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PACEs in Maternal Health

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How stress causes metabolic changes and reduces disease tolerance (Science Mission)

Karen Clemmer ·
By News Editor, July 1, 2020, Science Mission. In their search for what triggers the damaging side-effects caused by acute psychological stress, the researchers found an answer by doing a fat check. In the face of psychological stress, an immune system response that can significantly worsen inflammatory responses originates in brown fat cells, the team reports in the journal Cell . Since the hormones associated with stress, cortisol and adrenaline, generally decrease inflammation, it has...
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Psychological impact of COVID-19 quarantine measures in northeastern Italy on mothers in the immediate postpartum period (Int J Gynsecol Obstet)

Karen Clemmer ·
Zanardo V, Manghina V, Giliberti L, Vettore M, Severino L, Straface G. Psychological impact of COVID-19 quarantine measures in northeastern Italy on mothers in the immediate postpartum period. Int J Gynaecol Obstet . 2020;150(2):184-188. doi:10.1002/ijgo.13249 Abstract Objective: To explore whether quarantine measures and hospital containment policies among women giving birth in a COVID-19 "hotspot" area in northeastern Italy enhanced psycho-emotional distress in the immediate postpartum...
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Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]

By Ryan White, Center for Health Journalism, July 23, 2020 Harvard’s Jack Shonkoff, a luminary in the field of early childhood, has spent years showing that events in the earliest years of life have profound implications for how budding brains develop, and in turn, shape a child’s later potential at school and work. Now, Shonkoff says it’s time to connect the brain to the rest of the body. “The message now is to say that there is a revolution going on in molecular biology and genomics and in...
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ACEs research roundup: ACEs, racism, promoting equity and resilience

Laurie Udesky ·
Racial /Ethnic Disparities in Health Care Access Are Associated with Adverse Childhood Experiences , Journal of Racial and Ethnic Health Disparities Racism , Psycho-Social Stress, and Health-related Quality of Life International Journal of Maternal Child Health and AIDS Promoting equity and resilience: Wellness navigators' role in addressing adverse childhood experiences American Psychological Association Co‐Occurring Youth Profiles of Adverse Childhood Experiences and Protective Factors:...
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Infant Feeding During COVID: Strategic Planning for Pregnancy, Postpartum and Beyond [ucsf.edu]

Mai Le ·
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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Column: New billboard campaign alerts us to adverse childhood experiences: ‘What is shareable is bearable’ [chicagotribune.com]

By Jerry Davich, Chicago Tribune, September 7, 2020 “Be loving. Be caring. Be there.” These three simple child-rearing reminders can do so much to curtail the barrage of adverse childhood experiences in what can be an abusive, neglectful society. “Adverse childhood experiences,” or ACEs, are defined as emotionally traumatic events that can occur any time before a child turns 18. These situations include divorce, domestic violence, sexual abuse, emotional neglect, parental mental illness and...
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Freedom From Trauma – Powerful & Profound Practices To Heal Trauma & Consciously Create The Body, Mind, Spirit You Truly Desire

McKinley McPheeters ·
We are living in complicated and stressful times. What needs to be healed seems more palpable than ever. It feels like the call to release what no longer serves has never been louder and we are feeling that tug at our core. While the founder of The League of Extraordinary People, Alfred White, has been gaining more clarity everyday on this, he was invited to be part of an event, more like a movement, to help others find freedom from what has been holding them back. It is a free, online...
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Upcoming Webinar: Learn How to Start an ACEs Initiative in Your Community

Alison Cebulla ·
Are you curious about starting an ACEs Initiative in your community? Join one of these upcoming webinars to learn how to start an initiative. I'm Alison Cebulla, the Community Facilitator (CF) for the Northeast USA, Mid-Atlantic USA, and Canada for ACEs Connection. You are welcome to attend these webinars no matter which region you are interested in starting. After the webinar, I will put you in touch with the CF in your region who will help you get started if you choose to move forward. All...
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Re: The importance of care coordination [medcitynews.com]

Dianne Couts ·
I didn't even know there were care managers. Thanks for this enlightening article. A frequent comment my husband and I make after making an appointing, seeing a doctor or having a medical procedure is, "Wow! The right hand sure doesn't know what the left hand is doing!" That is fine as long as we are able to connect all the dots for those caring for us. However, that is not always the case.
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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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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions

Laurie Udesky ·
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...
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Report on WIC Role in Reducing Maternal Mortality (California WIC Association)

Karen Clemmer ·
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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New California preventive mental health coverage puts ACEs science front and center

Laurie Udesky ·
A mother, frantic with worry, brought her newborn in for a checkup at the pediatric clinic at San Francisco General Hospital. But there wasn’t anything wrong with the baby. And over the next several months, no amount of reassurance could convince the mom that her child was eating, sleeping and growing just fine. If anything, the mother’s worry led to behavior that raised alarm bells for her health care providers. Dr. Kate Margolis “[The family] wasn’t returning calls from the provider, and...
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New Resource: Coping with Stress During the COVID-19 Pandemic One-Pager (English & Spanish!)

Elena Costa ·
English: The California Department of Public Health, Injury and Prevention Branch (CDPH/IVPB) and the California Department of Social Service, Office of Child Abuse Prevention’s (CDSS/OCAP) , Essentials for Childhood (EfC) Initiative , ACEs Connection , and the Yolo County Children’s Alliance have co-created a newly developed resource, “Coping with Stress During the COVID-19 Pandemic” in both English and Spanish. This material is intended for Californian families experiencing the severe...
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Effects of prenatal mindfulness-based childbirth education on child-bearers' trajectories of distress: a randomized control trial (BMC Pregnancy Childbirth)

Karen Clemmer ·
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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Maternal Mental Health

Kelly McDaniel ·
Like many of you, I’m a bit out of sorts and somewhat disoriented right now. Our collective mental health is deteriorating during Covid-19. Recent stats report an increase from 20-40% of adults struggling with mental illness since the advent of the pandemic. Maternal mental health is particularly at risk. Helping children with distance learning, navigating exposure to the news, trying to keep life a bit “normal”, keeping family members fed and supplied, juggling career and income loss, all...
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Learning in the New Year with Dr. Jared Parrish

Karen Clemmer ·
Strengthening Alaska: How the Pre-Birth Environment Can Prevent ACEs - with Jared Parrish, PhD. Jan 7, 2021 11:00 AM. Alaska. The Alaska Resilience Initiative is ringing in the New Year right by spreading the findings of Dr. Jared Parrish. For the past ten years, Dr. Parrish has worked as a Senior Epidemiologist with the Alaska Department of Social Services. Now Dr. Parrish brings us the latest research on pregnancy and ACEs. Join us on January 7th at 11am as Dr. Parrish presents findings...
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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More

Veronique Mead ·
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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Funding Opportunity: California Preterm Birth Initiative

Mai Le ·
The California Preterm Birth Initiative is pleased to share our spring 2021 request for applications for innovative research proposals on preterm birth! About the Opportunity Twice a year, in the spring and fall, we request research proposals via the UCSF Resource Allocation Program (RAP). The spring RAP applications are due by March 1st. What We're Looking For We are looking for proposals focused on: Reducing preterm birth rates Addressing racial disparities in preterm birth and/or...
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Depression, anxiety 'extremely high' among new mothers since start of social distancing [healio.com]

Karen Clemmer ·
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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Anxiety, Depression and Working Moms in a Pandemic

Arslan Hassan ·
Covid-19 is a challenging time for all of us. People are limited to their homes, and social distancing is the requirement of the time to stay protected from this contagious virus. Although social distancing is the only thing stopping the spread of the virus, it is also becoming the number 1 cause of anxiety and depression. People worldwide from all walks of life are suffering the psychological effects of isolation, and working moms are not an exception. They experienced a unique pressure...
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Resilience: Strengthening and Supporting California Families [calwic.org]

Natalie Audage ·
From California WIC Association, March 2021 At the Resilience Conference we will come together as cyber collaborators, teachers, and learners, finding our new normal, resilient as ever, continuing to Strengthen and Support California Families! Gather with us for CWA’s 29th Conference & Trade Show. Highlights: An interactive online experience over five convenient half and full days Topics areas: Begin Early to Nurture Child Heath (with a specific focus on nutrition and breastfeeding)...
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'Living Paycheck to Paycheck, Living Diaper to Diaper' [nytimes.com]

By Jessica Grose, The New York Times, March 17, 2021 If your child is not potty trained, how many diapers do you have on hand right now? That’s a question I certainly wouldn’t have been able to answer with any specificity when my children were babies. But it’s a question that parents who struggle to afford the expense — about $70-$80 per month, per baby — can answer easily, because managing diaper need is among their most significant anxieties. That’s what a new study from Jennifer Randles,...
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A Better Normal Friday, March 26, 2021: PACEs and HOPE with Dr. Christina Bethell

Jane Stevens ·
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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Disability and Pregnancy: Research from NIDILRR and NICHD [acl.gov]

Karen Clemmer ·
From Administration for Community Living and Department of Health and Human Services, March 2021 Persistent maternal health disparities related to race, ethnicity, and income have garnered recent national policy attention. A growing body of research examining women with disabilities' experiences with reproductive health reveals that disparities also exist between women with and without disabilities. The purpose of this brief is to summarize findings about reproductive education, experiences,...
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March CTIPP CAN Call

Jesse Maxwell Kohler ·
Thank you to Aidan Phillips from the WAVE Trust for his excellent and engaging presentation for attendees of our monthly Campaign for Trauma-Informed Policy and Practice (CTIPP) call for March. The information he shared is invaluable as we continue our work to influence change at the national level through the National Trauma Campaign . If you were unable to join, would like to watch again, or want to share with others, you can find the call recording here . Additionally, if you would like...
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5 Ways DV/SA Advocates Can Help Survivors Enroll [futureswithoutviolence.org]

Karen Clemmer ·
Calling all DV Advocates! Now is a great time to support survivors in getting enrolled in health insurance. A special open enrollment period for health coverage through Healthcare.gov is now happening until August 15th, 2021 to mitigate the loss of coverage many experienced due to job loss during the COVID-19 Pandemic. This presents an important opportunity for people who have not had coverage or have lost coverage to get access to affordable health care. Find out the Top 5 Ways That DV/SA...
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Understanding the Baby's Experience of Adversity and Resilience: A Panel Talk

Kate White ·
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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More Black Women Using Doulas to Avoid Maternal Mortality in Hospitals [blackenterprise.com]

Karen Clemmer ·
By Jeroslyn Johnson, Black Enterprise, April 21 2021 With Black women more likely to die while giving birth in a hospital than women of other races, studies show more Black women have resorted to using doulas to aid in delivering their babies. In an effort to raise awareness on Black maternal mortality rates, President Biden proclaimed the week of April 11 through 17 as “Black Maternal Health Week,” 11 Alive reported. “In the United States of America, a person’s race should never determine...
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To solve the Black maternal mortality crisis, start with upending racist practices

Laurie Udesky ·
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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New ACEs Aware Training Activity - Maternal Mental Health

Richard De León ·
Maternal Mental Health: Addressing the Impact of ACEs, Toxic Stress and Intergenerational Trauma (TWO DAY TRAINING) WEDNESDAY, MAY 19th & THURSDAY, MAY 20th 9:00 AM - 11:00 AM __________ PLEASE NOTE: This training was created with providers in mind BUT anyone interested in maternal mental health will benefit from the training. *These training activities are available at no cost to participants thanks to a grant through ACEs Aware* SIGN UP TODAY...
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Maternal Health’s Ongoing Mandate for Women of Color: The Call for Wholistic Health Equity  

Ellen Fink-Samnick ·
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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Adverse Babyhood Experiences (ABEs): 10 New Categories of Adversity Before a Child's 3rd Birthday (Download Journal Article)

Veronique Mead ·
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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How PACEs Connection Members can watch Wrestling Ghosts this weekend

Christine Cissy White ·
Wrestling Ghosts is the fourth and final film in the Transform Trauma with ACEs Science Film Festival series and is available to all PACEs Connection member this weekend. To watch any time from Friday, June 11th through Sunday, June 13th, 2021: Join the Transform Trauma with ACEs Science Film Festival interest-based community on PACEsConnection Go to this blog post to find the link and the password to stream Wrestling Ghosts. There will be a follow-up discussion on June 15, 2021 at 7 p.m.
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Wrestling Ghosts & Parenting with ACEs Discussion on 6/15/21 at 7p.m. EST

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

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

From Futures Without Violence, July 2021 This event is hosted by the National Health Collaborative on Violence and Abuse, American College of Obstetricians, March of Dimes, and Futures Without Violence in conjunction with Representative Gwen Moore. As Congress addresses the threats to Black maternal health, it is important to also discuss the impact of intimate partner violence (IPV) on maternal mortality. The briefing will highlight the leading causes of pregnancy-associated deaths...
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I Gave Birth, but My Husband Developed Postpartum Depression [nytimes.com]

Natalie Audage ·
By Kim Hooper, The New York Times, July 19, 2021 When I was pregnant with my daughter, my husband and I took a parent prep class in which they talked at length about the signs of maternal postpartum depression. My husband took detailed notes. After all, I had a history of depression and occasionally fell down dark, deep rabbit holes from which only medication and therapy could pull me out. My husband, on the other hand, is the epitome of stable. When his parents died in our first few years...
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Pandemic Pressure Increase Incidence of Postpartum Depression [chcf.org]

By Heather Tirado Gilligan, California Health Care Foundation, August 9, 2021 Throughout her pregnancy, Altagracia Mejía was nagged by feelings of anxiety and depression. Mejía, who lives in the Panorama City neighborhood of Los Angeles, gave birth to her daughter Alexa in September 2020. Within two months, the new mother’s feelings shifted to thoughts of suicide. “In my most lucid moments, I ask myself over and over again what is happening to me ,” Mejía told Los Angeles Times reporter...
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7's HERO: New Boise public charter high school for pregnant, parenting teens opens this week (ktvb.com)

BOISE, Idaho — There is a new high school in Boise for pregnant and parenting teenagers. Cardinal Academy Public Charter School is located on the Salvation Army's recently completed Booth Campus on Emerald Avenue. Cardinal Academy is a free public charter school that offers these students in 9th-12th grade, ages 14-21, the opportunity to get their education and get the support they need to parent while they receive their diploma. "Cardinal is such an amazing resource because they have...
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Virtual premiere of From the Ashes: Nov 6

Allyson Schaeffer ·
Bay Area nonprofit, Supporting Mamas, is proud to co-host the premiere of From the Ashes , a personal film from Theresa Fortune about her own journey with postpartum depression. The premiere will feature a panel of mental health experts exploring the inequities of maternal mental healthcare faced by women of color. From the Ashes is a multidisciplinary narrative of a black woman’s journey through postpartum depression and towards spiritual rebirth. Through the use of photography, video...
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What Paternity Leave Does for a Father’s Brain (nytimes.com)

Natalie Audage ·
By Darby Saxbe and Sofia Cardenas, The New York Times, November 8, 2021 After President Biden left paid family leave out of his Build Back Better Act last month, a familiar marshaling of forces took place. Women’s groups and female leaders protested. Senator Patty Murray of Washington said Democrats should not “tell all the women in this country that they can’t have paid leave.” Democratic leaders, well aware that women are the base of the party, have restored four weeks of family leave, at...
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Examples of Current Trauma-Informed Judicial Systems

Porter Jennings-McGarity ·
Please join us for a new series entitled: Trauma-Informed Criminal Justice. This monthly virtual Zoom series will feature conversations facilitated by Porter Jennings-McGarity, PACEs Connection’s criminal justice consultant, with special guests to discuss the need for trauma-informed criminal justice system reform. Using a PACEs-science lens, this series will examine the relationship between trauma and the criminal justice system, what needs changing, and strategies being used in this area...
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Rural Hospital Closures Prompt Maternal and Infant Mortality Concerns, Psychological Birth Trauma

Ellen Fink-Samnick ·
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)

Natalie Audage ·
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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Online Event Free Documentarty about Birth Trauma, PLUS Workshop

Kate White ·
El Jardín Birth and Family began the Birth in Pieces project in 2015. A labor of love, this project spanned multiple years and took various twists and turns as we interviewed more and more women. Patterns emerged. We realized that these individual narratives, together, painted a picture of modern birth culture. What's wrong with birth in the USA? It's time to ask mothers. The film is the outcome of their work interviewing mothers and their partners talking about their experiences with birth.
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Homicide is a leading cause of death in pregnant people, a new study finds. Black women are at greatest risk. [thelily.com]

Carey Sipp ·
By Cecilia Nowell, Illustration: iStock/Washington Post Illustration, The Lily, December 6, 2021 At the Safe Sisters Circle, a nonprofit in Washington, D.C., founder and executive director Alana C. Brown said she has worked with “countless” survivors of intimate partner violence who were abused while pregnant. While providing legal services to survivors in the city’s predominantly Black Ward 7 and 8, Brown said she’s witnessed that sometimes the abuse isn’t only physical; she’s seen...
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Self-Care during Pregnancy: Counteracting Negative Impacts of Stress

Jalisa Bonville ·
Upon learning that you are expecting to welcome a new life into this world, you may be hit with a mixture of emotions; sometimes you are unsure how to feel. One emotion every parent is bound to feel is some degree of stress. Stress, the result of a person feeling incapable of coping with a negative situation, affects people differently, and yet no one is immune to the dangers of too much stress. With the growing amount of research on adverse childhood experiences, or ACEs, and their...
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