Tagged With "Rural OB/GYN"

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...

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?  ...

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...

By Ashley Lyles, MedPage Today, November 19, 2019 Patient: I'd gotten pregnant again and I was using through my whole pregnancy, and I didn't receive prenatal care. He was born and he's fine and everything. The [Department of Social Services] let me bring him home. Then a week after I had him, I relapsed really, really bad. Then, I got really messed up and they took my kid. Reporter: The opioid epidemic has taken a toll in rural areas, especially on pregnant women. Doctors and healthcare...

By Yesenia Amaro and Deepa Bharath, Center for Health Journalism News Collaborative, October 4, 2019 For almost two years, Sylvia Valenzuela relied on the federal Indian Health Service system to get the primary care she needed. But when she had to see an OB-GYN for her prenatal care, she was on her own. What followed, she said, was a nightmare in which she struggled to obtain and keep Medi-Cal coverage, leaving her uninsured for a critical stretch of her pregnancy. Valenzuela says she would...

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.

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...

There are 111,616 incarcerated women in the United States, a 7-fold increase since 1980. Some of these women are pregnant, but amid reports of women giving birth in their cells or shackled to hospital beds , prison and public health officials have no hard data on how many incarcerated women are pregnant, or on the outcomes of those pregnancies. A study published in The American Journal of Public Health Thursday changes that. The study included 57 percent of the US prison population (New...

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...

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...

I like demonstrating serve and return interaction. If the mom can get a sense of the joys of attaching with the baby that can be very useful. This is a reason I was against some of our policies like checking glucose in an asymptomatic baby LGA (you'd need to remove the baby from the mother- if I decide to cover our hospitals call esp OB, I've already started to put thogether a plan for ACEs screening and aces 101 edu. I did this before on my own in the pts I saw that were at risk and that...

From the article: As anyone who's ever been pregnant knows, you have to go to the doctor a lot. If you are someone with a limited income, maybe limited money for gas or unreliable transportation, the ability to come one place and get money through WIC for your food so you can eat enough and have a healthy pregnancy, to see your behavioral health clinician if you're struggling with postpartum depression or a mood disorder. To see an addiction specialist and a doctor who can prescribe...

By Heather Tirado Gilligan, California Health Care Foundation, April 26, 2021 Despite an induced labor necessitated by the potential danger of preeclampsia, Morine Cebert Gators had a beautiful birth experience. Cebert Gators, who is Black, searched diligently for a Black ob/gyn provider when she moved from North Carolina to Knoxville, Tennessee. She was mid-pregnancy, had recently finished her PhD in nursing, and was having no luck finding a doctor who looked like her. Googling and joining...

Adverse babyhood experiences (ABEs) are a new construct derived from large bodies of evidence that identify a different group of risk factors from adverse childhood experiences (ACEs). ABEs occur before a child’s 3rd birthday and influence infant as well as maternal morbidity and mortality. ABEs are also risk factors for chronic illnesses and other chronic conditions in the child , symptoms such as postpartum depression and PTSD in parents and offer opportunities for prevention and repair.

By Xenia Shih Bion, California Health Care Foundation, August 5, 2021 When Kimberly Seals Allers delivered her first child at a top-rated New York City hospital 21 years ago, her wishes were ignored by doctors and nurses. Feeling disrespected and voiceless, she decided to confront the causes and to advocate for equity in pregnancy and childbirth for Black mothers and birthing people.* A journalist by trade, Seals Allers is author of three books on pregnancy, childbirth, and breastfeeding; a...

By Giles Bruce, Center for Health Journalism, August 19, 2021 For some time now, early childhood experts have acknowledged that the first few years of a child’s life are critical for neurological development, and that growing up in a stressful environment can actually change the structure of the budding brain . Now researchers are increasingly finding that the human brain is shaped — quite literally, in some instances — by external forces while it is still in utero. “We really need to...

This article was initially published in RACmonitor and appears with the publisher’s permission The country’s smallest hospitals continue to be in peril, as are the patients who rely on them. This issue continues to be the reality for rural health with major challenges for the patients and providers in those regions. 7.4% of babies born in the US are birthed at hospitals handling 10 to 500 births a year, or “low-volume” hospitals. In the context of our industry’s fiscal focus, that number...

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...

Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...