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  • Home
  • About
  • Services
    • Prenatal and Postpartum Therapy
    • Reproductive Mental Health Therapy
    • General Maternal Mental Health
  • Patient Info
    • Patient Forms
    • Rates & Insurance
    • FAQ
    • Useful Therapeutic Apps
    • Patient Portal
  • Blog
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Book Recommendation #3

2/9/2023

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Mayo Clinic Guide to Your Baby's First Years
Being a new mom is an overwhelming experience. I often encourage moms to stick to reading books or consulting with their doctors for information to avoid getting misinformed. The Mayo Clinic Guide to Your Baby’s First Years is a great resource because it is comprehensive and discusses common illness, concerns, and developmental changes that parents face during a child’s first few years of life.
-Dr. Rodriguez-Siuts

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The Body Changes You NEED TO KNOW About After Giving Birth | The 4th Trimester

2/7/2023

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"The postpartum time is a wonderful new time to spend with your new baby. But let's face it, it is also a time when your body is trying to heal from everything it went through to bring that new baby into your arms. Worth it? ABSOLUTELY! But with the baby blues, postpartum hair loss, stitches, breastfeeding, afterbirth pains, it can be a lot to handle at first. But don't worry. You've totally got this."
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7 Tips to Argue Constructively with Your Partner

1/20/2022

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By: Abigail Brenner M.D. | January 16, 2022
"You may be on the same page with your partner for most things, but there will inevitably come a time when you don’t see eye to eye. You have some choices: You can ignore your differences and just circumvent the issue, or you can keep on trying to persuade your partner to see it your way, or you can get increasingly angry and eventually let your partner have it.

It’s probably a better idea to try to tackle your differences, the areas where you disagree, and attempt to iron out the problem in a way that allows both of you to express your opinions and beliefs, with the goal of finding some common ground, some area of compromise.

How do you do that when you feel strongly about an issue or problem, but so does your partner? Surely, you want to please yourself but you want your partner to feel satisfied as well. However, most of us are not taught how to have a constructive discussion. We model what we see around us. We may have seen people angry to the point where they stop talking to each other, or try to intimidate each other through insults and threats. We’ve perhaps seen situations where the conversation ends when one person declares their point of view the “winner.”

Here are some tips to help you navigate disagreements constructively and respectfully.

Be present and focused. Clear away all distractions—no emails, texts, or phone calls. Leave aside all other issues and things you need to do. Put everything else on hold. Pay close attention. Your only job is to listen carefully and to try to understand, not only what’s being said, but the emotions being expressed. Give your partner all the time they need to explain their side of the argument, discussion.

Don’t lecture. You probably have done this already but making time to constructively work on your differences is a completely different kind of exercise. It’s meant to be a give-and-take, back-and-forth discussion to help clarify your different points of view and to reach some kind of reasonable agreement about how to move forward. Your ideas and beliefs are just that—you’re ideas and beliefs. No more or less valid than your partner’s ideas and beliefs. Don’t lecture, or worse, pontificate from a superior position. This exercise is meant to level the field."
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Affirmations for Difficult Times

12/29/2021

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Written by Sharon Martin, LCSW on March 19, 2020 
"Stress is an inevitable part of life. We all feel overwhelmed, confused, and anxious at times. And there are many effective and healthy ways to cope with stress, including releasing physical tension (such as through exercise or a hot bath) and reducing obsessive worries and negative thoughts.

Using affirmations is one way to change our thoughts and feelings. They can help us focus on how we want to feel and on our ability to cope.

However, if affirmations are going to work, they need to be realistic and authentic. Some positive affirmations are really corny and unbelievable (like, I am full of peace and joy). Telling yourself that you're full of peace and joy when you're actually full of tension and worry, probably isnt going to feel true or helpful. Instead, try to acknowledge your situation and feelings (that you feel stressed and anxious) and focus on how you want to cope — what you want to think, feel, and do in response.
Below are some affirmations that you may find helpful during times of stress and uncertainty. What feels true and right and helpful, certainly varies from person to person. So, use these as ideas to create your own affirmations or mantras. For example, you can make them more specific by stating something in particular that you're grateful for or a particular coping strategy that you will use.

Affirmations for stress and anxiety
  1. This is stressful, so I will take extra good care of myself.
  2. I will stay present-focused and take this one day at a time.
  3. I choose to be optimistic.
  4. I'm doing what I can to remain physically and emotionally healthy.
  5. This too shall pass.
  6. I will get through this.
  7. I will focus on what I can control and release the rest.
  8. My fear is understandable, but constantly worrying about the worst-case scenario isn't helpful.
  9. I will try to be kind and gentle with myself.
  10. I can be both afraid and courageous at the same time."
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10 Best Postpartum Workout Moves for New Moms

9/23/2021

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By: Lindsay Dolak | Editor at Aaptiv | August 6, 2020
"No matter how fit you were before and even during pregnancy, postpartum exercise presents a unique set of challenges. Your body is still healing from delivery, and with a newborn in the house, you might be feeling more tired than ever. But finding time to fit in fitness is amazing for both your body and mind—it can be just what you need to get back to feeling like your pre-pregnancy self. No, we’re not talking about “getting your body back.” We’re talking about a boost to your energy, self-confidence and physical strength. Plus, you’re bound to sleep better too. Do we have your attention now? Here, two trainers from Aaptiv—a fitness app offering trainer-led, music-driven audio workouts—break down why you should start a postnatal fitness routine, and how to do it.

Benefits of Postpartum Exercise
Postnatal exercise brings a host of positive benefits to your body, but also for your mood and stress levels. Fitness not only helps your body heal but also provides an outlet to recenter and focus on yourself—something that might feel a bit out of reach now that you’re caring for another tiny human. “Postpartum exercise gives moms back that feeling of being in control,” says Aaptiv trainer Candice Cunningham, an ACE-certified personal trainer and Fit For Birth pre- and post-natal corrective exercise specialist. “It’s a huge stress-reliever and also gives new moms something to really focus on for themselves.”

Aaptiv trainer and mom Jaime McFaden, an ACE-certified pre- and post-natal fitness specialist and health coach, agrees, adding that consistent exercise post-baby provides a huge boost in not only physical strength, but mental strength as well. “You just went through so many changes—things have shifted. Exercise helps you heal from the inside out,” she says.

In addition to the many mental and emotional benefits, postnatal fitness can lead to weight loss, improved strength (carrying around a baby all the time is no joke), better sleep and more balanced hormones—a must after nine months of ups and downs.

When to Start Postpartum Exercise
First things first: Don’t jump into a postpartum exercise routine without your doctor’s approval. Many doctors recommend waiting six to eight weeks after birth before starting trying any type of exercise, but it often varies. Some women may experience complications during pregnancy or labor that might set them back a few more weeks. For example, a mother who had a vaginal birth will likely have a different timeline than one who had a c-section. And others may even be able to work out sooner than six weeks.
According to McFaden, working out during pregnancy may help when it comes time to start exercising again. “Your body’s muscle memory will kick in and you’ll have an easier time getting back into it after birth,” she says. “You still want to give your body time to recover, though. Never push yourself too hard post-baby. Patience is key.”


No matter what, it’s crucial to work with your doctor to find out exactly when is right for you and your body. “Every mom is different and it’s important to pay attention to stresses the body may undergo post-pregnancy,” Cunningham says. “A doctor will be able to check for an indication of diastasis recti (the separation of the abdominals) and be able to recommend the appropriate physical work to heal that or any other side effects of childbirth.”


There’s no real reason to rush back into exercising early anyways. In fact, it can cause you more harm than good down the line. It might be hard for women used to high intensity workouts or long runs, but taking it slow is key.

When you’re ready, start by adding walking and low-impact bodyweight exercises at first. Aaptiv’s fourth trimester program meets new moms where they are and focuses on building back up to regular workouts. It covers core, strength training, outdoor walking and elliptical, and places special emphasis on healing the pelvic floor muscles and not aggravating a diastasis recti—both of which are crucial for new moms with recovering bodies. Don’t worry, you’ll gradually work your way back to sprints and burpees in no time.
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Best Postpartum Workouts
Before you starting working out again, it’s important to temper your expectations. Your body is different now and you won’t immediately be as strong as you once were. Start with simple, functional exercises you can ultimately build on. To get you started, we asked McFaden and Cunningham to share some of their favorite postpartum exercises to work your entire body."
Finish Reading the 10 Best Postpartum Workout Moves for New Moms
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Mental health of children and parents —a strong connection

8/9/2021

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By: Centers for Disease Control and Prevention | April 19, 2021
"Mental health of children and parents —a strong connection​
The mental health of children is connected to their parents’ mental health. A recent study found that 1 in 14 children has a caregiver with poor mental health. Fathers and mothers—and other caregivers who have the role of parent—need support, which, in turn, can help them support their children’s mental health.  CDC works to make sure that parents get the support they need.

A child’s mental health is supported by their parents

Being mentally healthy during childhood includes reaching developmental and emotional milestones and learning healthy social skills and how to cope when there are problems. Mentally healthy children are more likely to have a positive quality of life and are more likely to function well at home, in school, and in their communities.

A child’s healthy development depends on their parents—and other caregivers who act in the role of parents—who serve as their first sources of support in becoming independent and leading healthy and successful lives.

The mental health of parents and children is connected in multiple ways. Parents who have their own mental health challenges, such as coping with symptoms of depression or anxiety (fear or worry), may have more difficulty providing care for their child compared to parents who describe their mental health as good. Caring for children can create challenges for parents, particularly if they lack resources and support, which can have a negative effect on a parent’s mental health. Parents and children may also experience shared risks, such as inherited vulnerabilities, living in unsafe environments, and facing discrimination or deprivation.

Poor mental health in parents is related to poor mental and physical health in children
A recent study asked parents (or caregivers who had the role of parent) to report on their child’s mental and physical health as well as their own mental health. One in 14 children aged 0–17 years had a parent who reported poor mental health, and those children were more likely to have poor general health, to have a mental, emotional, or developmental disability, to have adverse childhood experiences such as exposure to violence or family disruptions including divorce, and to be living in poverty.

Fathers are important for children’s mental health
Fathers are important for promoting children’s mental health, although they are not as often included in research studies as mothers. The recent study looked at fathers and other male caregivers and found similar connections between their mental health and their child’s general and mental health as for mothers and other female caregivers.


Supporting parents’ mental health
Supporting parents, and caregivers who act in the role of parent, is a critical public health priority. CDC provides parents with information about child health and development, including positive parenting tips, information and support when parents have concerns about their child’s development, or help with challenging behavior. CDC supports a variety of programs and services that address adverse childhood experiences that affect children’s and parents’ mental health, including programs to prevent child maltreatment and programs that support maternal mental health during and after pregnancy. CDC also examines issues related to health equity and social determinants of health, including racism, that affect the emotional health of parents and children. More work is needed to understand how to address risks to parents’ mental health.
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To help parents and other adults with mental health concerns in times of distress, CDC funded the web campaign How Right Now as a way to find resources and support. CDC is also funding the National Academies of Science, Engineering, and Medicine to develop an online resource for parents to learn skills to cope with emotions and behavior using evidence-based approaches to improving mental health, which will be released this summer."
Finish Reading: Mental Health of Children and Parents-A Strong Connection
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Gut feelings: How food affects your mood

4/27/2021

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By Uma Naidoo | December 07, 2018 | Updated March 27, 2019
"The human microbiome, or gut environment, is a community of different bacteria that has co-evolved with humans to be beneficial to both a person and the bacteria. Researchers agree that a person’s unique microbiome is created within the first 1,000 days of life, but there are things you can do to alter your gut environment throughout your life.

Ultra-processed foods and gut health

What we eat, especially foods that contain chemical additives and ultra-processed foods, affects our gut environment and increases our risk of diseases. Ultra-processed foods contain substances extracted from food (such as sugar and starch), added from food constituents (hydrogenated fats), or made in a laboratory (flavor enhancers, food colorings). It’s important to know that ultra-processed foods such as fast foods are manufactured to be extra tasty by the use of such ingredients or additives, and are cost effective to the consumer. These foods are very common in the typical Western diet. Some examples of processed foods are canned foods, sugar-coated dried fruits, and salted meat products. Some examples of ultra-processed foods are soda, sugary or savory packaged snack foods, packaged breads, buns and pastries, fish or chicken nuggets, and instant noodle soups.
Researchers recommend “fixing the food first” (in other words, what we eat) before trying gut modifying-therapies (probiotics, prebiotics) to improve how we feel. They suggest eating whole foods and avoiding processed and ultra-processed foods that we know cause inflammation and disease.


But what does my gut have to do with my mood?

When we consider the connection between the brain and the gut, it’s important to know that 90% of serotonin receptors are located in the gut. In the relatively new field of nutritional psychiatry we help patients understand how gut health and diet can positively or negatively affect their mood. When someone is prescribed an antidepressant such as a selective serotonin reuptake inhibitor (SSRI), the most common side effects are gut-related, and many people temporarily experience nausea, diarrhea, or gastrointestinal problems. There is anatomical and physiologic two-way communication between the gut and brain via the vagus nerve. The gut-brain axis offers us a greater understanding of the connection between diet and disease, including depression and anxiety.
When the balance between the good and bad bacteria is disrupted, diseases may occur. Examples of such diseases include: inflammatory bowel disease (IBD), asthma, obesity, metabolic syndrome, diabetes, and cognitive and mood problems. For example, IBD is caused by dysfunction in the interactions between microbes (bacteria), the gut lining, and the immune system.


Diet and depressionA recent study suggests that eating a healthy, balanced diet such as the Mediterranean diet and avoiding inflammation-producing foods may be protective against depression. Another study outlines an Antidepressant Food Scale, which lists 12 antidepressant nutrients related to the prevention and treatment of depression. Some of the foods containing these nutrients are oysters, mussels, salmon, watercress, spinach, romaine lettuce, cauliflower, and strawberries.

A better diet can help, but it’s only one part of treatment. It’s important to note that just like you cannot exercise out of a bad diet, you also cannot eat your way out of feeling depressed or anxious.
We should be careful about using food as the only treatment for mood, and when we talk about mood problems we are referring to mild and moderate forms of depression and anxiety. In other words, food is not going to impact serious forms of depression and thoughts of suicide, and it is important to seek treatment in an emergency room or contact your doctor if you are experiencing thoughts about harming yourself.
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Suggestions for a healthier gut and improved mood
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  • Eat whole foods and avoid packaged or processed foods, which are high in unwanted food additives and preservatives that disrupt the healthy bacteria in the gut.
  • Instead of vegetable or fruit juice, consider increasing your intake of fresh fruits and vegetables. Frozen fruits without added sugars/additives are a good choice too.
  • Eat enough fiber and include whole grains and legumes in your diet.
  • Include probiotic-rich foods such as plain yogurt without added sugars.
  • To reduce sugar intake at breakfast, add cinnamon to plain yogurt with berries, or to oatmeal or chia pudding.
  • Adding fermented foods such as kefir (unsweetened), sauerkraut, or kimchi can be helpful to maintain a healthy gut.
  • Eat a balance of seafoods and lean poultry, and less red meat each week.
  • Add a range of colorful fresh fruits and vegetables to your diet, and consider choosing certain organic produce."
Finish Reading Gut Feelings: How Food Affects Your Mood
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The Best Pregnancy Pillows for an Incredible Night’s Sleep

4/13/2021

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"Pregnancy puts a lot of strain on your body, including at bedtime, which is why finding the best pregnancy pillow is so essential for many women.

Find a little relief for those aches and pains by sleeping with a pillow that’s designed to cradle and comfort your pregnant shape. The latest pregnancy pillows come in a wide array of sizes and shapes to fit your particular needs, whether you’re looking to alleviate back pain or to find a positioning solution as a stomach sleeper

From full-body styles to wedges, the options are plentiful. Some favorite brands include Boppy and Leachco, but they’re not the only brands to shop for some of the best pregnancy pillows available in 2020. Below are seven pregnancy pillows we recommend for an amazing night of sleep."

Moonlight Slumber Comfort-U Total Body Support Pillow​

"​The Comfort-U Pillow by Moonlight Slumber cushions every curve of your aching body with Fusion Foss fiber. It feels soft and stays soft, but it also provides support where you need it most with its classic “U” shape. This is the perfect pregnancy pillow if you want to feel like you’re engulfed in a giant cloud. ($99.95; amazon.com)"

​
Boppy Total Body Pillow in Ringtoss
"Need a lift? We love the Boppy Total Body Pillow for moms who need a little extra support to ease those tired muscles and aching joints. Firmly filled and shaped to fit your pregnant curves, this maternity body pillow might just be your new best friend. ($49.99; buybuybaby.com)"
Click the Link for the Complete List of the 7 Best Pregnancy Pillows
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The Psychic Toll of a Pandemic Pregnancy

3/23/2021

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"Women who had Covid while expecting experienced guilt, shame and unhealthy levels of stress."
By Katharine Gammon | December 14, 2020
"Kate Glaser had chalked up her exhaustion to being 39 weeks pregnant and having twin toddlers in the house. She also wondered whether her flulike symptoms were a sign that she was about to go into labor. But when she woke up one morning with a 100.4-degree fever, she called her doctor and got a rapid Covid-19 test.

Two nurses came to deliver her results to her in the waiting room. They were dressed in full gowns, masks, face shields and gloves.

“I knew by the eerie silence and the way they were dressed that I was Covid positive,” she said. “It was an emotional moment; I felt really disappointed and shocked and, as a mom, I felt a lot of guilt. What did I do wrong?”

Glaser, who lives in the Buffalo, N.Y., area, returned home and isolated from her husband and the twins in her bedroom, where she spent hours mentally replaying all her activities leading up to the positive test result. She also made a public post on her Facebook page about her positive status, and what she was feeling — guilt, embarrassment and panic. The post went viral, and Glaser started hearing from women around the world who were pregnant and worried about Covid-19. The majority of the of the 2,300 comments she received were supportive; a few were harshly critical.

“I was going down a rabbit hole of guilt and stress,” Glaser said, adding that for her, as much as the physical symptoms were bad, the mental stress of Covid was much worse.

Prolonged stress can have real consequences on pregnant people even outside of a pandemic and has been tied to low birthweight, changes in neurological development and other health impacts in children. And the pressure associated with a positive Covid-19 test increases these mental health risks.

The anxiety is not without reason. As of November 30, there have been more than 42,000 cases of coronavirus reported in pregnant women in the U.S., resulting in 57 maternal deaths. U.S. health officials have said pregnancy increases the risk of severe disease for mother and child, and being coronavirus-positive in late pregnancy may increase the rate of preterm birth.

Prenatal care and birth plans are also disrupted by a positive test result. “Women are expressing so much fear about being infected, but also about going to the hospital, delivering and being separated from their child,” said Laura Jelliffe-Pawlowski, an epidemiologist who is the primary investigator of HOPE COVID-19, a new study that focuses on the well-being of women who are pregnant during the pandemic.

The study launched in July and will follow more than 200 women around the world, from pregnancy to 18 months postpartum, to understand how Covid-19 and the pandemic response impacts pregnancy and infant health outcomes.

Dr. Jelliffe-Pawlowski and her team have analyzed the data from the first group of women, and they are finding “absolutely incredible” levels of stress and anxiety. “Sixty percent of women are experiencing nervousness and anxiety at levels that impede their everyday functioning,” she said, citing preliminary data. “There are a number of women, particularly lower-income women, expressing how hard it is to choose to stay in a job that puts them at risk versus quitting the job and not having enough food for their baby.”

Nearly 70 percent of the participants reported feeling worried about decreasing family income and more than 22 percent worried about food insecurity (though none had experienced it at the time of the survey). Dr. Jelliffe-Pawlowski worried that women were not necessarily getting the psychological care they needed: “If you can’t feed your family, seeking out mental health care is not your top priority.”

She also said more than 84 percent of women reported moderate to severe anxiety about giving birth during a pandemic. “Many women do not want to get tested because they will be stigmatized or separated from their baby or not allowed to have people in the room to support them,” she said. She added that similar visiting rules often hold true for babies in the NICU after being born preterm during the pandemic: Only one parent can be present in a 24-hour period. “It’s heart-wrenching to see families go through those choices.”

Dr. Jelliffe-Pawlowski is particularly interested in how stress impacts births and long-term outcomes for children as psychological stress is highly associated with preterm birth. After the attacks of September 11, 2001, the risk of preterm births almost doubled for people living near or working at the site of the fallen towers. She’s also concerned about long-term effects of stress and anxiety on maternal bonding during the pandemic.

Margaret Howard, a psychologist at Women & Infants Hospital in Providence and postpartum depression researcher at Brown University thinks it is absurd for pregnant women who test positive for an infectious virus to bear any guilt or stress associated with their diagnosis: “Are moms in a special category where they are expected to not get Covid? What about a sinus infection? Hay fever? Cancer? Why is Covid a moral failing for mothers?”

When Erica Evert, a pregnant mom in northern Virginia, received her postive Covid-19 test result, it didn’t make sense. She was near the end of her pregnancy, and hadn’t left the house in four and a half months, except for ob-gyn appointments to check on the baby.

“My first thought was, is this a false positive? I feel fine. And my second reaction was to start bawling,” said Evert. She was scheduled to have a cesarean section with her second baby and the test was merely a formality — until it was a life-changing event.
​
The hospital gave her a choice: She could deliver the next day and be treated as a Covid-19 patient — separated from her baby with no skin-to-skin contact, per the hospital’s policies. Or she could wait 10 days from the date she received the positive test result and deliver with her regular plan. She had four hours to make a choice she wasn’t expecting. “I kept thinking: am I going to make a decision that results in my child dying?” said Evert."
Finish Reading the Psychic Toll of a Pandemic Pregnancy
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Penny Simkin-Pain Versus Suffering in Labor

4/8/2020

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By Penny Simkin| October 27, 2009
"Author/lecturer, doula, childbirth educator, Penny Simkin, PT, talks about pain in labor and the concept of "when pain becomes suffering."
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Traumatic Childbirth

4/7/2020

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By Penny Simkin| Oct 30, 2015
"Author and educator, Penny Simkin offers an introduction to the serious topic of traumatic childbirth including symptoms of PTSD and suggestions for facilitating postpartum recovery from a traumatic birth experience. 

Traumatic childbirth occurs in as many as 25-34 percent of all births. Approximately one-third of those women may develop Posttraumatic Stress Disorder (PTSD). 

For more information, visit pattch.org. Penny is one of the founders of PATTCh, Prevention and Treatment of Traumatic childbirth, whose vision is "a world where women, infants and families, experience optimal physical and mental health in pregnancy, childbirth, and the postpartum period." 
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The Anxiety I had While Breastfeeding Is a Real Condition

4/7/2020

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Research on this condition is only about 10 years in the making. 
By Julie Revelant 
"When I had my first child six years ago, I was grateful breastfeeding turned out to be, for the most part, a smooth ride. 

After a visit with the hospital lactation consultants, who showed me the best breastfeeding positions and gave me the support I needed, I was on my way, and continued to breastfeed exclusively for the next 12 months. 

In those early months, though, I'd experience something odd-and often frightening-that I never told anyone about. When my daughter latched on and my milk let down, an intense feeling of anxiety, panic, and doom would wash over my entire body. For a brief moment-about 20 to 30 seconds-I had a sudden irrational fear that something bad was going to happen. 

And as quickly as the feelings came, they went. 

It was always unsettling and, at times, scary, but becuase I had struggled with anxiety for as long as I could remeber, I chalked it up to biology and hormones. 

When I gave birth to my second child two years later, I wasn't surprised those same feelings surfaced once again. It was still unsettling, but thankfully, it didn't affect my ability to breasfeed her for 13 months. 

Yet it continued to nag at me, and as a health journalist, I wanted to know why I'd often write about breastfeeding, and when I asked my sources if this was common, most of them had no idea what I was talking about. Then one day, I spoke with a lactation consultant and she told me what I had experienced  was real and it had a name: D-MER: Dysphoric Milk Ejection Reflex.  
Learn More About Anxiety During Breastfeeding
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New Mothers don't get enough sleep. That needs to change.

4/6/2020

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By Sara Petersen| February 12, 2020 at 11:30 AM EST
"He only sleeps if he's being held," I told my pediatrician at my son's 2 week checkup. "Or," I paused, fearful of shame, "in the swing."

Without looking up from his doctor computer thing, my pediatrician immediately lectured me about safe sleep and SIDS. When I told him we had tried everything and nothing else worked and sleep deprivation had plunged me into postpartum depression after the birth of my two older kids, he lectured me about therapy. When I told him I was on Zoloft and in  weekly communication with my therapist, he told me to hang in there. 

I left the office in tears, feeling unsupported, feeling as though I had no workable options, and mostly feeling as though I was somehow wrong, that I was a bad mother. 

To many mothers, my story is simply another drop in the bucket of ways our health-care system abandon mothers. Babies recieve at least six well-visits with their pediatricians in the first year of life. The mothers of those babies, whose bodies and emotional lives have been entirely upended, recieve one well-visit. 

I was lucky enough to turn to my postpartum doula after that demoralizing appointment, and together, we had a nuanced conversation on how to attend to my son's sleep safety while also prioritizing my own sleep needs so I could show up for my family and feel like myself. 

But far too many mothers are left unsupported and exhausted, desperate for sleep."
Read More About How New Mothers Need More Sleep
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When Miscarriage Happens Again and Again

4/6/2020

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How women find the strength to endure multiple pregnancy losses
February 9, 2020| By Meghan Holohan
"Soon after getting married, Jenn and Phil Tompkins learned they were expecting a baby. Tompkins had always dreamed of being a mother and wanted to start her family as soon as possible. At six weeks pregnant, she excitedly announced it on Facebook. 

"It's not a fantastic thing to do on multiple levels because once you announce it, not everyone gets the un-announcement," Tompkins, 43, of Freeport, Pennsylvania, told TODAY Parents. 

When Tompkins went to her eight week ultrasound, she worried when the technician kept asking her questions. 

"She asked if we were sure on our date, which I thought was a weird question, and she turned the screen away and said she had to come back," Tompkins explained. 

The tech returned with the doctor and they shared the news. 

"The baby stopped developing and did not have a heartbeat," Tompkins said. "That day our world changed." 

The doctor advised the couple wait for Tompkins body to heal before trying again. Soon after, Tompkins got pregnant again and miscarried. A third time, Tompkins became pregnant and lost the baby. After her third miscarriage, her doctor recommended she visit a maternal-fetal specialist who could test the couple to try to understand why the miscarriage kept happening. Before they even tried any treatments, Tompkins became pregnanct again." 
Read More About The Challenges Of Repeated Miscarriages
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How Hospitals Changed Their Approach to Stillbirth

4/1/2020

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Grieving patients are encouraged to see and hold their stillborn infacnts--and in some cases even bring them home. 
By Sarah Zhang February 12, 2020

Katie Marin/The Atlantic 

"AARHUS, Denmark-When Ane Petrea Ornstrand's daughter was stillborn at 37 weeks, she and her husband spent five days in the hospital grieving with their dead daughters body. They held her and cried. They took photos. They welcomed family and freinds and visitors. And then they brought her home for four more days, where she lay on ice packs that they changed every eight hours. 

If you had asked Ornstrand before she herself went through this in 2018, she might have found it strange or even morbid. She's aware, still, of how it can sound. "Death is such a taboo," she says. "You have to hurry, get the dead out, and get them buried in order to move on. But that's not how things work." In those moments with her daughter, it felt like the most natural thing to see her, to hold her, and to take her home. The hospital allowed--even gently encouraged--her to do all that. 

This would have been unthinkable 30 or 40 years ago, when standard hospital practice was to take stillborn babies away soon after birth. "It was and have another and forget about it," says, Dorte Hvidtjorn, a midwife at Aarhus University Hospital. Since then, a revolution in thinking about stillbirth has swept throught hospitals, as the medical profession began to recognize the importance of the parent-child bond even in mourning. These changes have come to American hospitals, too."

Read more about how hospitals are changing their approach to stillbirth
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What All Moms-to-Be Needs, Which Has Zero to Do with a Baby Registry.

4/1/2020

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Medically reviewed by Carissa Stephens, RN, CCRN, CPN on March 3, 2020--Written By Margarita Tartakovsky, MS
"We're advised to plan our registries and plan our births, but what about planning for our mental health?

I distinctly remember standing in the bedding aisle at Babies "R" Us (RIP) for 30 minutes, simply staring. 

I spent longer than that trying to figure out the best bottles and stroller and swing for our baby girl. These decisions, at the time, seemed life or death. 

Yet I barely spent anytime on what's truly important: my mental health. 

Of course, I am not alone. Many of us spend hours researching the right crib, care seat, and paint color for our baby's room. We pen meticulous birth plans, hunt for the best pediatrician, and secure solid child care. 

And while these are critical, too (the paint color perhaps less so), ouir mental health becomes an afterthought--if we think about it at all." 
Read more about the importance of prioritizing mental health for every mom
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How To Give Advice: Less Fixing, More Listening

2/26/2020

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By Meredith Goldstein

​Becky Harlan/NPR

"I've been the relationship advice columnist at The Boston Globe for more than a decade. That means I've answered thousands of letters from the lovelorn. 

But when friends and family ask for advice, it's more complicated. It can be fraught-sometimes I know too much and it can be difficult to remain objective. 

Also, if I don't get it right, I could hurt someone I love.

I think it works that way for a lot of us. Helping a stranger can be easier than advising someone we've known forever. 

That's why I teamed up with Life Kit to figure out some best practices. Turns out, good advice is often about loosening the body, opening the mind and, more often than not, keeping your mouth shut."

READ MORE the best practices for giving advice: less fixing, more listening
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NICU Nurses Babywearing Proves They are the Best People on Earth

2/10/2020

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July 4, 2019
By Lana Hallowes
"How awesome are these NICU nurses? They are going about their important tasks while babywearing the bubs they care for when their parents aren’t able to."

​Nurses ROCK

"The photos, shared by Kangatraining Austrailia show the hardworking nurses in Neonatal Intensive Care Unit (NICU) in Germany doing what they do best-loving and caring for needy babies.

As any babywearing mama, or dad, will know, all babies love to be held close and carried, with the movement soothing them and often putting them to sleep."
Read more about hard working nicu nurses loving and caring for needy babies
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NPR: Special Series

1/29/2020

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Women's Mental Health At Key Stages In Life

Photo: Katherine Streeter for NPR
​Menopause Can Start Younger Than You Think: Here's What You Need To Know

By Emily Vaughn & Rhitu Chatterjee
"Would you recognize the signs that your body is going through the big hormonal changes that lead to menopause? Here's what to look for-and what you can do about it."

"Sarah Edrie says she was about 33 when she started to occasionally get a sudden, hot, prickly feeling that radiated into her neck and face, leaving her flushed and breathless. "Sometimes I would sweat. And my heart would race," she says. The sensations subsided in a few moments and seemed to meet the criteria for a panic attack. But Edrie, who has no personal or family history of anxiety, was baffled.

She told her doctor and her gynecologist about the episodes, along with a few other health concerns she was starting to notice: Her menstrual cycle was becoming irregular, she had trouble falling asleep and staying asleep, and she was getting night sweats. Their response: a shrug.

It wasn't until Edrie went to a fertility clinic at age 39 because she and her partner were having trouble conceiving that she got answers. "They were like, 'Oh, those are hot flashes. It's because you're in perimenopause,' " she says.
​
If you haven't heard the term "perimenopause," you're not alone. Often when women talk about going through menopause, what they're really talking about is perimenopause, a transitional stage during which the body is preparing to stop ovulating, says Dr. Jennifer Payne, who directs the Women's Mood Disorders Center at Johns Hopkins University."

Read more about menopause and its effects on women's mental health
HOW PUBERTY, PREGNANCY AND PERIMENOPAUSE AFFECT MENTAL HEALTH
Listen to the four podcasts below:
"January 14, 2020 • NPR's Morning Edition explores the key reproductive shifts in women's lives — puberty, pregnancy and perimenopause — and how the changes during those times could impact mental and emotional health."
"​January 16, 2020 • Women with a history of depression and anxiety are at a higher risk of having a flare-up during the time leading up to menopause. And getting doctors to take the issue seriously can be challenging."
"​January 15, 2020 • Nearly 1 in 7 women suffers from depression during pregnancy or postpartum. But very few get treatment. Doctors in Massachusetts have a new way to get them help."
"​January 17, 2020 • NPR's Rachel Martin talks to menopause expert Dr. JoAnn Pinkerton, division director of the Midlife Health Center at the University of Virginia, who answers listeners' questions."
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Feeding a Preemie Means Swallowing Your Pride

1/29/2020

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Photo: via Sarah DiGregorio

​"My daughter’s health needs changed the way I think about food, control and pleasure."
​By Sarah DiGregorio
"If eating is about pleasure, at least for me, cooking is about control. Knowing how to make onions sizzle gently in oil and start to go limp, then transparent, then light brown, then sweet and dark. It’s a transformation that’s entirely predictable, a product of muscle and sense memory. If I pay attention in the kitchen, if I am careful, nothing goes wrong.

When I was pregnant, I worked at Food & Wine magazine. Editing recipes, the biggest part of my job at the time, is a meticulous and satisfying exercise in imagining all the mistakes that could be made in a kitchen and then trying to prevent them.

It was 90 degrees out as my stomach started to swell, but in the office we were cooking and tasting crunchy escarole salads, potato gratin, roasts and gravy, butter cookies and layer cakes. Summer at a monthly cooking magazine is about Thanksgiving, and then the holidays.

I liked to think of my daughter growing plump and happy and smart on everything I ate. Though I’d cut out alcohol, raw fish and cured meats, I ate everything else the test kitchen produced, imagining that this was the embryonic beginning of giving her a healthy, pleasurable relationship with food and her body. “Eating for two” is an irritating phrase, but I saw it as the first benefit of being alive that I could share with her.
Despite my well-laid plans, it turned out the placenta was failing.
​
My daughter was not, actually, living the fetal high life. My body was keeping all that good food for itself — the snow-white slice of coconut layer cake, the bitter sautéed winter greens. First she fell off her growth curve and then, a fetus slowly starving, her body ground to a halt. She was not safe inside me, so the doctors took her out nearly 12 weeks early, an emaciated, shivery bundle, a 1-pound 13-ounce creature of skin and bones."
Read more about the challenges of feeding a preemie
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Be The Warrior Not The Worrier

1/15/2020

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By Angela Ceberano
"What if there was a way to systematically fight every single fear you have?

Angela has worked in public relations for over a decade, gaining invaluable experience and contacts throughout the industry. In the last ten years, Angela has represented some of the biggest international celebrities and brands. At 28 she saw an opportunity to create a new-school PR agency that was obsessed and addicted to results. Angela began Australian based Flourish PR in February 2010 and the business has grown from a home office into a busy dynamic agency. Angela runs a dedicated team of publicists and creatives who are new school thinkers in the world of PR."
​This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at http://ted.com/tedx
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The Brain Changing Benefits of Exercise

8/27/2019

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By: Dr. Wendy Suzuki, Ted Talk
Wendy Suzuki is researching the science behind the extraordinary, life-changing effects that physical activity can have on the most important organ in your body: your brain.

"What's the most transformative thing that you can do for your brain today? Exercise! says neuroscientist Wendy Suzuki. Get inspired to go to the gym as Suzuki discusses the science of how working out boosts your mood and memory -- and protects your brain against neurodegenerative diseases like Alzheimer's."

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The Power of Setting Meaningful, Achievable Goals

5/3/2019

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Setting meaningful goals can help manage symptoms of anxiety and depression. By setting meaningful goals, you eliminate feelings of being lost or stagnant in life and create a clear path for achieving your goals. This clear path and your connection to the "why" will help you stay motivated by keeping your focus on achieving such a meaningful goal. You'll have the ability to visualize your success. 
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​SANDRA RODRIGUEZ-SIUTS, PH.D., LLC 

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