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PACEs in Maternal Health

Tagged With "in-hospital breastfeeding data"

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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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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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Release of 2018 In-Hospital Breastfeeding Data [cdph.ca.gov]

By California Department of Public Health, Maternal, Child & Adolescent Health, October 2, 2019 The California Department of Public Health (CDPH), Center for Family Health is pleased to announce that the 2018 in-hospital breastfeeding data have been posted to the CDPH In-Hospital Breastfeeding Initiation Data website . We encourage all hospitals to utilize these data to integrate Quality Improvement (QI) efforts within the perinatal unit to ensure policies and practices are supportive of...
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Serena Williams, Mark Cuban invest in company working to end black maternal mortality [The Hill]

Karen Clemmer ·
By Marina Pitofsky, July 16, 2019, The Hill Tennis champion Serena Williams and Dallas Mavericks owner Mark Cuban have both invested in Mahmee, a company working to end maternal mortality, which just ended a $3 million funding round. “I am incredibly excited to invest and partner with Mahmee , a company that personifies my firm’s investment philosophy,” Williams, who donated through her organization, Serena Ventures, said in a Monday statement from the company . “Given the bleak data...
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She Strived to Be the Perfect Mom and Landed in the Psych Ward [KQED]

Karen Clemmer ·
Lisa Abramson says that even after all she’s been through – the helicopters circling her house, the snipers on the roof, and the car ride to jail – she still wants to have a second child. Because, in the beginning, when her daughter was born, Lisa was smitten, just like the mom she’d imagined she would be. She’d look into her baby’s round, alert eyes and feel the adrenaline rush through her. She had so much energy. She was so excited. “I actually was thinking like, ‘I don’t get why other...
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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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Study: Stress Disorders Linked to Greater Infection Risk [mercurynews.com]

By Lisa Rapaport, Reuters, October 31, 2019 People who have stress disorders like PTSD may be more vulnerable to potentially life-threatening infections, especially if they are diagnosed at younger ages or dealing with other psychiatric issues, a recent study suggests. Researchers examined data on 144,919 people diagnosed with post-traumatic stress disorder (PTSD), adjustment disorders common after a major life change like a death or move, and other stress-related conditions. They also...
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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 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 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 Trauma of Having a Newborn in the NICU [theatlantic.com]

Alicia Doktor ·
When Kelli Kelley awoke from her C-section 17 years ago, having delivered her son after just 24 weeks of pregnancy, her husband gave her a Polaroid of their baby. He was tiny, underdeveloped, eyes still fused shut, with translucent skin covered in fine hair, and lying in a sea of medical equipment and lines. To Kelley, he looked like a baby bird. Cut to her first visit to the neonatal intensive-care unit ( nicu ) to meet him: a cacophony of beeping machines, harsh lighting,...
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Through a Trauma Lens: The Need for Doulas

Jenna Brown ·
Trigger warning: trauma, doctors, hospital, birth, sex It is very important to me to approach all of the work that I do from a trauma-informed perspective. Whether it is asking for consent before touching a student in yoga class, offering self-regulation skills to those I work with, or preparing clients for potential triggers*, I do my best to incorporate my on-going learning in the field of trauma into my professional practices. Recently, I began taking trauma classes for professionals...
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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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Using Infant and Toddler Data to Support State Policymaking [NSCL Blog]

Brain development in the first years of life provides the foundation for all future learning and development, and yet the randomness of where a child is born or lives often determines whether they have access to the services they need to thrive in their earliest years. So how are infants and toddlers doing in your state? ZERO TO THREE and Child Trends has produced a first-of-its-kind publication to answer how the 12 million infants and toddlers are faring in the United States. The State of...
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Very Hot Weather Prompts Early Births, Study Says [nbcnews.com]

By Erika Edwards, NBC News, December 2, 2019 Extremely hot weather appears to prompt early labor, leading to as many as 25,000 early births every year in the U.S., according to a study published Monday. The research, published in the journal Nature Climate Change, analyzed data on 56 million births from 1969 to 1988, matching the birth dates to weather events in the counties where babies were born. "We saw a spike in births on hot days," said study author Alan Barreca, an associate professor...
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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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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]

By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
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Introducing NEW Becoming Trauma-Informed & Beyond Community

Christine Cissy White ·
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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“Landmark” Maternal Health Legislation Clears Major Hurdle [propublica.org]

Alicia Doktor ·
Update, Dec. 13, 2018 at 8:15 p.m. ET: On Thursday evening, the Senate unanimously passed its version of the Preventing Maternal Deaths Act, sending it to the president to sign. Congress moved a big step closer on Tuesday toward addressing one of the most fundamental problems underlying the maternal mortality crisis in the United States: the shortage of reliable data about what kills American mothers. The House of Representatives unanimously approved H.R. 1318 , the Preventing Maternal...
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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 Depression and Intimate Partner Violence: Impacts on Children [aappublications.org]

Alicia Doktor ·
Among the many adverse childhood experiences, one must consider are the effects of maternal depression and of mothers being the victim of physical or sexual violence. What is the toll of these on children? Neamah et al. ( 10.1542/peds.2017-3457 ) decided to evaluate this by looking at the strength of such an association on the cognitive development as well as physical growth of over a thousand toddlers between 18 to 36 months living in Tanzania. These children underwent developmental testing...
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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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“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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Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains.

Mary Giuliani ·
Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains. All trauma informed practitioners who are suffering with or who work with adults or children suffering with C-PTSD, PTSD, Developmental Trauma, Depression, Anxiety, ADHD & Sleep Disorders are welcome to apply to be considered for this study. We currently have 41 applicants, and applicantions are approved on a first come first...
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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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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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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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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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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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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 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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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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California unveils ACEs Aware initiative to screen for trauma

Laurie Udesky ·
Will screening for adverse childhood experiences (ACEs) in California be mandatory? No, but it’s recommended. Will there be training for physicians and staff on how to screen? Yes. Who will be reimbursed for screening patients in California? Physicians who serve patients in the state’s Medi-Cal program — for now. For more answers to these and other questions that surfaced during a Dec. 4 webinar introducing Californians to a new statewide initiative, read on. Come January 1, California will...
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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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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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Doulas & Covid-19: A toolkit for doulas (DONA International)

Karen Clemmer ·
Please the attached toolkit for more information. From the toolkit: Best practices when working with clients Given how new this virus is, we currently have very little data on how it might affect pregnant people and newborns. Guidelines from the CDC outline recommendations for how to support pregnant and laboring people with Coronavirus. (3) There is currently no evidence that the virus is spread from mother to baby in utero, or that it is transmitted in human milk. (4)
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Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity (www.healthaffairs.org)

Christine Cissy White ·
Abstract below and link to open access article written by Christina D. Bethell , Nangerel Gombojav , and Robert C. Whitaker and published in Health Affairs Link to open access article written by Christina D. Bethell , Nangerel Gombojav , and Robert C. Whitaker .
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Foster Care Entries for Parental Drug Use Surge [usnews.com]

Marianne Avari ·
By Katelyn Newman, US News & World Report, July 15, 2019. INCIDENTS OF CHILDREN entering America's foster system as a result of their parents' drug use have surged since 2000, new research shows, coinciding with the country's recent opioid crisis. Using case data from the federally mandated Adoption and Foster Care Analysis and Reporting System, researchers from Cornell and Harvard universities found that 1,162,668 – or nearly 24% – of 4,972,911 entries of children into foster care...
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From the CDC: National Black Maternal Health Week

Karen Clemmer ·
According to data from the Centers for Disease Control and Prevention (CDC), the maternal mortality rate has more than doubled in the United States since 1987 , and approximately 700 women in the U.S. die each year of complications related to pregnancy. In addition, data shows that considerable racial and ethnic disparities in pregnancy-related mortality exist in the U.S. which disproportionately impact black women . We know that about 60% of pregnancy-related deaths are preventable , and...
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H.R. 4215 Excellence in Maternal 5 Health Act of 2019

Karen Clemmer ·
IN THE HOUSE OF REPRESENTATIVES Introduced in House (08/30/2019) Mr. Bucshon (for himself, Mr. Carson of Indiana, Mr. Burgess , Mr. Bilirakis , Mrs. Brooks of Indiana, Ms. Herrera Beutler , Mr. Long , Mrs. McBath , and Mr. Walden ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To improve maternal health care quality, to improve the training of health care professionals to reduce or prevent discrimination in certain health care services, to...
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Health Benefits of California’s Paid Leave Policy Out of Reach for Black Women [LA Sentinel]

Karen Clemmer ·
By Tina McKinnor and Ashely Smith, June 13, 2019, LA Sentinel When you type “maternity leave” into Google images, White women dominate the search results. That is not a mistake. The algorithm is a reflection of who has been centered in policy conversations and benefited from paid family leave policies. We know personally: Black women in California are most in need of an inclusive paid family leave program, but least likely to have it. We come from different backgrounds. Tina worked for...
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Helping women have a better birth and breastfeeding experience during COVID

Rosanne Gephart ·
We at Better Beginnings are actively working to help women have a better birth and breastfeeding experience. Our virtual doulas are available everyday to support women one-to-one through their cell phones. This service is free to the mother call 415-663-6852. We also have taken the Breastfeeding Cafes virtual and continue to see women one on one for serious problems on Mondays by appointment (this requires pre-screening for risk factors). Women need to know their rights during this pandemic...
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Holistic healthcare means erasing the boundary between mind and body [Blue Shield Blue Cross]

Karen Clemmer ·
Experts across the country are redefining how we treat and diagnose mental health issues, with big implications for patients’ physical health. It’s perfectly normal to sometimes experience feelings of sadness and grief. But for more than nine million Americans, those feelings just won’t go away on their own. According to the Blue Cross Blue Shield Health Index – an in-depth collection of data from more than 41 million insured members – major depression is the second leading health condition...
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A Brief Overview of Post-Partum Obsessive Compulsive Disorder (mathewsopenaccess.com)

Christine Cissy White ·
Note: Parenting with ACEs can present us with extra challenges. Being pregnant, giving birth and breastfeeding can all be difficult for many of us. The stresses all parents experience can be compounded depending on our own emotional and physical well-being and the support we have (emotional, financial, family, community). In addition, we might have to consider thing such as going on, staying on or going off of drugs for some period of time during and following pregnancy. We don't talk a lot...
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ACEs Connection, our Cooperative of Communities, and....Pando!

Jane Stevens ·
Last month, we officially launched the ACEs Connection Cooperative of Communities. We are SO excited about this! And the communities that are part of the handful of ACEs initiatives that are piloting the Cooperative are, too! Before describing the Cooperative, I want to reassure our 40,000+ members and 277 ACEs initiatives (plus another 100 in development) that have communities on ACEs Connection that nothing on ACEsConnection.com changes! Membership is and remains free ! And it will remain...
 
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