As mental health providers, most of us are not on the front lines of the COVID-19 pandemic; however, we are feeling the ripples. Given the magnitude of this crisis and its significant impact on so many aspects of our everyday lives, it is likely that this experience will leave an indelible imprint on our psychological well-being for years to come. In an editorial in the Journal of Clinical Psychiatry , Dr. Marlene Freeman, associate...
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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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Prenatal Strategies to Support Families in Iowa

Sarah Welch ·
How can we build a sturdy foundation for children from the start? This updated white paper from the Iowa ACEs 360 Coalition examines the stress expecting mothers in Iowa are experiencing and prenatal strategies to create the best outcomes for the whole family.
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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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Preventing ACEs - Press Release from Health Officials and 2019 CDC Report

Tory Henderson ·
Health Officials Seek to Prevent Adverse Childhood Experiences Press Release from the Association of State and Territorial Health Officials (ASTHO) ARLINGTON, VA (Nov. 6, 2019) —At least five of the top 10 leading causes of death are associated with adverse childhood experiences (ACEs), according to a new report released yesterday by the Centers for Disease Control and Prevention (CDC). ACEs, such as abuse, neglect, and witnessing violence or substance misuse in the home, can lead to...
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Provisional Postpartum Care Extension (PPCE) – SB 104 (CHCS)

Karen Clemmer ·
Please click HERE to read more about this California specific information. Provisional Postpartum Care Extension (PPCE) – SB 104 SB 104 (Chapter 67, Statues of 2019) authorized DHCS to implement the PPCE, which will extend Medi-Cal or Medi-Cal Access Program coverage for pregnant or postpartum individuals who provide confirmation from a provider indicating that the individual has been diagnosed with a maternal mental health condition during their pregnancy , postpartum period, or 90-day cure...
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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 Doctors Downplay Women’s Health Concerns [nytimes.com]

Alicia Doktor ·
“Well, you look like you’re doing great,” my primary care physician cheerfully informed me. I stared at her from the examination table in disbelief. I had just told her that I wasn’t enjoying being with my children and was having trouble doing what needed to be done at work and at home. As a health journalist, I had interviewed dozens of physicians and psychologists. I knew that being unable to live one’s life was the big red flag signaling it was time to get help. I was asking for help. But...
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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 Parents Fear "It's All My Fault"

Claudia Gold ·
Many of my colleagues in the field of early childhood mental health work with what are termed "high risk" populations. Children of drug addicted parents, victims of child abuse, and families in abject poverty. While the challenges these families face are daunting, I find myself feeling some envy for my colleagues whose clients are in such obvious distress that the need for intensive treatment of parent and infant is not in question. In my rural, small-town population things are not so clear.
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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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When Your Kid is Too Good for Brené Brown

Christine Cissy White ·
Childhood, like literature, lasts." Lance Woolaver, paraphrased from his book, Maud Lewis: The Heart at the Door. Even in the midst of conflict, I have known moments of maternal bliss. I had one just recently when my daughter and I hit a snag. It wasn't one of the ugly, awful or prolonged kinds. That's not due to me though. That's mostly because my kid has a practical, logical and rational nature which does not clash with my more emotional, reactive and fearful one. We are alike enough to...
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Whole People Series & Study Guide (www.pbs.org)

Christine Cissy White ·
There's a fantastic five-part series, Whole People , done by PBS, " spotlighting the impact of Adverse Childhood Experiences (ACES) through personal and community stories. It explores the long-term costs to personal well-being and our society. While much work needs to be done, there are many innovative developments to prevent and treat ACES. We all play a role in becoming a whole people." It's amazing. The five topics covered are as follows: Childhood Trauma Healing Communities A New...
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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 I'm Passionate About ACEs Awareness

Elizabeth Perry ·
When I was 42, I landed on my butt so hard I couldn’t imagine how it had happened. I found out that the beliefs and relationships I had built my life on and around were all lies, and my world and worldview came crashing down around me. From that place of desolation, at what was rock bottom for me, I had to figure out what was true and not true, what was right and wrong for me, who I was – not who I had become to be acceptable to others. I needed to figure out who was with me and to what...
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Why Intentionally Building Empathy Is More Important Now Than Ever (kqed.org)

Those in helping professions like teaching, social work, or medicine can buffer themselves from burnout and “compassion fatigue” with self-care strategies, including meditation and social support . A study of nurses in acute mental health settings found staff support groups helped buffer the nurses, but only if they were structured to minimize negative communication and focused on talking about challenges in constructive ways. English Professor Cris Beam also studies empathy and wrote a book...
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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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Why We Suck (at Self-Soothing & Self-Care): Dr. Dawn O'Malley

Christine Cissy White ·
Without yoga and coffee, I'm kind of a jerk. These are my personal "puppy uppers and doggie downers" and prevent me from being cranky, quick to cry, and ready for conflict. Coffee and calming make life more manageable. Humans even seem tolerable. Without them I might veer into hating humans for being so needy which is not a great trait for a parent, partner or a professional. Or a self. My partner says coffee and exercise are acts of kindness, service as promote public safety. In other...
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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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World Premiere: Stress & Resilience: How Toxic Stress Affects Us, and What We Can Do About It [developingchild.harvard.edu]

By Center on the Developing Child, Harvard University, November 13, 2019 When the stress in your life just doesn’t let up, and it feels like you have no support to get through the day—let alone do everything you need to do to be the best parent you can be—it can seem like there’s nothing that can make it better. But there are resources that can help, and this kind of stress—known as “toxic stress”—doesn’t have to define your life. In this video, learn more about what toxic stress is, how it...
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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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Yolo County Mental Health Services Act (MHSA) 3 year proposed budget includes MMH and Trauma Informed Care for training!

Anna Sutton ·
Yolo County's progressive and collaborative nature once again allows for critical issues to be addressed and proposed for funding. Proud to be in Yolo and thanks to our Yolo County MHSA team and stakeholders for lifting up trauma informed care and Perinatal Mental Health as training needs! While the 3 year budget has not been approved, we are thrilled that these two topics have made it into the proposal under WET funds (Workforce, Education & Training!). As a stakeholder, you have a...
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BBC News: Third of mothers' experience mental health issues

Karen Clemmer ·
More than a third of mothers have experienced mental health issues related to parenthood, according to an online survey of 1,800 British parents by the BBC Radio 5 live and YouGov. The study revealed that, in comparison, 17% of fathers had experienced similar issues. More than two-thirds of the affected mothers sought professional help - suffering from conditions such as acute stress, severe anxiety and postpartum depression. 'All mums feel like that' Lauren Doyle experienced post-traumatic...
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