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PACEs in Maternal Health

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Reducing Maternal Mortality [nytimes.com]

Women in the United States face a far greater risk of dying from childbirth complications than in many other wealthy countries. Now the federal government has taken a step toward addressing the problem with the Preventing Maternal Deaths Act , signed in December, which will provide federal grants to states to investigate the deaths of women who die within a year of being pregnant. A report released by the Commonwealth Fund in December that looked at 11 high-income countries found that...

Perinatal Trauma Informed Care and the Trauma Sensitive Intake

Monday, March 4, marks the beginning of Birth Psychology Month for the Association for Prenatal and Perinatal Pyschology and Health (APPPAH). This monthlong celebration features a panel of speakers around trauma informed practices for pregnancy, birth, and postpartum care. APPPAH received a grant for this project, so live lectures are free. Our first two speakers will be on Monday at 7 pm and 8:30 pm Eastern time. Jennie Birkholz, Principal of Breakwater Light, LLC, Trauma informed educator...

Are we massively underestimating how many women have postpartum depression? [centerforhealthjournalism.org]

What if far more women experience postpartum depression than we think? According to the Centers for Disease Control and Prevention (CDC), 11 percent of women experience symptoms of depression after their baby is born. But that’s starting to look like a huge underestimate. [For more on this story by Adam Wolfberg, go to https://www.centerforhealthjournalism.org/2019/02/21/are-we-hugely-underestimating-how-many-women-have-postpartum-depression? ]

Children 'failed in first 1,000 days', says MPs [BBC News]

The Health and Social Care Committee said the first 1,000 days were critical, but not enough was done. It warned cuts to children's centres, health visiting and services to support parents had left families vulnerable. Nearly a third of children are not "school ready" by the time they reach five, because they have not developed the necessary skills and behaviours. The cross-party group wants the government to pay for extra contact with health visitors beyond the age of two-and-a-half. The...

What You and Your Family Need to Know About Maternal Depression [nytimes.com]

For the first time, a national health panel has recommended a way to prevent depression during and after pregnanc y. This condition, known as perinatal depression, affects up to one in seven women and is considered the most common complication of pregnancy. The panel, the United States Preventive Services Task Force, said two types of counseling can help keep symptoms at bay. Its recommendation means that under the Affordable Care Act, such counseling must be covered by insurance with no...

Exploring State-Level Strategies to Improve Maternal Health and Birth Outcomes [nichq.org]

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...

Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach

The Association for Prenatal and Perinatal Psychology and Health is excited to bring together 10 talented practitioners to explore the Trauma Informed Practices that help improve birth outcomes and support human development right from the very start. The Adverse Childhood Experiences Study (1998) launched the importance of trauma and trauma informed care in our health and educational systems. We suddenly had a measure of how early experiences in childhood could correlate with adult disease.

How bad will my postpartum depression be in 12 months? [Science Daily]

'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...

Study defines differences among brain neurons that coincide with psychiatric conditions [medicalxpress.com]

It's no surprise to scientists that variety is the very essence of biology, not just the seasoning, but most previous studies of key brain cells have found little variability in a common cell process that involves how genetic information is read and acted on. The process, called epigenetics, involves chemical or structural "tweaks" to gene activity that don't affect the underlying genetic code itself, but do affect when and how a gene becomes available to be read for its protein-encoding...

When getting mom and baby to the right hospital is a matter of life or death [centerforhealthjournalism.org]

The U.S. has some of the best perinatal care on earth, but kids die before the age of 1 here at a higher rate than the most of the developed world. A big part of the problem is that high-risk pregnant women and newborns aren't getting the right care during their time of need. That's a problem lawmakers across the country are increasingly trying to address. Indiana, for instance, recently passed a law establishing a system that rates hospitals on the complexity of neonatal and maternal care...

From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care [Institute of Women's Health]

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...

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

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...

Childbirth Injury Led A New Mom To Start A Parenting Podcast 'To Feel Less Alone'

Almost 10 years ago, journalist Hillary Frank was pregnant and planning to give birth without medication or surgery — but things didn't go according to her plan. Instead, Frank experienced a prolonged and difficult labor that left her with a traumatic injury — chronic pain from an episiotomy that didn't heal as expected, and had to be redone. For months she was unable to walk, sit or easily hold or nurse her newborn daughter, and didn't fully recover for three years. To make matters worse,...

FREE Webinar Series - register now for first webinar on Fri 2-10-19

2019 Webinar Series Join us for a FREE webinar series deepening our understanding of specialized issues and populations in perinatal mental health! Designed for care providers who work with new families, join us as we learn about some of the complex issues impacting young families. The virtual trainings will take place quarterly on Fridays from 12-1pm (PST). The series is free to all but prior registration is required. Login information for each session will be provided upon registration.

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