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PACEs in Maternal Health

Tagged With "Women Giving Birth"

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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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Redesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner And More Often [npr.org]

Alicia Doktor ·
This story was co-published with ProPublica . Doctors would see new mothers sooner and more frequently, and insurers would cover the increased visits, under sweeping new recommendations from the organization that sets standards of care for obstetrician-gynecologists in the U.S. The 11-page "committee opinion" on " Optimizing Postpartum Care ," released Monday by the American College of Obstetricians and Gynecologists , represents a fundamental re-imagining of how providers, insurers and...
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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’s the ‘street doula’ behind the Homeless Humans of Tacoma. ‘They’re just like you and me’ (Tacoma News Tribune)

McKinley McPheeters ·
For roughly 40 years, Patti Ramos was a doula, assisting with more than 3,000 births. Now, Ramos has something new to consume her. There’s no paycheck involved this time — the 66-year-old gets by on Social Security income — but the hours are still long and the connections are still intimate. Today, Ramos, 66 and retired, considers herself a “street doula.” That’s because Ramos is the one-woman force behind the Homeless Humans of Tacoma project . For the last four years, she has spent her...
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So how do you start to think and talk about ACEs and Maternal Mental Health?

Anna Sutton ·
Give them an info graphic to show the connection between toxic stress and health outcomes for moms and babies? Check out the attached 3 handouts!   Have some talking points ready to get the conversation started with prenatal care staff?  ...
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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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Standing Strong – The knowledge, skills and peer support parents need to lead (www.risemagazine.org)

Christine Cissy White ·
Cissy's note: I admire the work of this parent-led and parent-focused organization. I read everything they post. For those not familiar with what they do, this is a recent interview with three staffers and gives a really good look at what and how they work to support families and make systems change. Here's an excerpt. The full piece is here. To read more of this piece recently published in Rise Magazine, go here.
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States weigh bans on shackling jailed moms during childbirth [AP News]

Karen Clemmer ·
SALT LAKE CITY (AP) — Michelle Aldana gave birth to her first child chained to a hospital bed. Then serving time at the Utah state prison on a drug charge, she says she labored through the difficult 2001 birth for nearly 30 hours, her ankles bleeding as the shackles on both her legs and one arm dug in. “I felt like a farm animal,” she says. The practice of keeping inmates shackled during childbirth was once common around the United States, but that’s gradually been changing after women began...
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Strategies to Improve Maternal Mental Health in California [California Budget Bites]

Karen Clemmer ·
(Posted May 1, 2019) Today marks World Maternal Mental Health Day and the start of Mental Health Awareness Month . Maternal mental health (MMH) is vital to the health and well-being of children and families. When mothers feel emotionally healthy and well supported, they are better able to develop strong bonds with their children, which promote children’s physical, mental, and emotional development. Conversely, when mothers experience mental health conditions during pregnancy or after giving...
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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 Body Remembers

Joyelle Brandt ·
She had a poster of Where’s Waldo? on the wall, presumably there to distract her patients from what was happening while they lay on the exam table. This was my third appointment, and on the drive over I had fought down rising waves of panic at walking back in to this room, with Waldo and her gloved fingers. When my physiotherapist had first recommended this treatment after months of physio exercises had failed to produce the desired results, I went home and cried. I called Dawn and told her...
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The Developing Brain & Adverse Childhood Experiences (ACEs)

Lisa Frederiksen ·
Thanks to an explosion in scientific research now possible with imaging technologies, such as fMRI and SPECT, experts can actually see how the brain develops. This helps explain why exposure to adverse childhood experiences can so deeply influence and change a child's brain and thus their physical and emotional health and quality of life across their lifetime. The above time-lapse study was conducted over 10 years. The darker colors represent brain maturity (brain development). I have added...
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The Harmful Effects of Stress During Pregnancy can Last a Lifetime [sciencedaily.com]

From Science Daily, March 5, 2020 In a new study, they tracked a lifetime of physiological changes experienced by mice given a liquid solution containing the stress hormone glucocorticoid while in the womb or soon after birth. Glucocorticoids are naturally occurring hormones that reduce inflammation and are instrumental in helping infants and adults alike adapt quickly to environmental dangers, such as famine or violence. Physicians use them to treat asthma and autoimmune diseases caused by...
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The Hello It’s Me Project comes to Pittsfield: Dr. Claudia Gold at the helm of initiative to create healthy bonds between parents and infants (www./theberkshireedge.com)

Christine Cissy White ·
Cissy's note: I am a huge fan of the way @Claudia Gold works with those of us Parenting with ACEs . The first time I read her writing I relaxed. She was speaking with and for parents not about or at us. Unfortunately, her approach is rare. Fortunately, she just launched a new project she's been dreaming of for years. I love the way she supports all families and how she centers the role of all parents in the lives of all children - especially those - not all except those...
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The pandemic may be intensifying postpartum depression. But there are resources to help. (The Lily)

Karen Clemmer ·
By Juli Fraga, May 8, 2020, The Lily. On March 18 — a day before California became the first state to issue a stay-at-home order — Courtney Pladsen, 34, a nurse practitioner who lives in Portland, Me., gave birth to her first child. Like many of the hundreds of thousands of U.S. women who have given birth during the coronavirus pandemic, Pladsen’s life was turned upside down. In preparation for parenthood, Pladsen and her husband had lined up support: a lactation consultant to help with...
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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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The Trauma-Sensitive Parenting Summit & Commentary

Christine Cissy White ·
"Having a history of trauma or loss does not by itself predispose you to have a child with disorganization. It is the lack of resolution that is the essential risk factor. It is never too late to move toward making sense of your experiences and healing your past. Not only you but also your child will benefit." That's a quote from the book Parenting from the Inside Out: How A Deeper Self-Understanding Can Help You Raise Children Who Thrive, which was published fifteen freaking years ago. It's...
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The Unexpected Perk Of My Group Pregnancy Care: New Friends [CA Healthline]

Karen Clemmer ·
I had always imagined going through pregnancy surrounded by family and friends. But when I found out I was pregnant, my husband, Alex, and I had just moved from San Francisco to Chicago. I knew almost no one. I ended up finding a community where I least expected it: at a medical office. CenteringPregnancy is group prenatal care offered by more than 600 practices across the country. Rather than the standard 15-minute individual visits in an exam room, women who are due around the same time...
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This Psychologist Is Changing The Face Of Therapy For Black Women [HUFFPOST]

Carey Sipp ·
[DFINNEY PHOTOGRAPHY] J oy Harden Bradford, an Atlanta-based therapist who founded the mental health platform Therapy for Black Girls , is an advocate for black women’s well-being. The founder of the website Therapy for Black Girls is working to empower black women to make their mental health a priority. Slowly but surely, mental health has moved from the sidelines to the center of our national conversation around well-being. But discussing feelings and emotions is still a touchy subject in...
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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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Trauma Mama: Little Girl Riding Shotgun in My Psyche

Christine Cissy White ·
“I love you,” I say to my daughter. “Of course you do,” she says, I’m awesome.” She was twelve. The mother in me smiled. The girl I was shook her head inside and wondered h ow would it have been to feel both loved and lovable while a child? I do not know. I will never know. It does not matter how wonderful my present. It does not matter who I will become. I can’t change the past. The past is a country I never want my daughter to travel near or in. I am an exile, from my past, my child self.
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'Understanding Trauma': Program Shows Doctors the Biases Indigenous Women Experience [cbc.ca]

By Daniela Germano, Canadian Broadcasting Corporation, October 1, 2019 An online training program is aiming to educate health-care professionals about biases Indigenous women may experience as highlighted by allegations of recent coerced sterilizations. Dr. Naana Jumah, an obstetrician-gynecologist at the Thunder Bay Regional Health Sciences Centre and assistant professor at the Northern Ontario School of Medicine, said the idea for the program came in 2011 when she was doing her residency.
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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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We Need to Talk about PTSD in NICU Parents (themighty.com)

Given the nature of NICU, the pain of leaving your fragile baby each day, the feelings of emptiness and grief , the uncertainty and ups and downs, the lines, wires, monitors and alarms, not to mention the security buzzers at the entrance of the unit or the constant rigorous hand-washing, it came as no surprise to me that parents who have experienced premature birth are at greater risk of postnatal depression , anxiety and post-traumatic stress disorder (PTSD) . You see, more than 40 percent...
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Webinar: Defining and Unpacking the Social Determinants of Health & Health Equity

Jane Stevens ·
Join the National Academy of Medicine (NAM) on November 29 as it hosts the first webinar in its Culture of Health Webinar Series. Date/Time : November 29, 2018, 4:00 – 5:00 pm EST The National Academies report Communities in Action: Pathways to Health Equity identified 9 social determinants of health and how these determinants impact our health and the health of our communities. The report also defined health equity as the state in which everyone has the opportunity to attain full health...
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Webinar: Key findings from the Listening to Mothers in California Survey

Bonnie Berman ·
Webinar: Key findings from the Listening to Mothers in California Survey. For more information and to register, please see below. Webinar is Thursday, September 20 , from 12-1:00 PM In 2017, a team led by the National Partnership for Women & Families surveyed more than 2,500 women in California about their views and experiences with childbirth. The results, which will be released September 12, reveal what is and isn't working with maternity care in the Golden State. Join us Thursday,...
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What if?

Anna Sutton ·
How about incorporating the  10 item Adverse Childhood Experiences(ACE) form into a prenatal visit . A mother's ACE score may help guide providers in determining if a woman's pregnancy is at higher or lower risk for complications. And...
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How bad will my postpartum depression be in 12 months? [Science Daily]

Karen Clemmer ·
'Game-changing' study uses four factors to accurately predict severity, longevity of postpartum depression Date: January 16, 2019 Source:Northwestern University Summary:A new study was able to successfully predict -- with 72.8 percent accuracy -- if a new mother would experience worsening depressive symptoms over the first year after giving birth. The scientists predicted this depression trajectory using four maternal characteristics that put the mother at risk. Identifying these factors...
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How Does Trauma Affect a Person’s Interaction with Their Child? (www.nicabm.com) & Commentary

Christine Cissy White ·
Has anyone seen this video posted on the National Institute for the Clinical Application of Behavioral Medicine (NICAMB) blog? "According to Dr. Ruth Lanius, a parent's experience of trauma can impact their ability to form a close, intimate relationship with their child." Ruth Buczynski, PhD Those of us Parenting with ACEs sure know that's the truth. Developmental trauma impacts our ability to form close and intimate relationships with ourselves, other adults and our children. The video was...
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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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How Postpartum Depression is Different from Baby Blues [PsychCentral.com]

Samantha Sangenito ·
Today, even though we’ve made much progress, postpartum depression (PPD) still gets confused with baby blues. It still gets minimized and dismissed. Oh, don’t worry. Being sad and sobbing are totally normal. So is feeling frustrated. You just gave birth, after all. You just need some sleep. A day off. A change in attitude. Maybe you should stop putting so much pressure on yourself. Maybe you’re not used to being home so much. You need time to adjust. You need to get used to your new normal.
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How to get more low-income moms screened for depression? CMS says, ‘Bill me!’ [CenterForHealthJournalism.com]

Samantha Sangenito ·
In recent years there’s been a surge in awareness of how common and debilitating maternal depression can be. As the research accumulates and media coverage keeps apace, the idea that depression and related disorders can wreak serious havoc on a mother and affect her baby’s development has given fresh urgency to efforts to get moms more help. Among policymakers, growing recognition of the problem has translated into new programs, with a number of states encouraging screenings and treatment.
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Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach

Kate White ·
The Association for Prenatal and Perinatal Psychology and Health is excited to bring together 10 talented practitioners to explore the Trauma Informed Practices that help improve birth outcomes and support human development right from the very start. The Adverse Childhood Experiences Study (1998) launched the importance of trauma and trauma informed care in our health and educational systems. We suddenly had a measure of how early experiences in childhood could correlate with adult disease.
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Introduce mental health checks for new mothers, ministers told Six-week checkup would help the 50% of UK mothers with mental health problems

Dawn Cretney ·
New mothers should receive a mental health checkup six weeks after giving birth to help tackle possible postnatal depression and other problems related to having a baby, ministers have been told. A cross-party group of 60 MPs and peers have written to Steve Brine, the minister for public health and primary care, demanding that all mothers in England have an assessment of their emotional and mental health carried out by a GP, practice nurse or health visitor. They say that making such...
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Journal Article: Cannabis Use in Pregnancy in British Columbia and Selected Birth Outcomes

Karen Clemmer ·
Cannabis Use in Pregnancy in British Columbia and Selected Birth Outcomes Author links open overlay panel Sabrina Luke PhD 1 J ennifer Hutcheon PhD 1 2 Tamil Kendall PhD 1 3 This study sought to determine the association between cannabis use in pregnancy and stillbirth , small for gestational age (SGA) (<10th percentile), and spontaneous preterm birth (<37 weeks). [ Click here to access the article. ]
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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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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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Mommy Mentors Help Fight The Stigma Of Postpartum Mood Disorder (npr.org)

Becoming a mother is often portrayed as a magical and glorious life event. But many women don't feel joyful after giving birth. In fact, according to the American Psychological Association , almost 15 percent of moms suffer from a postpartum mood disorder like anxiety or depression, making maternal mental health concerns the most common complication of childbirth in the U.S. And even though these mental illnesses affect millions of women each year, new research shows 20 percent of mothers...
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More Clinicians Need to Address Postpartum Depression and other Postpartum or Perinatal Mood and Anxiety Disorders

Robyn Brickel, M.A., LMFT ·
“It’s okay to tell me that you’re not okay.” Postpartum depression (PPD) and postpartum or perinatal mood and anxiety disorders (PMADs) are the most common medical concerns for women after childbirth. Yet few medical and mental health professionals really know how prevalent and serious PPD and PMADs are. There is a great need for better screening to identify women struggling with postpartum disorders. Likewise, more therapists and mental health providers need to know about treatment...
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My son was hospitalized and now he has PTSD

Stephanie Kennelly ·
“Grant, do you remember when you were in the hospital?” “Yes… they came to take the blood and I turned into a werewolf.” Original Post It happened quickly. A year ago my three year old had a collarbone fracture, it became infected and within 24 hours the situation was emergent. A week long hospital stay, one month with a PICC line and two months on oral antibiotics. Finally, the labs finally came back normal. The X-Ray was clean. Gillette Children’s Hospital closed our case. But the healing...
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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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NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]

Jessica Porten ·
My second daughter, Kira Elle, was in the NICU for 13 days, which most would consider a "short stay". But I can attest that being separated from her at birth severely impacted my mental health in extremely negative ways. Shortly after bringing her home, I was able to identify within myself that I had Postpartum Depression and Rage. Only now, at 7 months postpartum, am I starting to address my trauma from the NICU through the use of Brain Spotting in my therapy sessions. Linked is an article...
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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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Opioid-Dependent Newborns Get New Treatment: Mom Instead of Morphine [CHCF]

Karen Clemmer ·
Aug 1, 2019, Dana G. Smith, for CHCF When babies are born dependent on opioids, typically they are whisked away from their mothers, put into the neonatal intensive care unit (NICU), dosed with morphine to get them through withdrawal, and gradually weaned off the drug—a process that can take weeks. Research now suggests that this long-established standard of care may be the worst way to care for a newborn with opioid dependency, or neonatal abstinence syndrome (NAS). The NICU is busy, noisy,...
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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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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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