Episodes

  • Is therapy for me???

    Is therapy for me???
    Jun 25 2023

    Why do we avoid therapy?

    • Stigma against mental illness
    • Fear of being judged
    • Fear of being vulnerable
    • May feel like it is a luxury activity instead of

    a health activity

    • Treatment cost
    • Insurance issues
    • May have to discuss painful past events

     

    How to choose a therapist?

    First, consider the type of therapy that they use…

    For perinatal depression & anxiety, the two most effective therapies are:

    1. Cognitive behavioral therapy (CBT) &
    2. Interpersonal therapy (IPT)

     

    Second, look for a maverick.

    -Look beyond the years of experience and look for someone who is regularly learning.

    -Verify their baseline therapy credential (state and board certified)

    -Also look for someone who is specifically trained in perinatal mood disorders, e.g.

    by Postpartum Support International

     

    Third, look for someone with similar life experience.

    -Look for someone of similar race, ethnicity, gender, lifestyle

    -Will make it easier to enter a safe space for therapeutic work to occur

     

    Fourth, know that you are in control.

    -Meet for 15 minute free consult if possible

    -Schedule only if you were able to connect

    -If you do not agree with the treatment plan, or you don’t connect or you don’t think that you

    are being listened to, keep looking

     

    Fifth, look for social emotional intelligence.

    -adaptable

    -flexible

    -self aware

     

    In Summary,

    - You have to feel safe in your interactions with your therapist.

    - Feel free to shop around until you have the right fit.

    - Self evaluate mood for improvement and keep a journal or mood log.

     

    References

    McNamara, J., Townsend, M. L., & Herbert, J. S. (2019). A

    systemic review of maternal wellbeing and its relationship with

    maternal fetal attachment and early postpartum bonding. PloS

    one, 14(7), e0220032.

     

    Smith, K. (2021). How to choose a therapist? Retrieved from

    How to choose a therapist | Psyche Guides

     

    Symes, E. (2017). The transition to motherhood. Psychological

    factors associated with pregnancy, labour and birth. Retrieved

    from The transition to motherhood: Psychological factors

    associated with pregnancy, labour and birth | APS

    (psychology.org.au)

     

    Resources

    Psychology Today - Psychology Today Belgium: Health, Help, Happiness + Find a Therapist

    ZenCare - Find The Best Therapists & Psychiatrists Near You — Zencare

    Postpartum Support International - https://www.postpartum.net/

     

    Guest

    Lydia Moore Allen is the Founder and CEO of Se-ReNew Therapy & Consulting Services LLC.

    She has been in the mental health field for almost 20 years. Lydia is a Licensed Clinical Social

    Worker, Certified Master's Level Addiction Professional, Certified Parenting Instructor and

    Qualified Supervisor. Lydia provides counseling for individuals, couples, families and

    supervision for registered MSW Interns. She also offers comprehensive Diagnostic

    Evaluations

    for Immigration Court for Hardships, Violence against Women (VAWA), U-VISA (for

    immigrants who were victims or witnesses to a crime in the U.S) and T-VISA (for victims

    involved

    in human trafficking. Lydia has dedicated her years working with individuals, couples and

    families

    facing life changing challenges, including addiction, marital/relationship conflict, mental

    health imbalance and parenting hurdles. She has experience working in residential and partial-

    hospitalization settings with clients of varying cultural, ethnic, and socioeconomic backgrounds.

    Lydia is transparent and compassionate while collaborating with her clients to achieve their

    goals. Furthermore, she dedicates time as a Board Member for Phoebe’s Fortress Non-profit

    Organization in Miami, Florida. Her commitment to Phoebe’s Fortress is geared towards

    supporting and equipping young ladies aging out of the foster care system with skills to

    advance into adulthood.
    Show more Show less
    16 mins
  • Mother Baby Bonding, Mother Fetus Bonding

    Mother Baby Bonding, Mother Fetus Bonding
    Jun 4 2023
                                                          The Bonding Edition   What is a mother? Some definitions include: The female parentTo mother is to bring up a child with care and affection“a mother understands what a child does not say”“Motherhood has the greatest potential influence in human life”“a beetle is a beauty in the eyes of his mother” J What is bonding? Must be attached first to bring up a child with care and affection.Bonding is the formation of a close human relationshipEmotional and physical attachment between mother and offspring There are two important bonding types to consider: The first is maternal-fetal bonding or when a women is pregnant with the developing babyThe second is mother-baby bonding or bonding with baby after delivery   Maternal fetal bonding spans three semesters: The first trimester includes adjusting to the idea of pregnancyMost report ambivalenceMay experience nausea, vomiting, fatigue and this may amplify anxietyDuring the Second trimester the baby’s movement is feltYou may start thinking about who this person could beYou start thinking about the baby as separate from selfThe Third trimester includes getting ready for baby’s arrivalPrepping for labor or surgeryMost experience fatigue Mother-Baby Bonding -acceptance of baby as a whole and no longer just an idea -may be some attachment concerns with difficult deliveries (PTSD) -or if delivery did not go as planned, like planned water birth and ended up with forceps delivery - or epidural during labor or c/s etc - or if baby ended up in NICU -or if preterm delivery Mother-Baby Bonding - perinatal time is one of identity shift - from own entity or person to mother of 1 - Identity is fluid, could be shift from mother of 1 to now mother of 2 - Bonding impacted by historical family relationships (mother was idolized or not?) Why do we care about bonding? - early attachment relationships between mom and baby improve baby’s psychological, cognitive, and social development - attachment styles impact how the baby interacts with humanity in the future - A mother who is bonded with her baby will try to know, protect, interact with, and meet the needs of her baby What impacts bonding? Social Support: Protective against stress & challengesHelp with planning for baby’s futureAllows for better adjustment to motherhoodCould be partner, family of origin, close friends Self Esteem: Optimistic beliefs improve bondingHappy with appearance or self image improves bondingHigh sense of wellbeingPrepared for baby Mental Health: Depression decreases bonding (inverse relationship) Some studies anxiety decreased bonding Hollywood Bonding Versus Bonding in Reality I had Hollywood bonding with my secondMaybe wisdom from having firstKnew what to expectKnew that systems could be built to organize care Reality: With my first baby I was isolatedIt felt harder to bondIt was comforting to know that Good to know bonding is a lifelong processNot a “one moment” or one time eventAlso, first pregnancy related to increased pregnancy stress   Pro Tips Never walk alone, social support protectiveIf history of depression or anxiety stay on treatment or get treatmentIf you notice difficulty in bonding postpartum TELL PROVIDERThe good news is that there is HELP Thank you so much for your time and wisdom.I believe you are joining us for a show on how to choose a great therapistThank you for listeningYour host Judith Wafe of The Fourth Trimester NP   Lydia’s Book Recommendations :- Parenting with PTSD byA Nation of Wimps by   Anxiety scale. Discuss score with healthcare provider. GAD-7 (General Anxiety Disorder-7) - MDCalc Depression Scale. Discuss score with healthcare provider. PHQ-9 (Patient Health Questionnaire-9) - MDCalc                                                                           Guest Bio Lydia Moore Allen is the Founder and CEO of Se-ReNew Therapy & Consulting Services LLC. She has been in the mental health field for almost 20 years. Lydia is a Licensed Clinical Social Worker, Certified Master's Level Addiction Professional, Certified Parenting Instructor and Qualified Supervisor. Lydia provides counseling for individuals, couples, families and supervision for registered MSW Interns. She also offers comprehensive Diagnostic Evaluations for Immigration Court for Hardships, Violence against Women (VAWA), U-VISA (for immigrants who were victims or witnesses to a crime in the U.S) and T-VISA (for victims involved in human trafficking. Lydia has dedicated her years working with individuals, couples and families facing life changing challenges, including addiction, marital/relationship conflict, mental health imbalance and parenting hurdles. She has experience working in residential and partial-hospitalization settings with clients of varying cultural, ethnic, and socioeconomic backgrounds. Lydia is transparent and...
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    33 mins
  • The Motherhood Edition

    The Motherhood Edition
    May 17 2023

    What is a mother? Some definitions include:

    • The female parent
    • To mother is to bring up a child with care and affection
    • “a mother understands what a child does not say”
    • “Motherhood has the greatest potential influence in human life”
    • “a beetle is a beauty in the eyes of his mother” 

    What is bonding?

    • Must be attached first to bring up a child with care and affection.
    • Bonding is the formation of a close human relationship
    • Emotional and physical attachment between mother and offspring

    There are two important bonding types to consider:

    • The first is maternal-fetal bonding or when a women is pregnant with the developing baby
    • The second is mother-baby bonding or bonding with baby after delivery

     

    Next week we will start with how to bond with your baby during pregnancy…


                                                                        Guest Bio

    Lydia Moore Allen is the Founder and CEO of Se-ReNew Therapy & Consulting Services LLC.

    She has been in the mental health field for almost 20 years. Lydia is a Licensed Clinical Social

    Worker, Certified Master's Level Addiction Professional, Certified Parenting Instructor and

    Qualified Supervisor. Lydia provides counseling for individuals, couples, families and

    supervision for registered MSW Interns. She also offers comprehensive Diagnostic Evaluations

    for Immigration Court for Hardships, Violence against Women (VAWA), U-VISA (for

    immigrants who were victims or witnesses to a crime in the U.S) and T-VISA (for victims involved in human trafficking. Lydia has dedicated her years working with individuals, couples and families facing life changing challenges, including addiction, marital/relationship conflict, mental health imbalance and parenting hurdles. She has experience working in residential and partial-hospitalization settings with clients of varying cultural, ethnic, and socioeconomic backgrounds.

    Lydia is transparent and compassionate while collaborating with her clients to achieve their

    goals. Furthermore, she dedicates time as a Board Member for Phoebe’s Fortress Non-profit

    Organization in Miami, Florida. Her commitment to Phoebe’s Fortress is geared towards

    supporting and equipping young ladies aging out of the foster care system with skills to advance

    into adulthood.

     

                                                                                References

    McNamara, J., Townsend, M. L., & Herbert, J. S. (2019). A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding. PloS one, 14(7), e0220032

    Smith, K. (2021). How to choose a therapist? Retrieved from How to choose a therapist | Psyche Guides

    Symes, E. (2017). The transition to motherhood. Psychological factors associated with pregnancy, labour and birth. Retrieved from The transition to motherhood: Psychological factors associated with pregnancy, labour and birth | APS (psychology.org.au)

     

     

                                                                                 Disclaimer

    Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice.

    https://linktr.ee/fourth.trimester.np?subscribe
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    29 mins
  • Makeup choices and natural skin care

    Makeup choices and natural skin care
    Apr 29 2023
    This is the conclusion of the conversation with Ivette. Please enjoy, we start abruptly and dive into acne. If you get acne during pregnancy, take these steps to treat your skin -   Wash your face twice a day with a mild cleanser and lukewarm water.If you have oily hair, shampoo/cowash every day and try to keep your hair off your face.Avoid picking or squeezing acne sores to lessen possible scarring.Choose oil-free cosmetics.   Additional ACNE Tips Over-the-counter (OTC) products containing the following ingredients can be used during pregnancy:Topical benzoyl peroxide (Clean & Clear, PanOxyl)Azelaic acid (CeraVe, Clinique)Topical salicylic acid (Noxzema, Neutrogena)Glycolic acid (L’Oreal)If you want to use an OTC product that contains an ingredient not on this list, contact your obstetrician–gynecologist (ob-gyn)   AVOID!!!!! No to retinoids (synthetic Vit A)No to hydroquinone (skin lightener)No to phthalates (disrupt hormones)Hell No to formaldehyde or formaldehyde releasers   During the show facts- On shea butter, I couldn’t find a distinct recommendation that it is safe in pregnancy!On chamomile tea, is not safe to drink in pregnancy, so I say AVOID in pregnancy.Common formaldehyde releasers that you are likely to see in a product and should AVOID are DMDM hydantoin, methylene glycol, quaternium 15, and 3 dioxaneEltaMD Skincare was recommended by Ivette for their sunscreen line - Sun Care– EltaMDSafe Cosmetics database - Campaign for Safe Cosmetics - Making Cosmetics Safer for AllTattoo Art for Stretch Marks - Tattoo Artist Hides Stretch Marks With Skin-Colored Ink - Before and After Photos | Allure   Guest Information Ivette Guttierez was born in Nicaragua and came to the US at the tender age of 6 months. She is the youngest of 3 children and was raised by a strong single mother. As a child she showed an interest in teaching and loved everything related to makeup. After high school she enrolled in Beauty School. While in school, her artistry skills flourished and she was found to be naturally talented at eyebrow shaping. Ultimately she became a professional esthetician and makeup artist.  She then worked with Christian Dior cosmetics and has spent 17 years working with prestigious cosmetic brands, and 12 years as a Senior Executive sales manager for a multi-million dollar company. She was also a state board educator for future licensed estheticians. In 2018 she obtained her permanent make-up certification. During the pandemic she was no longer fulfilled in the corporate realm and started her own business dedicated to all things eyebrows. She then further ventured into the paramedical space and works with women and men that are survivors of trauma, cancer, alopecia, areola reconstruction, SMP, scar camouflage etc.  Her slogan is “beauty should be used to illuminate our inner beauty and not mask it!”     References ACOG. (2023). Skin Conditions in Pregnancy. Retrieved from https://www.acog.org/womens-health/faqs/skin-conditions-duringpregnancy#:~:text=As%20your%20belly%20grows%20during,Sometimes%20the%20marks%20are%20faint. Cleveland Clinic. (2020). Melasma. Retrieved from Melasma: Treatment, Causes & Prevention (clevelandclinic.org) Food and Drug Administration. (2022). Cosmetics & Pregnancy. Retrieved from Cosmetics & Pregnancy | FDA Medical News Today. (2022). Pregnancy and skin care: What products are safe to use? Retrieved from What is safe to use for pregnancy skin care? (medicalnewstoday.com) Sharma, Jharaik, Sharma, Chauhan, & Wadhwa. (2019). Clinical study of pregnancy associated cutaneous changes. International Journal of Clinical Obstetrics and Gynaecology, 3(4) 71-75. Retrieved from 3-4-1-996.pdf (gynaecologyjournal.com)     Disclaimer Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice. https://linktr.ee/fourth.trimester.np?subscribe
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    23 mins
  • on Self-Love

    on Self-Love
    Apr 22 2023

    Self-Love while pregnant can be anything that restores you. I think that the basics are essential to consider, nutrition, exercise, keeping your prenatal appointments, paying attention to dental hygiene, following your healthcare provider’s advice and attending childbirth education classes. Other important things are the ones that you choose. If you are not sure what restores you consider journaling and observing what brings you joy during a week.


    Things that brought me joy during pregnancy were:
     Lathering my skin with oil
     Getting my toes done
     Wearing makeup
     Immersing myself at the beach
     Watching a funny movie
     Exercise
     Going for walks outside
     Giggling with my husband
     Resting when my body told me to while understanding that it was making a human being
     Staying away from negative people
     Staying in the present moment

    Next week - how to choose clean cosmetics

     

    #fourthtrimesternp #selflove #selfaware #selfawareness #healthymom #healthymomhealthybaby #momlife #bumplife #selfcare #loveyourself #positivevibes #happiness #inspiration #happy #goals #podcast #healthpodcast #happymom #baby #selfaware #selfcare #duke #dukealumni 
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    19 mins
  • Skin Changes in Pregnancy

    Skin Changes in Pregnancy
    Apr 14 2023
    Skin Changes in Pregnancy Skin Changes in Pregnancy occur because of - Hormonal changes (estrogen, progesterone, relaxin, human placental lactogen, Hcg, prostaglandins)Vascular changes – blood vesselsMetabolic changes – chemical changes that make energyImmunologic changes – ability to resist or avoid disease   Hyperpigmentation Excess coloration or darkening of skinMelasma – mask of pregnancy, “freckles”, brown or blue-gray patches fades after a few monthsLinea nigra - dark line on central aspect of stomach that fades after delivery, runs from top of abdomen to pubisMoles & areola – darkenSecondary areola – spilling of surrounding pigmentation   Connective Tissue Changes Striae Gravidarum – dreaded stretch marksMollusca Fibrosa – soft pink swellings of the skin   Vascular Changes Peripheral edema – swelling of hands, legs, feetPalmar erythema – redness of palmsSpider veins (red, thready & smaller)Varicose veins (larger, twisted, enlarged)   Glandular Changes Montgomery tubercles – more prominent (good for lactation)Breasts enlarge prep for lactation   Skin, Nails & Hair Skin – drier, more acne/less acne, eczemaHair – Lengthen, fullerHair – present where it was not before (between breasts, face, abdomen, arms)Nails – grow faster in pregnancyNails - may be weaker and break more easily   So what can we do? Keep skin hydrated and use excellent moisturizerNothing improves or prevents stretch marksMustela Stretch Marks CreamEarth Mama Belly ButterGlow Organics Belly ButterBio-Oil Skincare OilBurt's Bees Mama Bee Belly ButterPalmer's Cocoa Butter Formula Massage Lotion for Stretch MarksMunchkin Milkmakers All-Natural Belly Balm   If you get acne during pregnancy, take these steps to treat your skin -   Wash your face twice a day with a mild cleanser and lukewarm water.If you have oily hair, shampoo/cowash every day and try to keep your hair off your face.Avoid picking or squeezing acne sores to lessen possible scarring.Choose oil-free cosmetics.   Additional ACNE Tips Over-the-counter (OTC) products containing the following ingredients can be used during pregnancy:Topical benzoyl peroxide (Clean & Clear, PanOxyl)Azelaic acid (CeraVe, Clinique)Topical salicylic acid (Noxzema, Neutrogena)Glycolic acid (L’Oreal)If you want to use an OTC product that contains an ingredient not on this list, contact your obstetrician–gynecologist (ob-gyn)   AVOID!!!!! No to retinoids (synthetic Vit A)No to hydroquinone (skin lightener)No to phthalates (disrupt hormones)Hell No to formaldehyde or formaldehyde releasers   During the show facts- On shea butter, I couldn’t find a distinct recommendation that it is safe in pregnancy!On chamomile tea, is not safe to drink in pregnancy, so I say AVOID in pregnancy.Common formaldehyde releasers that you are likely to see in a product and should AVOID are DMDM hydantoin, methylene glycol, quaternium 15, and 3 dioxane   Guest Information Ivette Guttierez was born in Nicaragua and came to the US at the tender age of 6 months. She is the youngest of 3 children and was raised by a strong single mother. As a child she showed an interest in teaching and loved everything related to makeup. After high school she enrolled in Beauty School. While in school, her artistry skills flourished and she was found to be naturally talented at eyebrow shaping. Ultimately she became a professional esthetician and makeup artist.  She then worked with Christian Dior cosmetics and has spent 17 years working with prestigious cosmetic brands, and 12 years as a Senior Executive sales manager for a multi-million dollar company. She was also a state board educator for future licensed estheticians. In 2018 she obtained her permanent make-up certification. During the pandemic she was no longer fulfilled in the corporate realm and started her own business dedicated to all things eyebrows. She then further ventured into the paramedical space and works with women and men that are survivors of trauma, cancer, alopecia, areola reconstruction, SMP, scar camouflage etc.  Her slogan is “beauty should be used to illuminate our inner beauty and not mask it!”     References ACOG. (2023). Skin Conditions in Pregnancy. Retrieved from https://www.acog.org/womens-health/faqs/skin-conditions-duringpregnancy#:~:text=As%20your%20belly%20grows%20during,Sometimes%20the%20marks%20are%20faint. Cleveland Clinic. (2020). Melasma. Retrieved from Melasma: Treatment, Causes & Prevention (clevelandclinic.org) Food and Drug Administration. (2022). Cosmetics & Pregnancy. Retrieved from Cosmetics & Pregnancy | FDA Medical News Today. (2022). Pregnancy and skin care: What products are safe to use? Retrieved from What is safe to use for pregnancy skin care? (medicalnewstoday.com) Sharma, Jharaik, Sharma, Chauhan, & Wadhwa. (2019). Clinical study of pregnancy associated cutaneous changes. International Journal of Clinical Obstetrics and Gynaecology, 3(4) 71-75. Retrieved from 3-4-1-996.pdf...
    Show more Show less
    40 mins
  • How to choose a Supplement with Dr. Azelia Brown

    How to choose a Supplement with Dr. Azelia Brown
    Mar 31 2023

    How to choose a supplement with pharmacist Dr. Azelia Brown

    First Nutrition is the key
    - Eating a variety of foods is the best way to obtain your vitamin and mineral needs
    - Supplements are just an aid

    How are supplements regulated?
    - Food & Drug Administration (FDA) does not do premarketing analysis but they perform post marketing surveillance
    - However they must adhere to current good manufacturing practices (CGMP)


    So what can we do?
    -Look for third party testing
    -companies decide to choose an independent third party
    -most recommended was USP
    -others are NSF, BSCG & Consumer lab

    What does regulation mean?
    -The supplement contains what is stated on the label
    - Products are standardized from batch to batch
    - The supplement is free of harmful levels of contaminants or potential drug contaminants
    -The product doesn’t contain any undeclared ingredients

    Major concerns
    - Toxicity with high doses
    - Side effects
    - Drug interactions
    - Supplement may have no effect
    - If you are a vegan, make sure that the product is certified vegan
    - Allergic reactions (Food Allergen Labeling and Consumer Protection Act means that they must check for 8 major allergens)

    Pro Tips
    -Eat a Healthy diet
    -Make sure supplement is Third Party approved
    - Look for Recommended amount of vitamins, minerals and DHA
    - Always discuss supplements with your healthcare provider


    Upcoming
    -Plan to do aspirin use during pregnancy with Dr. Azelia Brown in the future
    -Next week we discuss the beauty and the beast of pregnancy
    -With esthetician Ivette Gutierrez

    Guest Information

    DR. AZELIA BROWN IS CLINICAL PHARMACY SPECIALIST WITH OVER 5 YEARS OF EXPERIENCE IN THE HOSPITAL SETTING. SHE COMPLETED HER UNDERGRADUATE STUDIES AT THE UNIVERSITY OF FLORIDA. SHE THEN RECEIVED HER DOCTOR OF PHARMACY DEGREE FROM MERCER UNIVERSITY AND COMPLETED POST-GRADUATE TRAINING AT WELLSTAR ATLANTA MEDICAL CENTER. THOUGH SHE PRIMARILY PRACTICES IN THE CARDIOLOGY AND CRITICAL CARE SETTING, SHE HAS EXPERIENCE TAKING CARE OF A WIDE VARIETY OF PATIENT POPULATIONS.
    SHE IS PASSIONATE ABOUT HELPING HER PATIENTS OPTIMIZE THEIR MEDICATION THERAPY AND IMPROVING THEIR HEALTH OUTCOMES.

    References
    -ACOG. (2022). NUTRITION DURING PREGNANCY. RETRIEVED FROM HTTPS://WWW.ACOG.ORG/WOMENS-HEALTH/FAQS/NUTRITION-DURING-PREGNANCY
    -AMERICAN PREGNANCY ASSOCIATION (2023). PRENATAL VITAMINS. RETRIEVED FROM PRENATAL VITAMINS | EVERYTHING YOU NEED TO KNOW (AMERICANPREGNANCY.ORG)
    -BIOSSAT, G. (2019). PRENATAL VITAMINS: A SMALL INTRODUCTION TO A BIG PILL. RETRIEVED FROM PRENATAL VITAMINS: A SMALL INTRODUCTION TO A BIG PILL - CHICAGO HEALTH (CHICAGOHEALTHONLINE.COM)
    -NHS. (2023). VITAMINS, SUPPLEMENTS AND NUTRITION IN PREGNANCY. RETRIEVED FROM HTTPS://WWW.NHS.UK/PREGNANCY/KEEPING-WELL/VITAMINS-SUPPLEMENTS-AND-NUTRITION/

    -U.S. Pharmacopeia (USP). (n.d.). Products and Solutions. Retrieved from USP Products and Solutions

    Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice.

    https://linktr.ee/fourth.trimester.np?subscribe

     
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    45 mins
  • How to choose a Prenatal Vitamin with Dr. Azelia Brown

    How to choose a Prenatal Vitamin with Dr. Azelia Brown
    Mar 24 2023
    How to choose a prenatal vitamin (PNV) with pharmacist Dr. Azelia Brown Fast Facts -IF YOU ARE OF CHILDBEARING AGE YOU SHOULD BE TAKING A PNV -MOST WOMEN (97%) TAKE A PNV BUT ONLY AFTER THEY ARE FOUND TO BE PREGNANT -TO AVOID THE DELAY IF YOU ARE NOT PREGNANT START TAKING A PNV TODAY Why do we need a prenatal vitamin? -VITAMINS & MINERALS ARE NEEDED FOR GROWTH AND DEVELOPMENT. -THERE ARE 13 IMPORTANT VITAMINS: BACKED OR IN OTHER WORDS VITAMINS B (DIFFERENT ONES) A, C, K, E, D. -APART FROM VITAMIN D, WHICH WE GET FROM SUNLIGHT, MOST VITAMINS COME FROM OUR DIET. -DEPENDING ON WHERE YOU LIVE IN THE WORLD, OR YOUR ETHNICITY IT IS QUITE COMMON FOR PEOPLE TO BE LOW IN VITAMIN D (1 BILLION IN DEFICIT) -DEPENDING ON YOUR DIET YOU MAY BE LOW IN FOLIC ACID (VITAMIN B9). -THESE VITAMINS ARE IMPORTANT IN PREGNANCY. -YOU CAN BOOST YOUR LEVELS BY TAKING A VITAMIN SUPPLEMENT IRON -ANOTHER COMPONENT OF MOST PNVS IS IRON -IRON DEFICIENCY ANEMIA IS COMMON IN PREGNANCY -AS IRON NEEDS INCREASE IN PREGNANCY (40-45% BLOOD VOLUME) -SUPPORTS DEVELOPMENT OF PLACENTA AND FETUS -SOURCES – MEAT, FISH, BEANS, LEGUMES, BLACK STRAP MOLASSES -RECOMMENDED 27 MG DAILY -IF ANEMIC YOUR PROVIDER WILL RECOMMEND ADDITIONAL SUPPLEMENTATION THAT SHOULD BE PAIRED WITH VITAMIN C TO INCREASE ABSORPTION                                                                           DHA -AN OMEGA-3 FATTY ACID -IMPORTANT FOR FETAL VISUAL AND COGNITIVE DEVELOPMENT -DEMANDS INCREASED IN LAST TRIMESTER -RECOMMENDED 300 MG DAILY -EAT 2 SERVINGS OF SAFE/LOW MERCURY FISH (WILD CAUGHT SALMON, SHRIMP)                                                       Folic Acid Shout Out -PREVENTS NEURAL TUBE DEFECTS -SEVERE BIRTH DEFECTS OF THE BRAIN & THE SPINE -SUCH AS SPINA BIFIDA & ANENCEPHALY -400 MCG OF FOLIC ACID IS RECOMMENDED FOR MOST -4 MG FOR OTHERS DEPENDING ON MEDICAL HISTORY -START 1 MONTH PRIOR TO CONCEPTION -HAVE CONVERSATION WITH HEALTHCARE PROVIDER                                                         Choline Shout Out -REDUCES NEURAL TUBE DEFECTS -INDEPENDENT EFFECT REGARDLESS OF FOLIC ACID SUPPLEMENTATION -IMPROVES COGNITION, ATTENTION SPAN, MEMORY AND PROBLEM SOLVING (APA, 2023) -BEST SOURCE ARE EGG YOLKS, BEEF LIVER, BEEF, SALMON -RECOMMEND 450 MG -Nature Made PNV with Folic Acid + DHA+ Choline - Women's Prenatal Gummy Vitamin | Nature Made®                                                 How to choose??? -A healthy, well-balanced diet in combination with prenatal vitamins is the best way to ensure that you get all your necessary daily vitamins, minerals and omega-3 fatty acids. -As with any over-the-counter dietary supplement or medication, choosing a prenatal vitamin is a discussion to be had with your healthcare provider.                                                           Pro Tips -Let provider know the type of PNV that you are taking -Bring a bottle in for them to review during a visit -Take PNV with food -Take daily when of childbearing age                                                       Beef, Iron & Wine -contains pre-digested beef -believed to be a medicinal tonic - sold under different brands -some contained alcohol up to 22% -some overproof -Not for pregnant moms!                                                      Guest Information DR. AZELIA BROWN IS CLINICAL PHARMACY SPECIALIST WITH OVER 5 YEARS OF EXPERIENCE IN THE HOSPITAL SETTING. SHE COMPLETED HER UNDERGRADUATE STUDIES AT THE UNIVERSITY OF FLORIDA. SHE THEN RECEIVED HER DOCTOR OF PHARMACY DEGREE FROM MERCER UNIVERSITY AND COMPLETED POST-GRADUATE TRAINING AT WELLSTAR ATLANTA MEDICAL CENTER. THOUGH SHE PRIMARILY PRACTICES IN THE CARDIOLOGY AND CRITICAL CARE SETTING, SHE HAS EXPERIENCE TAKING CARE OF A WIDE VARIETY OF PATIENT POPULATIONS. SHE IS PASSIONATE ABOUT HELPING HER PATIENTS OPTIMIZE THEIR MEDICATION THERAPY AND IMPROVING THEIR HEALTH OUTCOMES.                                                               References -ACOG. (2022). NUTRITION DURING PREGNANCY. RETRIEVED FROM HTTPS://WWW.ACOG.ORG/WOMENS-HEALTH/FAQS/NUTRITION-DURING-PREGNANCY -AMERICAN PREGNANCY ASSOCIATION (2023). PRENATAL VITAMINS. RETRIEVED FROM PRENATAL VITAMINS | EVERYTHING YOU NEED TO KNOW (AMERICANPREGNANCY.ORG) -BIOSSAT, G. (2019). PRENATAL VITAMINS: A SMALL INTRODUCTION TO A BIG PILL. RETRIEVED FROM PRENATAL VITAMINS: A SMALL INTRODUCTION TO A BIG PILL - CHICAGO HEALTH (CHICAGOHEALTHONLINE.COM) -NHS. (2023). VITAMINS, SUPPLEMENTS AND NUTRITION IN PREGNANCY. RETRIEVED FROM HTTPS://WWW.NHS.UK/PREGNANCY/KEEPING-WELL/VITAMINS-SUPPLEMENTS-AND-NUTRITION/ Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice. https://linktr.ee/fourth.trimester.np?subscribe
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    24 mins