Could the Doula Model Work for Women Seeking Mental Health Care and Support through the Veteran’s Administration, Especially After Rape or Sexual Trauma?

Elayne Clift, M.A. Her first experience with childbirth was traumatic. Repeated “checks” to determine how near she was to giving birth seemed like unnecessary invasions. When she questioned their frequency she was silenced, as she was when she asked why she had to remain in bed attached to an IV. Labeled a “failure to progress” after only seven hours in labor she was given a C-section “to ensure a healthy baby.”  During her second pregnancy she chose a medical practice that included nurse-midwives and allowed for vaginal birth after Caesarean. Then she “hired” a volunteer doula to support her through labor and delivery. The doula helped her feel calm, safe, capable, and in control of her birth experience. She reassured her that she was strong and her body could do this hard work. The mother’s memory of her second birth experience, unlike the first, is one of joy. She was violently gang-raped while on active duty during Desert Storm. At first she kept quiet, suppressing the traumatic impact of the rape, but later, back in the States, when she could no longer suppress memories of what had happened she went to a VA hospital to seek counseling.  After a short wait without seeing a therapist, she suddenly found herself admitted to a locked co-ed psych ward. Two weeks later, diagnosed with a “severe post-traumatic distress disorder,” a VA psychiatrist recommended that she retire from the military because sh...
Source: Disruptive Women in Health Care - Category: Consumer Health News Authors: Tags: Childbirth Women Veterans Source Type: blogs

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Intimate partner violence (IPV) can comprise physical, sexual, and emotional abuse, and is a widespread public health concern. Despite increasing recognition that women experience different types of IPV, the majority of research has focused on physical IPV...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
You have finally found a medication to treat your depression that your body tolerates well. It has taken your psychiatrist months to find the optimal dose (after two failed medication trials). The COVID-19 pandemic hit, but in spite of your new daily stressors, you seem to be doing relatively well. That is, until you hear that your antidepressant medication is now in short supply. What can you do? Mental health treatment during COVID-19 With the increased stress of the COVID-19 pandemic, prescriptions for medications to treat mental illnesses have increased more than 20% between February and March 2020. Sertraline, or Zolo...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Behavioral Health Mental Health Source Type: blogs
BACKGROUND: Pregnancy has been identified as a risk factor for poor outcomes after traumatic injury, but prior outcome analyses are conflicting and dated. We sought to examine outcomes in a contemporary cohort. METHODS: Retrospective cohort analysis at...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Global policy frameworks call for strengthening the role of health systems to address intimate partner violence (IPV) and support women's agency, yet the evidence of health system responses remains slender in low- and middle-income countries (LMICs). In So...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
INTRODUCTION: Sexual violence plays a key role in women's pregnancy intention. We investigated the influence of sexual violence on planned, mistimed, and unwanted pregnancies in sub-Saharan Africa (SSA). Materials and methods: Data from the Demographic...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
BACKGROUND: In rural Ethiopia, 72% of women are exposed to lifetime intimate partner violence (IPV); IPV is most prevalent during pregnancy. As well as adversely affecting women's physical and mental health, IPV also increases the risk of child morbidity a...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
AIMS: Intimate partner violence (IPV) is an important risk factor for perinatal depression (PND). But IPV's impact on the natural prognosis of PND symptoms is not well understood. We tested two hypotheses: (1) pregnant women with IPV experiences will exhib...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
David J. BierImmigration and Customs Enforcement (ICE) routinely requests that local law enforcement detain U.S. citizens to allow it to pick them up. ICE ’s recordslist 3,158 U.S. citizens as targets of ICE detainers from October 2002 to September 2019. Another 1.6 percent of actual ICEarrests through Secure Communities —the targeting system that ICE uses to issue detainers—were U.S. citizens from October 2008 to April 2011—or 3,627 citizens. Immigration courts—again with incomplete records—show 2,549 removal proceedings terminated in the favor of U.S. citizens from 2002 to June 9, 2017...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
We hear that we’re headed in the right direction as the curve continues to flatten and states begin to loosen restrictions and open up. For the first time, there may be a light at the end of the tunnel. Great news!  But as encouraging as this news may be, many remain fearful of opening up too soon, instigating a second wave. Regardless of who’s right or wrong, there will come a day when we will be without COVID-19 (my lips to God’s ears, eh?). And as we begin to heal our broken lives, many of us may find our psychological recovery lagging far behind the scourge of this pandemic. This pandemic has ...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: depression featured health and fitness psychology reading self education self-improvement covid covid_19 mental health pickthebrain Source Type: blogs
DiscussionDespite mental health being a critical concern for women experiencing IPV, there is limited evidence for brief, task-shared psychological interventions adapted for their needs in low- and middle-income countries. Contextually tailored interventions for pregnant women experiencing IPV in low- and middle-income countries require development and process evaluation. This randomised controlled feasibility trial will yield results on the feasibility of conducting a fully powered trial, relevant to researchers, primary and antenatal care clinicians in resource-limited settings.Trial registrationPan-African clinical tria...
Source: Trials - Category: Research Source Type: clinical trials
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