Tagged With "preterm 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]
(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]
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]
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)
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?
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
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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States weigh bans on shackling jailed moms during childbirth [AP News]
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]
(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
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
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)
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)
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)
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 Trauma of Having a Newborn in the NICU [theatlantic.com]
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
"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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Through a Trauma Lens: The Need for Doulas
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]
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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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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What if?
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]
'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 Postpartum Depression is Different from Baby Blues [PsychCentral.com]
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]
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
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
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
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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Milwaukee doulas ask for the community's help to lower black maternal and infant mortality [Journal Sentinel]
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
“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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NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]
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
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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Perinatal Trauma Informed Care and the Trauma Sensitive Intake
Monday, March 4, marks the beginning of Birth Psychology Month for the Association for Prenatal and Perinatal Pyschology and Health (APPPAH). This monthlong celebration features a panel of speakers around trauma informed practices for pregnancy, birth, and postpartum care. APPPAH received a grant for this project, so live lectures are free. Our first two speakers will be on Monday at 7 pm and 8:30 pm Eastern time. Jennie Birkholz, Principal of Breakwater Light, LLC, Trauma informed educator...
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Petaluma Health Center leads effort to link women to services
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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Post-natal PTSD: 'I relived childbirth over and over again' [BBC News]
Anna Simpson says the therapy she went through has helped her recover
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Postpartum Anxiety Is an Epidemic Among American Mothers. Why Does It So Often Go Undiagnosed? (Time Magazine)
By Sarah Menkedick, March 20, 2020, for Time As a new mother, I worried about mouse poop in the small cabin where I lived. About fracking chemicals in the water. About glyphosate in the oatmeal. About flame retardants in pajamas. About phthalates in toys. Although it constantly overwhelmed me, I thought my anxiety was normal, even necessary. After all, it was my job to protect my child. When I mentioned my fear at my six-week follow-up appointment after birth—the sole instance of medical...
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Postpartum Rage Is The Brutal Symptom Of Depression And Anxiety No One Talks About [HUFFPOST]
By Natalie Stechyson, July 5, 2019 HUFFPOST Many moms are suffering alone. I’ll always remember the terrified looks on the faces of my colleagues as I screamed full-force at an empty bottle and writhed around in a puddle of spilled milk while sobbing. “Trust me,” I said while catching my breath after we finished filming the scene for “ Life After Birth ,” our video series on the brutal realities of new-mom life. “Moms will get it.” [ Please click here to read the full article. ]
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Pregnancy can be life-threatening for black women. SB 464 can change the equation [sacbee.com]
Black History Month has come and gone. It is a month that reminds us of the resilience, fortitude and strength black Americans have exhibited to stay alive and thrive in this country. Black women in particular have borne the brunt of adverse experiences created by the nation’s racist foundations. While significant strides have been made, black women continue to suffer needlessly and disproportionately from the seeds of white supremacy that many of us continuously work to uproot. The issue of...
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Pregnant Behind Bars: What We Do And Don't Know About Pregnancy And Incarceration [NPR]
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
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]
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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What Is Postpartum Depression? Recognizing The Signs And Getting Help [npr.org]
By Rhitu Chatterjee, NPR, January 28, 2020. Shortly after she gave birth to her son last May, Meghan Reddick, 36, began to struggle with depression. "The second I had a chance where I wasn't holding [my son], I would go to my room and cry," says Reddick, who lives with her son and husband. "And I probably couldn't count how many hours a day I cried." Reddick is among the many women who suffer from depression during pregnancy and after childbirth . "There's this kind of myth that women...
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What We Can Learn From Postpartum Confinement Traditions (Romper)
By Jamie Kenney, March 31, 2020, Romper The idea of staying home after birth, doing little but caring for your baby and healing while others tend to your wellbeing may sound like an unimaginable dream. But postpartum confinement traditions can be found around the world. While the specific rules about confinement vary from culture to culture, the fundamental premise is largely the same: female family members swoop in to care for a new mother, her home, and, when necessary, her baby. Mom is...
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When Parents Fear "It's All My Fault"
Many of my colleagues in the field of early childhood mental health work with what are termed "high risk" populations. Children of drug addicted parents, victims of child abuse, and families in abject poverty. While the challenges these families face are daunting, I find myself feeling some envy for my colleagues whose clients are in such obvious distress that the need for intensive treatment of parent and infant is not in question. In my rural, small-town population things are not so clear.
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When you don't fall in love with your newborn [ABC Life]
By Josie Sargent, July 27, 2019 for ABC Life With a final grunting push, my baby arrives, crying and flailing, and is placed gently into my arms. I look down at my newborn, tears of joy streaming down my face as I am overcome with a love like no other. That is the scene I expected to unfold for me, as I waddled into the hospital, contractions underway. Instead, mine was a long labour, one that included lots of drugs pumped into my spine, vomiting, concerned mutterings about "fetal distress"...
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Why Aren't We Talking About Postpartum Mood Disorders in Immigrant Women [PMag.com]
About six weeks after she gave birth to her first son, Jaya, an immigrant from India to the United States, began to suffer feelings of inadequacy as a mother. She felt sad, helpless, useless to her newborn and husband. She imagined her death and described it to her mother over long-distance calls. "I told her that I felt reckless," she says. "I didn't feel the need to be careful about myself and my safety." Jaya (not her real name) began to cross busy intersections with less caution, hoping...
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Why therapy during pregnancy should be required [WashingtonPost.com]
People frequently consider going to therapy before they make a major life transition, such as getting married or changing careers. But what about when embarking on a monumental shift such as parenthood? Women, who are advised to exercise and watch what they eat while they are pregnant, don’t always think of psychotherapy as an important part of their prenatal care regimen, but it can be critical to the well-being of mother and baby, both during and after pregnancy. For many people, pregnancy...
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Why Treating Postpartum Depression As Trauma is Key to Good Care
Most health professionals understand postpartum depression (PPD) and other mood disorders are a serious mental health concern. Raising awareness of postpartum mood and anxiety disorders (PMADs) is so important for two reasons. First, professionals need to be more proactive with evaluation and diagnosis. Women very often hide their struggle with overwhelming anxiety, worry and depression. Just because a new mom arrives for a checkup, nicely dressed and with her makeup on, it’s not safe to...
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Women Giving Birth in Low-Income Countries Often Endure Abuse [reuters.com]
By Linda Carroll, Reuters, October 22, 2019 Women are often mistreated during labor and delivery at hospitals in low-income countries, a new study suggests. During in-person observations of births at urban hospitals in Ghana, Guinea and Nigeria, researchers found that more than 40 percent of women experienced physical or verbal abuse, stigmatization or discrimination related to race or ethnicity, according to a report in The Lancet. Surveys of women who had recently given birth in those...