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PACEs in Maternal Health

Tagged With "Mental Wellness"

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Parenting, PTSD & ACES / Live Chat Event from Parenting with ACEs Series

Christine Cissy White ·
Our next online chat event is fast approaching. All are welcome. Date: Tuesday, June 13th, 2017 (10 AM PST / 1 PM EST) Topic: Parenting, PTSD & ACEs. Guests: Dawn Daum & Joyelle Brandt are parents, writers, advocates and trauma survivors. Together, they edited the forthcoming Parenting with PTSD anthology and created an online community for parents recovering from childhood abuse. They educate mental health, human service and other professionals about the challenges and lived...
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Parenting with PTSD One Liners & Parenting with ACEs Chat Reminder

Christine Cissy White ·
Parents with PTSD from ACEs sharing what's hard about parenting while post-traumatically stressed: "Managing the terror around the possibility of everyone being a perp." "How to talk to children about why they won't meet X relative." “There was a point when I would feel completely overwhelmed by something as simple as having to make breakfast and school lunches at the same time.” "I didn't understand that not all parents reacted or were triggered the way I was." "was stone set on not...
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Petaluma Health Center leads effort to link women to services

Karen Clemmer ·
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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Please stop saying parenting is hard for everyone & read Parenting with PTSD instead

Christine Cissy White ·
Sometimes, we feel anxious, intrusive, or afraid when changing or bathing or own babies. Sometimes, we feel sick to our stomachs and worried while potty training, nurturing, or disciplining our toddlers. Sometimes, we feel shame-filled and ill-equipped when talking about puberty, body parts, or sexuality because of how and where we were compromised by caregivers as children as in our bodies, homes, and families. P arenting is brutally hard for some. If affection, attention and intimacy have...
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Positive Relationships Can Buffer Childhood Trauma and Toxic Stress, Researchers Say [bostonglobe.com]

By Kay Lazar, The Boston Globe, October 15, 2019 Traumatic events and toxic relationships during childhood can cast long shadows, often damaging mental health well into adulthood. But a growing body of research suggests sustained, positive relationships with caring adults can help mitigate the harmful effects of childhood trauma. And specialists say pediatricians, social workers, and others who work with kids should take steps to monitor and encourage those healthy relationships — just as...
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Postpartum Depression: Why The Word ‘Should’ Is So Dangerous [HuffingtonPost.com]

Samantha Sangenito ·
You should be happy. You should be thinner. You should always be filled with joy. You should be breastfeeding. You should be equally attentive to your other children. You should be socializing. You should be stronger. You should be more resilient. You should be more than what you are. Sound familiar? We live in a society that tells women how they should feel, think and look as mothers, even in early motherhood. Such repeated messages are easily internalized and, inevitably, they lead to...
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Practicing Psychiatry During a Coronavirus Pandemic (MGH Center for Women’s Mental Health)

Karen Clemmer ·
By MGH Center for Women’s Mental Heath, April 7, 2020. As mental health providers, most of us are not on the front lines of the COVID-19 pandemic; however, we are feeling the ripples. Given the magnitude of this crisis and its significant impact on so many aspects of our everyday lives, it is likely that this experience will leave an indelible imprint on our psychological well-being for years to come. In an editorial in the Journal of Clinical Psychiatry , Dr. Marlene Freeman, associate...
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Pregnant Behind Bars: What We Do And Don't Know About Pregnancy And Incarceration [NPR]

Karen Clemmer ·
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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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]

Karen Clemmer ·
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]

Marianne Avari ·
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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When Doctors Downplay Women’s Health Concerns [nytimes.com]

Alicia Doktor ·
“Well, you look like you’re doing great,” my primary care physician cheerfully informed me. I stared at her from the examination table in disbelief. I had just told her that I wasn’t enjoying being with my children and was having trouble doing what needed to be done at work and at home. As a health journalist, I had interviewed dozens of physicians and psychologists. I knew that being unable to live one’s life was the big red flag signaling it was time to get help. I was asking for help. But...
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When Parents Fear "It's All My Fault"

Claudia Gold ·
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 Your Kid is Too Good for Brené Brown

Christine Cissy White ·
Childhood, like literature, lasts." Lance Woolaver, paraphrased from his book, Maud Lewis: The Heart at the Door. Even in the midst of conflict, I have known moments of maternal bliss. I had one just recently when my daughter and I hit a snag. It wasn't one of the ugly, awful or prolonged kinds. That's not due to me though. That's mostly because my kid has a practical, logical and rational nature which does not clash with my more emotional, reactive and fearful one. We are alike enough to...
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Whole People Series & Study Guide (www.pbs.org)

Christine Cissy White ·
There's a fantastic five-part series, Whole People , done by PBS, " spotlighting the impact of Adverse Childhood Experiences (ACES) through personal and community stories. It explores the long-term costs to personal well-being and our society. While much work needs to be done, there are many innovative developments to prevent and treat ACES. We all play a role in becoming a whole people." It's amazing. The five topics covered are as follows: Childhood Trauma Healing Communities A New...
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Why I'm Passionate About ACEs Awareness

Elizabeth Perry ·
When I was 42, I landed on my butt so hard I couldn’t imagine how it had happened. I found out that the beliefs and relationships I had built my life on and around were all lies, and my world and worldview came crashing down around me. From that place of desolation, at what was rock bottom for me, I had to figure out what was true and not true, what was right and wrong for me, who I was – not who I had become to be acceptable to others. I needed to figure out who was with me and to what...
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Why therapy during pregnancy should be required [WashingtonPost.com]

Samantha Sangenito ·
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 We Suck (at Self-Soothing & Self-Care): Dr. Dawn O'Malley

Christine Cissy White ·
Without yoga and coffee, I'm kind of a jerk. These are my personal "puppy uppers and doggie downers" and prevent me from being cranky, quick to cry, and ready for conflict. Coffee and calming make life more manageable. Humans even seem tolerable. Without them I might veer into hating humans for being so needy which is not a great trait for a parent, partner or a professional. Or a self. My partner says coffee and exercise are acts of kindness, service as promote public safety. In other...
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Yoga Transformed Me After Trauma and Sexual Assault [yogajournal.com]

Laura Pinhey ·
Laura's note: This story of sheer determination of transformation of self and community in the face of personal trauma AND systemic racism is breathtaking. Be warned: it may blow you away, as it did me. As a child, Ebony Smith survived sexual assault but didn’t have the tools to cope with the trauma until years later, when she found yoga. Now, she’s bringing the practice to her community, and others in crisis. Exactly 247 people came to practice yoga with me today. Why is that such a big...
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Beyond Mom: Postpartum depression can impact a partner’s well-being, too [WashingtonPost.com]

Samantha Sangenito ·
Like any expecting couple, Brett Pipitone and his wife, Laura, knew that having a child would upend their daily routine. But no research or planning prepared them for their biggest challenge: postpartum depression. “It was an incredibly stressful situation,” Brett said. After giving birth to their daughter in 2014, Laura found herself “wanting to disappear” and completely disengaged from her surroundings. She’d call Brett at work in tears, and he’d rush home to help. He wound up taking much...
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Beyond The Preventing Maternal Deaths Act: Implementation And Further Policy Change [Health Affairs]

Karen Clemmer ·
By Katy B. Kozhimannil, Elaine Hernandez, Dara D. Mendez, Theresa Chapple-McGruder. Feb 4, 2019, Health Affairs Maternal mortality is a death that occurs during pregnancy or within one year postpartum from “a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.” In the United States, maternal mortality is a clinical, public health, and social crisis. Between 1990 and 2013, maternal mortality...
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CA announces robust perinatal depression prevention for Medi-Cal recipients

Laurie Udesky ·
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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California unveils ACEs Aware initiative to screen for trauma

Laurie Udesky ·
Will screening for adverse childhood experiences (ACEs) in California be mandatory? No, but it’s recommended. Will there be training for physicians and staff on how to screen? Yes. Who will be reimbursed for screening patients in California? Physicians who serve patients in the state’s Medi-Cal program — for now. For more answers to these and other questions that surfaced during a Dec. 4 webinar introducing Californians to a new statewide initiative, read on. Come January 1, California will...
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Call for Abstracts for NCHDV 2020 conference

Karen Clemmer ·
The National Conference on Health and Domestic Violence (NCHDV) seeks submissions that highlight research reports, practice innovations, advocacy initiatives, educational advances, and/or community programs that address one or more aspects related to domestic/sexual violence, other forms of violence, and health. The Call for Abstracts (CFA) invites leaders working in the fields of health and domestic/sexual violence to present their work at the 2020 Conference. Submission Deadline: Monday,...
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Can Psychotherapy Reverse Post-Traumatic Epigenetic Changes? [psychologytoday.com]

By Grant H. Brenner, Psychology Today, October 29, 2019 Posttraumatic Stress Disorder (PTSD) is a condition affecting a subset of people exposed to traumatic experiences. Not all people who endure traumatic experiences will develop PTSD as most people are resilient due to biological, psychological, and social factors. Most responses to trauma are normal, including short-term stress responses, sleep disturbances, fears of trauma happening again, and related reactions, but they resolve after...
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Child and Maternal Health in Rural Areas Lags the Nation, Highlighting Barriers to Access [PEW]

Karen Clemmer ·
By Stacey Millett, February 25, 2020, for PEW Trusts Cross-sector solutions needed to address complex challenges One in five Americans lives in a rural area, including about 18 million women of reproductive age, but key indicators, including mortality figures, show that the health of mothers and children in these communities lags behind that of their urban peers and is worsening. Nationwide, child mortality rates have declined over the past decade, but recent research shows that improvement...
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Childbirth Can be Another Source of Trauma for Women Who Were Abused [irishtimes.com]

By Arlene Harris, The Irish Times, February 7, 2020 While it may be an innate and mainly joyful event, many pregnant women feel anxious at the thought of going through labour and can suffer emotional and physical distress during the delivery itself. And there is one group of women for whom there is an extra level of trauma associated with the arrival of their unborn child – those who have been victims of sexual assault. Hazel Larkin is a sexual abuse survivor and over the coming months will...
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CMS Issue Brief: Improving Access to Maternal Health Care in Rural Communities

Karen Clemmer ·
In an ideal maternal health system, all women would have access to comprehensive, seamless medical care with links to behavioral, economic, and social supports. Additionally, they would be engaged with this system before, during, and after pregnancy. Across the United States, many women are not receiving care in this ideal system, and women in rural communities face unique challenges that make it harder for them to reach this ideal or any care at all in some cases. Because maternal health...
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Come Chat with Dr. Claudia M. Gold: An ACE-Informed Pediatrician

Christine Cissy White ·
Date: July 11th Time: 10 AM PST / 1 PM EST Location: Parenting with ACEs Group , Online Flyer: Attached below. Please share. Dr. Claudia M. Gold has practiced general and behavioral pediatrics for 25 years and specializes in early childhood mental health. She is on the faculty of the University of Massachusetts, Boston Infant-Parent Mental Health program, William James College, and the Austen Riggs Center where she is a Human Development consultant. Dr. Gold is author of the following...
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Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?

Megan Gerber MD MPH ·
Sharing our recent editorial which includes a call for TIC in maternity care: "Nevertheless, there are ways in which VA may be able to augment the maternity care pregnant veterans receive to empower and facilitate more trauma-informed approaches to obstetric care. These include investing in programs to ensure peer support, possibly through use of mobile health technology; facilitating collaboration with maternity care providers through provision of handheld/electronic maternity records...
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Deeper than the Deepest Well

Kate White ·
We now know that babies DO feel pain, and in fact, they are even more sensitive to it than adults. The study of baby’s experiences in utero and the first two years of life have led to the rise of early developmental trauma as a reality today, especially with the acceptance of implicit memory and that the body remembers.
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Depression in pregnancy increases risk of mental health problems in children [ScienceDaily.com]

Samantha Sangenito ·
Depression in pregnancy increases the risk of behavioural and emotional problems in children, says a new review published in The Lancet Psychiatry. The authors of the review, which focused mainly on low and middle income countries, call for urgent interventions for mothers and children. Depression in pregnancy is thought to affect up to one in five women globally in the late stages of pregnancy and shortly after birth. It is characterised by low mood and feelings of hopelessness, and is...
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Donna Jackson Nakazawa Chats Live with Jane Stevens & You: Nov. 14th

Christine Cissy White ·
Featured Guest: @Donna Jackson Nakazawa Topic: Well-Being, Self-Care & ACEs Date: November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats Donna Jackson Nakazawa is an winning researcher, writer and public speaker on health and family issues. She explores the intersection between neuroscience, immunology, and the deepest inner workings of the human heart. Her most recent book, Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal , examines...
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Doulas & Covid-19: A toolkit for doulas (DONA International)

Karen Clemmer ·
Please the attached toolkit for more information. From the toolkit: Best practices when working with clients Given how new this virus is, we currently have very little data on how it might affect pregnant people and newborns. Guidelines from the CDC outline recommendations for how to support pregnant and laboring people with Coronavirus. (3) There is currently no evidence that the virus is spread from mother to baby in utero, or that it is transmitted in human milk. (4)
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Dr. Gabor Maté & Full-Potential Parenting, Even When It Is Hard

Christine Cissy White ·
Note: Allison Morris had dozens of experts in her summit series through Full-Potential Parenting. I took notes only on those by Donna Jackson Nakazawa , Gabe Maté and Sebern Fisher (coming later this month). Though the audios are no longer available, for free, they can be purchased for $100. or less (depending on the year), here. Forgive me for sounding like an advertisement, I don't know Allison personally. I am a huge fan of all parent-led resources and wish I discovered this series...
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Effects of Massage on Mental Health [The Psych Talk]

Karen Clemmer ·
Massage therapy has been praised in recent years due to its effect on both physical and mental health. Massage is the manipulation of soft tissues in the body. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet, or a device. The purpose of massage is generally for the treatment of body stress or pain however it can also alleviate some of the symptoms of mental illness and neurological disorders. Depression & Anxiety: In an immune study on breast...
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Exploring State-Level Strategies to Improve Maternal Health and Birth Outcomes [nichq.org]

Alicia Doktor ·
This initiative will develop four case studies on the successes and barriers of individual state efforts to address preterm births. This work is part of a larger initiative to gain insights and perspective on how maternal health and well-being can help support optimum child health outcomes. Who: The case studies will be developed in partnership with four states that participated with NICHQ on the Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality...
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Fairness for Breastfeeding Mothers Act of 2019 Signed Into Law [Cal WIC]

Karen Clemmer ·
This Act may be cited as the ‘‘Fairness For Breastfeeding Mothers Act of 2019’’ A bill just signed into law by President Trump will require federal buildings that are open to the public and have public restrooms to also have designated lactation rooms for breastfeeding. The rooms will be available for use by members of the public as well as federal employees. The Fairness for Breastfeeding Mothers Act ( H.R. 866 ) was sponsored in the House by Congresswoman Eleanor Holmes Norton (D-DC) and...
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Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity (www.healthaffairs.org)

Christine Cissy White ·
Abstract below and link to open access article written by Christina D. Bethell , Nangerel Gombojav , and Robert C. Whitaker and published in Health Affairs Link to open access article written by Christina D. Bethell , Nangerel Gombojav , and Robert C. Whitaker .
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Fathers & ACEs with Trauma Dad & Father's Uplift CEO: Tuesday, September 12th

Christine Cissy White ·
What supports exist to "uplift" fathers who have survived abandonment, abuse or torture as children? Where can men go to discuss the joys, struggles and issues of being a father with ACEs? Where are the men who face hard, heavy and complicated realities to make life easier and lighter for all who come after? We found two of them and they will be the featured guests in the next Parenting with ACEs chat . Meet Charles Clayton Daniels, Jr. of Father's Uplift and "Trauma Dad" Byron Hamel. Both...
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From the CDC: National Black Maternal Health Week

Karen Clemmer ·
According to data from the Centers for Disease Control and Prevention (CDC), the maternal mortality rate has more than doubled in the United States since 1987 , and approximately 700 women in the U.S. die each year of complications related to pregnancy. In addition, data shows that considerable racial and ethnic disparities in pregnancy-related mortality exist in the U.S. which disproportionately impact black women . We know that about 60% of pregnancy-related deaths are preventable , and...
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From Trauma-Informed to Asset-Informed Care in Early Childhood [brookings.edu]

By Ellen Galinsky, Brookings Institute, October 23, 2019 The focus on “toxic stress,” ACEs (Adverse Childhood Experiences), and trauma-informed care have been game-changers in the field of early childhood development. They have helped us recognize the symptoms of trauma, provide appropriate assistance to children, and understand that prolonged adversity in the absence of nurturing relationships can derail a child’s healthy development. Just look at the media’s and the public’s reaction to...
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From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care [Institute of Women's Health]

Karen Clemmer ·
Abstract: In 2015, a national working group developed and published a conceptual framework for trauma-informed primary care (Machtinger, Cuca, Khanna, Dawson-Rose, & Kimberg, 2015). Since that publication, there has been increasing recognition that childhood and adult trauma underlie and perpetuate many physical and behavioral health conditions seen in health care settings and that addressing trauma could fundamentally improve the experience and efficacy of care for both patients and...
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Good mothers are on the same wavelength as their babies... literally: Brain scans reveal toddlers learn better if parents 'sync up with them' by smiling and maintaining eye contact [Daily Mail]

Karen Clemmer ·
Good mothers teach their babies best when they think along the same wavelength - literally. Scans have revealed that infants whose patterns of brain activity most closely resemble their mum's take on new information more quickly. Experts say that parents can encourage this 'syncing' - known as neural synchrony - through social cues including smiling and maintaining eye contact. This mirroring of brain wave patterns was a good predictor of how well babies' learn about their environment,...
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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars Funding provided by the New Jersey Department of Children and Families The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities.
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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars Funding provided by the New Jersey Department of Children and Families The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities.
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Hearing "trauma-informed" during Dr. Ford's testimony gives me some hope

Karen Clemmer ·
All politics aside, the testimony delivered by Dr. Christine Blazy Ford is both triggering and hopeful. Triggering for obvious reasons. Hopeful because ACEs science was so clearly woven to the testimony. Dr. Ford brought the neurobiology of sexual assault into her description regarding how her brain and body responded to trauma. I find listening this testimony triggering, however, I am holding onto the silver-lining is that trauma science may be elevated to a national platform. As difficult...
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Helping women have a better birth and breastfeeding experience during COVID

Rosanne Gephart ·
We at Better Beginnings are actively working to help women have a better birth and breastfeeding experience. Our virtual doulas are available everyday to support women one-to-one through their cell phones. This service is free to the mother call 415-663-6852. We also have taken the Breastfeeding Cafes virtual and continue to see women one on one for serious problems on Mondays by appointment (this requires pre-screening for risk factors). Women need to know their rights during this pandemic...
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Home Gun Safety Queries in Well-Child Visits [jamanetwork.com]

By Carole H. Stipelman, Greg Stoddard, Kyle Bata, et al., JAMA Pediatrics, October 28, 2019 Firearms are a leading cause of death in US children, and the rate of suicide by firearms in people aged 10 to 19 years has increased since 2008.1 In the United States, 4.6 million children (approximately 7%) live in households with at least 1 gun that is stored loaded and unlocked.2 Safe storage of guns and ammunition may decrease the occurrence of self-inflicted or unintentional firearm injury to...
Comment

Re: How a famous hospital turned around its low rate of screening moms for depression [CenterForHealthJournalism.org]

Anna Sutton ·
I commend Cedars Sinai for the incredible work they are doing and we can all learn from successful models that screen, refer, diagnose and link to services. We need to learn from them and look closely at all the pieces they put in place to make it work because it can work! BUT.... One of my biggest concerns about proposed legislation which requires an unfunded mandate for screening is this...There has been and continues to be a HUGE shortage in system capacity to refer, diagnosis, treat and...
Comment

Re: So how do you start to think and talk about ACEs and Maternal Mental Health?

Former Member ·
I like demonstrating serve and return interaction. If the mom can get a sense of the joys of attaching with the baby that can be very useful. This is a reason I was against some of our policies like checking glucose in an asymptomatic baby LGA (you'd need to remove the baby from the mother- if I decide to cover our hospitals call esp OB, I've already started to put thogether a plan for ACEs screening and aces 101 edu. I did this before on my own in the pts I saw that were at risk and that...
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