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PACEs in Maternal Health

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Through a Trauma Lens: The Need for Doulas

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...

Yoga Transformed Me After Trauma and Sexual Assault [yogajournal.com]

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...

She’s the ‘street doula’ behind the Homeless Humans of Tacoma. ‘They’re just like you and me’ (Tacoma News Tribune)

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...

One way Childhood Trauma Leads to Poorer Health for Women [news.osu.edu]

By Jeff Grabmeier, Ohio State News, September 17, 2019 Researchers have long known that childhood trauma is linked to poorer health for women at midlife. A new study shows one important reason why. The national study of more than 3,000 women is the first to find that those who experienced childhood trauma were more likely than others to have their first child both earlier in life and outside of marriage – and that those factors were associated with poorer health later in life. The findings...

California Legislature Approves Bill To Reduce Maternal Mortality Rate For Black Women (Podcast) [kpbs.org]

By Jade Hindmon, KPBS, September 12, 2019 California has the lowest maternal mortality rate in the country, according to the United Health Foundation's health rankings. But black women in California continue to die at a rate three to four times higher than white women from pregnancy or delivery complications. Several advocacy groups believe racial bias in the health care system in to blame. To address the disparity, California lawmakers approved Senate Bill 464, the California Dignity in...

H.R. 4215 Excellence in Maternal 5 Health Act of 2019

IN THE HOUSE OF REPRESENTATIVES Introduced in House (08/30/2019) Mr. Bucshon (for himself, Mr. Carson of Indiana, Mr. Burgess , Mr. Bilirakis , Mrs. Brooks of Indiana, Ms. Herrera Beutler , Mr. Long , Mrs. McBath , and Mr. Walden ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To improve maternal health care quality, to improve the training of health care professionals to reduce or prevent discrimination in certain health care services, to...

CMS Issue Brief: Improving Access to Maternal Health Care in Rural Communities

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...

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

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...

Beyond the ACE score: Examining relationships between timing of developmental adversity, relational health and developmental outcomes in children [Science Direct]

Archives of Psychiatric Nursing Volume 33, Issue 3 , June 2019, Pages 238-247 Erin P. Hambrick , Thomas W. Brawner , Bruce D. Perry, K ristie Brandt, Christine Hofmeister , Jen O. Collins The association between developmental adversity and children's functioning is complex, particularly given the multifaceted nature of adverse experiences. The association between the timing of experience and outcomes is underresearched and clinically under-appreciated. We examine how the timing of both...

First Round of Grants Awarded from Preventing Maternal Deaths Act [ACOG]

August 16, 2019 Washington, DC -- Ted L. Anderson, MD, PhD, president of the American College of Obstetricians and Gynecologists (ACOG), released the following statement regarding the announcement by the Centers for Disease Control and Prevention (CDC) that 24 awards, supporting 25 states, were made for the Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM) Program: Legislation signed into law in December 2018 funds maternal mortality review committees “The...

Intergenerational Impacts of Family Violence - Mothers and Children in a Large Prospective Pregnancy Cohort Study [thelancet.com]

By D. Gartland, R. Giallo, H. Woolhouse, F. Mensah, and S.J. Brown, August 18, 2019 Violence and other adversities commonly co-occur, yet are usually investigated individually. The primary objectives of this paper are to investigate: (i) the relationship between maternal exposure to violence (including childhood abuse and intimate partner violence) and postpartum mental and physical health; and (ii) the extent to which exposure to violence and poor maternal mental and physical health are...

CA announces robust perinatal depression prevention for Medi-Cal recipients

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...

Opioid-Dependent Newborns Get New Treatment: Mom Instead of Morphine [CHCF]

Aug 1, 2019, Dana G. Smith, for CHCF When babies are born dependent on opioids, typically they are whisked away from their mothers, put into the neonatal intensive care unit (NICU), dosed with morphine to get them through withdrawal, and gradually weaned off the drug—a process that can take weeks. Research now suggests that this long-established standard of care may be the worst way to care for a newborn with opioid dependency, or neonatal abstinence syndrome (NAS). The NICU is busy, noisy,...

Fairness for Breastfeeding Mothers Act of 2019 Signed Into Law [Cal WIC]

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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