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Dr. Lorraine and Dr. Brie join HeHe to discuss the critical and often overlooked topic of obstetrical violence. In this eye-opening episode, they break down what obstetrical violence is, its impact on women globally, including psychological trauma and avoidable morbidity, and how it violates human rights. The discussion highlights the importance of informed consent, respectful maternity care, and midwifery as potential solutions. The duo also emphasizes the need for systemic changes within the healthcare system to prevent obstetrical violence and improve maternal outcomes. Tune in to learn about practical steps women can take to avoid birth trauma and the crucial role of midwifery in transforming maternity care. Understanding Obstetrical Violence Examples and Impact of Obstetrical Violence Legal Recourse and Advocacy The Iceberg Analogy and Measurement Tools Respectful Maternity Care and Systemic Issues Transparency and Hospital Reporting Midwifery Care and Trauma Prevention Systemic Obstacles and Solutions Navigating the Complexities of U.S. Healthcare Challenges Faced by Healthcare Providers The Impact of Insurance on Birth Choices Midwifery Care and Its Benefits Policy and Systemic Barriers The Role of Consumer Advocacy Future Directions and Solutions Connecting and Collaborating for Change Guest Bio: Lorraine M. Garcia, PhD, WHNP-BC, CNM does research on the problem of obstetric violence in the US maternity care system and the public health and ethical duties to implement solutions. She also works as a Certified Nurse Midwife with experience in home birth, birth center, and hospital-based care. Lorraine is a reproductive justice advocate and frames most of her research with critical lenses from healthcare systems science, structural and organizational theories, and social justice in nursing. Her perspective on the systemic, normalized abuse and mistreatment of childbearing people is aligned with advocacy workers, interdisciplinary scientists, and all interested and affected parties working to end obstetric violence and achieve birth equity. Dr. Brie Thumm is an Assistant Professor at the University of Colorado College of Nursing. She has been practicing midwifery domestically and internationally since 2001 when she completed her Masters in the Science of Nursing at Yale University. She obtained her MBA in Healthcare Administration at Baruch College in New York City and her PhD in health systems research at University of Colorado College of Nursing. Her area of research is perinatal workforce development to address disparities in maternal health outcomes and improve the well-being of health care professionals. Prior to her current position, Brie provided care at Planned Parenthood of New York City, served as the Assistant Director of the Sexual Assault Response Team for the Manhattan public hospitals, conducted mental and behavioral health research at the Rocky Mountain Regional Veteran's Affairs Medical Center, and led the clinical and research arms of the Maternal Mortality Prevention Program at the Colorado Department of Public Health and Environment. She continues to practice clinically at Denver Health. SOCIAL MEDIA: Connect with HeHe on IG Connect with Lorraine on IG Connect with Lorraine on LinkedIn BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience! Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone! LINKS: Lorraine's website: https://www.makingbirthbettertogether.com/ Lorraine's Online Store:https://makingbirthbetterstore.com/ Use code References: Association of Women's Health, Obstetric and Neonatal Nurses. (2022). Respectful maternity care framework and evidence-based clinical practice guideline. Nursing for Women's Health, 26(2), S1−S52. https://doi.org/10.1016/j.nwh.2022.01.001 Beck, C. T. (2018). A secondary analysis of mistreatment of women during childbirth in healthcare facilities. Journal of Obstetric Gynecologic and Neonatal Nursing, 47(1), 94−104. https://doi.org/10.1016/j.jogn.2016.08.015 Borges, M. T. (2018). A violent birth: Reframing coerced procedures during childbirth as obstetric violence. Duke Law Journal, 67(4), 827−862. Carlson, N. S., Neal, J. L., Tilden, E. L., Smith, D. C., Breman, R. B., Lowe, N. K., Dietrich, M. S., & Phillippi, J. C. (2019). Influence of midwifery presence in United States centers on labor care and outcomes of low-risk parous women: A Consortium on Safe Labor study. Birth, 46(3), 487-499. https://doi.org/10.1111/birt.12405 Chadwick, R. (2021). The dangers of minimizing obstetric violence. Violence Against Women, 29(9), 1899−1908. https://doi.org/10.1177/10778012211037379 Cohen Shabot, S. (2021). Why ‘normal' feels so bad: Violence and vaginal examinations during labour: A (feminist) phenomenology. Feminist Theory, 22(3), 443−463. https://doi.org/10.1177/1464700120920764 Cooper Owens, D. (2017). Medical bondage: Race, gender, and the oigins of American gynecology. University of Georgia Press. Crear-Perry, J., Correa-de-Araujo, R., Lewis Johnson, T., McLemore, M. R., Neilson, E., & Wallace, M. (2021). Social and structural determinants of health inequities in maternal health. Journal of Women's Health, 30(2), 230−235. https://doi.org/10.1089/jwh.2020.8882 Davis, D. A., Casper, M. J., Hammonds, E. & Post, W. (2024). The continued significance of obstetric violence: A response to Chervenak, McLeod-Sordjan, Pollet et al. Health Equity, 8, 513-518. https://www.liebertpub.com/doi/10.1089/heq.2024.0093 Davis, D. A. (2019). Obstetric racism: The racial politics of pregnancy, labor, and birthing. Medical Anthropology, 38(7), 560-573. https://doi.org/10.1080/01459740.2018.1549389 Garcia, L. M. (2020). A concept analysis of obstetric violence in the United States of America. Nursing Forum, 55(4), 654−663. https://doi.org/10.1111/nuf.12482 Garcia, L. M. (2021). Theory analysis of social justice in nursing: Applications to obstetric violence research. Nursing Ethics, 28(7−8). https://doi.org/10.1177/0969733021999767 Garcia L. M. (2023). Obstetric violence in the United States and other high-income countries: An integrative review. Sexual and Reproductive Health Matters, 31(1), 2322194. https://doi.org/10.1080/26410397.2024.2322194 Garcia, L. M., Jones, J., Scandlyn, J., Thumm, E. B., & Shabot, S. C. (2024). The meaning of obstetric violence experiences: A qualitative content analysis of the Break the Silence campaign. International Journal of Nursing Studies, 160, 104911. https://doi.org/10.1016/j.ijnurstu.2024.104911 Hardeman, R. R., Karbeah, J., Almanza, J., & Kozhimannil, K. B. (2020). Roots Community Birth Center: A culturally-centered care model for improving value and equity in childbirth. Healthcare, 8(1). https://doi.org/10.1016/j.hjdsi.2019.100367 Howell, E. A., & Zeitlin, J. (2017). Improving hospital quality to reduce disparities in severe maternal morbidity and mortality. Seminars in Perinatology, 41(5), 266−272. https://doi.org/10.1053/j.semperi.2017.04.002 Jolivet, R. R., Gausman, J., Kapoor, N., Langer, A., Sharma, J., & Semrau, K. E. A. (2021). Operationalizing respectful maternity care at the healthcare provider level: A systematic scoping review. Reproductive Health, 18(1), 194. https://doi.org/10.1186/s12978-021-01241-5 Julian, Z., Robles, D., Whetstone, S., Perritt, J. B., Jackson, A. V., Hardeman, R. R., & Scott, K. A. (2020). Community-informed models of perinatal and reproductive health services provision: A justice-centered paradigm toward equity among Black birthing communities. Seminars in Perinatology, 44(5). https://doi.org/10.1016/j.semperi.2020.151267 Logan, R. G., McLemore, M. R., Julian, Z., Stoll, K., Malhotra, N., GVtM Steering Council, & Vedam, S. (2022). Coercion and non-consent during birth and newborn care in the United States. Birth (Berkeley, Calif.), 49(4), 749–762. https://doi.org/10.1111/birt.12641 Margulis, J. (2013). The business of baby. Scribner. Mena-Tudela, D., González-Chordá, V. M., Soriano-Vidal, F. J., Bonanad-Carrasco, T., Centeno-Rico, L., Vila-Candel, R., Castro-Sánchez, E., & Cervera Gasch, Á. (2020). Changes in health sciences students' perception of obstetric violence after an educational intervention. Nurse Education Today, 88, https://doi.org/10.1016/j.nedt.2020.104364 Morton, C. H., & Simkin, P. (2019). Can respectful maternity care save and improve lives?. Birth (Berkeley, Calif.), 46(3), 391–395. https://doi.org/10.1111/birt.12444 Neal, J. L., Carlson, N. S., Phillippi, J. C., Tilden, E. L., Smith, D. C., Breman, R. B., Dietrich, M. S., & Lowe, N. K. (2019). Midwifery presence in United States medical centers and labor care and birth outcomes among low-risk nulliparous women: A Consortium on Safe Labor study. Birth (Berkeley, Calif.), 46(3), 475–486. https://doi.org/10.1111/birt.12407 Nelson, H. O. (2022). Conflicted care: Doctors navigating patient welfare, finances, and legal risk. Stanford University Press. Niles, P. M., Baumont, M., Malhotra, N., Stoll, K., Strauss, N., Lyndon, A., & Vedam, S. (2023). Examining respect, autonomy, and mistreatment in childbirth in the U.S.: Do provider type and place of birth matter? Reproductive Health, 20(1), 67. https://doi.org/10.1186/s12978-023-01584-1 Oparah, J. C., Arega, H., Hudson, D., Jones, L., & Oseguera, T. (2018). Battling over birth: Black women and the maternal health care crisis. Praeclarus Press. Salter, C., Wint, K., Burke, J., Chang, J. C., Documet, P., Kaselitz, E., & Mendez, D. (2023). Overlap between birth trauma and mistreatment: A qualitative analysis exploring American clinician perspectives on patient birth experiences. Reproductive Health, 20(1), 63. https://doi.org/10.1186/s12978-023-01604-0 Scott, K. A., Britton, L., & McLemore, M. R. (2019). The ethics of perinatal care for Black women: Dismantling the structural racism in "Mother Blame" narratives. The Journal of Perinatal & Neonatal Nursing, 33(2), 108–115. https://doi.org/10.1097/JPN.0000000000000394 Smith, D. C., Phillippi, J. C., Lowe, N. K., Breman, R. B., Carlson, N. S., Neal, J. L., Gutierrez, E., & Tilden, E. L. (2020). Using the Robson 10-group classification system to compare cesarean birth utilization between US centers with and without midwives. J Midwifery Womens Health, 65(1), 10-21. https://doi.org/10.1111/jmwh.13035 Smith, S., Redmond, M., Stites, S., Sims, J., Ramaswamy, M., & Kelly, P. J. (2023). Creating an agenda for Black birth equity: Black voices matter. Health Equity, 7(1), 185−191. https://doi.org/10.1089/heq.2021.0156 Thumm, E. B., & Flynn, L. (2018). The five attributes of a supportive midwifery practice climate: A review of the literature. Journal of Midwifery & Women's Health, 63(1), 90−103. https://doi.org/10.1111/jmwh.12707 Thumm, E. B., & Meek, P. (2020). Development and initial psychometric testing of the Midwifery Practice Climate Scale. Journal of Midwifery & Women's Health, 65(5), 643−650. https://doi.org/10.1111/jmwh.13142 Thumm, E. B., Shaffer, J., & Meek, P. (2020). Development and initial psychometric testing of the Midwifery Practice Climate Scale: Part 2. Journal of Midwifery & Women's Health, 65(5), 651−659. https://doi.org/10.1111/jmwh.13160 Thumm, E. B., Smith, D. C., Squires, A. P., Breedlove, G., & Meek, P. M. (2022). Burnout of the U.S. midwifery workforce and the role of practice environment. Health Services Research, 57(2), 351−363. https://doi.org/10.1111/1475-6773.13922 Williams, C. R., & Meier, B. M. (2019). Ending the abuse: The human rights implications of obstetric violence and the promise of rights-based policy to realise respectful maternity care. Sexual and Reproductive Health Matters, 27(1). https://doi.org/10.1080/26410397.2019.1691899 Yarrow, A. (2023). Birth control: The insidious power of men over motherhood. Seal Press. Zhuang, J., Goldbort, J., Bogdan-Lovis, E., Bresnahan, M., & Shareef, S. (2023). Black mothers' birthing experiences: In search of birthing justice. Ethnicity and Health, 28(1), 46−60. https://doi.org/10.1080/13557858.2022.2027885
This week Tee is delighted to welcome Kelly Durbin to the show for an enlightening and unique conversation about sustainable infant feeding and the power of human milk. Kelly is an International Board-Certified Lactation Consultant (IBCLC), childbirth educator, author, and volunteer breastfeeding counselor. She has co-authored original research on breastfeeding topics, including access to lactation care, community breastfeeding support, tele-lactation, and community vulnerability, published in numerous top-tier peer-reviewed academic journals. Kelly's book, Protecting Your Potential for Breastfeeding, published by Praeclarus Press, became available in June 2023. As a lactation consultant, Kelly has provided one-on-one consultations, taught numerous breastfeeding classes, and has conducted nine lactation support groups in five US states, offering evidence-based information, practical support, and compassionate care to hundreds of families since 2008. Kelly is the Curriculum Development Coordinator for Childbirth International. In this chat, Kelly guides listeners through the various benefits and advantages of natural breastfeeding for infant health and the environment. She breaks down the many wasteful practices employed by big-formula while also offering a sympathetic and understanding voice for mothers who have no other alternative. Tee and Kelly also address the many policies that could positively impact higher breastfeeding rates such as paid family leave. In conclusion, Kelly speaks to the advantages that prolonged breastfeeding has on reducing the number of feminine hygiene products that end up in landfills each month! Connect with Kelly: Website LinkedIn Instagram Book ___________________________________ Follow Therese "Tee" Forton-Barnes and The Green Living Gurus: Tee's Organics - Therese's Healthy Products for You and Your Home: The Green Living Gurus Website Instagram Youtube Facebook Healthy Living Group on Facebook Tip the podcaster! Support Tee and the endless information that she provides: Patreon Venmo: @Therese-Forton-Barnes last four digits of her cell are 8868 For further info contact Tee: Email: Tee@TheGreenLivingGurus.com Cell: 716-868-8868 DISCLAIMER: ALL INFORMATION PROVIDED HERE IS GENERAL GUIDANCE AND NOT MEANT TO BE USED FOR INDIVIDUAL TREATMENT. PLEASE CONTACT YOUR PROVIDER OR DOCTOR FOR MEDICAL ADVICE. Produced by Social Chameleon
Dr. Kathleen Kendall-Tackett is a health psychologist and International Board-Certified Lactation Consultant, and the CEO of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett is Editor-in-Chief of the journal, Psychological Trauma and was Founding Editor-in-Chief of Clinical Lactation. Dr. Kendall-Tackett specializes in women's-health research including breastfeeding, depression, trauma, and health psychology, and has won many awards for her work including the 2019 President's Award for Outstanding Contributions to the Field of Trauma Psychology from the American Psychological Association. Dr. Kendall-Tackett has authored more than 490 articles or chapters and is author or editor of 41 books. Her most recent books include Breastfeeding Doesn't Need to Suck (2022) and Women's Mental Health Across the Lifespan (2017). Her 41st book, Depression in New Mothers, 4th Edition is in press.Dr Kendall Tackett discusses with us not only a vast range of topics specific to her work and new book but also some big and confronting topics in this episode. A warning: Dr Kendall-Tackett discusses early in the podcast about her research and work with women who have experienced sexual assault. In this episode we delve in to:Postnatal anxiety and guilt The power of oxytocin, a mother's “Spidey senses” and the vulnerability during the early daysSleep, mental health and breastfeedingPostpartum depression Placenta encapsulation and it's potential effects on milk supply. Secondary trauma in midwives and doulas and birth partners Burn out in midwives - shift based vs continuity of carer model How Adverse childhood experiences (ACE) affects adult health How women who have experienced sexual abuse prefer to engage with breastfeeding and what the research is showing. LINKS :Course Burnout among perinatal workers Book Breastfeeding doesn't need to suck: how to nurture your baby and your mental health Dr Kendall-Tackett website Dr Kendall-Tackett mentions her work with Kerstin Uvnäs Moberg Secondary Traumatic Stress and Moral Injury in Maternity Care Providers: A Narrative and Exploratory ReviewSurvivor moms companionSupport the show Produced and edited by Katie James - Support the show via our Patreon page or at BuyMeACoffee Music Joseph McDade Like this podcast? Then head over to leave us a review here Want more from Katie and Rachel? Katie's website with links to courses and moreRachel's website with links to courses, blogs, books and the collective
We all know “breast is best,” but that doesn't mean breastfeeding always comes naturally or is easy. Many moms struggle with pain, low milk supply, and other breastfeeding problems and often don't have the support they need. In this episode, I sat down with Dr. Kathleen Kendall-Tackett, a health psychologist, International Board Certified Lactation Consultant, and author of Breastfeeding Doesn't Need to Suck. She is also the owner and editor-in-chief of Praeclarus Press. Kathleen and I talk about the most common breastfeeding problems, why our breasts actually have a storage capacity, why moms quit breastfeeding, and where they can turn for help and support. We also talk about how complex trauma and mental health issues can come into play for breastfeeding moms, why the healthcare system—and society—often fails moms, and what all new moms need to know. Welcome 2:03 Let's talk about your story! 3:30 What is the biggest challenge for breastfeeding moms today? 9:00 Who should moms see to get help? 12:16 What should moms know about the effects of trauma on pregnancy, labor/delivery, postpartum health, and breastfeeding? 16:05 For moms who are pregnant or thinking about becoming pregnant, should they see a therapist to tease out these issues? 17:13 What is lacking when it comes to healthcare and support after moms give birth?23:26 What are the most common reasons moms quit breastfeeding? 23:41 How can women determine if they have a low milk supply? 27:28 Does nipple pain always have to do with an incorrect latch? 29:30 Can you talk about research that shows moms who have epidurals are less likely to exclusively breastfeed? 30:14 What are tips for moms dealing with breastfeeding problems? LINKS MENTIONED IN THE SHOW Kathleen mentions this article in the journal Clinical Lactation which found that breastfeeding moms get more sleep than moms who supplement with formula. Kathleen talks about Dr. Jack Newman. Kathleen mentions this 2008 study in JAMA Pediatrics which found that pediatricians are less likely to believe breastfeeding works. Kathleen mentions Tina Smillie. Kathleen mentions Survivor Moms' Companion. Julie mentions the book Mother Hunger, by Kelly McDaniel. Purchase a copy of Kathleen's book, Breastfeeding Doesn't Need to Suck. Learn more about Kathleen on her website. Follow Kathleen on Facebook and Twitter. FROM OUR PARTNERS Kids Cook Real Food eCourse The Kids Cook Real Food eCourse, created by a mom of 4 and a former elementary school teacher, is designed to build connection, confidence, and creativity in the kitchen. The course includes 30 basic cooking skills, 45 videos including several bonuses, printable supply and grocery shopping lists, and kid-friendly recipes. The course is designed for all kids ages 2 to teen and has three different skill levels. More than 18,000 families have taken the course and The Wall Street Journal named it the #1 cooking class for kids. Sign up now for the Kids Cook Real Food ecourse and get a free lesson for being a “Food Issues” listener. Thrive Market Thrive Market is an online membership-based market that has the highest quality, organic, non-GMO, healthy, and sustainable products. From groceries, clean beauty, safe supplements, and non-toxic home products to ethical meat, sustainable seafood, clean wine, and more, Thrive Market is where members save an average of $32 on every order! Through Thrive Gives, every paid membership sponsors a free one for a low-income family. Join Thrive Market today and get 25% off your first order and a free gift.
In response to racial health disparities in maternal mortality rates, California passed SB-464 (aka the California Dignity in Pregnancy and Childbirth Act), which mandates implicit bias training for perinatal health care providers. Sarah Garrett joins us to discuss her research on implementation of SB-464 and Linda Jones discusses the need for and importance of this recent legislation. Futher Reading: https://pretermbirthca.ucsf.edu/currently-funded-projects/multi-stakeholder-engagement-state-policies-advance-antiracism-maternal (Summary of the MEND study) Annie Dade, https://pretermbirthca.ucsf.edu/sites/g/files/tkssra2851/f/wysiwyg/Implementation%20Analysis%20of%20CA%20SB-464%20%281%29.pdf (Building Ant-Racist Capacity with California's Perinatal Healthcare Providers: Implementation Analysis of CA SB-464), UCSF California Preterm Birth Initiative, 2021. http://blackwomenbirthingjustice.com/ (Black Women Birthing Justice) Julia Oparah and Alicia Bonaparte, eds., https://www.amazon.com/Birthing-Justice-Black-Pregnancy-Childbirth/dp/1138191450 (Birthing Justice: Black Women, Pregnancy and Childbirth), Taylor and Francis, 2016. Linda Jones, Julia Chinyere Oparah, Helen Arega, et al., https://www.amazon.com/Battling-Over-Birth-Maternal-Health/dp/1946665118 (Battling Over Birth, Black Women and the Maternal Health Crisis), Praeclarus Press, 2018. https://www.m2mpostpartum.org/ (Mothers for Mothers Postpartum Justice Project) https://www.elephantcircle.net/rights (The Elephant Circle)
Kathleen chats with me about how breastfeeding protects a mother's mental health but also how mental health comes into play with successful breastfeeding and how postpartum support and health is a major player in the equation. Dr. Kendall-Tackett is a health psychologist and International Board Certified Lactation Consultant, and the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett is Editor-in-Chief of the journal, Psychological Trauma and was Founding Editor-in-Chief of Clinical Lactation, a position she held for 11 years. She is Fellow of the American Psychological Association in Health and Trauma Psychology, Past President of the APA Division of Trauma Psychology, and a member of APA's Publications and Communications Board. Visit Her Website: https://kathleenkendall-tackett.com/ Resources: Depression, Sleep Quality, and Maternal Well-Being in Postpartum Women with a History of Sexual Assault: A Comparison of Breastfeeding, Mixed-Feeding, and Formula-Feeding Mothers The Role of Breastfeeding in Protecting Mothers' Mental Health Breastfeeding Self-Efficacy, Mood, and Breastfeeding Outcomes among Primiparous Women Order Breastfeeding Doesn't Need to Suck Breastfeeding and Mental Health Guidance for Professionals I hope you enjoy listening to this podcast as much as I enjoyed making it. Our journey doesn't need to end here! Don't forget to hit that bell button to get alerts on any new episodes and if you like what you hear give the podcast a five-star review! The best time to start preparing for a better birth is during pregnancy! I've curated a checklist to help you prepare for the fear-free, in-control, informed delivery you're looking for! We've also included things like when to start planning for your baby shower when to start buying baby items, and divided everything by trimester! Get The Checklist You can also take my quiz on how to avoid a c-section and get tips on how you can avoid getting an unnecessary c- section. Just head to my website and click the banner. Instagram Website *affiliate links may be included* --- Support this podcast: https://podcasters.spotify.com/pod/show/thebirthrebel/support
MagaMama with Kimberly Ann Johnson: Sex, Birth and Motherhood
In this episode, Kimberly and Kathleen discuss connections between birth, trauma, and breastfeeding. As a researcher and writer on these subjects, Kathleen describes much of her research that centers around birth-related trauma, how trauma affects breastfeeding, as well as secondary trauma experienced by providers and birth workers. They discuss the importance of oxytocin as an antidote to stress, particularly during the early postpartum period. In addition, they discuss how many mothers, care providers, and birth workers experience secondary trauma within labor and delivery units and the importance of more substantial support and postpartum care for mothers. Bio Dr. Kendall-Tackett is a health psychologist and International Board Certified Lactation Consultant, and the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett is Editor-in-Chief of the journal, Psychological Trauma and was Founding Editor-in-Chief of Clinical Lactation. She is Fellow of the American Psychological Association in Health and Trauma Psychology, Past President of the APA Division of Trauma Psychology, and the chair-elect of APA's Publications and Communications Board. Dr. Kendall-Tackett specializes in women's-health research including breastfeeding, depression, trauma, and health psychology, and has won many awards for her work including the 2019 President's Award for Outstanding Contributions to the Field of Trauma Psychology from the American Psychological Association. Dr. Kendall-Tackett has authored more than 470 articles or chapters and is author or editor of 40 books. What She Shares: --Breastfeeding after trauma --Need for more adequate breastfeeding and postpartum care and support --Increasing oxytocin amidst stress and trauma --Mothers' mental health --Secondary trauma experienced by providers and professionals --Plans and hope for future generations in birth, postpartum, and breastfeeding support What You'll Hear: --Connections between trauma and breastfeeding --Birth trauma impacts two key hormones in breastfeeding --Important to honor mother's wishes around breastfeeding --Seeing trauma as opportunity for extra breastfeeding support instead of limiting it --Being careful not to put negative expectations on breastfeeding after trauma --In 80s started identifying birth trauma as factor of postpartum depression --Trauma and context when identifying women's mental health --Uptick in preterm births related to anxiety, stress, and depression --Fish oil/DHA in reducing risk of preterm birth --Three part stress system: Hypothalamus, Pituitary, Adrenal glands --Inflammatory response system also connected to mental health and preterm birth --Oxytocin as a stress fighter which is why breastfeeding is beneficial for mother --Supporting women's decisions and goals for breastfeeding --Tending to our bodies to feel hormonal surges and differences of baby/partner touch --Understaffed lactation consultants in hospital causing lack of support --Study shows epidurals related to lower rates of exclusively breastfeeding --Study of epidurals related to more depression despite other common factors --Postpartum hemorrhage, postpartum surgery, and epidurals all linked to postpartum depression --Needs to be competency checking in with women postpartum much earlier around breastfeeding and mental health --Lack of adequate pelvic floor health --Secondary trauma happens to providers when witnessing trauma --Secondary trauma vs. professional burn-out --Obstetricians and nurse midwives secondary trauma almost always associated with baby --Labor and Delivery nurses note when providers do something or cause unnecessary harm to mothers and babies --”Moral injury” occurs when forced to participate or witnessed something you knew what wrong --”Acts of omission” (failing to stop harm) causing secondary trauma with birth practitioners --Nurses and doulas reporting witnessing harm done they wish they stopped but couldn't --25-35% rates of secondary trauma in providers in US compared to other countries --Sanctuary trauma and institutional betrayal trauma to victims of trauma --Getting used to low-level, chronic stress and effects postpartum --Oxytocin to repair trauma --Oxytocin builders: touching a pet, infant massage, skin to skin on chest, being warm, warm bath, wanted touch, positive social interaction, etc. --Bigger goal of breastfeeding is connecting mother with baby --Importance of supporting mental health of providers --Care-providers knowing where they're vulnerable to avoid secondary trauma --Positive ways to turn off hyper-active stress responses (omega 3s, exercise, cognitive therapy and mindfulness) --Hope for moving forward in repairing traumas and systems and reclamation of birth and postpartum --Early intervention as hope against spiraling from trauma and mental illness Resources Website: https://www.kathleenkendall-tackett.com/ Book: https://stores.praeclaruspress.com/breastfeeding-doesnt-need-to-suck-how-to-nurture-your-baby-and-your-mental-health-by-kathleen-kendall-tackett/?showHidden=true
When both of her parents were diagnosed with dementia, Vicki Tapia, a lactation consultant who had coached around 10,000 mother-baby pairs, found her energies redirected to the other end of life. A lifelong writer, she soon began journaling as an outlet for the stress and strain she encountered as their long-distance caregiver. Over time, this journal became a book-length work, a memoir detailing her family's rocky road through this devastating disease. She was inspired to seek publication after many friends told her that reading her words helped them on their own dementia journeys. Her story was then published by Praeclarus Press as Somebody Stole My Iron: A Family Memoir of Dementia. It became a finalist in the 2015 High Plains Book Awards and was named "One of the best Alzheimer's books of all time" by Book Authority. Vicki is a co-founder and manager of AlzAuthors, happily serving as treasurer, acquisitions editor, and whatever else is needed. She's a lifelong traveler and has been all over the globe and the United States. When she's not busy writing, you're apt to find her out walking her dog or off on an adventure with her husband on their tandem bicycle. In this episode, we discuss the dilemma of being a long-distance caregiver to two parents with dementia at the same time, the trauma of moving her parents not once but twice, and how journaling helped her keep her sanity. Read Vicki's AlzAuthors blog post: https://alzauthors.com/2018/05/15/meet-vicki-tapia-alzauthors-admin-and-author-of-somebody-stole-my-iron/ Purchase Somebody Stole My Iron: A Family Memoir of Dementia: https://amzn.to/38dsl0o Purchase Maggie https://amzn.to/3hO80BW Note: We are an Amazon Associate and may receive a small commission from book sales. Connect with Vicki Facebook: https://www.facebook.com/SomebodyStoleMyIron/ Twitter: https://twitter.com/vicleetap Website: https://vickitapia.com/ Each season our podcast brings you six of our authors sharing their dementia journeys. Please subscribe so you don't miss a word. If our authors' stories move you please leave a review. And don't forget to share our podcast with family and friends in need of knowledge, comfort, and support on their own dementia journeys. AlzAuthors is a 501(c)(3) charitable organization totally reliant on donations to do what we do. Your generosity will help cover our many operating costs, which include website hosting and maintenance fees, service charges to keep things running smoothly, and marketing expenses to promote our authors, expand our content, improve our reach, and more. Our ongoing work supports our mission to lift the silence and stigma of Alzheimer's and other dementias. To sustain our efforts please visit https://alzauthors.com/donate/ . Thank you for listening.
When both of her parents were diagnosed with dementia, Vicki Tapia, a lactation consultant who had coached around 10,000 mother-baby pairs, found her energies redirected to the other end of life. A lifelong writer, she soon began journaling as an outlet for the stress and strain she encountered as their long-distance caregiver. Over time, this journal became a book-length work, a memoir detailing her family’s rocky road through this devastating disease. She was inspired to seek publication after many friends told her that reading her words helped them on their own dementia journeys. Her story was then published by Praeclarus Press as Somebody Stole My Iron: A Family Memoir of Dementia. It became a finalist in the 2015 High Plains Book Awards and was named "One of the best Alzheimer's books of all time" by Book Authority. Vicki is a co-founder and manager of AlzAuthors, happily serving as treasurer, acquisitions editor, and whatever else is needed. She’s a lifelong traveler and has been all over the globe and the United States. When she’s not busy writing, you’re apt to find her out walking her dog or off on an adventure with her husband on their tandem bicycle. In this episode, we discuss the dilemma of being a long-distance caregiver to two parents with dementia at the same time, the trauma of moving her parents not once but twice, and how journaling helped her keep her sanity. Read Vicki’s AlzAuthors blog post: https://alzauthors.com/2018/05/15/meet-vicki-tapia-alzauthors-admin-and-author-of-somebody-stole-my-iron/ Purchase Somebody Stole My Iron: A Family Memoir of Dementia: https://amzn.to/38dsl0o Purchase Maggie https://amzn.to/3hO80BW Note: We are an Amazon Associate and may receive a small commission from book sales. Connect with Vicki Facebook: https://www.facebook.com/SomebodyStoleMyIron/ Twitter: https://twitter.com/vicleetap Website: https://vickitapia.com/ Each season our podcast brings you six of our authors sharing their dementia journeys. Please subscribe so you don’t miss a word. If our authors’ stories move you please leave a review. And don’t forget to share our podcast with family and friends in need of knowledge, comfort, and support on their own dementia journeys. AlzAuthors is a 501(c)(3) charitable organization totally reliant on donations to do what we do. Your generosity will help cover our many operating costs, which include website hosting and maintenance fees, service charges to keep things running smoothly, and marketing expenses to promote our authors, expand our content, improve our reach, and more. Our ongoing work supports our mission to lift the silence and stigma of Alzheimer’s and other dementias. To sustain our efforts please visit https://alzauthors.com/donate/ . Thank you for listening.
Guest Description:Kathleen Kendall-Tackett, PhD, IBCLC, FAPAKathleen Kendall-Tackett is a health psychologist, International Board Certified Lactation Consultant, and the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett is Editor-in-Chief of the journal, Psychological Trauma and was Founding Editor-in-Chief of Clinical Lactation, a position she held for 11 years. She is Fellow of the American Psychological Association in Health and Trauma Psychology, Past President of the APA Division of Trauma Psychology, and a member of APA’s Publications and Communications Board, a committee that oversees all APA journals.Dr. Kendall-Tackett specializes in women's-health research including breastfeeding, depression, trauma, and health psychology, and has won many awards for her work including the 2019 President’s Award for Outstanding Contributions to the Field of Trauma Psychology from the American Psychological Association’s Division of Trauma Psychology.Dr. Kendall-Tackett has authored more than 470 articles or chapters and is author or editor of 39 books. Her most recent books include Depression in New Mothers, 3rd Edition (2017, Routledge UK), Women’s Mental Health Across the Lifespan (2017, Routledge US, with Lesia Ruglass), The Phantom of the Opera: A Social History of the World’s Most Popular Musical (2018, Praeclarus). She is editor of the Clinical Lactation Monograph series, which has 11 volumes including Breast and Nipple Pain, Milk Supply, and Tongue-Tie (Praeclarus).
Bringing a baby home can be one of the best days of a family’s life, but what happens when they also bring home birth trauma at the same time? While only 9% of women who give birth in the US experience birth PTSD, trauma can affect up to 25% of postpartum women. Today we are joined by Dr. Kathleen Kendall-Tackett, a health psychologist, IBCLC, owner of Praeclarus Press, and editor-in-chief of two peer-reviewed journals. She takes time out to talk to us about Psychological Trauma in Birth and how we can help to prevent or mitigate its effects on the mother and family. Listen and Learn: What can cause psychological birth trauma and what it looks like What would change if we always considered the impact of how we treat mothers and whether it fosters oxytocin Where parents can turn for help if trauma has occurred How trauma can be treated and minimized with quick response Resources & Mentions: The National Center for PTSD Birth Interventions Related to Lower Rates of Exclusive Breastfeeding and Increased Risk of Postpartum Depression in a Large Sample by Kathleen Kendall-Tackett
Bringing a baby home can be one of the best days of a family’s life, but what happens when they also bring home birth trauma at the same time? While only 9% of women who give birth in the US experience birth PTSD, trauma can affect up to 25% of postpartum women. Today we are joined by Dr. Kathleen Kendall-Tackett, a health psychologist, IBCLC, owner of Praeclarus Press, and editor-in-chief of two peer-reviewed journals. She takes time out to talk to us about Psychological Trauma in Birth and how we can help to prevent or mitigate its effects on the mother and family. Listen and Learn: What can cause psychological birth trauma and what it looks like What would change if we always considered the impact of how we treat mothers and whether it fosters oxytocin Where parents can turn for help if trauma has occurred How trauma can be treated and minimized with quick response Resources & Mentions: The National Center for PTSD Birth Interventions Related to Lower Rates of Exclusive Breastfeeding and Increased Risk of Postpartum Depression in a Large Sample by Kathleen Kendall-Tackett
Our guest today is Kathleen Kendall-Tackett, a health psychologist and International Board Certified Lactation Consultant, and the Owner & Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett is Editor-in-Chief of two peer-reviewed journals: Clinical Lactation and Psychological Trauma. She is Fellow of the American Psychological Association in Health and Trauma Psychology, Past President of the APA Division of Trauma Psychology, and a member of the Board for the Advancement of Psychology in the Public Interest. We will be speaking with Dr. Kendall-Tackett about violence, trauma, depression, breastfeeding, mothering and their intersection and impact in domestic violence and child custody cases. In our conversation, Dr. Kendall-Tackett and I referenced the following resources: "The startling toll on children who witness domestic violence is just now being understood" in USA Today Managing Pain Before It Manages You, by Margaret Caudill The work of Dr. Doug Drossman on the link between chronic pain and irritable bowel syndrome (IBS) "Violence against women and the perinatal period: The impact of lifetime violence and abuse on pregnancy, postpartum, and breastfeeding." Trauma, Violence and Abuse," 8(3), 344-353, by Kathleen Kendall-Tackett, 2007. American Academy of Pediatric's Guidelines on Breastfeeding "The bottle-feeding culture is alive and well: Lessons from stock photo sites," Clinical Lactation, 7(2), 45-47, by Kathleen Kendall-Tackett, 2016. "The health effects of childhood abuse: Four pathways by which abuse can influence health," Child Abuse & Neglect, 6/7, 715-730, 2002. The origins of the Adverse Childhood Experiences study and the connection between child sexual abuse and obesity --- Thanks for tuning in to the en(gender)ed podcast! Be sure to check out our en(gender)ed site and follow our blog on Medium. Consider donating because your support is what makes this work sustainable. Please also connect with us on Twitter, Instagram and Facebook. Don't forget to subscribe to the show!
In today’s episode I speak with accomplished author, health psychologist and International Board Certified Lactation Consultant, Dr. Kathleen Kendall-Tackett. We dive deeply into an important and timely discussion about racial disparity and the effects of breastfeeding and infant mortality. Black babies are more then three to four times likely to die then a white baby from pregnancy related causes. According to a recent NY Times article, black women in NYC are 12 times as likely to die due pregnancy related caused compared to white women. These staggering numbers are frightening and simply unfair. With years of research behind her, Dr Kendall-Tackett sheds some light on why these there is such disparity in women and baby health care. In this episode: What brought Dr. Kendall-Tackett to this work.Dr. Kendall-Tackett’s work on race/ethnic health disparity.The current racial disparity in terms of infant mortality and women’s health.Contributing factors that create this wide chasm of infant mortality.How trauma plays a role in the health of mother and baby.The impact trauma has on breastfeeding.The relationship between inflammation and preterm labor.Ways to lessen the chance of preterm labor for black women.The relationship between breastfeeding and infant mortality.Why black babies are still twice as likely to die as white babies.From Dr. Kendall-Tackett’s research, why black women have a higher rate of post traumatic stress symptoms following birth than both white and Hispanic women.Why black women experience more traumatic birth.Some of the barriers black women are facing in terms of successful and supportive breastfeeding.Are we seeing change happening and if so, what is helping create this change?Organizations that support breastfeeding in black communities:Reaching Our Sisters Everywhere (ROSE) More Excellent Way Health Improvement Organization (MEW) Blacktating About Dr. Kendall Tackett: Dr. Kendall-Tackett is a health psychologist and International Board Certified Lactation Consultant, and the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women’s health. Dr. Kendall-Tackett is Editor-in-Chief of two peer-reviewed journals: Clinical Lactation and Psychological Trauma. She is Fellow of the American Psychological Association in Health and Trauma Psychology, Past President of the APA Division of Trauma Psychology, and a member of the APA’s Board for the Advancement of Psychology in the Public Interest. Dr. Kendall-Tackett specializes in women’s-health research including breastfeeding, depression, trauma, and health psychology, and has won many awards for her work including the 2017 President’s Award for Outstanding Service to the Field of Trauma Psychology from the American Psychological Association’s Division of Trauma Psychology. Dr. Kendall-Tackett has authored more than 420 articles or chapters, and is author or editor of 35 books. Her most recent books include: Depression in New Mothers, 3rd Edition (2017, Routledge UK), Women’s Mental Health Across the Lifespan (2017, Routledge US, with Lesia Ruglass), The Phantom of the Opera: A Social History of the World’s Most Popular Musical (2018, Praeclarus), Ps Learn more about your ad choices. Visit megaphone.fm/adchoices
Guest: Dr. Kathleen Kendall-Tackett, health psychologist, International Board Certified Lactation Consultant and author who specializes in women's-health research including breastfeeding, depression, trauma, and other health psychology issues. In this episode, we will cover: why the commonly sited figure of "10-15% of women suffer from post-partum depression" is dangerously low and what the current research shows how to use her free self-screening tool to see if you should seek help for post-partum depression (link to the screening tool is in the Resources section) 5 natural alternatives to prescription medications to successfully treat post-partum depression Resources mentioned in the conversation: Kathy's website: www.KathleenKendall-Tackett.com her book Depression in New Mothers, 3rd Ed in Amazon.com Kathy's free Post-Partum Screening Tool www.BreastfeedingMadeSimple.com her publishing house with other natural birth related books: www.PraeclarusPress.com About Dr. Kathleen Kendall-Tackett: Dr. Kendall-Tackett is a health psychologist and International Board Certified Lactation Consultant, and the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett is Editor-in-Chief of two peer-reviewed journals: Clinical Lactation and Psychological Trauma. She is Fellow of the American Psychological Association in Health and Trauma Psychology, Past President of the APA Division of Trauma Psychology, and a member of the Board for the Advancement of Psychology in the Public Interest. Dr. Kendall-Tackett specializes in women's-health research including breastfeeding, depression, trauma, and health psychology, and has won many awards for her work including the 2016 Outstanding Service to the Field of Trauma Psychology from the American Psychological Association’s Division 56. Dr. Kendall-Tackett has authored more than 400 articles and her most recent books include: Depression in New Mothers, 3rd Edition (2016), Women’s Mental Health Across the Lifespan (2016 with Lesia Ruglass), Psychology of Trauma 101 (2015 with Lesia Ruglass) and The Science of Mother-Infant Sleep (2014 with Wendy Middlemiss). Her websites are UppityScienceChick.com, BreastfeedingMadeSimple.com, KathleenKendall-Tackett.com, and PraeclarusPress.com.
Dr. Kathleen Kendall-Tackett is a health psychologist, an International Board Certified Lactation Consultant, and the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett specializes in women's-health research including breastfeeding, depression, trauma, and health psychology. Her research interests include the psychoneuroimmunology of maternal depression and the lifetime health effects of trauma.
Tonight's special guest is Stefanie Stolinsky, PhD, from Los Angeles, a licensed clinical and forensic psychologist. She specializes in working with adults who have been sexually, physically, emotionally, and verbally abused. As an ex-actress and current writer she is the author of 'ACT IT OUT: 25 Acting Exercises to Heal from Childhood Abuse,' published by Praeclarus Press. Her book has been on the market since 2002 and has been a staple in colleges and private practices of therapists to help survivors find active ways of healing from their abuse. It includes acting exercises that actors in television and film use to connect their minds with their bodies. Used in a hierarchical way, these exercises allow you, the survivor, to heal in your own way, with your own timeline and your own pace. An example of the exercises is also featured on YouTube using professional actors to demonstrate each exercise for you. Stefanie lives and works with her husband in Los Angeles. Her practice focuses on treating individuals, groups, and couples, addressing relationship issues and issues pertaining to trauma and abuse. These stress disorders include: acute stressors — violence, domestic and work upheaval, sexual harassment, as well as past traumas such as, sexual and physical child abuse. In her practice she combines drama, acting, and performing, with a unique style of psychotherapy. Stefanie has been a noted speaker for more than ten years on all aspects of abuse and trauma. She also regularly taught at the California Graduate Institute and the Maple Counseling Center in Beverly Hills.
Dr. Kathleen Kendall-Tackett is a health psychologist, an International Board Certified lactation consultant, and the owner and editor-in-chief of Praeclarus Press, a small press specializing in women's health. Dr. Kendall-Tackett specializes in women's-health research including breastfeeding, depression, trauma, and health psychology. Her research interests include the psychoneuroimmunology of maternal depression and the lifetime health effects of trauma.
My guest today is Katleen Kendall Tacket Kathleen Kendall-Tackett is a health psychologist and an International Board Certified Lactation Consultant. She is the Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women’s health. Dr. Kendall-Tackett is a Research Associate at the Crimes against Children Research Center at the University of New Hampshire, Clinical Associate Professor of Pediatrics at Texas Tech University School of Medicine in Amarillo, Texas. She is a Fellow of the American Psychological Association in both the Divisions of Health and Trauma Psychology, Editor-in-Chief of U.S. Lactation Consultant Association’s journal, Clinical Lactation, and is President-Elect of the American Psychological Association’s Division of Trauma Psychology.