When Hurricane Helene hit Western North Carolina in the fall of 2024, many families were left without access to power and clean water for weeks or even months. This made commonplace tasks such as safely storing pumped breast milk nearly impossible. Brandi Harrison, a certified lactation consultant based in WNC, discusses her experience helping families navigate infant feeding during this crisis, and shares lessons learned to help others prepare for future disasters.
Resources
North Carolina Breastfeeding Coalition (main site)
Breastfeeding Family Friendly Communities
Infant and Young Child Feeding in Emergencies Toolkit (IYCF-E Toolkit)
Correction: Brandi says the cost of not breastfeeding is $53 million to the US. It was actually a global study, so that number refers to worldwide costs. Research study: The cost of not breastfeeding: global results from a new tool
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Music credit: "Carefree" Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 4.0 License
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In this episode, Katlyn Moss talks to Emily Taylor from the AFE Foundation about the pregnancy complication of Amniotic Fluid Embolism, and how the AFE Foundation helps to support and educate medical professionals. Emily shares her own story about surviving AFE and how this experience inspired her to dedicate herself to raising awareness. You will learn what AFE is, why it is often difficult to diagnose, and how it affects the patient, their family, and their care team. Emily will also provide resources to educate health care workers about AFE and ways you can join in the effort to further research this condition. She will also talk about the AFE Foundation Hotline- a direct call for assistance and guidance in managing and treating AFE.
Resources
Healthcare provider site: amnioticfluidembolism.org
24/7 Crisis Line: 1-307-363-2337 (1-307-END-AFES)
AFE Course: https://amnioticfluidembolism.org/education/courses
Simulation toolkit: https://amnioticfluidembolism.org/education/simulation-toolkit/
Submit a case: https://amnioticfluidembolism.org/submit-a-case/
Invite us to speak: https://amnioticfluidembolism.org/invite-us-to-speak/
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Music credit: "Carefree" Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 4.0 License
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We are proud to kick off Season 4 of our podcast by featuring an amazing community organization, Babies Need Bottoms. Katlyn Moss talks to Megan Lyons Leimena, from Babies Need Bottoms, a nonprofit diaper bank that serves all of Western North Carolina. To address the problem of diaper needs, Babies Need Bottoms provides diapers and diapering supplies through community-based partner organizations throughout the region. They talk about how a diaper bank operates, and how lack of access to diapers can cause health, financial and emotional struggles. You will learn about the many impacts of diaper needs, and how to help families receive the resources they need.
Resources
NDBN Clearing House on Diaper Need
Journal article: “Willing to Do Anything for My Kids”: Inventive Mothering, Diapers…”
For referrals / to find diapers in WNC, visit www.nc211.org, or call 1-888-892-1162 to be connected to a social service agency near you that can help with diapers and more.
We would love your feedback on our podcast! Please take our listener survey to provide your comments.
Music credit: "Carefree" Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 4.0 License
http://creativecommons.org/licenses/by/4.0/
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Tune in to this episode to hear all about the Interactive map and dashboard for Transitions, Access, and Continuity of Care
(ITACC). This resource provides an overview of reproductive healthcare and substance use treatment resources across the 18 westernmost counties of North Carolina. Use it to connect patients to providers or to find a service near you! Enjoy!
Podcast Survey:
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Social Media
Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
Resources
https://mahec.net/regional-initiatives/itacc-resource-map
https://mahec.net/regional-initi
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On this episode of “Just Us: Before, Birth, and Beyond” we will hear from the team at the 4th Trimester Project about how they built their revolutionary postpartum toolkit. The team highlights how the tool came to be and what makes it so unique. Spoiler alert: one of those things is the input from real moms! Tune in to learn more and we hope you enjoy it!
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Instagram: @justus.podcast.wnc
Resources
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In this episode, we dive into Project CARA, a groundbreaking initiative based at MAHEC in Asheville, NC, designed to improve care for pregnant and parenting individuals with substance use disorders. We explore the innovative hub and spokes model of care that Project CARA employs to extend its reach and impact across multiple counties in WNC. We hope you enjoy this episode!
Podcast Survey:
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Social Media:
Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.bbb.podcast
Resources
https://mahec.net/obgyn/project-cara-resources
https://mahec.net/images/uploads/publications/ProjectCaraToolkit-BeforeYouWrite.pdf
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Listen to this episode of Just Us: Before, Birth, and Beyond to understand more about intimate partner violence and the effects it can have on citizens right here in WNC. Join us in raising awareness of this tragic reality and learn about resources right here in the mountains. Podcast Survey:
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Social Media
Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
Resources
Helpmate Domestic Violence Services in Buncombe County, North Carolina https://helpmateonline.org
Helpmate Hotline: (828) 254-0516
Resources for Working with Youth & Children:
https://lundybancroft.com/
https://www.search-institute.org/our-research/development-assets/developmental-assets-framework/
Duluth Model Wheel Gallery: https://www.theduluthmodel.org/wheel-gallery/
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This week we are joined by 4 RNs across the state! Katlyn Moss, BSN, RN, one of the hosts of our podcast, is the Region I Perinatal Nurse Champion. This means her job is to provide equitable and evidence based maternal health information to the western part of the state through the MHI grant. She works with 5 other Perinatal Nurse Champions across the state and this podcast highlights their shared “I Gave Birth” bracelet project. The “I Gave Birth” bracelet project is an educational initiative with the goal of decreasing postpartum mortality. Listen in to hear about the project and, most importantly, why it matters!
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Social Media
Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
Emails
Region I: Katlyn Moss katlyn.moss@mahec.net
Region II: Tina Morris Tina.Morris@conehealth.com
Region III: Karen Clark Karen.Clark@atriumhealth.org
Region IV: Liz Soto Elizabeth_Soto@med.unc.edu
Region V: Kathleen Bloomfield Kathleen.Bloomfield@carelcf.org
Region VI: Jessica Noble Jessica.Noble@ecuhealth.org
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This week’s guest is Dr. Samantha Meltzer-Brody who is a reproductive psychiatrist and the director of the UNC Center for Women's Mood Disorders. She has been involved in the clinical trials for the new medications to treat postpartum depression. Take a listen to this episode to learn all about these medications and the possibilities they provide for postpartum depression treatment. We hope you enjoy!
Podcast Survey:
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Social Media
Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
Resources
https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2781385
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Did you know that government assistance for those below the poverty line does not include period products?This is where Project Dignity comes in! For this week’s episode we sit down with the team at Project Dignity and discuss what their program provides,the beautiful way it got started and more. Enjoy!
Podcast Survey: https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK
Social Media
Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
Resources
https://projectdignitywnc.orghttps://period.org/
https://www.periodlaw.org/
https://www.iam-hc.org/
https://mppnhc.org/community-outreach/
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Everyone needs some parenting help at some point in their parenting journey. In this episode Katlyn Moss, BSN, RN interviews Sarah Clark who is the program manager for the Positive Parenting Program, or Triple P at MAHEC. Sarah helps us to understand what kinds of services Triple P provides to their clients all over WNC and gives examples of the tangible ways they are assisting parents in their parenting journey and creating supportive family environments. This is an amazing resource for our families here in WNC. We hope you enjoy this episode!
Podcast Survey:
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Social Media
Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
Resources
https://mahec.net/regional-initiatives/triplep
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Have you ever taken care of a patient who speaks a different language than you? This episode highlights the importance of caring for patients in the language that they speak through interpreter services, appropriate patient education, and more. Our guests, Jenny Jensen, MSN, MPH, RN, IBCLC and Dr. Kristin Tully, PhD share their work around language concordant service and why this is not only best practice, but a basic human right. We hope you enjoy!
Podcast Survey:
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Social Media
Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
Resources
https://pubmed.ncbi.nlm.nih.gov/36252680/
McLemore MR. Using Retrofit, Reform, and Reimagine to Advance Toward Health Equity. J Perinat Neonatal Nurs. 2022 Apr-Jun 01;36(2):99-102. doi: 10.1097/JPN.0000000000000639. PMID: 35476759 .
https://thinkculturalhealth.hhs.gov/clas/standards
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Ever had a patient with a newly diagnosed mental health disorder and you had no idea where to start? We have a solution. In this episode we will hear from the team at NC PALs, which stands for North Carolina Psychiatric Access Line. This hotline provides mental health consultation and education to North Carolina clinical and social service providers—building their mental health knowledge and capacity. And this is specifically for maternal mental health AND pediatric mental health. Tune in to hear all about this amazing resource!
• North Carolina: www.ncpal.org
NC PAL Access Line: 919-681-2909
• NC PAL website: www.ncpal.org/enroll
• Massachusetts PAL: mcpap.com
• Michigan PAL: Psychiatry Support for Michigan Healthcare Providers (mc3michigan.org)
• Oregon PAL: Oregon Psychiatric Access Line (OPAL) | OHSU
• Colorado PAL: Home | CoPPCAP
• Partnership Access Line - Seattle Children's (seattlechildrens.org)
Resources in every state: Map — NNCPAP National Network of Child Psychiatry Access Programs https://www.nncpap.org/
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On this episode you will hear Mel Ramage, FNP-BC interview Nicole Ross and Lisa Hagen about their lived experience with motherhood, cancer, and addiction. Listen in as they discuss the importance of community, the parallels of cancer and addiction treatment, and share the ways in which providers can make patients in similar situations feel heard. We hope you enjoy this inspiring episode.
Podcast Survey:
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Facebook: Just Us: Before, Birth and Beyond Podcast
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Resources
https://chasingthescream.com/ BOOK MENTIONED
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On this week’s episode, host Dr. Suzanne Dixon interviews Tina Sherman who is a leader in the space of maternal health and lactation. Tina is the director of Moms Rising and serves on various boards related to breastfeeding persons. In this episode they explore the Pregnant Workers Fairness Act as well as the PUMP Act which are both new legislation that prohibit discrimination for pregnant and breastfeeding people. Take a listen if you would like to know more about this legislation, its implementation, and tips on how to make employers and employees aware of their rights. We hope you enjoy this episode!
Podcast Survey:
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Social Media:
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Resources:
https://www.momsrising.org/about
https://www.eeoc.gov/wysk/what-you-should-know-about-pregnant-workers-fairness-act
https://www.congress.gov/bill/117th-congress/house-bill/1065
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Listen in to hear all about genetic carrier screening in pregnancy. In this episode we cover everything from what genetic carrier screens are, what kinds of things they can detect, and how best to use them in practice! We hope you learn something. Enjoy!
Podcast Survey:
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Social Media:
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ACOG Resources:
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In this episode Katlyn Moss, BSN, RN interviews Georganna Cogburn, MSHE, RD, LDN, IBCLC, RLC on breastfeeding and mastitis. They cover everything from normal physiological changes in the breast after delivery to hand expression and breast massage. Georganna shares the importance of patient education in the prenatal period and shares tips on how to triage a patient who calls with mastitis symptoms. We hope you enjoy the episode!
Podcast Survey:
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Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
Resources
Academy of Breastfeeding Medicine Clinical Protocol # 36: The Mastitis Spectrum (Revised 2022) BFM-2022-29207-kbm-ver9-Mitchell_2P 360..376 (bfmed.org)
English_ABM_Mastitis Handout_Protected.pdf (memberclicks.net)
ABM Clinical Protocol #37: Physiological Infant Care - Managing Nighttime Breastfeeding in Young Infants BFM-2023-29236-abm-ver9-Zimmerman_3P 159..168 (memberclicks.net)
English_ABM_Physiologic Infant Care Handout_Protected.pdf (memberclicks.net)
Unicef UK Baby Friendly Initiative/Hand Expression https://www.youtube.com/watch?v=K0zVCwdJZw0&t=65s
Hand Expression LPCH Stanford https://www.youtube.com/watch?v=613yqVEtu3I&t=60s
Therapeutic Breast Massage in Lactation https://vimeo.com/65196007
How to Fit Breast Pump Flanges (1) How to Fit Breast Pump Flanges - YouTube
Reverse Pressure Softening by K. Jean Cotterman, RNC, IBCLC http://www.health-e-learning.com/articles/RPS_JCotterman_ver2005.htm
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Did you know that in the state of NC pharmacists can prescribe certain contraception? Listen to this episode of "Just Us: Before, Birth, and Beyond" to hear pharmacists from across the state discuss the house bill that made this possible, why this change is so beneficial to patients, the impact this has on rural patients, and so much more. Thank you to Anna Baird, PharmD, Roshni Pattabiraman, PharmD, Rathika Nimalendran, PharmD, and Dr. Ashley Navarro for their expertise on this topic. Enjoy!
Podcast Survey:
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Resources:
https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H96v5.pdf (House bill 96)
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Have you ever had a paitent ask you if they could put their child in a bubble? Have you ever worked with medically complex children who need special medical equipment at home but the family cannot afford it? Safe Kids is the program for you. Listen in as our host, Chama Woydak interviews Beverly Hopps and Vickie Killough about the Safe Kids program and all the life changing things it can do for your patients. Enjoy!
https://mahec.net/regional-initiatives/safe-kids-wnc
Podcast Survey:
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Facebook: Just Us: Before, Birth and Beyond Podcast
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Resources:
Are you interested in supporting the safety of children in our region by donating to Safe Kids WNC?
It can easily be done online! Go to www.mahec.net
Click on “About Us” and then “Giving Opportunities.”
Scroll down this page until you see “How to Donate”, then select Option 1.
Under “Fund”, click on the drop-down menu, and select “Safe Kids”
All donations will go to Safe Kids WNC, led by MAHEC, to provide injury prevention education and resources for children in our community
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Welcome to Season 3 of "Just Us"! In our first episode of the season our host, Dr. Amy Santin, interviews her family medicine colleagues from across the state regarding the role that primary care physicians can play in the postpartum period. Tune in for practical tips on caring for postpartum patients, data on how pregnancy and the postpartum period can affect future health and so much more. We hope you enjoy!
Podcast Survey:
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Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
Resources
Maternal Health Innovations
https://mahec.net/regional-initiatives/maternal-health-innovations-grant
American Diabetes Association https://diabetes.org/search?keywords=postpartum+period#gsc.tab=0&gsc.q=postpartum%20period&gsc.page=1
North Carolina WIC Lactation Area Training Centers for Health (WIC LATCH)
https://www.ncdhhs.gov/lactation-area-training-center-health-latch-coverage/download?attachment
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We hope you enjoy this last episode of “Just Us: Before, Birth, and Beyond”! Today, we are listening to host Dr. Suzanne Dixon interview brothers Canyon Woodward and Dr. Rivers Woodward. They discuss the importance of listening to patients, how building relationships makes care in a small town better, and more! Listen in if you are interested in bringing care of rural patients or would like a better understanding of the nuances of small town care.
Canyons Book: https://www.amazon.com/Dirt-Road-Revival-Rebuild-Politics/dp/080700751X
Project Promise: https://mahec.net/rhi/project-promise
Dirt Road Organizing: https://www.dirtroadorganizing.org/
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Are you wondering the best practices for putting infants to sleep? Listen to Megan Canady and Katlyn Moss in defining the updated guidelines for safe sleeping practices to share with parents of infants. They will be answering parents' most-asked questions about new products and how to encourage patients to ask for help in this immensely important aspect of a child's growth. We hope you enjoy it, and find this helpful for your care!
Safe Sleep; American Academy of Pediatrics:
https://www.aap.org/en/patient-care/safe-sleep/
Safe Sleep North Carolina:
You Quit Two Quit:
University of Notre Dame; Mother-Baby Behavioral Sleep Laboratory:
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We have all heard about anemia, but have you ever thought about the significance behind treating it in a sensitive population, like pregnant mothers? Tune in as Dr. Suzanne Dixon and Katlyn Moss BSN define anemia during pregnancy; especially highlighting the importance of screening for anemia regularly. Treating anemia during pregnancy can decrease the risk of maternal morbidity, problems with breastfeeding, and decrease the occurrence of neuro-development disorders and low-birth weight. This episode will foreground the lab numbers and procedures to best treat anemia in pregnancy.
California Maternal Quality Care Collaborative Toolkits:https://www.cmqcc.org/resources-tool-kits/toolkits
Anemia is included in the OB Hemorrhage Toolkit:https://www.cmqcc.org/resources-tool-kits/toolkits/ob-hemorrhage-toolkit
WNC Perinatal Providers Toolbox https://mahec.net/regional-initiatives/mhi-clinical-resources
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Join us in listening to Michael Hall illustrate the importance of fatherhood, which is an angle we don’t normally hear from in the maternal health realm. Cindy McMillan asks Michael about his experience as a father through the whole process of bringing new life into the world. He discusses the importance of practicing “Hands on Fatherhood,” and how this change can make the birthing process and postpartum healthier for the mother and the child. If you want to hear more about Michael’s personal experiences as a father, tune into “Voice of a Father!”
TED Talk on Trauma and Resilience by Charles Hunt https://www.youtube.com/watch?v=3qELiw_1Ddg
What are ACEs? https://developingchild.harvard.edu/resources/aces-and-toxic-stress-frequently-asked-questions/
Generation 2 Generation (G2G) Facebook Page:
https://www.facebook.com/G2GMDTMT?mibextid=ZbWKwL
My Daddy Taught Me That Website:
https://mydaddytaughtmethat.org/
Trinity Methodist Church, Asheville, NC https://trinitywavl.org
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Have you ever wondered what it is like for women to go through a pregnancy while incarcerated? Kristie Williams shares her personal experience of pregnancy and the birth of her twins while in prison. She calls providers into action while they are caring for incarcerated pregnant women, and to remind them of their humanity and provide the utmost empathy. Megan and Kristie also discuss the new legislation in place to aid incarcerated women during their pregnancy. Join us as we strive to raise awareness, advocate for change, and empower women.
Incarcerated Women’s Health Website: https://incarceratedwomenshealth.org
Providing Care to Incarcerated Pregnant Patients: A Training for North Carolina Healthcare Professionals: https://incarceratedwomenshealth.org/resources-for-healthcare-professionals/
Corrections Staff Training: https://incarceratedwomenshealth.org/resources-for-corrections-legal-professionals/
Dignity for Women Who are Incarcerated Act https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H608v5.pdf
Advocacy and Research on Reproductive Wellness of Incarcerated People:
National Council for Incarcerated and Formerly Incarcerated Women and Girls:
https://www.nationalcouncil.us
Alcohol and Drug Council of NC perinatal section: https://www.alcoholdrughelp.org/perinatal
Women’s Recovery Conference: https://pub.mahec.net/wrc/index.php
Just Us Podcast Social Media:
Facebook: Just Us: Before, Birth and Beyond Podcast
Instagram: @justus.podcast.wnc
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