12/12/2023
๐๐ถ๐ฑ ๐๐ผ๐ ๐ธ๐ป๐ผ๐, ๐๐ต๐ฎ๐ ๐ฃ๐ฒ๐ฟ๐ถ๐ป๐ฎ๐๐ฎ๐น ๐ ๐ฒ๐ป๐๐ฎ๐น ๐๐ฒ๐ฎ๐น๐๐ต ๐๐ถ๐๐ผ๐ฟ๐ฑ๐ฒ๐ฟ๐ ๐ฎ๐ฟ๐ฒ ๐๐ต๐ฒ ๐ป๐๐บ๐ฏ๐ฒ๐ฟ ๐ผ๐ป๐ฒ ๐ฐ๐ผ๐บ๐ฝ๐น๐ถ๐ฐ๐ฎ๐๐ถ๐ผ๐ป ๐ผ๐ณ ๐ฝ๐ฟ๐ฒ๐ด๐ป๐ฎ๐ป๐ฐ๐ ๐ฎ๐ป๐ฑ ๐ฐ๐ต๐ถ๐น๐ฑ๐ฏ๐ถ๐ฟ๐๐ต? ๐๐ป๐ฑ ๐๐ต๐ฎ๐ ๐๐ต๐ฒ๐ ๐ฎ๐ฟ๐ฒ ๐ฎ๐น๐๐ผ ๐๐ต๐ฒ ๐น๐ฒ๐ฎ๐ฑ๐ถ๐ป๐ด ๐ฟ๐ผ๐ผ๐ ๐ฐ๐ฎ๐๐๐ฒ๐ ๐ผ๐ณ ๐ ๐ฎ๐๐ฒ๐ฟ๐ป๐ฎ๐น ๐ ๐ผ๐ฟ๐ฏ๐ถ๐ฑ๐ถ๐๐? (Death in the Perinatal Period, which includes pregnancy and the 12 months following a pregnancy)
This segment was aired on CBS Sunday Morning, regarding Perinatal Depression, Maternal Su***de, as well as a promising new pharmacological treatment. It is a good (and short) watch.
Joy Burkhard, the Executive Director of the Policy Center for Maternal Mental Health, made a statement to address some of the important things that were left out, for sake of brevity, and I wanted to add some of her thoughts here. (I also made this a bit shorter for those reading)
"๐คฑ๐๐ญโ๐ฌ ๐ง๐จ๐ญ ๐ฃ๐ฎ๐ฌ๐ญ ๐ฉ๐จ๐ฌ๐ญ๐ฉ๐๐ซ๐ญ๐ฎ๐ฆ ๐๐๐ฉ๐ซ๐๐ฌ๐ฌ๐ข๐จ๐ง (๐๐๐): ๐๐ก๐๐ซ๐ ๐๐ซ๐ ๐ ๐ซ๐๐ง๐ ๐ ๐จ๐ ๐ฆ๐๐ญ๐๐ซ๐ง๐๐ฅ ๐ฆ๐๐ง๐ญ๐๐ฅ ๐ก๐๐๐ฅ๐ญ๐ก ๐๐ข๐ฌ๐จ๐ซ๐๐๐ซ๐ฌ ๐ฅ๐ข๐ค๐ ๐๐ง๐ฑ๐ข๐๐ญ๐ฒ, ๐๐๐, ๐๐ง๐ ๐ฉ๐ฌ๐ฒ๐๐ก๐จ๐ฌ๐ข๐ฌ, ๐๐จ๐ซ ๐๐ฑ๐๐ฆ๐ฉ๐ฅ๐, ๐๐ง๐ ๐ฉ๐จ๐ฌ๐ญ๐ฉ๐๐ซ๐ญ๐ฎ๐ฆ ๐๐๐ฉ๐ซ๐๐ฌ๐ฌ๐ข๐จ๐ง ๐ฐ๐๐ฌ ๐ญ๐ก๐ ๐๐ข๐ซ๐ฌ๐ญ ๐ญ๐จ ๐๐ ๐ซ๐๐ฌ๐๐๐ซ๐๐ก๐๐.
๐คฐ๐๐๐ฐ ๐จ๐ง๐ฌ๐๐ญ ๐จ๐ ๐๐๐ฉ๐ซ๐๐ฌ๐ฌ๐ข๐จ๐ง ๐ก๐๐ฉ๐ฉ๐๐ง๐ฌ ๐๐ฅ๐ฆ๐จ๐ฌ๐ญ ๐๐ฌ ๐๐ซ๐๐ช๐ฎ๐๐ง๐ญ๐ฅ๐ฒ ๐ข๐ง ๐ฉ๐ซ๐๐ ๐ง๐๐ง๐๐ฒ ๐๐ฌ ๐ข๐ง ๐ญ๐ก๐ ๐ฉ๐จ๐ฌ๐ญ๐ฉ๐๐ซ๐ญ๐ฎ๐ฆ ๐ฉ๐๐ซ๐ข๐จ๐ and is the leading cause of pre-term birth, which can impact children over their lifetimes...and untreated can spill over into the postpartum period
๐๐๐ญโ๐ฌ ๐ฆ๐จ๐ซ๐ ๐ฅ๐ข๐ค๐ โ๐ซ๐จ๐ฎ๐ ๐ก๐ฅ๐ฒ ๐ ๐ข๐ง ๐ ๐ฐ๐จ๐ฆ๐๐ง ๐ฌ๐ฎ๐๐๐๐ซ.โ
CBS chose to use the count of 1 in 7 from the CDCโs survey of women after birth called the Pregnancy Risk Assessment Monitoring System (PRAMS)...
๐๐จ๐ฐ๐๐ฏ๐๐ซ, ๐ซ๐๐ฌ๐๐๐ซ๐๐ก ๐ฉ๐จ๐ข๐ง๐ญ๐ฌ ๐ญ๐จ ๐ฆ๐ฎ๐๐ก ๐ก๐ข๐ ๐ก๐๐ซ ๐ซ๐๐ญ๐๐ฌ (๐ ๐ข๐ง ๐) and we know some women still donโt speak up for a variety of reasons (stigma, cultural nuances, fear of the baby/children being taken away).
๐งช๐๐ญโ๐ฌ ๐ญ๐ข๐ฆ๐ ๐๐จ๐ซ ๐ ๐๐ข๐๐ ๐ง๐จ๐ฌ๐ญ๐ข๐ ๐ญ๐จ๐จ๐ฅ ๐จ๐ญ๐ก๐๐ซ ๐ญ๐ก๐๐ง ๐ ๐ช๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง๐ง๐๐ข๐ซ๐ ๐ฅ๐ข๐ค๐ ๐ญ๐ก๐ ๐๐๐-๐ ๐ญ๐จ ๐๐ข๐๐ ๐ง๐จ๐ฌ๐ ๐๐๐:
We donโt use questionnaires to diagnose other ๐ง brain disorders like Alzheimerโs and concussions; we use brain scans. As the CBS segment illustrated, ๐๐ซ๐๐ข๐ง ๐ฌ๐๐๐ง๐ฌ ๐๐๐ง ๐ฉ๐ข๐๐ค ๐ฎ๐ฉ ๐๐๐ง๐จ๐ซ๐ฆ๐๐ฅ๐ข๐ญ๐ข๐๐ฌ ๐ซ๐๐ฅ๐๐ญ๐ข๐ฏ๐ ๐ญ๐จ ๐ฉ๐จ๐ฌ๐ญ๐ฉ๐๐ซ๐ญ๐ฎ๐ฆ ๐๐๐ฉ๐ซ๐๐ฌ๐ฌ๐ข๐จ๐ง ๐ฐ๐ก๐๐ง ๐๐จ๐ฆ๐ฉ๐๐ซ๐ข๐ง๐ ๐ฌ๐๐๐ง๐ฌ ๐ญ๐จ ๐ก๐๐๐ฅ๐ญ๐ก๐ฒ ๐ฐ๐จ๐ฆ๐๐ง. However, more research is still needed to support the use of scans for diagnosis. We are advocating for such precision diagnostics through the new womenโs health research initiative established this year through the White House. These more precise diagnostic tools legitimize mental health disorders, provide doctors with much-needed medical diagnostic tools, and *bonus* combat stigma.
๐ฐ๐๐๐ญ๐ข๐๐ง๐ญ๐ฌ ๐ฐ๐จ๐งโ๐ญ ๐ฉ๐๐ฒ $๐๐,๐๐๐ ๐๐จ๐ซ ๐๐ฎ๐ซ๐ณ๐ฎ๐ฏ๐๐. ๐ฐ
That is the wholesale cost, but thatโs not what patients pay. And yes, $16,000 is a lot, but not really...The FDA approved 51 โnovel drugsโ this year that are the first of their kind. Like any new technology, they are expensive to develop due to high research and development (R&D) budgets.
๐ธ๐๐จ๐ฐ๐๐ฏ๐๐ซ, ๐ง๐๐ ๐จ๐ญ๐ข๐๐ญ๐ ๐ฅ๐จ๐ฐ๐๐ซ ๐ซ๐๐ญ๐๐ฌ, ๐๐ง๐ ๐ฉ๐๐ญ๐ข๐๐ง๐ญ๐ฌ ๐ฃ๐ฎ๐ฌ๐ญ ๐ฉ๐๐ฒ ๐ ๐๐จ๐ฉ๐๐ฒ ๐จ๐ซ ๐๐จ๐ข๐ง๐ฌ๐ฎ๐ซ๐๐ง๐๐/๐๐๐๐ฎ๐๐ญ๐ข๐๐ฅ๐.๐ธ
๐๏ธ ๐๐ง๐ข๐ง๐ฌ๐ฎ๐ซ๐๐ ๐ฉ๐๐ญ๐ข๐๐ง๐ญ๐ฌ ๐๐๐ง ๐ ๐๐ข๐ง ๐๐๐๐๐ฌ๐ฌ ๐ญ๐ก๐ซ๐จ๐ฎ๐ ๐ก ๐๐๐ ๐ ๐๐ก๐๐ซ๐๐ฉ๐๐ฎ๐ญ๐ข๐๐ฌโ ๐๐ฌ๐ฌ๐ข๐ฌ๐ญ๐๐ง๐๐ ๐ฉ๐ซ๐จ๐ ๐ซ๐๐ฆ๐ฌ.
๐ฉบโ๏ธ๐๐ ๐๐๐ฆ๐ข๐ฅ๐ข๐๐ฌ ๐๐ซ๐ ๐๐๐ฅ๐ฅ๐ข๐ง๐ ๐ญ๐ก๐ซ๐จ๐ฎ๐ ๐ก ๐ญ๐ก๐ ๐๐ซ๐๐๐ค๐ฌ ๐๐๐๐๐ฎ๐ฌ๐ ๐ง๐จ ๐จ๐ง๐ ๐ฉ๐ซ๐จ๐ฏ๐ข๐๐๐ซ ๐ข๐ฌ ๐ซ๐๐ฌ๐ฉ๐จ๐ง๐ฌ๐ข๐๐ฅ๐ ๐๐จ๐ซ ๐๐๐ญ๐๐๐ญ๐ข๐ง๐ ๐๐ง๐ ๐๐๐ฏ๐๐ฅ๐จ๐ฉ๐ข๐ง๐ ๐ญ๐ซ๐๐๐ญ๐ฆ๐๐ง๐ญ ๐ฉ๐ฅ๐๐ง๐ฌ, ๐ญ๐ก๐๐ง ๐ฐ๐ก๐ข๐๐ก ๐ฉ๐ซ๐จ๐ฏ๐ข๐๐๐ซ ๐ฌ๐ก๐จ๐ฎ๐ฅ๐ ๐๐ ๐ซ๐๐ฌ๐ฉ๐จ๐ง๐ฌ๐ข๐๐ฅ๐?
๐๐ก๐ ๐จ๐๐ฌ๐ญ๐๐ญ๐ซ๐ข๐ ๐ฉ๐ซ๐จ๐ฏ๐ข๐๐๐ซ (๐๐/๐๐ฒ๐ง๐ฌ ๐๐ง๐ ๐ฆ๐ข๐๐ฐ๐ข๐ฏ๐๐ฌ).๐ฉบ โ๏ธ
As the providers responsible for a motherโs health during pregnancy (and now for all women through 12 months postpartum), itโs critical obstetric providers (Obs) test for these disorders starting before pregnancy or early in pregnancy and throughout pregnancy and the postpartum period. (This is recommended by ACOG, with guidelines for screening updated this year)
๐ช๐๐จ๐ฆ๐ฌ/๐๐ข๐ซ๐ญ๐ก๐ข๐ง๐ ๐๐๐จ๐ฉ๐ฅ๐ ๐๐ง๐ ๐ญ๐ก๐๐ข๐ซ ๐๐๐ฆ๐ข๐ฅ๐ข๐๐ฌ ๐๐๐ง ๐๐ ๐๐ฆ๐ฉ๐จ๐ฐ๐๐ซ๐๐ ๐ฐ๐ข๐ญ๐ก ๐ญ๐จ๐จ๐ฅ๐ฌ ๐๐ง๐ ๐ข๐ง๐ฌ๐ข๐ ๐ก๐ญ๐ฌ ๐ญ๐จ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ ๐๐ข๐๐ ๐ง๐จ๐ฌ๐ข๐ฌ ๐๐ง๐ ๐ญ๐ซ๐๐๐ญ๐ฆ๐๐ง๐ญ. ๐ช
Though we have named obstetric providers (Obs) as the providers that should be screening and developing treatment plans, not all Obs will routinely screen. P๐๐ญ๐ข๐๐ง๐ญ๐ฌ ๐๐๐ง ๐ญ๐๐ค๐ ๐ ๐๐จ๐ฆ๐ฉ๐ฅ๐๐ญ๐๐ ๐ซ๐ข๐ฌ๐ค ๐๐ฌ๐ฌ๐๐ฌ๐ฌ๐ฆ๐๐ง๐ญ ๐๐ง๐ ๐จ๐ฎ๐ซ ๐๐๐ง๐ฎ ๐จ๐ ๐๐ซ๐๐ฏ๐๐ง๐ญ๐ข๐จ๐ง ๐๐ง๐ ๐๐ซ๐๐๐ญ๐ฆ๐๐ง๐ญ ๐จ๐ฉ๐ญ๐ข๐จ๐ง๐ฌ ๐ญ๐จ ๐ญ๐ก๐๐ข๐ซ ๐๐๐ฌ ๐ญ๐จ ๐ฉ๐ซ๐จ๐ฆ๐ฉ๐ญ ๐ฌ๐๐ซ๐๐๐ง๐ข๐ง๐ ๐๐ง๐ ๐๐ข๐ฌ๐๐ฎ๐ฌ๐ฌ๐ข๐จ๐ง. (I will link this in the comments)
โจ๏ธ๐๐จ ๐๐จ๐ฉ๐๐ฒ/๐ฉ๐๐ฒ๐ฆ๐๐ง๐ญ ๐๐๐ง ๐๐ ๐๐จ๐ฅ๐ฅ๐๐๐ญ๐๐ ๐๐ฒ ๐ญ๐ก๐ ๐ฉ๐ซ๐จ๐ฏ๐ข๐๐๐ซ ๐๐จ๐ซ ๐ฌ๐ฎ๐๐ก ๐๐ง ๐๐ฉ๐ฉ๐จ๐ข๐ง๐ญ๐ฆ๐๐ง๐ญ ๐๐ฌ ๐ข๐ญ ๐ข๐ฌ ๐ ๐ฉ๐ซ๐๐ฏ๐๐ง๐ญ๐ข๐ฏ๐ ๐ฌ๐๐ซ๐ฏ๐ข๐๐ ๐ฉ๐๐ซ ๐ญ๐ก๐ ๐.๐. ๐๐ซ๐๐ฏ๐๐ง๐ญ๐ข๐ฏ๐ ๐๐๐ซ๐ฏ๐ข๐๐๐ฌ ๐๐๐ฌ๐ค ๐
๐จ๐ซ๐๐. ๐๐๐ญ๐ข๐๐ง๐ญ๐ฌ ๐๐๐ง ๐๐ฅ๐ฌ๐จ ๐ฉ๐ซ๐จ๐๐๐ญ๐ข๐ฏ๐๐ฅ๐ฒ ๐ฌ๐๐๐ค ๐ฆ๐๐ง๐ญ๐๐ฅ ๐ก๐๐๐ฅ๐ญ๐ก ๐๐จ๐ฎ๐ง๐ฌ๐๐ฅ๐ข๐ง๐ (๐ญ๐ก๐๐ซ๐๐ฉ๐ฒ) ๐ญ๐จ ๐ฉ๐ซ๐๐ฏ๐๐ง๐ญ ๐ฆ๐๐ญ๐๐ซ๐ง๐๐ฅ ๐๐๐ฉ๐ซ๐๐ฌ๐ฌ๐ข๐จ๐ง, ๐๐ง๐ ๐ญ๐ก๐ข๐ฌ ๐ญ๐ก๐๐ซ๐๐ฉ๐ฒ ๐ฆ๐ฎ๐ฌ๐ญ ๐๐ฅ๐ฌ๐จ ๐๐ ๐๐จ๐ฏ๐๐ซ๐๐ ๐๐ฒ ๐ข๐ง๐ฌ๐ฎ๐ซ๐๐ง๐๐ ๐๐จ๐ฆ๐ฉ๐๐ง๐ข๐๐ฌ ๐๐ง๐ ๐๐ญ ๐ง๐จ ๐๐ก๐๐ซ๐ ๐ ๐ญ๐จ ๐ญ๐ก๐ ๐ฉ๐๐ญ๐ข๐๐ง๐ญ๐ฌ. โจ๏ธ
Itโs time to aggressively address the โChild Protective Servicesโ policies that their symptoms. The mother who shared her story so clearly articulated that she worried her baby would be taken away from her if she spoke up. โMandatory Reportingโ for child protective services is a topic we will address head-on at the annual Maternal Mental Health FORUM this March.
Finally, in the segment, I mention, โ๐๐จ๐ฆ๐๐ง ๐๐๐ฌ๐๐ซ๐ฏ๐ ๐๐ง๐ ๐ง๐๐๐ ๐ญ๐ก๐ ๐ฉ๐ข๐ฅ๐ฅ [๐๐ฎ๐ซ๐ฏ๐ฎ๐ฏ๐๐], ๐๐ง๐ ๐ญ๐ก๐๐ฒ ๐๐ฅ๐ฌ๐จ ๐๐๐ฌ๐๐ซ๐ฏ๐ ๐ฆ๐ฎ๐๐ก ๐ฆ๐จ๐ซ๐ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ.โ The interview was cut for brevity, so what I went on to say was not included:
โ๐๐ข๐ค๐ ๐๐๐๐จ๐ซ๐๐๐๐ฅ๐ ๐๐ง๐ ๐๐ฏ๐๐ข๐ฅ๐๐๐ฅ๐ ๐ข๐ง๐๐๐ง๐ญ ๐๐ง๐ ๐๐ก๐ข๐ฅ๐ ๐๐๐ซ๐, ๐ฉ๐๐ข๐ ๐๐๐ฆ๐ข๐ฅ๐ฒ ๐ฅ๐๐๐ฏ๐ ๐ญ๐จ ๐ก๐๐๐ฅ ๐๐ซ๐จ๐ฆ ๐๐ข๐ซ๐ญ๐ก ๐๐ง๐ ๐๐๐ซ๐ ๐๐จ๐ซ ๐ญ๐ก๐๐ข๐ซ ๐๐๐๐ข๐๐ฌ, ๐๐ก๐ข๐ฅ๐ ๐ญ๐๐ฑ ๐๐ซ๐๐๐ข๐ญ๐ฌ, ๐๐ง๐ ๐ฉ๐จ๐ฌ๐ญ๐ฉ๐๐ซ๐ญ๐ฎ๐ฆ ๐๐จ๐ฎ๐ฅ๐๐ฌ ๐๐ง๐ ๐ง๐ข๐ ๐ก๐ญ ๐ง๐ฎ๐ซ๐ฌ๐๐ฌ ๐ญ๐จ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ ๐ฌ๐ฅ๐๐๐ฉ, ๐๐๐๐๐ข๐ง๐ ๐๐ง๐ ๐ฆ๐จ๐ซ๐, ๐๐ฌ ๐ฐ๐๐ฅ๐ฅ ๐๐ฌ ๐ฉ๐๐ซ๐๐ง๐ญ๐ข๐ง๐ ๐๐ฅ๐๐ฌ๐ฌ๐๐ฌ ๐๐ง๐ ๐ฉ๐จ๐ฌ๐ญ๐ฉ๐๐ซ๐ญ๐ฎ๐ฆ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ ๐ ๐ซ๐จ๐ฎ๐ฉ๐ฌ (๐ฉ๐ซ๐จ๐ฆ๐จ๐ญ๐๐ ๐๐ฒ ๐๐ง๐ ๐๐จ๐ฏ๐๐ซ๐๐ ๐๐ฒ ๐ข๐ง๐ฌ๐ฎ๐ซ๐๐ง๐๐) ๐๐ฌ ๐ฐ๐จ๐ฆ๐๐ง ๐ข๐ง ๐ฉ๐๐ซ๐ญ๐ข๐๐ฎ๐ฅ๐๐ซ ๐ฅ๐๐๐ซ๐ง, ๐ก๐๐๐ฅ ๐๐ง๐ ๐ญ๐ก๐ซ๐ข๐ฏ๐ ๐๐๐ฌ๐ญ ๐ข๐ง ๐๐จ๐ฆ๐ฆ๐ฎ๐ง๐ข๐ญ๐ฒ.""
If you are pregnant or have been pregnant within the past year, and are struggling, the National Maternal Mental Health Hotline is available through text or phone 24/7 at (833)TLC-MAMA. Those working on this hotline have specific training in Perinatal Mental Health.
The Su***de Prevention Hotline is also available by phone or text at 988.
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One in seven women experiences postpartum depression (PPD), with more new mothers dying from su***de or overdose than anything else. Experts discuss efforts to destigmatize PPD and encourage treatment, including with a new drug, Zurzuvae, the first-ever pill for PPD.