Tagged With "higher risk of infection"
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71 ACEs Initiatives Join ACEs Connection in 2019
We are proud to celebrate the 71 community initiatives that joined the ACEs Connection network in 2019. They are listed below, and can be found along with all existing ACEs Connection communities via the ACEs Connection map. Communities in the United States: Midwest ACEs Indiana Coalition Ardmore (OK) Behavioral Health Collaborative: BOUNCE - Jefferson County (KY Chisago County (MN) ACEs Initiative Franciscan Health ACEs Connection FH–Jasper & Newton Counties (IN ) FH–LaPorte County (IN)...
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All hands on deck (from a distance): remote care for traumatized moms and babies
Dear colleague, Coronavirus is forcing providers and allied professionals serving mothers and babies to make unprecedented decisions. Should pregnant women needing care go through our hospital quarantine entrance? Should moms deliver without partners, family or doulas present? Be sent home early before key screenings or jaundice treatment are completed? To make matters worse, our systems aren't ready for basic remote care of mothers and infants now "socially distanced". Prenatal, post-partum...
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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?
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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Doulas & Covid-19: A toolkit for doulas (DONA International)
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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Fearing Coronavirus, Many Rural Black Women Avoid Hospitals to Give Birth at Home (PEW TRUST)
By April Simpson, April 18, 2020, PEW Trust Black women are two to three times more likely to die from causes related to pregnancy than white women, regardless of income or education. Black midwives could be part of the solution, especially during the coronavirus pandemic, but restrictions on midwifery make it difficult to practice in many states. Pregnant women in Tennessee, Arkansas and Mississippi have been calling nonstop to CHOICES Midwifery Practice in Memphis, but the center is...
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]
By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
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Intimate Partner Violence Screening and Intervention: The American College of Preventive Medicine Position Statement (Abstract) [sciencedirect.com]
By Tanya M. Phares, Kevin Sherin, Suzanne Leonard Harrison, et al., American Journal of Preventive Medicine, December 2019 The purpose of this paper is to produce a position statement on intimate partner violence (IPV), a major sociomedical problem with recently updated evidence, systematic reviews, and U.S. Preventive Services Task Force guidelines. This position statement is a nonsystematic, rapid literature review on IPV incidence and prevalence, health consequences, diagnosis and...
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New ROOTS, Beyond Medicalization: Midwives and Maternity Care in America (Jewish Healthcare Foundation)
By Alyce Palko, April 30, 2020, Jewish Healthcare Foundation. Introducing the Jewish Healthcare Foundation's new ROOTS publication, Beyond Medicalization: Midwives and Maternity Care in America . Under the threat of the COVID-19 pandemic, the world is rapidly moving into a new era of healthcare delivery. Across the country, maternal healthcare policies are changing daily in order to ensure birthing families have access to safe care. Hospitals are making rapid decisions about whether birthing...
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Parental Depression Forecasts Kids' Later Physical Health [news.uga.edu]
By Allyson Mann, University of Georgia Today, October 24, 2019 When parents suffer from depression, kids may be at risk for physical health problems in young adulthood, according to a study from researchers including the University of Georgia’s Katherine Ehrlich. The results revealed an association between parental depression and youth metabolic syndrome—a condition that forecasts substantially increased risk for cardiovascular disease and diabetes. “The good news is that while parental...
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Power of Family Resilience to Protect Children From Bullying [sciencedaily.com]
By American Academy of Pediatrics, Science Daily, October 25, 2019 Studies show that children exposed to childhood trauma known as adverse childhood experiences (ACEs) are at increased risk of being bullied or bullying others. New research being presented at the American American Academy of Pediatrics (AAP) 2019 National Conference & Exhibition suggests that family resilience -- the ability to work together to overcome problems, for example -- reduces this risk. The research abstract,...
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Study: Stress Disorders Linked to Greater Infection Risk [mercurynews.com]
By Lisa Rapaport, Reuters, October 31, 2019 People who have stress disorders like PTSD may be more vulnerable to potentially life-threatening infections, especially if they are diagnosed at younger ages or dealing with other psychiatric issues, a recent study suggests. Researchers examined data on 144,919 people diagnosed with post-traumatic stress disorder (PTSD), adjustment disorders common after a major life change like a death or move, and other stress-related conditions. They also...
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ACEs Research Corner — May 2020
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Williams AB, Smith ER, Trujillo MA, et. al. Common health problems in safety-net primary care: Modeling the roles of trauma history and mental health. J Clin...
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Creating Change Together: from the desk of APPPAH's Board of Directors & Diversity Committee
Association of Prenatal & Perinatal Psychology & Health (APPPAH) Dear APPPAH Community, During this time of great change and upheaval, APPPAH stands in solidarity and support for equity, racial justice and social transformation in all areas of our society. We especially support the voices of all the Black and Indigenous mothers, fathers, babies, grandparents and extended families who have been living with the burden of racism and inequality for too long. In our organization, we have...
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ACEs and Gynecological Problems - A Conversation Starter
Gynecological problems as a result of ACEs, and particularly of Childhood Sexual Abuse (CSA), are rarely discussed in books and articles about the ACEs. The author would like to see that issue become part of the ACEs conversation.
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Feasibility and Acceptability of Screening for Adverse Childhood Experiences (Journal of Women's Health) in Prenatal Care
By: Tracy Flanagan , Amy Alabaster , Brigid McCaw , Nicole Stoller , Carey Watson , Kelly C Young-Wolff . doi: 10.1089/jwh.2017.6649. Epub 2018 Jan. PMID: 29350573 / PMCID: PMC6065513 / DOI: 10.1089/jwh.2017.6649 Introduction: Adverse childhood experiences (ACEs) are common among pregnant women and contribute to increased risk for negative perinatal outcomes, yet few clinicians screen prenatal patients for ACEs. The purpose of this study was to evaluate the feasibility and acceptability of...
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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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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]
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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Effects of prenatal mindfulness-based childbirth education on child-bearers' trajectories of distress: a randomized control trial (BMC Pregnancy Childbirth)
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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Maternal Mental Health
Like many of you, I’m a bit out of sorts and somewhat disoriented right now. Our collective mental health is deteriorating during Covid-19. Recent stats report an increase from 20-40% of adults struggling with mental illness since the advent of the pandemic. Maternal mental health is particularly at risk. Helping children with distance learning, navigating exposure to the news, trying to keep life a bit “normal”, keeping family members fed and supplied, juggling career and income loss, all...
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Low levels of choline in pregnant Black American women associated with higher levels of stress (Mirage News)
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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Critical Support Where High-Risk Pregnancy Meets Addiction [healthaffairs.org]
By Melba Newsome, Health Affairs, January 2021 By all accounts, it looked like twenty-eight-year-old Amelia Carmelo had turned her life around by the end of 2018. After more than a decade of heroin and opioid addiction, she had been free from illicit drugs for more than four years and was in a stable relationship. For the past year she’d driven thirty minutes each week to see her addiction counselor. Carmelo began her nascent recovery in early 2015 after spending several months in jail. She...
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Katerina Vlahos
Blog Post
Rural Hospital Closures Prompt Maternal and Infant Mortality Concerns, Psychological Birth Trauma
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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What Children Really Need Is Adults That Understand Development
The brain doesn’t fully develop until about the age of 25. This fact is sometimes quite surprising and eye opening to most adults. It can also be somewhat overwhelming for new parents and professionals who are interacting with babies and young children every day, to contemplate. It is essential to realize however, that the greatest time of development occurs in the years prior to kindergarten. And even more critical to understand is that by age three 85 percent of the core structures of the...