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PACEs in Maternal Health

Tagged With "psychological birth trauma"

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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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Reconnecting to your Body after Peritraumatic Dissociation

Shirley Davis ·
In this article, we will talk about one of the most common symptoms of complex post-traumatic stress disorder – dissociation. We will explore different methods and tools that help us to reconnect with our body in the long term. Since one of those tools is therapy, we will also talk about the limits of talk therapy, and address how working with our body directly can teach us new and healthier responses when we are overwhelmed. Definition and Explanation of Dissociation For every trauma...
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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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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Research Review: Childhood Trauma and its Effects on Mothers in Home Visiting Programs [Prevent Child Abuse America]

Isabel Ruelas ·
Each month Prevent Child Abuse America's Chief Research and Strategy Officer, Dr. Bart Klika, does a quick run-down of emerging research related to child abuse and neglect prevention. In this inaugural installment, Dr. Klika walks through some of the recent research into the effects of childhood trauma and how the lasting effects of this trauma is impacting mothers who participate in home visiting programs. Watch the video here
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Research roundup: Prospective ACE study and commentary about it; ways of asking about trauma; research on the power of internal resilience in juvenile offenders and a companion essay

Laurie Udesky ·
Association of Childhood Trauma Exposure With Adult Psychiatric Disorders and Functional Outcomes JAMA Open Prospective Study Delves Deeper Into Mental Health Effects of Childhood Trauma Psychiatry From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care Women's Health Issues Adverse Childhood Experiences and Psychological Distress in Juvenile Offenders: The Protective Influence of Resilience and Youth Assets Journal of Adolescent Health Adverse...
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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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Should you bring your unborn to work?

Anna Sutton ·
Moms are maxed out. Pregnant moms are maxed out, especially for many families who survived the economic recession because many women hold more recession proof jobs. But stress, especially for the pregnant woman isn't such a great thing for the unborn,...
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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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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 Decision that Changed My Life

Joyelle Brandt ·
Four years ago, I decided to start a conversation about the long term impact of childhood abuse. More specifically, about what happens when those abused children grow up and have children of their own. When I had become a parent, I went looking for books on this topic, and I didn’t find anything. But I knew I couldn’t be the only one who was dealing with this. And once I found one other person who was willing to write about this, I said, let’s collect these stories. The stories of these...
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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 Girl on the Side (www.beatingtrauma.com)

Christine Cissy White ·
Elisabeth Corey writes so honestly on her Beating Trauma blog . I'm a huge fan of her writing and advocacy work. This piece, in particular, is amazing. She writes about adult relationships and how they have been impacted deeply and consistently by ACEs in childhood. We know what we have lived. Unlearning and learning new and different things takes time and work. And it helps, that parents like Elisabeth share as they learn. We all benefit from that sharing. Many of us are learning how to...
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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 Link Between Childhood Trauma and Sexual Abuse in Adulthood

ana joanes ·
Please check out our latest Healing Our Ghosts' podcast with ECHO's executive director and #metoo Harvey Weinstein's silence breaker Louise Godbold. Healing Our Ghosts shines light into the suffering we keep hidden. We are not alone in our struggles and when we share our pain, we lift the shame secrecy that keeps us alone and disconnected from each other and prevents us from healing. With humor and compassion, Ana Joanes interviews a wide variety of guests about their messy lives, how they...
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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 Rise of the Trauma-Informed Mothers

Dawn Daum ·
The next generation is less likely to wear predisposed shackles of trauma because as trauma-informed parents we are re-wiring the traumatically stressed DNA that was passed down to us.
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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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Therapist: Trauma Is An Experience Of The Body. And We're All Feeling It [wbur.org]

By Elissa Tosi, WBUR, May 14, 2020 As a psychotherapist, my work is all about connection. It’s about supporting my clients by cultivating an understanding of who they are and where they’ve been. But therapists are people, too, and we have our own issues. We fight with our partners, apologize to our kids for bad parenting moments, get sick, lose loved ones, the list goes on. We often have to put our stuff aside in order to focus on the client’s reality, and our ability to do that is a skill...
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Thrive Washington: 3rd Edition of NEAR@Home Toolkit Released

Marianne Avari ·
Thrive Washington is pleased to announce that the 3 rd edition of the NEAR@Home toolkit is now available and offers home visitors more guidance on how to safely, respectfully and effectively address Adverse Childhood Experiences with the families they serve. This new edition reflects what was learned when the toolkit was incorporated into a Facilitated Learning Process with 225 home visitors and 54 supervisors in the four states of federal Region X: Alaska, Idaho, Oregon and Washington. It's...
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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 November 2019

Scott A Webb ·
ACEs, Adversity's Impact Podcast: Dr. Nadine Burke Harris Vital Signs: Estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention - 25 states, 2015-2017 Animal study shows how stress and mother's abuse affects infant brain LGBTQ, traumatized homeless youth more vulnerable to being trafficked: Report How do these pediatricians do ACEs screening?Early adopters tell all When family relationships become toxic: The trauma of...
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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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To Build a "Trauma-Informed Community" Start With Babies (www.psychologytoday.com) & Dr. Claudia Gold

Christine Cissy White ·
Cissy's note: This article was written by the same @Claudia Gold who was the featured guest in one of our Parenting with ACEs chats . Here are excerpts from her article published in Psychology Today.
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Toxic Stress: Issue Brief on Family Separation and Child Detention [immigrationinitiative.harvard.edu]

By Jack P. Shonkoff, Immigration Initiative at Harvard, October 2019 Background The separation of children from their parents and their prolonged detention for an indefinite period of time raise profound concerns that transcend partisan politics and demand immediate resolution. Forcibly separating children from their parents is like setting a house on fire. Preventing rapid reunification is like blocking the first responders from doing their job. And subjecting children to prolonged...
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Trauma-Informed Care and a Therapist Saved my Life

Cassidy Webb ·
Between 55 and 99 percent of women who attend addiction treatment and between 85 and 95 percent of women with a history of mental illness have a history of trauma. Among this trauma , the vast majority happened during childhood. Whether the trauma involves neglect, sexual assault, or dysfunction within the family, the need for trauma-informed care in both addiction treatment and in the mental health field is of great importance. When I found myself at a detox facility 1,300 miles away from...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]

By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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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 are just destroying these kids’: The foster children growing up inside detention centers [Washington Post]

Photo credit and caption: Heard leaves the courtroom at the Boone County Courthouse in Madison. He hopes to train to be a tattoo artist. (Sarah L. Voisin/The Washington Post) Dec. 30, 2019 Though he's never been convicted of a crime, Geard Mitchell spent part of his childhood in a juvenile detention center, at times sleeping on cement floors under harsh fluorescent lights left on through the night during lockdowns. He attended high school by clicking through online courses and had “no one to...
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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 Happens When Hollywood is Not Trauma Informed? MMH Advocates are Calling for Warning and a Boycott of Charlize Theron's New Movie "Tully" [huffingtonpost.ca]

Jessica Porten ·
"'... It's very disappointing the illness would be so grossly misdiagnosed in a major motion picture when we know that only 15 percent of women who experience a postpartum mood disorder get treatment because of the stigma and shame associated with it,' Zoblin told HuffPost Canada. 'I think mothers should be made aware going into the movie that it might be triggering.'" Warning: this post and the linked article contain spoilers for the new movie "Tully". The previews for this movie would lead...
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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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What If We Could Reach Families Before the Crisis? There Would Be Fewer Kids in Foster Care [chronicleofsocialchange.com]

Marianne Avari ·
It’s no secret that our foster care system is overburdened. More than 250,000 children enter foster care each year. We don’t have enough foster families to meet this demand, and we don’t have enough adoptive families either. At the end of 2017, 123,000 kids around the country were still waiting to be adopted into a family. But what if the only answer isn’t recruiting more foster and adoptive parents? Are there other things we can do? What if the answer is recruiting more communities to get...
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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 Genes Respond to Trauma and Stress

Donna Jackson Nakazawa ·
Okay! So, after getting YOUR answers to my crowdsourcing question (thank you for the 100 responses on Facebook and Instagram !): "What do you want to see from me on social media?" the overwhelming #1 response was more nuggets of science, offered with the shared sense that I understand YOUR struggles, I see your suffering. And I do. Oh, you have no idea how much I do. So, with that in mind, here's a nugget of science about How Genes Respond to Trauma and Stress . Some genes, like the ones...
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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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