Tagged With "Gynecological Problems"
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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...
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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The Decline of Empathy: A Hopeful Solution (www.claudiamgoldmd.blogspot.com)
Here is an excerpt from a recent blog post by Dr. Claudia M. Gold. Pediatrician T. Berry Brazelton was among the first to recognize the tremendous capacity of the newborn for complex connection and communication. Developmental psychologist Ed Tronick, drawing on this observation, designed the famous Still-Face Experiment to show the devastation, for both parent and baby, when they struggle to connect. Extensive research at the interface of developmental psychology, neuroscience, and...
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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...
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The Girl on the Side (www.beatingtrauma.com)
Elisabeth Corey writes so honestly on her Beating Trauma blog . I'm a huge fan of her writing and advocacy work. This piece, in particular, is amazing. She writes about adult relationships and how they have been impacted deeply and consistently by ACEs in childhood. We know what we have lived. Unlearning and learning new and different things takes time and work. And it helps, that parents like Elisabeth share as they learn. We all benefit from that sharing. Many of us are learning how to...
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The Rise of the Trauma-Informed Mothers
The next generation is less likely to wear predisposed shackles of trauma because as trauma-informed parents we are re-wiring the traumatically stressed DNA that was passed down to us.
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TIC: News and Notes for November 2019
ACEs, Adversity's Impact Podcast: Dr. Nadine Burke Harris Vital Signs: Estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention - 25 states, 2015-2017 Animal study shows how stress and mother's abuse affects infant brain LGBTQ, traumatized homeless youth more vulnerable to being trafficked: Report How do these pediatricians do ACEs screening?Early adopters tell all When family relationships become toxic: The trauma of...
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Untreated Postpartum Depression and Anxiety Costs California Billions, Report Concludes [CA Health Report]
Untreated mood and anxiety disorders associated with pregnancy are costing California billions of dollars in health care spending, social services expenses and productivity losses, according to a new report. The study , conducted by the research firm Mathematica with funding from three foundations including the California Health Care Foundation, estimates the cost of untreated perinatal mood and anxiety disorders (PMADs) in California at $2.4 billion for all births in 2017. This includes...
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‘We are just destroying these kids’: The foster children growing up inside detention centers [Washington Post]
Photo credit and caption: Heard leaves the courtroom at the Boone County Courthouse in Madison. He hopes to train to be a tattoo artist. (Sarah L. Voisin/The Washington Post) Dec. 30, 2019 Though he's never been convicted of a crime, Geard Mitchell spent part of his childhood in a juvenile detention center, at times sleeping on cement floors under harsh fluorescent lights left on through the night during lockdowns. He attended high school by clicking through online courses and had “no one to...
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How to get more low-income moms screened for depression? CMS says, ‘Bill me!’ [CenterForHealthJournalism.com]
In recent years there’s been a surge in awareness of how common and debilitating maternal depression can be. As the research accumulates and media coverage keeps apace, the idea that depression and related disorders can wreak serious havoc on a mother and affect her baby’s development has given fresh urgency to efforts to get moms more help. Among policymakers, growing recognition of the problem has translated into new programs, with a number of states encouraging screenings 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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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...
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Parenting, PTSD & ACES / Live Chat Event from Parenting with ACEs Series
Our next online chat event is fast approaching. All are welcome. Date: Tuesday, June 13th, 2017 (10 AM PST / 1 PM EST) Topic: Parenting, PTSD & ACEs. Guests: Dawn Daum & Joyelle Brandt are parents, writers, advocates and trauma survivors. Together, they edited the forthcoming Parenting with PTSD anthology and created an online community for parents recovering from childhood abuse. They educate mental health, human service and other professionals about the challenges and lived...
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Petaluma Health Center leads effort to link women to services
Sonoma County was one of six sites selected nationally to participate in a CityMatCH practice collaborative to prevent substance exposed pregnancies. In 2012 Rebecca Munger CNM, PHN the Sonoma County Maternal, Child, Adolescent Health Coordinator lead a broad coalition of reproductive health champions who worked across sectors and settings to develop a trio of strategies to reduce substance exposed pregnancies. The first strategy developed with CDC and WHO technical support was a bundled...
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Prenatal Strategies to Support Families in Iowa
How can we build a sturdy foundation for children from the start? This updated white paper from the Iowa ACEs 360 Coalition examines the stress expecting mothers in Iowa are experiencing and prenatal strategies to create the best outcomes for the whole family.
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Prevention: Bringing Baby Home Training of Facilitators
A friend of mine recently referred her grandchild and his pregnant wife to a Bringing Baby Home class, because she noticed that the wife had a horrible background of abuse and at times had difficulty functioning. What the grandmother noticed with this couple was a change in the family dynamics. the couple knows how to get along, the father is engaged in parenting, and the baby thriving. This is really starting at the root of the problem. 20 years ago, Drs. John and Julie Gottman worked with...
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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...
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Call for Abstracts for NCHDV 2020 conference
The National Conference on Health and Domestic Violence (NCHDV) seeks submissions that highlight research reports, practice innovations, advocacy initiatives, educational advances, and/or community programs that address one or more aspects related to domestic/sexual violence, other forms of violence, and health. The Call for Abstracts (CFA) invites leaders working in the fields of health and domestic/sexual violence to present their work at the 2020 Conference. Submission Deadline: Monday,...
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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...
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Depression in pregnancy increases risk of mental health problems in children [ScienceDaily.com]
Depression in pregnancy increases the risk of behavioural and emotional problems in children, says a new review published in The Lancet Psychiatry. The authors of the review, which focused mainly on low and middle income countries, call for urgent interventions for mothers and children. Depression in pregnancy is thought to affect up to one in five women globally in the late stages of pregnancy and shortly after birth. It is characterised by low mood and feelings of hopelessness, and is...
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From Trauma-Informed to Asset-Informed Care in Early Childhood [brookings.edu]
By Ellen Galinsky, Brookings Institute, October 23, 2019 The focus on “toxic stress,” ACEs (Adverse Childhood Experiences), and trauma-informed care have been game-changers in the field of early childhood development. They have helped us recognize the symptoms of trauma, provide appropriate assistance to children, and understand that prolonged adversity in the absence of nurturing relationships can derail a child’s healthy development. Just look at the media’s and the public’s reaction to...
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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...
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Grant goes toward improving maternal mental health in Florida [Tallahassee Democrat]
About 15 percent of all mothers in Florida report experiencing depression during pregnancy or after childbirth, but fewer than 20 percent of mothers seek or have access to professional help. Much of the problem lies in the lack of routine screening by prenatal care providers. A new grant from the Health Resources and Services Administration aims to improve maternal mental health outcomes by increasing screening rates and patient access to treatment and resources. Florida is one of seven...
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Hillary Clinton’s Comprehensive Agenda on Mental Health [The Briefing—Fact Sheets]
The first bullet under Early Diagnosis and Intervention of today’s release of Hillary Clinton’s mental health agenda is titled “ Increase public awareness and take action to address maternal depression, infant mental health, and trauma and stress in the lives of young children.” It states “We also know that infant mental health depends on children forming close and secure relationships with the adults in their lives, and that too many children are growing up in environments that cause them...
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A Conversation with Nadine Burke Harris: How Should Pediatricians Address Childhood Adversity?
Pediatrician Nadine Burke Harris is a masterful storyteller. I learned in a conversation with her at Wheelock College before her presentation for the Brookline, MA organization Steps to Success , that before she decided to become doctor, Dr. Burke Harris wanted to be an author. Only after the smashing success of her TED talk: How childhood trauma affects health across a lifetime , when she was approached by a literary agent, did she find her way to writing. Her newly released book The...
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A View From the Sharp End of New Zealand's Suicide Problem [thespinoff.co.nz]
By Gawen Carr, The Spinoff, October 21, 2019 Last week, as I left yet another 3am crisis interview in ED as a psychiatric doctor for a suicidal teenager, I felt drained and weary. This was partly due to the time, but mostly something else: although I felt I had helped keep the young person safe in the imminent future, I was frustrated that I was unable to meaningfully address the reasons why they felt that way. I thought I’d look through the recently released Ministry of Health authored...
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ACE-Aha Moments & Parenting: Meet Aprel Phelps Downey
Aprel Phelps Downey What was your ACEs Aha moment? When did you first hear about ACEs and what impact did/does it have on you? How do ACEs impact you as a parent? How is your parenting impacted by past trauma? What’s been most helpful to you as a parent parenting with ACEs? What’s been most challenging for you as a parent parenting with ACEs? What has parenting taught you? What have you learned? How do you manage complex family relationships? What inspires/encourages and helps you? I know...
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Annabelle Timset: We’ve been ignoring the problem of dads and depression for decades—at a huge cost to kids
Just as dads who take an active role in their children’s lives can help kids reach their full potential, less engaged dads can harm their kids’ development. In some cases, the underlying cause of that lack of engagement may be undiagnosed depression. Depressed dads are more likely to spank their kids . They’re also less likely to read to them, which may hamper their child’s cognitive development and literacy skills. And prior studies have shown that the children of depressed fathers have an...
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Announcing the Parenting with ACEs Monthly Chat Series!
I'm thrilled to announce our NEW Live Chat series!!! Starting in May, once a month, we will have a live Chat Event. It will take online in the Parenting with ACEs Group the second Tuesday of the month at 10 a.m. PST (1 p.m. EST). We'll learn from our featured guests (below) about ACE-related issues. We'll have discussions and share experiences, stories, and resources with each other. Here is who and what we have scheduled for 2017. 2017 Monthly Chat Schedule / Time is Always: @ 10 AM PST (1...
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Re: Is it PPD or PTSD? (www.parentingwithptsd.wordpress.com)
Hey sissy Great resource for US parents who are pulling together because we have a "COMMON PROBLEM" but we also have a "Common Solution" now.....I am so thankful to be a part of this wonderful group. Much to learn...but boy am I feeling so Empowered from all of you. Thanks...thanks...thanks... Rick
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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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Conversations between Latina mothers and their child's mental health provider: An observational study of shared decision-making regarding pediatric patient mental health needs
By Hale KL, Wallace DD, Blanco-Durán D, et al. Conversations between Latina mothers and their child's mental health provider: An observational study of shared decision-making regarding pediatric patient mental health needs. Patient Educ Couns . 2020;103(1):96-102. Objective: To evaluate shared decision-making (SDM) and delineate SDM processes in audio-recorded conversations between language congruent Spanish-/English-speaking clinicians and parents of pediatric mental health patients.
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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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Report on WIC Role in Reducing Maternal Mortality (California WIC Association)
CWA Flash Newsletter - October 13, 2020 (Blue text=hyperlinks) Report on WIC Role in Reducing Maternal Mortality The National WIC Association released a report titled " The Role of WIC in Reducing Maternal Mortality ." NWA’s Maternal Mortality Task Force created the report to consider ways in which maternal mortality is addressed and discussed with program participants throughout the WIC appointment, as well as explore opportunities for additional focus on the topic. The report highlights...
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Burnout From an Organizational Perspective [ssir.org]
Instead of pressuring already-stressed individuals to fix themselves, true wellness requires organization-level interventions. By Leah Weiss Oct. 20, 2020 The term “burnout” first came into use in the early 1970s in the context of air traffic control, after an increase in human error-precipitated collisions was linked to frustrations with increased traffic, poor human-machine interfaces, and the general monotony of the work. Described by the WHO as “resulting from chronic workplace stress...
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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
When I assisted women and families during pregnancy, labor and birth as a family doctor, I often felt concern that the interventions commonly used, while potentially life saving, influenced outcomes in ways that could be negative. I've since learned about a vast body of evidence that helps identify risk and offers tools to help recognize potential risk and effects so we can improve prevention and treatment. "ABEs" are one of 7 categories of adversity I add to ACEs that I wish I'd known about.
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My ACEs Affected My Birth
High blood pressure. In your third trimester of pregnancy, you do not want to hear these three words, especially if you are planning to have a home birth. My blood pressure nearly caused me to have an induction for my first birth and transfer to a hospital birth for my second birth. I wish I had known of the ACEs test so I wouldn't have felt so lost and guilty. For my first birth I was clueless. I did not understand why this was happening to me because I ate a healthy diet, went to boxing...
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Joshua Gettinger
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Amanda Juarez
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Multi-level Public Health Resilience Building Intervention For Perinatal Mental Health: Building Maternal Resilience Through Mindfulness Mobile App
Multi-level Public Health Resilience Building Intervention Building Maternal Resilience Through Mindfulness Mobile App Section 1: Background and Epidemiology of the Critical Public Health Issue of Perinatal Mental Health Section 2:Priority population and rationale for geography Section 3: Marketing/Theme Products and Recruitment – Intervention Poster & Radio Ad Section 4: CDC Social Ecological Levels Postpartum depression is a critical public health issue that has been intensified in the...
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,586 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January, but we will still be underfunded. Since sounding the alarm this summer, we’ve raised about $26,000 . Thankfully, about 25% of new donors are making monthly...
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“Going Way Upstream” - Panelists at Resilient Pender County Conference report on current trauma prevention and healing efforts; look to future
Amy Read of Coastal Horizons introduces the panel following a viewing of "Resilience: The Biology of Stress, The Science of Hope", at the Pender Resiliency Task Force Mini Conference Thursday, June 8 ,at Heide Trask High School in Rocky Point. A "dream team" of subject-matter expert panelists (L-R) were Ryan Estes of Coastal Horizons, Ben David, district attorney for Pender and New Hanover counties, Judge J. H. Corpening, district court judge for New Hanover and Pender counties, Taylor...