Season 2, Episode 8: ACEs Adverse Childhood Experiences

We hope you enjoy this last episode of “Just Us: Before, Birth, and Beyond”! Today, we are listening to host Dr. Suzanne Dixon interview brothers Canyon Woodward and Dr. Rivers Woodward. They discuss the importance of listening to patients, how building relationships makes care in a small town better, and more! Listen in if you are interested in bringing care of rural patients or would like a better understanding of the nuances of small town care. 

Canyons Book: https://www.amazon.com/Dirt-Road-Revival-Rebuild-Politics/dp/080700751X 

Project Promise: https://mahec.net/rhi/project-promise 

Dirt Road Organizing: https://www.dirtroadorganizing.org/ 

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Are you wondering the best practices for putting infants to sleep? Listen to Megan Canady and Katlyn Moss in defining the updated guidelines for safe sleeping practices to share with parents of infants. They will be answering parents' most-asked questions about new products and how to encourage patients to ask for help in this immensely important aspect of a child's growth. We hope you enjoy it, and find this helpful for your care!

Safe Sleep; American Academy of Pediatrics:

https://www.aap.org/en/patient-care/safe-sleep/

Safe Sleep North Carolina: 

https://safesleepnc.org

You Quit Two Quit: 

https://youquittwoquit.org

University of Notre Dame; Mother-Baby Behavioral Sleep Laboratory:  

https://cosleeping.nd.edu

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Join Irene Ulrich (PharmD, BCACP, CPP) and Dr. Chase Harless (DrPH, MSW) in their discussion of the MAHEC Gender Clinic, and how it came to be at the forefront of “Gender Affirming Care” in Western North Carolina. If you would like to learn more about what MAHEC has done to assist people in their gender identity experience, and explore the transformative power of inclusive support systems at MAHEC, come join us in “MAHEC Gender Health Clinic!”
MAHEC Gender Health Clinic Webpage: https://mahec.net/family-health/gender-health-clinic
Department of Health & Human Services; Gender-Affirming Care and Young People: https://opa.hhs.gov/sites/default/files/2022-03/gender-affirming-care-young-people-march-2022.pdf
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We have all heard about anemia, but have you ever thought about the significance behind treating it in a sensitive population, like pregnant mothers? Tune in as Dr. Suzanne Dixon and Katlyn Moss BSN define anemia during pregnancy; especially highlighting the importance of screening for anemia regularly. Treating anemia during pregnancy can decrease the risk of maternal morbidity, problems with breastfeeding, and decrease the occurrence of neuro-development disorders and low-birth weight. This episode will foreground the lab numbers and procedures to best treat anemia in pregnancy.
California Maternal Quality Care Collaborative Toolkits:https://www.cmqcc.org/resources-tool-kits/toolkits
Anemia is included in the OB Hemorrhage Toolkit:https://www.cmqcc.org/resources-tool-kits/toolkits/ob-hemorrhage-toolkit
WNC Perinatal Providers Toolbox https://mahec.net/regional-initiatives/mhi-clinical-resources
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Join us in listening to Michael Hall illustrate the importance of fatherhood, which is an angle we don’t normally hear from in the maternal health realm. Cindy McMillan asks Michael about his experience as a father through the whole process of bringing new life into the world. He discusses the importance of practicing “Hands on Fatherhood,” and how this change can make the birthing process and postpartum healthier for the mother and the child. If you want to hear more about Michael’s personal experiences as a father, tune into “Voice of a Father!” 

TED Talk on Trauma and Resilience by Charles Hunt   https://www.youtube.com/watch?v=3qELiw_1Ddg

What are ACEs?  https://developingchild.harvard.edu/resources/aces-and-toxic-stress-frequently-asked-questions/

Generation 2 Generation (G2G) Facebook Page: 

https://www.facebook.com/G2GMDTMT?mibextid=ZbWKwL

My Daddy Taught Me That Website:

https://mydaddytaughtmethat.org/

Sistas Caring 4 Sistas:

https://www.sistascaring4sistas.org/

Trinity Methodist Church, Asheville, NC  https://trinitywavl.org

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 Tune in this week to hear Drs. Dixon and Borders discuss the history of abortion care in the United States, why abortion is considered healthcare, and more! Don’t miss this rich and informative discussion. 

Links: 

ACOG Policy Statement on Abortion Care

https://www.acog.org/clinical-information/policy-and-position-statements/statements-of-policy/2022/abortion-policy 

ACOG Abortion Topic page 

https://www.acog.org/topics/abortion 

ACOG “Abortion is Healthcare” Page

https://www.acog.org/advocacy/facts-are-important/abortion-is-healthcare 

ACOG Policy Priorities 

https://www.acog.org/advocacy/policy-priorities/abortion-access 

NC Medical Society Policy Statement

https://ncmedsoc.org/policy-manual-topic/access-to-comprehensive-reproductive-health-care/ 

Registered to Vote?

https://www.nc.gov/living/voting 

Map of Abortion Access in US

 https://states.guttmacher.org/policies/ 

Abortion Finder

https://www.abortionfinder.org/?gclid=CjwKCAjw7fuJBhBdEiwA2lLMYZpVhEmPqa07li6KICLMY8DvGD3sRJXGEJxkgaSjnNIFCqt8DVGOyBoCR_EQAvD_BwE 

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Have you ever wondered what it is like for women to go through a pregnancy while incarcerated? Kristie Williams shares her personal experience of pregnancy and the birth of her twins while in prison. She calls providers into action while they are caring for incarcerated pregnant women, and to remind them of their humanity and provide the utmost empathy. Megan and Kristie also discuss the new legislation in place to aid incarcerated women during their pregnancy. Join us as we strive to raise awareness, advocate for change, and empower women. 

Incarcerated Women’s Health Website:  https://incarceratedwomenshealth.org

Providing Care to Incarcerated Pregnant Patients: A Training for North Carolina Healthcare Professionals: https://incarceratedwomenshealth.org/resources-for-healthcare-professionals/

Corrections Staff Training:  https://incarceratedwomenshealth.org/resources-for-corrections-legal-professionals/

Dignity for Women Who are Incarcerated Act https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H608v5.pdf

Advocacy and Research on Reproductive Wellness of Incarcerated People: 

https://arrwip.org/ 

National Council for Incarcerated and Formerly Incarcerated Women and Girls:

https://www.nationalcouncil.us

Alcohol and Drug Council of NC perinatal section: https://www.alcoholdrughelp.org/perinatal

Women’s Recovery Conference:   https://pub.mahec.net/wrc/index.php

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Listen to this week’s episode to get an understanding of the Maternal health Innovations grant, which coincidentally (or not), funds this podcast! Join five family medicine providers as they discuss the projects they are working on that contribute to the world of maternal health in all of North Carolina. 

“I Gave Birth” Bracelets: https://www.mombaby.org/2023/erase-maternal-mortality/ 

IMPLICIT: https://www.fmec.net/implicit 

Maternal Health Innovation Grant Resources: https://mahec.net/regional-initiatives/maternal-health-innovations-grant 

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There are countless factors that engage in the bigger picture of a patient's health, notably Adverse Childhood Experiences, or ACEs. Dr. Joshua Gettinger talks with Dr. Amy Santin, to reveal a myriad of statistics that demonstrate the emphasis on early childhood experiences and how their background can affect a patients’ health long term. We hope you enjoy this illuminating episode! 

TED Talk: 

 “How Childhood Trauma Affects Health Across a Lifetime,” Dr. Nadine Burke Harris https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime?language=en

 Book:   

The Deepest Well: Healing the Long-Term Effects of Childhood Trauma and Adversity, by Dr. Nadine Burke Harris

 Methods to Assess Adverse Childhood Experiences of Children and Families: Toward Approaches to Promote Child Well-being in Policy and Practice, Academic Pediatrics, Dr. Christina Bethell, et al   https://www.academicpedsjnl.net/article/S1876-2859(17)30324-8/fulltext

 Positive Childhood Experiences and Adult Mental and Relational Health in a Statewide Sample: Associations Across Adverse Childhood Experiences Levels, JAMA Pediatrics, Dr. Christina Bethell, et al   https://jamanetwork.com/journals/jamapediatrics/fullarticle/2749336

 The Data behind Adverse Childhood Experiences (ACEs) and Resilience, Dr. Christina Bethell, https://bhdp.sccgov.org/sites/g/files/exjcpb716/files/t2-data-behind-aces-and-resilience-10-20-16.pdf

 PACEs Connection: 

 https://www.pacesconnection.com/

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Use Medicaid dollars for social determinants of health? That is what the Healthy Opportunities Pilot, right here in Western North Carolina, is trying to do. Take a listen to this week's episode to hear Katlyn Moss, BSN interview the director of this new and innovative program, Dr. Laurie Stradley. Find out how  this program can benefit YOUR patients! 

Call HOP: 828-278-9900

https://impacthealth.org/healthy-opportunities-pilot/ 

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