Randomusings posted: " It's been a whole year today and I still find myself awake at 4:00am crying silently into my pillow. It's a hard fit trying to fall apart silently lest you wake your roommate with the sounds of your aching heart. I have never willed anything to not be tr" Randomusings
It's been a whole year today and I still find myself awake at 4:00am crying silently into my pillow. It's a hard fit trying to fall apart silently lest you wake your roommate with the sounds of your aching heart. I have never willed anything to not be true like I willed the news of that first phone call and all the others after. I waited and waited for the one that would tell me it was a false alarm, that you were okay, that the doctors misspoke or that there was mistake somewhere but none came.
What I've learnt in this year is that it's those unexpected moments you don't see coming that break you. Suddenly you're fighting to hold back tears in line at the bank or on what is supposed to be a fun road trip to Mbarara or even at your dear friend's wedding. I don't know if anyone notices that I change the subject after we've been talking about you for a minute or so. I'm afraid that anything longer than a minute will have me breaking at the seams.
I catch myself often saying to my sister, "That's what she would have said." Or, "You sound just like her." She's been doing a lot of that lately, saying things the way you might have said them. I like it when it happens because it makes me feel like you're still here with us_ in the things that we say and do and think... but then it also breaks my heart because it's a reminder that you're not here with us anymore.
I fear the day I'll stop feeling this pain because what if that means I'll stop missing you? What if it means the memories will be gone? But just as I'm beginning to fret the weather gets cold and I hear your voice there telling me to dress appropriately and not to forget to carry a sweater and I'm comforted. I'm going to need to carry a sweater for the rest of my life so maybe then, for however long that will be, for however long I'm going to need a sweater, your voice will always be right here with me.
trends posted: " The Impact of Effective Classroom Management Control on the Academic Performance of Senior Secondary School. Case study of selected secondary schools in Bariga Local Government Abstract This research work has been designed to investigate the problem" Download Project Topics
The Impact of Effective Classroom Management Control on the Academic Performance of Senior Secondary School. Case study of selected secondary schools in Bariga Local Government Abstract This research work has been designed to investigate the problems affecting classroom management and control and identify the solution facing the problem. This is to enable the researcher suggest […]
Malakkc posted: " Subjugation, a poem from my poetry book, Perfectly Flawed. Available on all eplatformshttps:///Perfectly-Flawed-poetry-Malak-Kalmoni-ebook/dp/B092YT6QX6/ref=mp_s_a_1_1 " Poetry for Change
trends posted: " ASSESSMENT OF NUTRITIONAL KNOWLEDGE AND PRACTICE ON THE HEALTH OF PREGNANT WOMEN IN MAYO-DASSA JALINGO, TARABA STATE ABSTRACT This study was carried out to assess the nutritional knowledge practices on the health of pregnant women in Mayo-Dassa Jali" Download Project Topics
ASSESSMENT OF NUTRITIONAL KNOWLEDGE AND PRACTICE ON THE HEALTH OF PREGNANT WOMEN IN MAYO-DASSA JALINGO, TARABA STATE ABSTRACT This study was carried out to assess the nutritional knowledge practices on the health of pregnant women in Mayo-Dassa Jalingo, Taraba State. Specifically, the study assessed the knowledge of pregnant mothers with regard to maternal nutrition, determined […]
Delaware Dem posted: " "While some of our colleagues are focused almost exclusively on controlling what happens inside the womb, Democrats in the House and Senate have consistently put forward legislation that helps families and their children to live safe, healthy and product" Blue Delaware
"While some of our colleagues are focused almost exclusively on controlling what happens inside the womb, Democrats in the House and Senate have consistently put forward legislation that helps families and their children to live safe, healthy and productive lives," said Sen. Sarah McBride, chair of the Senate Health & Social Service Committee. "The bills we passed today and throughout this legislative session will continue that work by improving maternal health and protecting children from abuse."
House Bills 340, 343 and 344 are part of the seven-blll Momnibus legislative package sponsored by Rep. Melissa Minor-Brown in March. The first two passed unanimously in both chambers. The last bill, HB 344, passed the House unanimously, but six Republican Senators enjoy racial bias and didn't think it was a good idea to fight against it.
HB 340 will revamp the Child Death Review Commission to include greater focus on maternal health concerns. The Commission would be renamed the Maternal and Child Death Review Commission to reflect its existing dual focus. The definition of "maternal death" would also be updated and the Commission would reflect diverse membership to include a midwife and one maternal and one child advocate from statewide non-profit organizations. To enhance transparency, the group would be required to publicly post its draft report and accept written public comment.
"This Maternal and Child Death Review Commission provides an opportunity to make a significant impact on maternal health and outcomes for all women, but especially those who now need it most," said Rep. Minor-Brown. "Data has shown an alarming rate of maternal mortality locally and nationally. The death rate for Black women and their babies are two to three times higher than the rate for White women, and many of these cases are preventable. We can and will do better."
"Far too many women suffer from pregnancy complications that can lead to injury or death," said Senate Majority Leader Bryan Townsend, the Senate prime sponsor of HB 340. "By reviewing the data, studying patterns, and investigating the causes of maternal deaths, we can better identify solutions and mobilize to enact them."
HB 343 will require the Division of Medicaid and Medical Assistance to present a plan to the General Assembly by November 1 for coverage of doula services by Medicaid providers. The services would be provided by a trained doula designed to provide physical, emotional, and educational support to pregnant and birthing persons before, during, and after childbirth. This would include support and assistance during labor and childbirth, prenatal and postpartum support and education, breastfeeding assistance, and parenting education.
The bill goes hand in hand with the recently passed House Bill 234, which would require the Division of Medicaid and Medical Assistance to expand Medicaid coverage to pregnant women from the current coverage of 60 days from the end of pregnancy under federal Medicaid regulations to 12 months from the end of pregnancy.
"Too many disorders manifest during pregnancy and can impact a woman's health for a lifetime," Rep. Minor-Brown said. "Midwives and doulas are advocates that provide much needed additional support for women. Implementing coverage of doula services will make a huge impact on families especially in the face of maternal mortality rates, ensuring that people get the resources they need."
"Our nation has the highest rate of pregnancy-related mortality of high-income countries and, here in Delaware, the infant mortality rate for Black babies is more than twice the rate for White babies," said Sen. Marie Pinkney, the Senate prime sponsor of both HB 234 and HB 343. "Taken together, these two bills will help to reverse those trends by breaking down some of the barriers that families face when it comes to receiving the support and treatment we know can save lives."
House Bill 344 would provide licensed healthcare professionals and other healthcare staff with strategies for understanding and reducing the impact of their biases in order to reduce disparate outcomes and ensure that all patients receive fair treatment and quality healthcare. The bill would require annual explicit and implicit bias training for health professionals and staff of hospitals and freestanding birthing centers.
"As a nurse and a Black woman, I am extremely aware of the maternal and infant health issues affecting Delaware families, particularly Black mothers and babies," said Rep. Melissa Minor-Brown, the lead House sponsor. "Black women made up one of every four women giving birth in Delaware between 2011 and 2018, but made up half of the mothers who died in childbirth. At 12.5 infant deaths per 1,000 live births, the Delaware Black infant mortality rate is three times higher than the White infant mortality rate of 4.2 infant deaths per 1,000 live births.
"These are more than statistics; they are mothers and children who leave behind loved ones. These bills are designed to help all Delaware mothers and infants, to improve their outcomes and increase their chances for a successful and healthy pregnancy, birthing process and postpartum. Taken together, these bills will make a huge impact on Delaware families across the state by breaking down barriers to vital healthcare treatment and removing other obstacles that mothers and families have faced."
The United States has one of the highest rates of maternal mortality among high-income countries and wide disparities by race that have been documented since rates separated by race were first published in 1935. Currently, Indigenous and Black women are dying at two to three times the rate of White women, Asian/Pacific Islander women, and Hispanic women.
"As a health care worker and as a Black woman, I am all too aware of the disparities in maternal health outcomes," said Sen. Marie Pinkney, D-Bear. "Black and Brown women across Delaware and across the nation are disproportionately likely to die during childbirth or experience serious pregnancy-related complications. Every mother — regardless of the color of her skin, her socioeconomic standing, or her zip code — should have the same access to high-quality, equitable prenatal and postpartum health care services. That's why I am thrilled to join Rep. Minor Brown in championing the Delaware Momnibus, a series of bills aimed at lifting up women and infants."
Implicit bias impacts treatment decisions and outcomes. Black patients often are prescribed less pain medication than white patients who present the same complaints, and Black patients with signs of heart problems are not referred for advanced cardiovascular procedures as often as white patients with the same symptoms. Women are less likely to survive a heart attack when they are treated by a male physician and surgeon. LGBTQ and gender-nonconforming patients are less likely to seek timely medical care because they experience disrespect and discrimination from health care staff.
"Despite recent strides to prioritize equity in the medical field, implicit bias still negatively impacts the experience that thousands of patients have in doctors' offices and emergency rooms across our state," said Sen. Sarah McBride, D-North Wilmington. "Even the fear of bias in our health care system creates meaningful barriers and often prevents those with marginalized identities from seeking care in the first place. My colleague Rep. Minor-Brown routinely sees the damaging effects that implicit bias has on her patients – from delayed diagnoses, to misdiagnosed symptoms, and mistreatment of illness. That's why I am honored to co-sponsor HB 344, which would require additional bias training and accreditation for health care professionals and staff across our state."
