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PACEs in Maternal Health

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Anger overlooked as feature of postnatal mood disorders [sciencedaily.com]

Women in the postpartum period should be screened for anger in addition to depression and anxiety, new research from the University of British Columbia suggests. Although anger has been recognized as an element of postpartum mood problems for some women, it has not been well studied and is not included in the widely used Edinburgh Postnatal Depression Scale screening tool. In a review of existing research, UBC nursing PhD student Christine Ou found anger to be a significant feature in...

More Clinicians Need to Address Postpartum Depression and other Postpartum or Perinatal Mood and Anxiety Disorders

“It’s okay to tell me that you’re not okay.” Postpartum depression (PPD) and postpartum or perinatal mood and anxiety disorders (PMADs) are the most common medical concerns for women after childbirth. Yet few medical and mental health professionals really know how prevalent and serious PPD and PMADs are. There is a great need for better screening to identify women struggling with postpartum disorders. Likewise, more therapists and mental health providers need to know about treatment...

Facing Postpartum Depression: The Honesty, Courage and Support It Takes to Seek Help for PPD

“Nobody would believe what an effort it is to do what little I am able” – Charlotte Perkins Gilman, the Yellow Wallpaper, 1892 It is wonderful to see the birth of a child greeted with warm enthusiasm and support. We celebrate the joy of a growing family, and the excitement of a new life. Relatives and friends often provide gifts and extra help. But for some new moms, motherhood brings on many complex emotions besides the happy ones. While we may greet a new baby with happiness and delight –...

Maternal Depression and Intimate Partner Violence: Impacts on Children [aappublications.org]

Among the many adverse childhood experiences, one must consider are the effects of maternal depression and of mothers being the victim of physical or sexual violence. What is the toll of these on children? Neamah et al. ( 10.1542/peds.2017-3457 ) decided to evaluate this by looking at the strength of such an association on the cognitive development as well as physical growth of over a thousand toddlers between 18 to 36 months living in Tanzania. These children underwent developmental testing...

Why pregnant women with depression often slip through the cracks [theconversation.com]

Judy’s first pregnancy was planned, and she was looking forward to having a baby. Yet, halfway through the pregnancy, something changed. She began to feel down and bad about herself. She had less energy and struggled to concentrate. Thinking this was a normal part of pregnancy, she ignored it. After she delivered her son, it all got worse. She felt as if she was in a black hole of sadness. She often gave her son to her mother, thinking he was better off without her. It wasn’t until a year...

Introduce mental health checks for new mothers, ministers told Six-week checkup would help the 50% of UK mothers with mental health problems

New mothers should receive a mental health checkup six weeks after giving birth to help tackle possible postnatal depression and other problems related to having a baby, ministers have been told. A cross-party group of 60 MPs and peers have written to Steve Brine, the minister for public health and primary care, demanding that all mothers in England have an assessment of their emotional and mental health carried out by a GP, practice nurse or health visitor. They say that making such...

Trauma Mama: Little Girl Riding Shotgun in My Psyche

“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.

When Doctors Downplay Women’s Health Concerns [nytimes.com]

“Well, you look like you’re doing great,” my primary care physician cheerfully informed me. I stared at her from the examination table in disbelief. I had just told her that I wasn’t enjoying being with my children and was having trouble doing what needed to be done at work and at home. As a health journalist, I had interviewed dozens of physicians and psychologists. I knew that being unable to live one’s life was the big red flag signaling it was time to get help. I was asking for help. But...

INVITE: Mental Wellness Micro Healing Pop-up -- Mental Health Awareness Day - May 10

In recognition of Mental Health Awareness Day , please stop by our Trauma Transformed Healing Pop-up at the T2 Center in Oakland, CA. WHEN: Thursday, May 10th TIME: 12:00pm – 4:00pm WHERE: Trauma Transformed Center, 1035 22nd Avenue, #14, Oakland, CA. Please consider carpooling as parking is limited at times. WHAT: Healing and wellness activities DIY crafting "Spa" inspired snacks and drinks And more! Drop in and stay as long as you like between 12-4pm. RSVP: ...

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]

"'... 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...

The Developing Brain & Adverse Childhood Experiences (ACEs)

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...

Redesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner And More Often [npr.org]

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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