Tagged With "in-hospital breastfeeding data"
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ACEs Research Corner — November 2019
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
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An Insurance Penalty From Postpartum Depression [NYTimes.com]
In January, a government-appointed panel recommended that all pregnant women and new mothers be screened for depression . Public health advocates rejoiced, as did untold numbers of women who had not known that maternal mental illness even existed before it hit them like a freight train. But the panel did not mention one possible consequence of a diagnosis: Life and disability insurance providers have sometimes penalized women with these mental illnesses by charging them more money, excluding...
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Re: Doulas & Covid-19: A toolkit for doulas (DONA International)
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. 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 so...
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Re: Overdose and suicide among top causes of death for new moms in California, study finds [Sacramento Bee]
WOW! A retrospective, population-based cohort study followed up 1,059,713 conducted using statewide, all-payer, longitudinally-linked hospital and death data.
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Re: A community-based approach to supporting substance exposed newborns and their families
Hi Alex, Centering Pregnancy is the model you are referencing, and there is tremendous evidence of the benefits for families, and fiscally for healthcare organizations. HERE is an example. Centering empowers patients, strengthens patient-provider relationships, and builds communities through these three main components: health assessment, and interactive learning community building. Additionally, there is a Centering Pediatrics model that is similar. HERE is more information. This LINK...
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Re: Helping Young Children Exposed to Trauma: A Systems Approach to Implementing Trauma-Informed Care [chdi.org]
Marianne, Thanks for sharing this important information! The video is interesting. The attached infographic and the report with talks about cost-savings are also very useful and informative. Nice! The goal of CONCEPT (The Connecticut Collaborative on Effective Practices for Trauma) is to minimize the effects of trauma exposure and improve overall health and well-being for all children in Connecticut’s child welfare system who were exposed to abuse, violence and other forms of trauma...
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Re: May is Maternal Mental Health Awareness Month!
Hi Jessica, Great question! In my past role working with community partners on perinatal mood disorder- we drafted a proclamation (whereas, whereas ... ). Partners who lived in various towns or cities- asked their government officials to formally recognize May as Maternal Mental Health month! More than 5 proclamations were passed! Lots of photo ops and positive press! This brought awareness to politians and community members. Public Health helped with providing meaningful data for the...
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Can Paid Maternal Leave Help Address the Disparities in Maternal Mortality? (NIH)
By Rada Dagher, Ph.D., M.P.H. Posted on June 28, 2020 , National Institute on Minority Health and Health Disparities. Maternal mortality rates in the United States have reached an all-time high. While these rates have dropped globally in the last few decades 1 , in the United States, they have more than doubled between 1987 and 2015 2 . The picture is even grimmer for racial and ethnic minority communities, where African American and American Indian/Alaska Native women have the highest...
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Structural Racism and its Impact on Black Maternal Health (New Security Beat)
By Deekshita Ramanarayan, July 21, 2020, New Security Beat. “The past months have been profoundly difficult for our nation, and for Black communities in particular,” said Representative Lauren Underwood (D-IL-14) at a recent March of Dimes event on the impact of structural racism on maternal health. COVID-19 has highlighted health outcome inequity caused by race and racism. Though Black people constitute 13 percent of the U.S. population, the CDC estimates they represent over 30 percent of...
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Adolescent antecedents of maternal and paternal perinatal depression: a 36-year prospective cohort (Psychologic Medicine)
Thomson KC, Romaniuk H, Greenwood CJ, et al. Adolescent antecedents of maternal and paternal perinatal depression: a 36-year prospective cohort [published online ahead of print, 2020 Apr 28]. Psychol Med . 2020;1-8. doi:10.1017/S0033291720000902. Abstract Background: Rates of common mental health problems (depression/anxiety) rise sharply in adolescence and peak in young adulthood, often coinciding with the transition to parenthood. Little is known regarding the persistence of common mental...
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ACEs and Gynecological Problems - A Conversation Starter
Gynecological problems as a result of ACEs, and particularly of Childhood Sexual Abuse (CSA), are rarely discussed in books and articles about the ACEs. The author would like to see that issue become part of the ACEs conversation.
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Maternal Depression in Early Childhood and Developmental Vulnerability at School Entry [pediatircs.aappublications.org]
By Elizabeth Wall-Wieler, Leslie L. Roos, and Ian H. Gotlib, Pediatrics, August 2020 OBJECTIVES: To assess the relation between exposure to maternal depression before age 5 and 5 domains of developmental vulnerability at school entry, overall, and by age at exposure. METHODS: This cohort study included all children born in Manitoba, Canada, who completed the Early Development Instrument between 2005 and 2016 (N = 52 103). Maternal depression was defined by using physician visits,...
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Infant Feeding During COVID: Strategic Planning for Pregnancy, Postpartum and Beyond [ucsf.edu]
Nationally, Black women have the lowest rates of breastfeeding initiation in comparison to any other racial/ethnic groups. Black babies are dying at twice the rate of White babies and according to the CDC, increasing breastfeeding among Black women can decrease infant mortality rates up to 50 percent. In honor of Black Breastfeeding Week (August 25th – 31st), we partnered with the BreastFriends Mommy Group in West Oakland to explore why these rates look different for Black women and...
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A new program in Mississippi is helping Black mothers breastfeed. Here's why it's crucial. (upworthy.com)
The Delta Baby Cafe in Sunflower County, Mississippi is providing breastfeeding assistance where it's needed most. Mississippi has the third lowest rate of breastfeeding in America. Only 70% of infants are ever-breastfed in the state, compared to 84% nationally. There are multiple reasons why Black women are less likely to breastfeed their children. First, according to the CDC , maternity wards that serve large Black populations are less likely to help Black women initiate breastfeeding...
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The importance of care coordination [medcitynews.com]
By Brooke Sabia, MedCity News, September 30, 2020 Some may ask the question, “What does a care coordinator do for my personal well-being?” There is no short answer as to what a patient can benefit from by receiving assistance from a care coordinator. Their job is to connect with high-risk individuals to uncover and identify needs in a patient-centered manner and in a way that takes into account whether the patient has endured any trauma. When people think of care coordination, they typically...
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Report on WIC Role in Reducing Maternal Mortality (California WIC Association)
CWA Flash Newsletter - October 13, 2020 (Blue text=hyperlinks) Report on WIC Role in Reducing Maternal Mortality The National WIC Association released a report titled " The Role of WIC in Reducing Maternal Mortality ." NWA’s Maternal Mortality Task Force created the report to consider ways in which maternal mortality is addressed and discussed with program participants throughout the WIC appointment, as well as explore opportunities for additional focus on the topic. The report highlights...
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Colleges Must Accommodate Students Who Are Breastfeeding—Even in Zoom Classes (Ms Magazine)
By Autumn Green, October 20, 2020, Ms Magazine. There are multiple laws to protect the rights of pregnant and parenting students—but they are confusing to sort out. Yet, as educators learn to navigate new learning environments, understanding these laws, and how they apply to remote learning during a global pandemic, is critical. This month, CNN published a story about a Fresno City College student, Marcella Mares, who filed a complaint against an instructor who told her that it was...
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Effects of prenatal mindfulness-based childbirth education on child-bearers' trajectories of distress: a randomized control trial (BMC Pregnancy Childbirth)
BMC Pregnancy Childbirth . 2020; 20: 623. Published online 2020 Oct 15. doi: 10.1186/s12884-020-03318-8 . Abstract Background: The perinatal period is a time of immense change, which can be a period of stress and vulnerability for mental health difficulties. Mindfulness-based interventions have shown promise for reducing distress, but further research is needed to identify long-term effects and moderators of mindfulness training in the perinatal period. Methods: The current study used data...
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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
When I assisted women and families during pregnancy, labor and birth as a family doctor, I often felt concern that the interventions commonly used, while potentially life saving, influenced outcomes in ways that could be negative. I've since learned about a vast body of evidence that helps identify risk and offers tools to help recognize potential risk and effects so we can improve prevention and treatment. "ABEs" are one of 7 categories of adversity I add to ACEs that I wish I'd known about.
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Join Special Guest Father Paul Abernathy for a Zoom Discussion on March 16th, at 7p.m. EST to discuss the Whole People Documentary Series and Trauma-Informed Community Development
On behalf of ACEs Connection , the CTIPP (The Campaign for Trauma -Informed Policy & Practice), and the Relentless School Nurse , we want to invite you to the streaming of parts 4 and 5 of the Whole People documentary series on the weekend o f M arch 12th through March 14th, 2021. We will stream both parts on ACEs Connection in the Transforming Trauma with ACEs Sciences Film Festival community. The documentary viewing will be followed by a discussion with special guest, Father Paul...
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Join Special Guest Father Paul Abernathy for a Zoom Discussion on March 16th, at 7p.m. EST to discuss the Whole People Documentary Series and Trauma-Informed Community Development
On behalf of ACEs Connection , the CTIPP (The Campaign for Trauma -Informed Policy & Practice), and the Relentless School Nurse , we want to invite you to the streaming of parts 4 and 5 of the Whole People documentary series on the weekend o f M arch 12th through March 14th, 2021. We will stream both parts on ACEs Connection in the Transforming Trauma with ACEs Sciences Film Festival community. The documentary viewing will be followed by a discussion with special guest, Father Paul...
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Depression, anxiety 'extremely high' among new mothers since start of social distancing [healio.com]
By Joe Gramigna, Healio News, February 19, 2021 Prevalence rates of clinically relevant depression and anxiety have been “extremely high” among postnatal women during the COVID-19 pandemic, according to study results published in Journal of Psychiatric Research. “There had been no data published examining mental health in new mothers during COVID-19 at the time of study,” Victoria Fallon, FHEA, CPsychol , of the department of psychology at the University of Liverpool in the UK, told Healio...
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A Better Normal Friday, March 26, 2021: PACEs and HOPE with Dr. Christina Bethell
Please join us for our next installment of A Better Normal, our live webinar series in which we imagine and create our society as trauma-informed! You may have seen we changed our name recently from ACEs Connection to PACEs Connection. Please join us to learn all about the groundbreaking research of Positive Childhood Experiences and how this is going to transform the work we are all doing. >>Click here to register<< PACEs and HOPE Live Event Friday, March 26, 2021 Noon PT / 1pm...
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Understanding the Baby's Experience of Adversity and Resilience: A Panel Talk
In 1999, an adult in my private practice remembered their difficult birth in their body while receiving bodywork from me. It was an eye opening moment. I had just had my first baby and was a newly graduated Biodynamic craniosacral therapist. We are trained to ask about the birth process in our adult clients because of the compressive forces on the body particularly the cranium. My client told me that she felt her lifelong depression was associated with her near death at birth, and what...
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To solve the Black maternal mortality crisis, start with upending racist practices
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
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Maternal Health’s Ongoing Mandate for Women of Color: The Call for Wholistic Health Equity
Last month’s CDC declaration that Racism is a public health crisis was long overdue. Yet, vital health and mental health disparities for women of color rage on amid this latest societal call to arms. Too many women of color, their families, and friends lay victim to gaping wounds, residual scars, and profound trauma from egregious maternal health experiences. Current facts speak volumes. The U.S. has the highest rate of maternal mortality among developed nations, rising steadily the past 40...
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NIHCM Newsletter on Maternal Health and COVID-19
The National Institute for Health Care Management (NIHCM) Newsletter highlighted how COVID-19 has affected maternal health: Maternal Health and COVID-19 The COVID-19 pandemic is exacerbating concerns about maternal health in the United States, which has the highest maternal mortality rate of industrialized countries and is the only nation where the rate is rising . New studies highlight the pandemic’s impact on the physical and mental health of pregnant individuals. Black Maternal Mortality...
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Adverse Babyhood Experiences (ABEs): 10 New Categories of Adversity Before a Child's 3rd Birthday (Download Journal Article)
Adverse babyhood experiences (ABEs) are a new construct derived from large bodies of evidence that identify a different group of risk factors from adverse childhood experiences (ACEs). ABEs occur before a child’s 3rd birthday and influence infant as well as maternal morbidity and mortality. ABEs are also risk factors for chronic illnesses and other chronic conditions in the child , symptoms such as postpartum depression and PTSD in parents and offer opportunities for prevention and repair.
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New Child Trends reserach examines how racism drives disparities in maternal and child health
New Child Trends research uses data from Zero to Three’s State of Babies Yearbook 2021 to examine disparities in maternal and child health, and discusses why these disparities exist. The researchers also highlight strategies that policymakers and practitioners can use to promote racial and ethnic equity to improve maternal and child health. For example, paid family leave is tied to lower rates of infant mortality and maternal depression and increased rates of breastfeeding and infant...
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Creating Space to Discover a Baby’s Intentions (Claudia M. Gold, MD)
At the outset of a Zoom visit with 7-week-old son James in my behavioral pediatrics practice, his mother Sondra explained to me that he is “stiff because of my medication.” While feeding him a bottle she told me she was unable to breastfeed due to the effects of MAT (medicated assisted treatment, now called medication for opioid use disorder, or MOUD.) It was not concern about her current use of methadone, which is widely considered to be safe for breastfeeding, but rather the in-utero...
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Storytelling Through Narrative Medicine: Measuring the Lived-Experiences of Black Women's Reproductive Health [nimhd.blogs.govdelivery.com]
By Shameka Poetry Thomas, National Institute on Minority Health and Health Disparities, October 5, 2021 My grandmother was a traditional healer and a medicine-woman in Georgia’s rural South. Although I grew up in Miami’s Opa-Locka (a small urban neighborhood tucked between Miami-Gardens and the cusp of Hialeah / Little Havana), I spent most summers near middle Georgia’s farmland, listening to my grandmother. I observed how grandmother, who did not have a Ph.D., gathered Black women in...
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Paid Leave: An Opportunity to Reduce Racial and Ethnic Disparities in Maternal and Child Health [thousanddays.org]
By 1,000 Days, October 2021 In this update to our 2019 report, The First 1,000 Days: The Case for Paid Leave in America , we present the latest research and data from the last two years on the opportunity to reduce racial and ethnic disparities in maternal and child health through the passage of a universal, comprehensive paid family and medical leave policy in the United States. [ Please click here to access the report .]
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Rural Hospital Closures Prompt Maternal and Infant Mortality Concerns, Psychological Birth Trauma
This article was initially published in RACmonitor and appears with the publisher’s permission The country’s smallest hospitals continue to be in peril, as are the patients who rely on them. This issue continues to be the reality for rural health with major challenges for the patients and providers in those regions. 7.4% of babies born in the US are birthed at hospitals handling 10 to 500 births a year, or “low-volume” hospitals. In the context of our industry’s fiscal focus, that number...
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One Woman’s Fight to Make The Postal Service A Better Place for Working Moms (www.workingmother.com)
By Rebecca Gale, Working Mother, March 23, 2021 Charnae Easton was forced to breast-pump in front of a window. So she sued—and won. Here, she shares her story for the first time. Charnae Easton knew she wanted to breastfeed her daughter. Even when she was pregnant, she told her supervisors at the Richmond, California post office where she worked as a mail carrier that she would need a place to pump milk when she returned from leave. She’d even planned to work up until she gave birth,...
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The Dismal State of Maternal Wholistic Health for Women of Color
Change is long overdue for this massive maternal health chasm of wholistic health disparities, transcending physical, behavioral, and psychosocial health, and particularly for women of color (WOC)
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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PACEs Research Corner — May 2023, Part 2
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the effects of abuse, and includes research articles on PACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs, PCEs and PACEs. Thank you, Harise!! — Rafael Maravilla] Domestic Violence – Effects on Children Makris G, Eleftheriades A, Pervanidou P. Early Life Stress, Hormones, and Neurodevelopmental Disorders. Horm Res...
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Health Equity and the Social Determinants of Health Are NOT Synonyms
Successful health equity strategies must be inclusive, and focus on all marginalized and minoritized persons and their communities. Any lesser view will continue to yield a faulty health equity equation.
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We know how to support poor families
Original Investigation July 24, 2023 Community Health Worker Home Visiting, Birth Outcomes, Maternal Care, and Disparities Among Birthing Individuals With Medicaid Insurance Cristian I. Meghea, PhD 1 ; Jennifer E. Raffo, MA 1 ; Xiao Yu, PhD 1 ; et al Ran Meng, MS 1 ; Zhehui Luo, PhD 2 ; Peggy Vander Meulen, MSN 3 ; Celeste Sanchez Lloyd, MA 3 ; Lee Anne Roman, PhD 1 Author Affiliations JAMA Pediatr. 2023;177(9):939-946. doi:10.1001/jamapediatrics.2023.2310 Question Is participation in a...
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Early Relational Health Innovators Partner In Program Supported by PACEs Connection Cooperative of Communities Members in Twelve California Counties
Christina Bethell, Ph.D, MBA, MPH, founder of the Child and Adolescent Health Measurement Initiative (CAHMI), principal author of the groundbreaking study on positive childhood experiences, and creator of the free Well Visit Planner, among other innovations. Two internationally-respected leaders and innovators in complementary aspects of early relational health and childhood and maternal health equity recently launched a partnership they believe will benefit everyone from newborn babies and...
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SunnysideFlex: A Web-Based Intervention for Posttraumatic Stress Disorder during Pregnancy
The Trauma Informed Health Education and Research (TIHCER) Collaborative presents, SunnysideFlex: A Web-Based Intervention for Posttraumatic Stress Disorder during Pregnancy Presentation: Posttraumatic stress disorder (PTSD) affects 4-8% of women in the general population during pregnancy, but up to 33% of women from disadvantaged or minoritized communities. Unfortunately, PTSD is rarely detected or treated in obstetric settings. Further, there is a massive shortage of providers trained in...