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PACEs in Maternal Health

Opioid exposed Newborns - are we missing the mark and forgetting about MOM?

 

A recent NPR interview (All Things Considered) with Dr. Joshua Sharfstein, a pediatrician and professor at the Johns Hopkins Bloomberg School of Public Health sheds some light on the impacts of the perinatal opioid epidemic.

Yes, babies are born with Neonatal Abstinence Syndrome and these newborns are struggling, but one must wonder if we have missed the mark on where else to focus efforts?  Did we forget about the mother/infant dyad and that prevention and early intervention efforts might go further if we refocused on mom....

Dr. Sharfstein's recent article  cites a  "misguided panic". He questions what we learned from the "crack baby" epidemic in the 80's.

For those working on maternal and women's health, this article is not stating anything we didn't already know. The Mother/Infant dyad is inseparable and interventions that are good for the fetus, unborn and newborn MUST focus on mom's long term physical and emotional well being. 

Take a read of this article and comment. Curious about your thoughts on how this might change your approach to NAS, perinatal substance use and how critically important maternal mental health and wellness is as a policy in all the work we do...

 

 

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Hi Rick - Thanks so much for reading and commenting! I am in awe of your resilience. You have survived a lot. 

 

The maternal infant dyad as a concept is very common in public health and those of us who specialize in Maternal Child & Adolescent Health (MCAH). There are organizations at the federal level who focus on this population as an opportunity for prevention and early intervention! Check out ACMHP and Maternal Child Health Bureau. 

Science, particularly research in epigenetics is proving to us that mom's physiology and mental status influence the physiological development of an unborn child and then what's most relevant to this this group is how maternal mental health impacts the health and wellbeing of both mom and the child. 

Because I am trained in the health field, I tend to go for scientific articles. THis one might be a good one to start with to understand why the maternal/infant dyad is such a both vulnerable and opportune time. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254467/

To read more, I'd highly recommend watching the still face experiment and my favorite books, talks and videos are by one of my favorite pediatricians, Dr. Brazleton.  Moms need their babies as much as babies need their moms. They do a "dance" as we like to say!  

Hope others can jump in and comment?

 

Hello Anna

  Thanks for the posting and the IDEA of the The Mother-Infant dyad is really a interest of mine. Not so much about my own biological mothers chemical addictions , but more from the perspective her being a Untreated-incest survivor and the daughter of a raging alcoholic mother. My biological grandmother had her own demons that I am not yet aware of. However I would like to listen to learn from the many of you who can connect me with other heterosexual men who have had to overcome these issues on the maternal side of the family. I had issues on the paternal side as well. But for now , can you help me with the Mother-infant dyad?  what other web sites or resources can you help me so I can find HELP---HOPE---HEALING for me in this generation.

 

Rick Herranz

 

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