Tagged With "perinatal risk"
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Racism, Not Race, Causes Health Disparities for Black Mothers (nonprofitquarterly.org)
The health disparities that exist for Black mothers in America are well documented. Black women are three to four times more likely to die from childbirth than their White counterparts. Yet, aside from listing “being Black” as a risk factor for maternal death, little has been done to address this alarming statistic. The inaugural Black Maternal Health Week , held from April 11–17, 2018, sought to change this through offering a forum for continued conversation. Importantly, they shed light on...
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Rebecca Pearson: Mental health: depression and anxiety in young mothers is up by 50% in a generation
Back when it first started, 17% of young pregnant women in the Children of the 90s study reported symptoms severe enough to indicate clinical levels of depression. This figure was already worryingly high in the 1990s, but in their daughters’ generation it is even more common: 25% of the second generation of the study – women under the age of 24 who are becoming pregnant now – are reporting signs of depression and anxiety. Children of the 90s started following the mental and physical 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...
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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Shasta Health Center Screening Parents for ACEs
Shasta Community Health Center The trust that many families feel for their child's doctor makes the primary care setting an essential place to screen for ACEs and begin the conversation with caregivers about potential risks to their child's health and well-being. Their experience has shown that when risk is identified and assessed early on, there is a better chance of offering interventions that prevent long-term health and behavioral problems. Screening for ACEs is also an opportunity to...
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So how do you start to think and talk about ACEs and Maternal Mental Health?
Give them an info graphic to show the connection between toxic stress and health outcomes for moms and babies? Check out the attached 3 handouts! Have some talking points ready to get the conversation started with prenatal care staff? ...
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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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Strategies to Improve Maternal Mental Health in California [California Budget Bites]
(Posted May 1, 2019) Today marks World Maternal Mental Health Day and the start of Mental Health Awareness Month . Maternal mental health (MMH) is vital to the health and well-being of children and families. When mothers feel emotionally healthy and well supported, they are better able to develop strong bonds with their children, which promote children’s physical, mental, and emotional development. Conversely, when mothers experience mental health conditions during pregnancy or after giving...
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Stress-induced perinatal and transgenerational epigenetic programming of brain development and mental health
Abstract Research efforts during the past decades have provided intriguing evidence suggesting that stressful experiences during pregnancy exert long-term consequences on the future mental wellbeing of both the mother and her baby. Recent human...
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Study: Stress Disorders Linked to Greater Infection Risk [mercurynews.com]
By Lisa Rapaport, Reuters, October 31, 2019 People who have stress disorders like PTSD may be more vulnerable to potentially life-threatening infections, especially if they are diagnosed at younger ages or dealing with other psychiatric issues, a recent study suggests. Researchers examined data on 144,919 people diagnosed with post-traumatic stress disorder (PTSD), adjustment disorders common after a major life change like a death or move, and other stress-related conditions. They also...
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Symptoms of Depression During and After Pregnancy
In order to have the best chance of improving outcomes for the mother and infant, routine screening and treatment for depression should begin early in pregnancy, a time when women have increased contact with the health care system.
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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 importance of maternal well-being in relation to child unintentional injury
With National Mental Health Awareness Month coming up in May, I thought I would share an article that Grace Harris shared with me. With the hopes to better serve the children and families across both human services and mental health services this article helps bring awareness to the importance of maternal well-being. Children of depressed mothers at risk for unintentional injuries | Reuters "Children under age 5 are more likely to accidentally get injured if their mothers are having a...
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The prevalence and clinical correlates of adverse childhood experiences in a cross-sectional study of primary care patients with cardiometabolic disease or risk factors (BMC)
From the article: To our knowledge, this is the first study to investigate the incidence and clinical correlates of ACEs in primary care patients who already have cardiometabolic disease or are at elevated risk based on conventional risk factors. Open Access LINK to article Background Adverse childhood experiences (ACEs) are associated with risk of poor adult health, including cardiometabolic diseases. Little is known about the correlates of ACEs for adults who have already developed...
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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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The Trauma-Sensitive Parenting Summit & Commentary
"Having a history of trauma or loss does not by itself predispose you to have a child with disorganization. It is the lack of resolution that is the essential risk factor. It is never too late to move toward making sense of your experiences and healing your past. Not only you but also your child will benefit." That's a quote from the book Parenting from the Inside Out: How A Deeper Self-Understanding Can Help You Raise Children Who Thrive, which was published fifteen freaking years ago. It's...
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TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
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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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Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity [nationalacademies.org]
By National Academies of: Science, Engineering, and Medicine, July 25, 2019 Early experiences and life circumstances shape prenatal and early childhood development, with powerful impacts on the developing brain and body that shape health outcomes across the life course and can span generations. The preconception, prenatal, and early childhood periods are critical phases of development that help set the odds for lifelong health and well-being. All children deserve the opportunity to meet...
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Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention [cdc.gov]
By Melissa T. Merrick, Derek C. Ford, Katie A. Ports, et al., Centers for Disease Control and Prevention, November 5, 2019 Summary What is already known about this topic? Adverse childhood experiences are common and are associated with many poor health and life outcomes in adulthood. What is added by this report? Nearly 16% of adults in the study population reported four or more types of adverse childhood experiences, which were significantly associated with poorer health outcomes, health...
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We Need to Talk about PTSD in NICU Parents (themighty.com)
Given the nature of NICU, the pain of leaving your fragile baby each day, the feelings of emptiness and grief , the uncertainty and ups and downs, the lines, wires, monitors and alarms, not to mention the security buzzers at the entrance of the unit or the constant rigorous hand-washing, it came as no surprise to me that parents who have experienced premature birth are at greater risk of postnatal depression , anxiety and post-traumatic stress disorder (PTSD) . You see, more than 40 percent...
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What if?
How about incorporating the 10 item Adverse Childhood Experiences(ACE) form into a prenatal visit . A mother's ACE score may help guide providers in determining if a woman's pregnancy is at higher or lower risk for complications. And...
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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...
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How It Feels & How We Heal: Parenting with ACEs Chat Quotes (You Tube, Database, PDFs, Links)
Parenting with ACEs is sharing inspiration, information, and expertise from our chat series in 3 formats. Parenting with ACEs: How It Feels & How We Heal Quote Collection (pdf version below as well) Quotes Database (pdf version below as well) Links to Chat Transcripts and before and after-the-chat blog posts. Thanks to everyone who showed up, who shared, and who is doing the important work that is our mission (prevent ACEs, heal trauma, build resilience). We know that work happens...
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How social factors drive up suicide rates among pregnant women [TheConversation.com]
Pregnant women in South Africa who live in poor communities are more likely to consider or attempt suicide than the general population. That’s a key finding from a recent study we undertook at Hanover Park. The research found 12% of pregnant women living in low-resource communities had thought of killing themselves during the previous month. In the same period, an additional 6% of pregnant women reported they had started to enact a suicide plan or attempted to end their lives. Rates of...
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]
By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification 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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Introducing NEW Becoming Trauma-Informed & Beyond Community
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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Love as Destiny: A Former Foster Youth's Journey in Motherhood [chronicleofsocialchange.org]
By Katarina Sayally, The Chronicle of Social Change, October 25, 2019 If you haven’t heard enough stories about what breaking the intergenerational cycle of foster care looks like, I want to share one. This is our story, and it’s a good one. When I found out I was pregnant, the only fear I had was, “What if my baby ends up in foster care?” As a former foster youth who works in the field, I am constantly reminded of this possibility. One study found that mothers in foster care were twice as...
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Mothers’ Adverse Childhood Experiences and Their Young Children’s Development [ajpmonline.org]
Introduction This study examined how mothers’ Adverse Childhood Experiences (ACEs) relate to their children’s developmental risk and assessed how the association is mediated through mothers’ depressive symptoms and fair/poor health. Methods Mothers of children aged between 4 months and 4 years were recruited from the emergency department of a children’s hospital between March 2012 and June 2015 and interviewed about ACEs, mothers’ depressive symptoms and health status, and children’s...
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New psychology study finds adverse childhood experiences transfer from one generation to the next [UCalgary.ca]
Women who suffer four or more adverse childhood experiences before the age of 18 are more likely to face pregnancy and postpartum problems, which they may in turn pass on to their children in a “cascade of risk,” according to a new study in The Journal of Pediatrics. The study, led by the University of Calgary’s Sheri Madigan — Canada Research Chair in the Determinants of Child Development, a member of the Alberta Children’s Hospital Research Institute and an assistant professor in...
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NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]
My second daughter, Kira Elle, was in the NICU for 13 days, which most would consider a "short stay". But I can attest that being separated from her at birth severely impacted my mental health in extremely negative ways. Shortly after bringing her home, I was able to identify within myself that I had Postpartum Depression and Rage. Only now, at 7 months postpartum, am I starting to address my trauma from the NICU through the use of Brain Spotting in my therapy sessions. Linked is an article...
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NICU Stay Associated With Later Mental-Health Problems [medscape.com]
By Anne Harding, Medscape, February 6, 2020 Spending time in the neonatal intensive-care unit (NICU) is associated with an increased risk of psychiatric disorders in childhood and adolescence, according to a new population-based study. "In childhood, the risks of separation anxiety, specific phobia, oppositional defiant disorder and ADHD (attention-deficit/hyperactivity disorder) were particularly pronounced while adolescents tended to struggle more with oppositional defiant disorder," Dr.
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Nothing About Them Would Stand Out in a Crowd
photo credit: chuttersnap/unsplash.com By Alice M. Kenny (pseudonym) (The article below is an excerpt from my new book, Crazy Was All I Ever Knew: The Impact of Maternal Mental Illness on Kids . I have used a pseudonym to protect the privacy of family members.) The emotions adult children of parents with mental illness experience are a mixed bag. Sometimes a jumble. Guilt, loss, grief, and resentment are among the emotions that persist or bubble to the surface in adulthood. Some feel...
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NPPC shares lessons learned and results from ACEs screening pilot sites
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Parental Depression and Its Impact on Child and Family Well-Being [CANTASD]
Parental Depression and Its Impact on Child and Family Well-Being On March 9, 2018, The National Child Abuse and Neglect Technical Assistance and Strategic Dissemination Center ( CANTASD ) hosted a Digital Dialogue with Jessica Dym Bartlett, the Deputy Program Area Director for Early Childhood Development & Child Welfare at Child Trends . The conversation focused on the impact of parental depression on child and family well-being . This [ ARTICLE ] document summarizes the conversation...
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Parental Depression Forecasts Kids' Later Physical Health [news.uga.edu]
By Allyson Mann, University of Georgia Today, October 24, 2019 When parents suffer from depression, kids may be at risk for physical health problems in young adulthood, according to a study from researchers including the University of Georgia’s Katherine Ehrlich. The results revealed an association between parental depression and youth metabolic syndrome—a condition that forecasts substantially increased risk for cardiovascular disease and diabetes. “The good news is that while parental...
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Parenting, Menopause & ACEs After-the-Chat Summary: Carey Sipp
Have you talked with friends, siblings or co-workers about Parenting with ACEs while going through the change? Do you have any fascinating facts to share about how your OBGYN prepared or supported you when thrown by midlife, hormonal shifts and emotional residue from traumatic stress? Me either. And it's a shame. A lot of people parent, go through menopause, and have survived a bunch of ACEs. Conversations and information shouldn't be so hard to find. But they are. T hat's the reason we...
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Parenting with PTSD One Liners & Parenting with ACEs Chat Reminder
Parents with PTSD from ACEs sharing what's hard about parenting while post-traumatically stressed: "Managing the terror around the possibility of everyone being a perp." "How to talk to children about why they won't meet X relative." “There was a point when I would feel completely overwhelmed by something as simple as having to make breakfast and school lunches at the same time.” "I didn't understand that not all parents reacted or were triggered the way I was." "was stone set on not...
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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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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...
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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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When Parents Fear "It's All My Fault"
Many of my colleagues in the field of early childhood mental health work with what are termed "high risk" populations. Children of drug addicted parents, victims of child abuse, and families in abject poverty. While the challenges these families face are daunting, I find myself feeling some envy for my colleagues whose clients are in such obvious distress that the need for intensive treatment of parent and infant is not in question. In my rural, small-town population things are not so clear.
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When pregnant women who abuse opioids are treated like criminals, their babies suffer (latimes.com)
Laws that punish women who abuse drugs during a pregnancy are often billed as a way to protect unborn babies from addiction. But new research finds they have the opposite effect: After states enact laws treating pregnant drug users as unfit mothers or criminals, the number of newborns who contend with drug withdrawal jumps significantly. The new findings suggest that laws that criminalize a mother’s drug use during pregnancy or threaten to remove newborns from their mothers’ care discourage...
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Why Aren't We Talking About Postpartum Mood Disorders in Immigrant Women [PMag.com]
About six weeks after she gave birth to her first son, Jaya, an immigrant from India to the United States, began to suffer feelings of inadequacy as a mother. She felt sad, helpless, useless to her newborn and husband. She imagined her death and described it to her mother over long-distance calls. "I told her that I felt reckless," she says. "I didn't feel the need to be careful about myself and my safety." Jaya (not her real name) began to cross busy intersections with less caution, hoping...
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Why I'm Passionate About ACEs Awareness
When I was 42, I landed on my butt so hard I couldn’t imagine how it had happened. I found out that the beliefs and relationships I had built my life on and around were all lies, and my world and worldview came crashing down around me. From that place of desolation, at what was rock bottom for me, I had to figure out what was true and not true, what was right and wrong for me, who I was – not who I had become to be acceptable to others. I needed to figure out who was with me and to what...
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Women Need Professional Emotional Support During High-Risk Pregnancies, Study Finds [sciencedaily.com]
By Rutgers University, Science Daily, December 16, 2019 The study appears in the journal Psychology of Women Quarterly. About 15 percent of pregnancies worldwide are high-risk, making premature delivery, low infant birth weight and other poor outcomes more likely. In the United States, 10 percent of pregnant women require hospitalization because they have hyperemesis gravidarum, pre-eclampsia, kidney infections, gestational diabetes or are at risk for imminent delivery, among other...
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Young adults with PTSD may have a higher risk of stroke in middle age (UNC Healthcare)
Lindsey Rosman, Ph.D., assistant professor in the division of cardiology, is the lead author of the study, the story was published on Oct 17, 2019, for UNC Healthcare and UNC School of Medicine. CHAPEL HILL, N.C. — Oct. 17, 2019 — Young adults who suffer from posttraumatic stress disorder (PTSD) may be more likely to experience a transient ischemic attack (TIA) or major stroke event by middle age, raising the risk as much as other better-known risk factors , according to new research...