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PACEs in Maternal Health

Tagged With "adversity and stress"

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Re: The Decision that Changed My Life

Lisa Frederiksen ·
This sounds like such an important, much needed book - thanks for writing it and the work you're doing!
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Lifelines: How Yoga is Helping Women at N.H. State Prison Manage Trauma During COVID-19 [nhpr.org]

By ALEX MCOWEN & PETER BIELLO • MAY 7, 2020, NHPR.org Because of COVID-19, the New Hampshire Department of Corrections suspended all visits and volunteer services at the state’s prisons on March 16, more than 7 weeks ago. Nicole Belonga has been serving time at the New Hampshire State Prison for women in Concord for 11 years. She says these efforts to slow the spread of the coronavirus have cut off almost all contact with the outside world, making stressful prison life even more so.
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Experts Fear Increase in Postpartum Mood and Anxiety Disorders [nytimes.com]

By Pooja Lakshmin, The New York Times, May 27, 2020 After going through a harrowing bout of postpartum depression with her first child, my patient, Emily, had done everything possible to prepare for the postpartum period with her second. She stayed in treatment with me, her perinatal psychiatrist, and together we made the decision for her to continue Zoloft during her pregnancy. With the combination of medication, psychotherapy and a significant amount of planning, she was feeling confident...
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Pediatric Mental Health Care Must Be Family Mental Health Care [jamanetwork.com]

By Matthew G. Biel, Michael H. Tang, Barry Zuckerman, JAMA Pediatrics, April 6, 2020 Pediatric mental health (MH) concerns, including depression, anxiety, loneliness and social isolation, and suicide, have increased markedly in the last decade and are critical factors associated with population health. While effective interventions for these conditions have been developed and pediatric health care professionals increasingly address MH concerns as a central component of clinical practice, our...
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Greater well-being when awareness of stress aligns with the heart (University of Wisconsin-Madison)

Karen Clemmer ·
By Kelly April Tyrrell, May 10, 2020, uwmadscience.news Adapted from original story by Brita Larson, Center for Healthy Minds: We can feel stress in the body through common sensations: sweaty palms, racing heart and shallow breathing. Some people cope with signs of stress in their lives by ignoring it. Some may not recognize these as signs of stress. What if the key to well-being during stressful periods in our lives involved syncing our physical and mental experiences of stress? For the...
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Pregnant in a pandemic [washingtonpost.com]

By May-Ying Lam, The Washington Post, June 30, 2020 For women who are pregnant amid a pandemic, a recession and racial turmoil, the future is an anxiety-stirring unknown. They began their pregnancies in the “other world” that promised baby showers, gender-reveal parties, visits with grandparents and browsing stores for onesies. Now, they contemplate how they would handle a novel coronavirus diagnosis, prepare to give birth while wearing a mask and fight through old traumas that the virus has...
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Unbecoming an Armadillo: Recovering from Trauma with EMDR

Victoria Burns ·
Unbecoming an Armadillo By: Victoria F. Burns, PhD, LSW Victoriafrances49@gmail.com Instagram: @betesandbites “When you are traumatized, you are basically in a permanent defensive mode” — Gabor Mate I’m sitting across from Meg on her charcoal grey love seat. My forearms are resting on a velvety mustard-yellow throw cushion and I’m holding crescent shaped pulsers in each hand. Meg’s my psychologist; a rare gem who specializes in chronic illness and trauma. Every two weeks, we spend an hour...
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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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The Cinderella Phenomenon: When One Child Is the Target of Abuse

Alice Kenny ·
Photo credit Unsplash.com/🇸🇮 Janko Ferlič (The article below is an excerpt from my book, Crazy Was All I Ever Knew: The Impact of Maternal Mental Illness on Kid s. I have used a pseudonym to protect the privacy of family members.) As a child, I lived in dread that something would set my mother off and she’d fly into a violent rage, unleashing a torrent of physical abuse. There never was any reason for the abuse. There didn’t have to be. Something would invariably infuriate my mother. I...
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"Visceral," the documentary, premieres at Beyond Paper Tigers Conference

Amy Erickson ·
Inspired her work with ACEs, resilience and Walla Walla’s Community Resilience Initiative , documentary-film director Amy L. Erickson created Visceral: transforming trauma though theatre , which has its first screening at the 5 th Annual “Beyond Paper Tigers” conference June 24-25, 2020. The film features a number of Walla Walla residents, including Etiene Vela, a student at Walla Walla Community College (WWCC), whose life is transformed by performing in WWCC productions with Kevin Loomer,...
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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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Exploring Prenatal Substance Exposure, Trauma, and Toxic Stress

Mollie M Gardner ·
Exploring Prenatal Substance Exposure, Trauma, and Toxic Stress Supporting Families to Build Hope and Resilience This 2-day Conference is designed to introduce and enhance the clinical care professional’s understanding and comprehension of the impact of in-utero exposure to substances, trauma and toxic stress on neurodevelopment, sensory needs, and attachment with children. You will recognize behaviors, emotions and thinking that are a result of prenatal exposure and understand how to...
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RSVP now! FREE Learning opportunity for CA healthcare providers: Oct 1, 2020 at noon PST

Karen Clemmer ·
RSVP now for a presentation by Susie Wiet, MD who is an integrative developmental psychiatrist with expertise in holistic treatment of trauma-addiction, dual diagnosis, and complex psychiatric disorders. Target Audience T his activity is intended for CALIFORNIA physicians, physician assistants, registered nurses, nurse practitioners, psychologists and social workers engaged in the care of patients who have experienced violence or trauma. Educational Objectives After completing these...
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SF announces pilot program to provide basic income to pregnant Black and Pacific Islander women [sfgate.com]

Mai Le ·
By Tessa McLean , SFGATE Updated 3:30 pm PDT, Wednesday, September 16, 2020 Mayor London Breed announced today the launch of a new pilot program that will provide a basic income to Black and Pacific Islander women during pregnancy and after giving birth. The 150 women chosen will receive a monthly income supplement of $1,000 for the duration of their pregnancy and for the first six months of their baby’s life, with the goal of eventually providing a supplement for up to two years...
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COVID-19: Trauma-Informed Perinatal Care and Maternal Health [psychologytoday.com]

By Ann Diamond Weinstein, Psychology Today, September 28, 2020 The experience of life during the pandemic and the impact of COVID-19 guidelines for perinatal care have changed the maternal-fetal experience of pregnancy and birth, as well as the maternal-infant experience during the postnatal period. The neuroception (1) of danger and the potential threat to one’s own life and that of loved ones has been sustained since the magnitude and lethalness of the pandemic was fully appreciated.
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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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NOW AVAILABLE ON DEMAND: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead (Dr. Vincent J. Felitti) [avahealth.org]

Tasneem Ismailji ·
The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences about which we keep ourselves unaware. A renowned physician and researcher, Dr. Vincent J. Felitti is one of the world’s foremost experts...
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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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Supporting Patients in Pregnancy: ACEs and Maternal Health [acesaware.org]

This webinar will offer information around the importance of ACE screening as it relates to maternal health. Speakers will share resources for providers looking to introduce ACE screening, examples of how to create a healing environment for patients, and case studies on how to respond with trauma-informed care. Upon completion of the activity, participants should be better able to: • Recognize the science and impact of ACEs and toxic stress, understand the value of ACE screening, and apply...
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Burnout From an Organizational Perspective [ssir.org]

Mai Le ·
Instead of pressuring already-stressed individuals to fix themselves, true wellness requires organization-level interventions. By Leah Weiss Oct. 20, 2020 The term “burnout” first came into use in the early 1970s in the context of air traffic control, after an increase in human error-precipitated collisions was linked to frustrations with increased traffic, poor human-machine interfaces, and the general monotony of the work. Described by the WHO as “resulting from chronic workplace stress...
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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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Building resilient societies after COVID-19: the case for investing in maternal, neonatal, and child health (Lancet)

Karen Clemmer ·
Chandni Maria Jacob, MSc, Despina D Briana, MD , Prof Gian Carlo Di Renzo, MD , Prof Neena Modi, FMedSci , Flavia Bustreo, MD , Gabriella Conti, PhD , et al. September 21, 2020 DOI: https://doi.org/10.1016/S2468-2667(20)30200-0 Summary Resilient societies respond rapidly and effectively to health challenges and the associated economic consequences, and adapt to be more responsive to future challenges. Although it is only possible to recognise resilience retrospectively, the COVID-19 pandemic...
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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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Low levels of choline in pregnant Black American women associated with higher levels of stress (Mirage News)

Karen Clemmer ·
NOVEMBER 17, 2020 5:08 AM AEDT Women with lower levels of choline delivered prematurely by 2 weeks, increasing risk of later mental health problems for their offspring. Researchers at the University of Colorado Anschutz Medical Campu s have found that many pregnant Black Americans have low levels of choline, an essential nutrient that aids in prenatal brain development. Stress caused by institutional racism may play a role. The study, out now in Schizophrenia Bulletin , also found that these...
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SAVE THE DATE - DECEMBER 2020 WEBINAR: "Supporting Patients in Pregnancy: ACEs and Maternal Health" [acesaware.org]

"Supporting Patients in Pregnancy: ACEs and Maternal Health" 1.0 Continuing Medical Education/Maintenance of Certification Credit Available* Wednesday, December 2, 2020 Noon – 1 p.m. Register for the Webinar This webinar will provide information for women’s health providers about the importance of ACE screening in improving maternal and child health. Speakers will share resources for providers looking to introduce ACE screening in their practice, examples of how to create a healing...
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Tools to Mitigate Work Stress and Prevent Burnout: For Health Care Providers during COVID and Beyond  

Laurie Udesky ·
Whether you work in a hospital, a safety net clinic, or in another health care setting, no health care provider working during the COVID-19 pandemic needs to read the flurry of news stories that highlight the extreme stress experienced by people in this line of work – you already know it firsthand. This webinar will introduce health care providers to the Community Resiliency Model ( CRM ), an evidence-based method of managing traumatic stress, preventing burnout and building resiliency. This...
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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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My ACEs Affected My Birth

Kelsey Budge ·
High blood pressure. In your third trimester of pregnancy, you do not want to hear these three words, especially if you are planning to have a home birth. My blood pressure nearly caused me to have an induction for my first birth and transfer to a hospital birth for my second birth. I wish I had known of the ACEs test so I wouldn't have felt so lost and guilty. For my first birth I was clueless. I did not understand why this was happening to me because I ate a healthy diet, went to boxing...
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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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Attachment Trauma: The Unique Impact of ACEs in Infancy

Andrew Corbett ·
"Attachment Trauma is the severe disruption or dysfunction of the infant-maternal bond. This can result from stress and dysfunction in the family, mental health problems in the mother, and/or extended separation from the mother. These are traumatic experiences regardless of when they occur during childhood. However, when they occur during the first 2 years of life they have a uniquely damaging impact, leading to Attachment Trauma." Originally posted at CPTSDFoundation.org: ...
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How we handle stress at 45 linked to prenatal exposure [news.harvard.edu]

Karen Clemmer ·
From Massachusetts General Hospital News and Public Affairs, April 5, 2021 Men and women whose mothers experienced stressful events during pregnancy regulate stress differently in the brain 45 years later, results of a long-term study demonstrate. In a unique sample of 40 men and 40 women followed from the womb into their mid-forties, the brain imaging study showed that exposure during fetal development to inflammation-promoting natural substances called cytokines, produced by mothers under...
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Carteret home therapy program is helping with rural parents' layers of stress [ednc.org]

Karen Clemmer ·
By Liz Bell, Education NC, April 8, 2021 Jessica Phillips, a mom of three in Carteret County, found out her youngest child has autism in October 2019. “I didn’t want to get out of bed after his diagnosis — it was just so hard — and then you throw the pandemic on top of that, and I’ve got three kids at home,” Phillips said. “I’ve got one autistic child, one that’s severely hyper, and then my tween who just thinks she’s too cool for everything.” During weeks of frustrating calls to find...
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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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Dallas Rabig

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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...
Member

Pamela Burrus

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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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10 articles to mark National Women's Health Week [healio.com]

By Healio Primary Care, Healio News, May 13, 2021 National Women’s Health Week is observed each year, starting on Mother’s Day, to encourage women and girls to take care of their physical and mental health. The observance, which runs from May 9 through May 15 this year, is led by the HHS’ Office on Women’s Health. The CDC and HHS shared steps that women and girls can take to improve their health, including: attending regular health screenings and exams; exercising and maintaining a balanced...
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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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David Willis

David Willis
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AAP Snapshots: Stressors Placed on Families with Children with Special Health Care Needs [positiveexperience.org/blog]

Laura Gallant ·
By Guest Author, 9/7/21, positiveexperience.org/blog Last week, the American Academy of Pediatrics released the fifth snapshot in the Family Snapshots: Life during the Pandemic series. In past blogs , we discussed the results of the survey that the HOPE team, in collaboration with the American Academy of Pediatrics , Prevent Child Abuse America , and the CDC (Centers for Disease Control and Prevention) , conducted using the national online platform YouGov.com . This survey asked a national...
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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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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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