Healthy Mom Healthy Baby Tennessee

EO: 218 Patient Event Debriefs with Dr. Lynlee Wolfe

Fri, 20 Mar 2026 05:00:00 -0500

In this episode of Healthy Mom, Healthy Baby Tennessee, Dr. Connie Graves and Dr. Lynlee Wolfe explore the critical role of patient event debriefs in perinatal care, with a particular focus on women with cardiac conditions during pregnancy. They discuss what a clinical debrief is, how it differs from informal feedback, and why structured debriefs are essential for improving team performance and patient safety. The conversation also touches on the emotional well-being of providers following adverse events, the emerging practice of patient-centered debriefs, and how simulation training has long modeled effective debriefing. A real-world example illustrates how a debrief led to a meaningful system change that directly improved care for future cardiac patients.

Key Takeaways

A clinical debrief is a structured, team-based conversation held after any clinical event — positive or negative — with the goal of identifying what went well, what could be improved, and what actionable system changes should follow.

Women with cardiac conditions face heightened risks throughout pregnancy, labor, and the postpartum period, making regular and structured debriefs especially critical in their care.

Debriefs differ from informal feedback in that they are structured, team-wide, and designed to maintain psychological safety by preventing blame, hierarchy, and emotion from dominating the discussion.

Anyone on the care team can facilitate a debrief — the key is establishing a blame-free, improvement-focused environment where all voices are equally valued.

Using a structured debrief form — whether from ACOG, AIM, SMFM, or a unit-developed version — is essential for keeping discussions on track, brief (typically five to ten minutes), and productive.

Debriefs play a meaningful role in supporting provider well-being by addressing the "second victim" phenomenon, helping team members process difficult events without internalizing blame.

Patient-centered debriefs, while not yet standard practice, are an emerging tool for addressing birth trauma and validating patient experiences following adverse events.

Simulation training has long demonstrated the power of post-event debriefs, and clinical teams can draw directly from that model to strengthen real-world learning and outcomes.

A real-world example showed that a single debrief following a cardiac patient's ICU admission led to a lasting system change — a dedicated, accessible location for patient care plans — that improved safety for all future patients.

Quotable Moments

"The process of doing a debrief is you go through an event. It can be a good event. It can be a bad event, a critical event, an adverse event. There's some clinical event that occurs and the team feels like it's time to sit down and discuss what happened." — Dr. Lynlee Wolfe

"Everybody thinks pregnancy is not really a medical condition, but we all know it is a medical condition and there are definitely things that can happen." —Dr. Lynlee Wolfe

"When we perform that debrief, we're trying to make sure everybody's input is taken and you do it in a non-punitive, non-blame-free environment." — Dr. Lynlee Wolfe

"The purpose of the debrief is quality improvement. It's emotional processing. It is not blame. It is not to find mistakes or evaluate personal performance." — Dr. Lynlee Wolfe

"We work as a team. We win as a team. We lose as a team. Everything's a team effort, especially on our labor and delivery units." — Dr. Lynlee Wolfe

"The debrief is really that learning point. And as in that simulation cycle that solidifies knowledge and helps improve outcomes overall and long term." — Dr. Lynlee Wolfe

"The best one is the one that you know you will use on a regular basis." — Dr. Lynlee Wolfe

"What somebody feels is what they feel. So we need to validate and then help process through that rather than explain to them, no, this is actually what happened." — Dr. Lynlee Wolfe

"There was a care plan in there. It did talk about fluid management and how we should be careful because even though she's physically stable at that moment, her ejection fraction was not at a point where we really needed to push anything." — Dr. Lynlee Wolfe

Show Notes by Barevalue.

No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

EO: 217 Multi-Disciplinary Heart Team with Dr. Connie Graves

Fri, 13 Mar 2026 05:00:00 -0500

Key Takeaways

Cardiac disease is one of the leading causes of maternal mortality in the United States, making multidisciplinary cardio-obstetrics teams essential for improving outcomes.

Effective cardio-obstetrics teams should include maternal-fetal medicine specialists, experienced cardiologists, anesthesiologists, pharmacists, social workers, nurse navigators, and other specialists as needed, all centered around the patient.

Starting a cardio-obstetrics program doesn't require having everything in place at once - begin by identifying existing strengths and building from there with passionate team members.

Vaginal delivery is typically safer than cesarean section for women with cardiac conditions due to less blood loss and fewer rapid circulatory changes.

Standardized protocols should form the foundation of care, with individualization based on patient-specific factors like exercise tolerance, other medical conditions, and other health factors.

Communication style matters significantly in multidisciplinary teams - asking "can you tell me why" instead of "I'm not sure why" fosters collaboration rather than defensiveness.

Telemedicine and technology can help overcome major barriers to care, particularly transportation challenges in rural areas where hospitals are closing.

The biggest challenge in building cardio-obstetrics programs is often changing mindsets from competition to collaboration, with all team members understanding that the patient should be at the center.

Quotable Moments

"Cardiac disease is one of the leading killers of pregnant women in the United States in particular, not just during pregnancy, but in the postpartum period where women are left are often vulnerable."

"The cardiologist is not the obstetrician. So what cardiologists should not do or there should not be an overlap between delivery planning."

"Labor is like running a marathon and so therefore when one is in labor, there are a lot of shifts that go on that affect the heart."

"Vaginal delivery is, is much easier. You're much less likely to lose blood. It is much better for the baby."

"It is quite difficult to navigate pregnancy even when it's normal. But now when you're asking a patient to come in, take medications, see the cardiologist, see the maternal fetal medicine specialist, sometimes they already have an obstetrician, they need to have a scheduled appointment with the anesthesiologist, it can be overwhelming."

"I believe in starting small is important, find what you need to do and, and we talk about this in the CCOC bundle. Find what your team is already doing."

"The hallmark of care should be your standardized protocols. You should start there."

"I think you have to balance moving toward programming. Say okay, if you want me to build a cardio obstetrics program because we are the level four regional perinatal center in my area, these are the resources I'm going to need."

"I always talk about this a lot as how you ask questions and how you present yourself really helps team dynamics."

"If I've conveyed to the patient as somehow one of the team members doesn't, is not trustworthy or really doesn't know what they're doing, then the patient loses trust in the whole team."

"We should be talking about equity, but we should be talking about health justice. because there's so many barriers in the American medical system to getting care."

"If the patient is at the center, then we all join hands around the patient to make sure that there are just no gaps in the care that the, that patient receives."

Show Notes by Barevalue

EO: 216 Tennessee Department of Health Infant Health Strategic Plan with Nicole Andersen

Fri, 06 Mar 2026 05:00:00 -0500

Infant Health Strategic Plan: https://www.tn.gov/content/dam/tn/health/program-areas/INFANT%20HEALTH%20STRATEGIC%20PLAN%202024-2028.pdf
CFR Webpage: https://www.tn.gov/health/health-program-areas/fhw/child-fatality-review0.html
FIMR Webpage: https://www.tn.gov/health/health-program-areas/fhw/infant-mortality-reduction.html

Key Takeaways

Tennessee's infant mortality rate of 6.6 deaths per 1,000 live births in 2022 consistently exceeds

the national average, with over half of all child deaths occurring before a child's first birthday.

The Tennessee Infant Health Strategic Plan (2024-2028) provides a comprehensive, data-driven

roadmap with seven key strategic areas: family planning, prenatal care, birth outcomes

infrastructure, safe sleep, preterm birth prevention, breastfeeding support, and smoking cessation.

Approximately 25% of infant deaths in Tennessee are sleep-related, making education and

implementation of the ABCs of safe sleep (Alone, on their Back, in a safe Crib) a critical

prevention strategy.

Early prenatal care is essential, with the goal to increase first-trimester access from 71.4% to

75% through programs like presumptive eligibility, TennCare enrollment, and the CHANT (Community

Health Access and Navigation in Tennessee) program.

New legislation (Senate Bill 1283) requires three syphilis screenings during pregnancy to combat

rising congenital syphilis rates, demonstrating the state's commitment to evidence-based

interventions.

Successful implementation of the plan requires collaborative efforts across state agencies,

healthcare providers, community organizations, and families, with all partners encouraged to think

creatively about their role in promoting infant health.

Supporting maternal health through comprehensive services—including mental health treatment,

substance use disorder support, smoking cessation programs, and breastfeeding resources—is

fundamental to improving infant outcomes.

Quotable Moments

"Our data shows us that in 2022, over half of all child deaths in Tennessee occurred before the

child's first birthday from 2017 to 2022, the Tennessee infant mortality rate or a number of

infants who died for every 1000 live births was consistently higher than the national rate with 6.6

deaths per 1000 live births in Tennessee in 2022."

"The primary focus of this work is to bring that number down, increasing the number of children

born in Tennessee that get to celebrate their first birthday and many more birthdays after."

"In Tennessee, about a quarter of all infant deaths are sleep related. The American Academy of

Pediatrics Safe Sleep recommendations play an important role in preventing these deaths and the

ABCs of safe

sleep."

"A leading cause of infant mortality in Tennessee is preterm birth. Any infant born earlier than 37

weeks gestation is considered preterm and is at higher risk for adverse outcomes, including death."

"These are real children and real families, and unfortunately, far too often real tragedies, we

need to all work together to improve infant outcomes for families, communities, and the future of

Tennessee." "Together we can help ensure that more babies born in Tennessee get to celebrate their

first birthday and many more beyond that."

Show Notes by Barevalue.

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EO: 215 Regional Perinatal Maternal Educators Across TN

Fri, 27 Feb 2026 05:00:00 -0500

Contact information:

West Tennessee: Sequitha LeFlore-Thomas, Email: sleflore@uthsc.edu

Phone/Fax: 901-448-9982

Instagram: @wombandwell_np

Middle Tennessee: Susan Drummond, email: susan.drummond@vumc.org

mindy.sacco@vumc.org

Perinatal Regionalization Program Class Registration Form

East Tennessee: Michelle Oglesby, Email: regionalperinatal@utmck.edu or meoglesby@utmck.edu

Phone: 865-305-9300 Office or 715-401-3548 Cell

Southeast Tennessee: Jennifer Shelton, Email: Jennifer.shelton@erlanger.org

BEH Office: (423) 778-3547

Northeast Tennessee: Brandi Pratt, Email: Brandi.pratt@balladhealth.org

423-431-5352

Key Takeaways

Tennessee faces significant rural healthcare challenges with many counties lacking hospitals or obstetric services, making emergency department and EMS training critical for maternal and infant outcomes

All five regions offer comprehensive, tailored education including fetal monitoring, high-risk pregnancy complications, simulation training for emergencies, and NRP certification for first responders

Simulation-based training has proven immediately effective, with multiple examples of providers successfully applying learned skills within hours or days of receiving education

Regional educators customize their offerings based on local equipment, resources, and scope of practice, ensuring practical application in real-world scenarios

The statewide initiative provides free NRP training for EMS, fire departments, and police as first responders, recognizing that many deliveries occur outside hospital settings

Collaboration between hospital systems, emergency departments, EMS, and educational teams is essential for improving maternal and infant health outcomes across Tennessee

Healthcare providers can access these educational resources by contacting regional educators directly via email or phone to schedule customized training sessions

Quotable Moments

"I am passionate about women's health. I'm a Mississippi native, but Memphis has been home for me for about 15 years now."

"Just seeing how confident they were in their skillset afterwards, we kinda assess it before the class and then again afterwards."

"I've been in this position for over 30 years"

"It's so rewarding to see a new nurse go from novice to expert in their skill in interpreting tracings, which is such an important part of care for patients in labor."

"Many patients deliver far from home and first responders and emergency departments without OB services are often the first point of contact."

"The crew arrived, delivered the baby, and successfully provided care for both mom and baby. Knowing that the education we provided was immediately applied in real life and made a difference for the family was incredibly rewarding"

"I love having an opportunity to educate in several different variations of skill sets and to be able to have fun and allow them to walk away with that one wow factor that kind of sticks with them"

"Without this education we would've never known what to do. I think that makes all of our jobs rewarding and it really hits home when we get to help celebrate those wins"

"One of the things that I really focus on as part of the OB um, educator is being ready for the delivery with how to set up their warmer"

"Being asked to come back always makes me feel like I'm doing a good job and that we're all taking part in and helping to take care of our moms."

Show Notes by Barevalue.

EO: 214 Respectful Care Panels with Jane Anna Cummings & Dr. Dianna Puhr

Fri, 20 Feb 2026 05:00:00 -0500

Key Takeaways

Respectful care panels provide invaluable opportunities for healthcare teams to hear directly from patients in a non-clinical setting, bridging the gap between provider intentions and patient experiences.

Simple actions like sitting down when speaking with patients, using their names, and making eye contact can dramatically improve how patients perceive their care and feel respected, often requiring no additional time.

When recruiting patient and family partners for panels, plan to invite at least twice as many participants as you hope to have attend, as last-minute conflicts with young children and family illnesses are common.

Financial stipends for patient participation demonstrate that healthcare organizations value patients' time and opinions, and can be especially important for economically disadvantaged families.

Creating comfortable environments for patient panelists through thoughtful seating arrangements, positioning trusted advocates nearby, and using welcoming body language helps facilitate honest, open dialogue.

Patient panel members can become ongoing resources for healthcare teams, providing quick feedback on proposed changes and helping ensure patient-centered decision-making beyond the initial panel event.

Increasing survey response rates through accessible methods like QR codes on discharge instructions is essential for gathering actionable feedback to improve patient experiences.

Quotable Moments

"I think the patient family just gives the medical team another look just to sometimes that you just don't think of it. You think you're doing everything that you should be doing, but things slip through the cracks and this panel is able to, you know, kind of point those out."

"I feel very strongly that the best way to be patient-centered and to make patient-centered changes is to listen directly to the patients."

"Her doctor took the time and she said that when he pulled up the stool and sit down and, and called her by name, which I thought was so funny, called her by name and began to go through the next step with her that that changed how she felt about what was going on."

"It is interesting how much things that we as providers consider to be small changes can really make such a huge impact in how the patient perceives their care and how they feel."

"The best way to take care of patients and give good patient care is to listen to your patients."

I would wholeheartedly agree with inviting at least twice as many patient family partners as you would like to have in attendance because there will always be last minute things that come up in conflicts where they're not able to attend."

Show Notes by Barevalue.

EO: 213 Communicating the Science of Vaccines to Parents with Dr. Buddy Creech

Fri, 13 Feb 2026 05:00:00 -0500

Disclosures:

Dr. Creech has disclosures of grant funding from NIH, CDC, Moderna, Pfizer and has been a consultant for Merck, Sanofi Paseur, TD. Cowen. Guidepoint Global, GSK, Delbiopharm, Dianthus, AstraZenecka and receives royalties from UpToDate

Websites:

Philadelphia Children's Hospital Vaccine Education & Resources

VUMC Children's Immunization Guide

AAP

Recommended Books:

Anxious Generation: How The Great Rewiring of Childhood Is Causing an Epidemic of Mental Illness, Jonathan Haidt

Righteous Mind: Why Good People Are Divided by Politics and Religion, Jonathan Haidt

Key Takeaways

RSV prevention now includes both maternal vaccination during third trimester and monoclonal antibodies for infants, both showing 60-80% reduction in hospitalizations

Hepatitis B vaccine is fundamentally a cancer prevention tool, and the birth dose is recommended at population level to prevent missed cases even when individual risk appears low

Cocooning newborns through family immunization for influenza, pertussis, RSV, and measles is critical as community vaccination rates decline

Effective vaccine conversations require avoiding shame and blame, expressing intellectual humility, asking "why" to understand concerns, and providing trusted resources rather than just education

The future of vaccine development includes improved flu vaccines requiring less frequent administration, alternative delivery methods (intranasal, oral, microneedles), and advanced tools to understand rare adverse events

While vaccine-preventable diseases like measles are increasing in pockets of under-vaccinated communities, maintaining high vaccination rates is essential to prevent widespread outbreaks of highly contagious diseases

Parents face significant peer pressure around vaccine decisions, and healthcare providers should acknowledge this while modeling respectful dialogue with those who disagree

Quotable Moments

"What is hepatitis B vaccine? It's a cancer prevention vaccine period. It prevents liver cancer. Why would I not want a cancer preventing vaccine?"

"An ounce of prevention is worth a pound of cure rather than knowing how to treat meningitis really effectively. Wouldn't it be great if we could prevent it all together?"

"I think we need to recognize that we probably want the same thing, except in extraordinarily weird situations. We both want the health of that child."

"I recognize that there is still much to learn about these things, but here's where I land."

"Vaccines and your baby's health, that's just more complicated than 140 characters."

"Measles is the second most contagious virus on the planet behind smallpox, which is eradicated. So it's the first most contagious virus on the planet."

"I want to prevent you from coughing by jabbing this metal needle into your child's thigh. Like that's weird."

"we need to find common ground. Ground. We need to be curious. We need to be intellectually humble. We need to invite conversation."

Show Notes by Barevalue.

EO: 212 EMS Skills for Babies with Mary Lee Lemley

Fri, 06 Feb 2026 05:00:00 -0500

Neonatal Resuscitation

Contact Neonatal Outreach for Middle Tennessee

Key Takeaways

Tennessee has 55 out of 95 counties without OB services, making EMS preparedness for unexpected deliveries critical for saving newborn lives

Neonatal Resuscitation Program (NRP) training for EMS has increased from less than 3% to almost 31% statewide through dedicated funding and outreach efforts

Newborn resuscitation differs fundamentally from adult resuscitation, requiring ventilation first rather than compressions because babies have never breathed before

Proper equipment including small masks, uncuffed tubes, and appropriate supplies must be available on ambulances for effective neonatal care

Multiple EMS schools now require NRP certification before graduation, ensuring future EMS professionals are prepared to handle neonatal emergencies

Regular simulation drills involving multiple disciplines (dispatch, EMS, ED, OB, pediatrics) are essential for maintaining skills and identifying system gaps

The first few minutes of a baby's life are irreplaceable, making immediate, proper resuscitation techniques critical for positive outcomes

Families should know their local EMS response times and which nearby hospitals offer OB services for emergency planning

Quotable Moments

"I think the most important thing that I have learned out of all of those travels is the most important thing in these babies' lives are the first responders, whoever is right there at delivery because we cannot give that time back to those babies."

"I said, but can we put a price tag on a baby's life?"

"So we have taken the numbers that have NRP from less than 3% in the state to almost 31%. So we're getting there one class at a time."

"if you don't use it, you lose it."

"And the babies are coming in in so much better shape than what they were before we started doing education."

"I said there's really, there's only two, two facts about babies. One, they'll always be babies conceived. And two, no matter how good you are at your job, not all babies survive. But we owe it to them to do the best job we possibly can because that's why we're here."

"No mother should have to bury a child."

"I said, if you are not a little bit afraid, you scare me to death."

"Time is important. We have a, a county on the northern border and they got a call from the county."

"I'm hoping it won't be long until we have all the equipment on these trucks that we need"

Show Notes by Barevalue.

EO: 211 A Tiny Pre-Term Survivor as a Teen - Talking with Laiya and mom Charity

Fri, 30 Jan 2026 05:00:00 -0500

Website: www.charitylasha.com

Contact Charity: admin@charitylasha.com

Key Takeaways

Miracles require going through difficult processes - wanting a miracle and being willing to endure the challenging journey to achieve it are two different things that require faith and commitment.

Parents of NICU babies need support too - while medical teams and loved ones focus on the sick infant, parents often neglect their own emotional and physical wellbeing and need reminders that they will also be okay.

Hope can be cultivated through small daily practices - naming a feeding tube "Hope" transformed a medical device into a daily reminder of possibility and positive thinking.

Pushing children beyond their comfort zones builds critical skills - introducing children to various activities like music, cooking, and sports develops executive function, dexterity, and self-confidence, especially important for children with developmental challenges.

Living in the present moment provides strength during crisis - focusing on "we're still alive right now" rather than catastrophic future possibilities can provide the resilience needed to continue fighting.

Statistics don't determine individual outcomes - despite a 7% chance of normal life, faith, determination, and consistent effort can lead to outcomes that defy medical predictions.

Reframing negative self-talk matters - changing "I'm a sick kid" to "I'm a kid that gets sick" shifts perspective from identity to temporary circumstance.

Quotable Moments

"Who am I to stop the opportunity at life? But at the same time, I didn't want to be selfish." - Charity on making the decision to give Leia a chance at life.

"I think oftentimes we like to want miracles to happen in our lives, and we're excited to hear about other people experiencing miracles, but we're not always willing to go through the process of what that looks like practically." - Charity on the reality of miracles.

"I decided that we had two options. I was either going to leave the hospital with my kid or I was going to leave the hospital with my kid." - Charity on refusing to consider giving up.

"The idea of thinking about having a funeral for a 6-year-old was just not an option." - Charity on what drove her determination.

"Hope, which is the belief that a positive future is possible. And it's often accompanied by a sense of expectation and desire for an outcome to occur." - Charity defining why she named the feeding tube Hope.

"Stay encouraged and stay courageous." - Leia's message to babies in the NICU and their families "I think the one thing I would have wanted to know is that charity, you're going to be okay too." - Charity on what she wishes someone had told her during the NICU stay.

"Jesus is not dead. He's alive." - Charity's billboard message.

"Strong elephant actually meant that I was going to get through it. And like, I'm very strong and brave 'cause elephants are not scared of anything." - Leia explaining her book illustration.

"With practice and consistency and me encouraging her to believe in herself. She then gets things that someone else may have said she would never be able to do." - Charity on her parenting philosophy.

Show Notes by Barevalue.

EO: 210 The March of Dimes with Dr. Michael Warren

Fri, 23 Jan 2026 05:00:00 -0500

Help us improve the health of all moms and babies | March of Dimes

Key Takeaways:

Perinatal quality collaboratives like TIPQC serve as essential engines for change by building local trust and driving clinic-by-clinic, hospital-by-hospital improvements that create momentum for state and national progress.

Data-driven approaches that engage diverse stakeholders can shift harmful narratives and create more effective, compassionate policy solutions, as demonstrated by Tennessee's neonatal abstinence syndrome surveillance system.

Maternity care deserts are not naturally occurring phenomena but result from deliberate policy decisions, requiring intentional policy solutions around reimbursement models and workforce development.

Clinicians should leverage their expertise in policy and advocacy spaces, starting with addressing frustrations in their own practice settings and recognizing they are the experts policymakers need.

The United States faces a maternal and infant health crisis with two women dying daily during pregnancy or postpartum and two babies dying hourly before their first birthday.

Low-dose aspirin for preventing preeclampsia is a cost-effective intervention that remains woefully underutilized, with less than half of high-risk women receiving recommendations from providers.

Progress is possible even in challenging circumstances, as Tennessee has shown statistically significant improvement in preterm birth rates through focused efforts on interventions like pregnancy smoking cessation.

Effective maternal and infant health improvement requires collaboration across multiple sectors including hospitals, clinics, community health centers, Medicaid programs, community-based organizations, and retail pharmacies.

Quotable Moments

"Every single day we lose two women in this country either during pregnancy or labor and delivery or the year postpartum. And every hour of every day, we lose two babies in this country before their first birthday."

"The solution to this crisis can't be driven solely by the federal government or by, by state governments or by a single organization."

"What works in one state may not work in another. In fact, what works in Memphis may not work in Knoxville or Nashville."

"I promise you, you are far and away the expert in maternal health or infant health in the room. You, you eat, sleep and breathe this every day."

"Unlike those naturally occurring deserts where species have adapted over millennia to, to thrive in an, in an environment of scarcity, the deserts we're talking about are the result of deliberate policy decisions and deliberate resource allocations."

"Those very basic easy questions should never be the stumbling block to a family meeting their breastfeeding goals."

"We were able to show from our data collection that the majority of babies born with withdrawal were born to moms who were using at least one substance prescribed to them by a licensed prescriber in the state of Tennessee."

"Start where you are. So if, if there's a, a challenge in the way, for example, your hospital approaches low dose aspirin for reducing the risk of preeclampsia, maybe you work in an outpatient clinical setting and you haven't built in the standardized screening to assess a pregnant woman's risk for preeclampsia."

Show Notes by Barevalue.

EO: 209 Vitamin K with Dr. Shannon Walker

Fri, 16 Jan 2026 05:00:00 -0500

Articles:

https://publications.aap.org/pediatrics/article/149/3/e2021056036/184866/Vitamin-K-and-the-Newborn-Infant

https://www.healthychildren.org/English/ages-stages/prenatal/delivery-beyond/Pages/Where-We-Stand-Administration-of-Vitamin-K.aspx

Key Takeaways

Vitamin K deficiency bleeding (VKDB) can occur in three time periods: early (1-2 days), classic (2-7 days), and late (2-12 weeks), with late VKDB being particularly dangerous and often presenting as catastrophic bleeding

Injectable vitamin K is superior to oral formulations because babies' immature guts don't absorb it well, there's no FDA-approved oral formulation in the US, and injectable vitamin K provides both immediate protection and stores vitamin K in the liver for months

Common myths about vitamin K include confusion with vaccines, concerns about the boxed warning (which applies only to IV formulations, not the newborn IM injection), leukemia risk (thoroughly debunked), and assumptions that it causes jaundice (not with current formulations)

Breastfed babies are at highest risk for VKDB because breast milk contains minimal vitamin K regardless of maternal diet or supplementation, while formula-fed babies receive vitamin K supplementation in their formula

Healthcare providers should approach each conversation about vitamin K with openness and adequate time, identifying the family's specific concern and providing evidence-based responses while offering strategies to minimize infant discomfort during administration

The rate of vitamin K refusal has increased significantly from 2.9% in 2017 to 5.18% recently, mirroring broader trends in medical distrust and requiring healthcare providers to be prepared for these conversations

While vitamin K quickly corrects laboratory abnormalities in babies with VKDB, the damage from intracranial hemorrhage or other serious bleeding often results in long-term complications or death, making prevention critical

Quotable Moments

"Vitamin K is one of your coagulation factors. It was actually discovered by two scientists back in the early 20th century who received the Nobel Prize for medicine for their discovery. And the K is because the word coagulation in German has a K in it."

"Babies are born with very low levels of it. Vitamin K doesn't cross the placenta well from mom into babies."

"Babies can have early vitamin K deficient bleeding, which is really within the first day or two of life, which is more related to mom being on certain medications"

"These babies can have kind of long-term impacts related to their bleeding complications."

"I've never seen early, that's the one I've never seen, but I've seen classic and I've seen late. It's really a, a tragedy when those things happen."

"The babies aren't very good at absorbing vitamin K just related to some of their gut immaturity. And then also because we don't have a standard uh, formulation of oral vitamin K in the United States."

"We've had several that have come in over the past year that have had bleeding into their brain with intercranial hemorrhage."

"If you're already having significant bleeding into your brain or into another kind of enclosed space in your body, that can cause significant problems that even if you fix the bleeding, you might still have complications related to that."

"I never had a family refuse or decline their vitamin K until maybe 10, 15 years ago. And it really seems to have mirrored some of the distrust in medicine in general."

"It gets lumped in I think with other kind of vaccines, but it's certainly not a vaccine in any way. It's a, it's a vitamin that the babies just aren't able, able to make at that time in their life"

"I think sometimes it's really hard for parents to kind of wrap their heads around doing something that they know is going to hurt their own child."

"it's been several generations now. And so, the ability for families to kind of know someone who they've had this happen to is, is pretty rare"

"There are a lot of things we do to support an infant when they're first born, right?"

"Infant mortality rates are in the 19 hundreds or 165 per thousand. So, you know, we've gone down dramatically since then."

"The boxed warning on the IV form for the benzoyl alcohol, correct me if I'm wrong, I think is for more of kind of allergic type reactions, which we don't have that kind of preservative in the intramuscular form"

"I sometimes hear is we're giving babies antifreeze and, and that of course is incorrect."

"We do not consider babies to have kind of normal vitamin K levels, normal coagulation pathways until they're a little bit closer to six months."

"Jaundice is so ubiquitous in this newborn population, but if you look back at the original forms of vitamin K that were given, there were higher reports of jaundice."

"It's got to last for some months. Right."

"Maternal milk does not contain very high amounts of vitamin K regardless of kind of how much you eat or how much you supplement or those sorts of things."

"The levels that mom has to take to get detectable levels in the breast milk are like not available like in any way in the store or anything like that."

"We do not have a kind of, um, approved version of oral vitamin K that's given in the United States."

"In Denmark they moved to oral and then went back to injectable because of the increased rates of vitamin K deficiency bleeding."

"This is where I think it's really helpful to talk to your pediatrician or to talk to another medical provider that you trust"

"I'm a parent and I've had these, you know, thoughts, uh, when my daughter was born and it's very hard to kind of recommend, uh, getting something that may or may not be an issue."

"It's the first time for that family, right? And so approaching that conversation with the same level of openness and time commitment that you would on your first time versus your 30th time"

"I think it's hard when something's been recommended and in use since 1961 to really grasp on kind of a population level of like what happens if you don't do it because most people haven't seen that"

Show Notes by Barevalue.

EO: 208 The Naloxone Project

Fri, 09 Jan 2026 05:00:00 -0500

The Naloxone Project

Key Takeaways

Discharge prescriptions for naloxone have fill rates of less than 1-2% among highest-risk patients, making direct distribution at hospitals essential for reaching vulnerable populations

Overdose and suicide combined are leading causes of maternal mortality, surpassing traditional obstetrical complications like hemorrhage, eclampsia, and sepsis in multiple states

Colorado's maternal overdose deaths dropped 60% (from 20 to 8 deaths) in one year after implementing universal naloxone distribution programs in birthing hospitals

The postpartum period represents a particularly high-risk time for overdose deaths, and since most women give birth in hospitals, this creates a critical intervention point

Universal opt-out distribution models normalize naloxone access and reach mothers who may be struggling silently with substance use disorders

Naloxone protects entire households, not just the intended recipient, with studies showing it often saves fathers, children, and even pets from accidental overdoses

Tennessee's pilot program will distribute over 20,000 naloxone kits paired with first aid supplies across approximately 10 birthing hospitals starting in early 2026

Empowering healthcare workers with proper education on substance use disorders and harm reduction improves their interactions with at-risk families and makes hospitals more welcoming spaces

Quotable Moments

"How does a young lady like you become addicted to something like heroin? And she shared a story where she said, funny, it was because of an emergency doctor like you who prescribed me opioids for an ankle sprain."

"We're not always offer it along with all of the other medical care, behavioral healthcare, and addiction care that we should be providing. And so we really feel that those things should go hand in hand."

"Someone is at such high risk of overdose after they've experienced a non-fatal overdose. We know that that immediate timeframe is very high risk."

"I quickly realized that there are people outside of the medical institution who are doing a better job of caring patients than we were within medical institutions."

Overdose and suicide were neck and neck leading maternal mortality for our state. And that those causes combined were really more than all of the other quote unquote medical causes that we were seeing."

"In 2023, we just got this data, um, maternal overdose death dropped by 60% and they dropped from 20 in 2022 to eight in 2023."

"We have an opportunity to give 20002nd chances to families out there. And that's a beautiful, beautiful thing, right? Everyone deserves a second chance."

"This should be the standard of care. Okay? I know that we're asking you to be a part of a pilot and sometimes that can be a little scary, but the hope is that we iron this out so that this is truly the standard of care for every new mom, new family."

Show Notes by Barevalue.

EO: 207 RSV Vaccines for Moms and Babies, Part 2

Fri, 02 Jan 2026 05:00:00 -0500

Quotable Moments

"I remember the fear of having this, you know, tiny new baby at home and also sending a bigger kid to daycare and being afraid of my daughter contracting illness."

"We tell families that our responsibility is to make recommendations and to provide them with information and answer the questions that they have so that they can make the decisions that are best for them"

"It would take something like greater than 10,000 vaccines, administered at one time in order to overwhelm the system."

"If someone's trying to make a decision and they're not getting good evidence-based information, then they don't have the tools they need to make the best decision for themselves and their family."

"The family is the greatest influence on the health to care decisions that they make."

"Parents have the opportunity by considering vaccination to prevent having a child that's sick and miserable and full of snot and struggling to breathe"

"The RSV vaccine is safe, effective, and very beneficial for your baby."

"Women to know that they're not alone as they navigate this, as they think about how they're going to keep their baby healthy."

Show Notes by Barevalue

Resources:

ACOG:

https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=int

https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-rsv-vaccine-top-3-reasons

CDC

https://www.cdc.gov/rsv/vaccines/index.html

Society for Maternal Fetal Medicine

https://www.highriskpregnancyinfo.org/vaccine-guide-for-pregnancy-2024

https://www.smfm.org/rsv

Video: https://youtu.be/BnpKnTlWZaI?si=mN4bxvw-S3NcAaKz

Healthy Children.org

https://www.healthychildren.org/English/family-life/Media/Pages/follow-pediatricians-for-trustworthy-content-on-childrens-health.aspx

ACOG:

https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=int

American Academy of Family Physicians

https://www.aafp.org/pubs/fpm/issues/2024/0700/maternal-rsv-vaccination.pdf

American College of Nurse Midwives

https://midwife.org/immunization-resources-for-providers/

Association of women’s health and neonatal nurses (AWHONN)

https://www.awhonn.org/resources-and-information/rsv/

Advisory Committee on Immunization Practices (ACIP)**

Website: ACIP RSV Recommendations

www.Immunize.org/askexperts

Healthy Children.org (American Academy of Pediatrics)

HealthyChildren.org

March of Dimes

https://www.marchofdimes.org/

EO: 206 RSV Vaccines for Moms and Babies, Part 1

Fri, 26 Dec 2025 05:00:00 -0500

Resources:

ACOG:

https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=int

https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-rsv-vaccine-top-3-reasons

CDC

https://www.cdc.gov/rsv/vaccines/index.html

Society for Maternal Fetal Medicine

https://www.highriskpregnancyinfo.org/vaccine-guide-for-pregnancy-2024

https://www.smfm.org/rsv

Video: https://youtu.be/BnpKnTlWZaI?si=mN4bxvw-S3NcAaKz

Healthy Children.org

https://www.healthychildren.org/English/family-life/Media/Pages/follow-pediatricians-for-trustworthy-content-on-childrens-health.aspx

ACOG:

https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=int

American Academy of Family Physicians

https://www.aafp.org/pubs/fpm/issues/2024/0700/maternal-rsv-vaccination.pdf

American College of Nurse Midwives

https://midwife.org/immunization-resources-for-providers/

Association of women’s health and neonatal nurses (AWHONN)

https://www.awhonn.org/resources-and-information/rsv/

Advisory Committee on Immunization Practices (ACIP)**

Website: ACIP RSV Recommendations

www.Immunize.org/askexperts

Healthy Children.org (American Academy of Pediatrics)

HealthyChildren.org

March of Dimes

https://www.marchofdimes.org/

EO: 205 2025 March of Dimes Report Card

Fri, 19 Dec 2025 05:00:00 -0500

TN Report Card: 2025March Of Dimes Report Card For Tennessee | PeriStats | March of Dimes

U.S. Report Card: 2025March Of Dimes Report Card For United States | PeriStats | March of Dimes

Middle TN March for Babies Walk: Saturday, April 11th at First Horizon Park: March for Babies - Join March for Babies Event in Middle Tennessee

Memphis March for Babies Walk: Saturday, May 16th at Audubon Park: Marchfor Babies - Join March for Babies Event in Memphis March for Babies

Meals that Matter Program: https://www.facebook.com/share/p/17o8564ZaB/

Show Notes:

In this episode, Karen Schetzina, TIPQC Infant Medical Director, interviews Kelley Marshburn, Executive Director of Market Impact for the March of Dimes in Tennessee. They discuss the recently released March of Dimes Report Card, which shows Tennessee improved from a D- to a D grade in preterm birth rates, though the state still performs worse than the national average in key maternal and infant health metrics. Kelley shares the important work March of Dimes does in Tennessee, including their NICU Family Support Program in Memphis, educational initiatives, and community events like their annual walks. The conversation highlights both the progress being made and the significant work still needed to improve maternal and infant health outcomes across Tennessee.

Episode Highlights

00:02:37: Kelly explains the March of Dimes Report Card as an annual publication of facts and figures that provides comprehensive data on preterm birth rates and related metrics for the US, broken down by state and county, released every November since 2008.

00:03:47: Discussion of the Report Card as a valuable, user-friendly resource with interactive website features, PDFs, and detailed data that many people use to understand maternal and infant health statistics.

00:04:14: Kelely details that the Report Card data comes primarily from the National Center for Health Statistics, covers various time periods depending on the topic, and focuses heavily on preterm birth as the leading cause of complications and death for infants and mothers.

00:06:04: Tennessee received a D grade in 2025, an improvement from D- the previous year, with the preterm birth rate improving from 11.3% to 10.9%, though the US overall received a D+ and Tennessee still performs worse than the national average.

00:07:01: Kelley emphasizes that Tennessee ranks worse than the national average on preterm birth rate, infant mortality rate, maternal mortality rate, and adequate prenatal care, despite having significant healthcare resources, particularly in Nashville.

00:08:15: Overview of March of Dimes programs in Tennessee including fundraising events, walks, educational initiatives, and the NICU Family Support Program, with particular focus on counties like Shelby County which ranks as the worst in the state for preterm birth rates.

00:09:09: Detailed explanation of the NICU Family Support Program, which places a March of Dimes social worker at Regional One Hospital in Memphis to support families, noting that while babies receive extensive care, families often have limited resources and support.

00:09:58: Kelly describes how the NICU Family Support coordinator provides resources, support, and preparation for families taking babies home, expressing hope to expand this program to Nashville hospitals.

00:10:48: Description of the annual "Meals That Matter" program every November, where March of Dimes brings warm meals, handwritten notes, care packages, and snacks to NICU families and staff, providing emotional support and connection.

00:12:17: Kelley mentions upcoming educational programs being developed with Nashville Public Library to create support group-style educational series for NICU moms who have returned home.

00:12:34: Kelly invites healthcare workers, families with healthy outcomes, and anyone interested to get involved with March of Dimes, emphasizing that the organization's 87 years of history and resources have contributed to improving pregnancy outcomes.

00:13:29: Announcement of upcoming March of Dimes walks: Nashville spring walk on April 11th and Memphis walk on May 16th, describing the walks as the biggest support group of the year where families can connect with others who share similar experiences.

Key Takeaways

Tennessee improved its preterm birth grade from D- to D in 2025, with rates decreasing from 11.3% to 10.9%, demonstrating that progress is possible through collaborative efforts, though significant work remains to reach optimal outcomes.

Despite having substantial healthcare resources, Tennessee performs worse than the national average on critical metrics including preterm birth rate, infant mortality rate, maternal mortality rate, and adequate prenatal care access.

The March of Dimes NICU Family Support Program addresses a critical gap by providing social workers to support families, recognizing that while babies receive extensive medical care, families often lack adequate resources and preparation for taking babies home.

Simple interventions like the "Meals That Matter" program can have significant emotional impact on NICU families and staff by providing warm meals, care packages, and human connection during difficult times.

Community involvement in maternal and infant health improvement is important for everyone, not just those who have experienced complications, as healthy pregnancies also result from decades of research, education, and resources provided by organizations like March of Dimes.

County-level data reveals significant disparities within states, with Shelby County ranking as Tennessee's worst for preterm birth rates, highlighting the need for targeted interventions in specific geographic areas.

Quotable Moments

"We know that that is kind of the leading cause for complications death, whether it be infant or mom. Um, and so we are really focused on preterm birth."

"You don't really rank for being a healthcare mecca, if you will, and, and having tons of healthcare in certainly Nashville, but just in Tennessee, we aren't scoring where I think we all know we should be."

"There's tons of care for the baby. There's a just limited resources and support and care for the families and the moms and people that are going to be taking these babies home."

"I've been really shocked at the impact that can have on just one person or a family that comes in that day."

"I think it's important not only that we talk about the complications and the scenarios where we've had worse outcomes, but also just healthy pregnancies and how those are improving."

"The walk, I like to call kind of the biggest support group of the year for us. It's, it's just a time where everybody comes together and is able to kind of lean on each other."

Show Notes by Barevalue

EO: 204 Trauma Informed Care in the NICU with Mary Coughlin and Jessi Barnes

Fri, 12 Dec 2025 05:00:00 -0500

Caring Essentials https://www.caringessentials.net/

FCC Taskforce website: https://www.fcctaskforce.org/

Trauma-Informed Professional 2.0 Certificate Program: https://caringessentials.net/tip2-2026

Podcast: along with Tracey Bell, a phenomenal person and NNP: Timeless Topics.

YouTube page that has our episodes as well as links to find us other places: www.youtube.com/@TimelessTopicsNICU

Key Takeaways

Trauma-informed care in the NICU is a prevention model that addresses the developmental impact of early life experiences on infants, families, and healthcare providers, rather than just a responsive strategy to existing trauma.

The core principles of trauma-informed care include safety (physical, psychological, emotional, spiritual), trust and transparency, healthy relationships and interactions, empowerment with voice and choice, and awareness of historical context.

Trust cannot be expected or demanded based on credentials alone—it must be earned through consistent, compassionate interactions that validate families' experiences and emotions.

Toxic positivity, where healthcare providers minimize parents' negative emotions by comparing their situation favorably to others, is harmful; grief is not a comparison act, and all NICU experiences are traumatic regardless of duration.

Small moments of connection—such as using the baby's name, acknowledging the unexpected nature of the NICU admission, creating milestone cards, or simply saying "I see you, this is hard"—can build trust and provide healing validation.

Trauma-informed care is not an additional task but an integrated approach that becomes part of who you are as a person, extending beyond the workplace into all human interactions.

The NICU experience doesn't end at discharge; families may carry the emotional weight for years, requiring ongoing grace, self-care, and support through resources like parent-led support groups and therapy.

Healthcare providers need to develop competencies in engaging with families in crisis, recognizing that technical medical skills alone are insufficient for providing truly compassionate, trauma-informed care.

Quotable Moments

"It's really seeing someone for who they are, where they are when they're there" - Jesse Barnes on the essence of trauma-informed care

"We're not summing up the suffering but building the buffering" - Mary Coughlin on the true purpose of trauma-informed care

"They didn't envision having to ask a stranger, can I hold my baby? Am I allowed to feed my baby? What am I allowed to do?" - Jesse Barnes on the difficult reality for NICU parents

"Just because you have a license and you've got 80 million initials after your name and oh you've got that snazzy stethoscope, doesn't mean you automatically deserve my trust" - Mary Coughlin on earned trust

"Grief is not a comparison act" - Jesse Barnes on avoiding toxic positivity

"The call for nursing is managing the human experience of disease" - Mary Coughlin on the full spectrum of nursing

"Sometimes the most healing thing you can say to somebody who's experiencing something that they identify as traumatic is, I see you, I hear you. This is hard" - Jesse Barnes on validation

"Little moments of connection" - Patty Scott summarizing the approach to trauma-informed care "The story doesn't end at discharge" - Mary Coughlin on the lasting impact of NICU experiences

"Being a parent doesn't end just because you go home without your baby" - Jesse Barnes on continued parenting during NICU stays

Show Notes by Barevalue.

EO: 203 GLP1s and Pregnancy with Dr. Kerri Brackney

Fri, 05 Dec 2025 05:00:00 -0500

In this episode of Healthy Mom Healthy Baby Tennessee, Dr. Linley Wolfe interviews Dr. Carrie Brackney, a maternal-fetal medicine physician in Memphis, about GLP-1 receptor agonist medications (commonly known as Ozempic, Wegovy, and similar drugs) and their implications for pregnancy. The discussion covers how these medications work, their dramatic effects on weight loss and diabetes management, and the emerging phenomenon of "Ozempic babies" - unintended pregnancies occurring in women taking these medications. Dr. Brackney provides guidance on when to discontinue these medications before conception, discusses limited safety data in pregnancy, and explains what monitoring is recommended for women who become pregnant while taking GLP-1s. Both physicians share their personal experiences with these medications and express hope for future research on postpartum use.

Episode Highlights

00:00:04: Welcome to Healthy Mom, Healthy Baby Tennessee podcast, brought to you by the Tennessee Initiative for Perinatal Quality Care (TIPQC), which exists to improve health outcomes for mothers and infants in Tennessee 00:00:46: Dr. Linley Wolfe introduces Dr. Carrie Brackney, a maternal-fetal medicine physician in Memphis who has been practicing as a perinatologist for three years after working as a general OB-GYN for nine years

00:01:32: Dr. Brackney describes her passion for caring for women with complex pregnancies and helping them find joy during challenging times

00:02:03: Dr. Wolfe introduces the topic of GLP-1 medications, noting they have been revolutionary for people struggling with weight

00:02:38: Dr. Brackney explains that GLP-1 receptor agonists work by activating glucagon-like peptide one receptors, regulating blood sugar, reducing appetite, and slowing digestion through multiple mechanisms

00:03:46: Discussion of how GLP-1 medications have been around for diabetes treatment but have been increasingly used for weight loss over the last four to five years

00:04:04: Dr. Brackney notes these medications are also being used for patients with cardiovascular conditions and kidney disease, showing decreased complications

00:04:28: Dr. Wolfe mentions recent approval for people who are overweight with sleep apnea, predicting more indications will emerge

00:04:42: Cost identified as one of the biggest barriers to these medications becoming more popular

00:05:01: Dr. Brackney reports that semaglutide and tirzepatide show potential for over 10% weight loss, while liraglutide shows 5-15% total weight loss

00:05:49: Discussion of side effects, with nausea and constipation being the most common, though they are treatable and many people adjust over time

00:06:09: Dr. Wolfe asks about common brand names versus generic names for listener clarity

00:06:25: Dr. Brackney lists brand names including Ozempic, Wegovy, Rybelsus (semaglutide), Trulicity (dulaglutide), Victoza and Saxenda (liraglutide), and Mounjaro (tirzepatide)

00:07:02: Discussion of compounded medications versus manufacturer medications, with Dr. Brackney noting compounded versions are not FDA-regulated and therefore not considered as safe

00:07:55: Dr. Wolfe transitions to discussing pregnancy and the phenomenon of "Ozempic babies"

00:08:51: Dr. Brackney explains that obesity reduces fertility, with obese women having three times higher risk of infertility and 40% higher miscarriage rates

00:10:28: Discussion of how GLP-1 medications may interfere with contraceptive distribution in the body due to slowed gastric emptying

00:11:04: Dr. Wolfe summarizes that better overall health, weight loss, and potential contraceptive interference all contribute to "Ozempic babies"

00:11:27: Dr. Brackney recommends discontinuing GLP-1 medications at least one to two months before trying to get pregnant, noting limited data on ideal timing

00:12:38: Discussion of the lack of prospective studies on pregnant women, with only retrospective data and animal studies available

00:13:22: Dr. Brackney describes animal studies showing lower fetal growth and delayed bone ossification in offspring of rats and rabbits given tirzepatide

00:14:29: Comparison made to bariatric surgery patients, where rapid weight loss during pregnancy led to worse outcomes including growth restriction and birth defects

00:15:14: Dr. Wolfe shares her partner's interesting theory about potential future use for excessive weight gain during pregnancy

00:15:50: Dr. Brackney expresses interest in studying postpartum use, particularly during the 12-month Medicaid coverage period in Tennessee

00:16:29: Both physicians disclose they are personal users of GLP-1 medications, with Dr. Wolfe noting they have been life-changing for her

00:16:56: Discussion of rebound weight gain as a concern when stopping medications suddenly

00:18:28: Dr. Wolfe shares a recent case of balancing when to stop medication in a patient with multiple comorbidities planning pregnancy

00:19:58: Dr. Brackney suggests metformin as a potential alternative to prevent rebound weight gain while being better studied in pregnancy

00:20:32: Discussion of what to tell patients who discover pregnancy while still taking GLP-1 medications

00:21:03: Dr. Brackney provides reassurance that data thus far is pretty reassuring with no worrisome issues seen in early pregnancy exposures

00:22:12: Discussion of long-term data limitations, with mention of thyroid cancer risk being very low and primarily in already high-risk patients

00:23:38: Dr. Wolfe asks about pregnancy management for women who have been taking GLP-1 medications

00:24:05: Dr. Brackney outlines comprehensive pregnancy monitoring recommendations including early ultrasound, anatomy survey, and specialized care based on underlying indication

00:25:55: Dr. Wolfe concludes by noting the goal of a perfectly healthy pregnancy and beautiful vaginal delivery for these patients

00:26:24: Dr. Brackney thanks TIPQC and expresses enjoyment of the discussion

00:26:39: Closing remarks encouraging listeners to visit tipqc.org for podcast suggestions and to follow on social media for perinatal health news in Tennessee

Key Takeaways

GLP-1 medications work through multiple mechanisms including regulating blood sugar, reducing appetite, and slowing digestion, making them effective for both diabetes and weight loss management

Women taking GLP-1 medications should discontinue them at least one to two months before attempting pregnancy, though data on optimal timing is limited

The "Ozempic baby" phenomenon occurs due to improved fertility from weight loss, better overall health, and potential interference with contraceptive effectiveness

Current data on GLP-1 use in pregnancy is limited to retrospective studies and animal research, with animal studies showing concerns about fetal growth restriction and skeletal development

Women who become pregnant while taking GLP-1 medications should receive reassurance that current data is relatively reassuring, but should have comprehensive monitoring including early ultrasound and anatomy survey

Rebound weight gain after stopping GLP-1 medications is a concern, with studies showing 62% of women who stopped at pregnancy onset experienced excess gestational weight gain

For women with diabetes taking GLP-1s, switching to pregnancy-safe alternatives like metformin before conception is important to maintain glycemic control and prevent birth defects

The postpartum period may represent an ideal opportunity for GLP-1 use and research, particularly during the 12-month Medicaid coverage period in Tennessee

Cost remains one of the biggest barriers to GLP-1 medication access, though they show significant benefits for obesity, diabetes, cardiovascular disease, and kidney disease

Compounded GLP-1 medications are not FDA-regulated and therefore not recommended over manufacturer versions despite cost considerations

Quotable Moments

"I really love some of the detective work that goes into caring for these conditions and figuring out what's going on. But I especially enjoy helping women to find joy during the challenges that they face throughout their pregnancies."

"I think these medicines are going to become more and more popular, especially as they become more affordable because right now I think one of the biggest barriers is their cost."

"Women who are obese have a three times higher risk of infertility and they have a much higher risk of stillbirth or miscarriage. Miscarriage rates go up by about 40% for women who are obese."

"I recommend to my patients that they discontinue GLP one receptor antagonists at least a month or two before trying to get pregnant. And I'll be honest, there's not great data to say one way or another what the ideal timing is."

"Full disclosure, I too have been taking these medications now I'm really in like the weight maintenance phase. But yeah, I mean I think they're really, really helpful as a tool for a lot of folks."

"I think overall the data thus far is pretty reassuring. When we look at the folks who were exposed early in pregnancy, we haven't seen any really worrisome issues."

"I think it remains to be seen, but to me, first you have to prove to me that whatever, whatever risks there are, are worse than all those things. Because certainly those are significant risks to people."

"I do wonder if maybe there's an opportunity to do some studies for weight management or even diabetes management in, in postpartum moms, particularly in that first year after they deliver."

Show Notes by Barevalue

EO: 202 Faith in Healing with Chaplain Scott Bloodworth

Wed, 26 Nov 2025 05:00:00 -0500

Faith in Healing

In this deeply moving episode, Dr. Scott Guthrie sits down with Chaplain Scott Bloodworth, the lead chaplain at Jackson Madison County General Hospital, to discuss the spiritual and emotional dimensions of perinatal loss. With 15 years of experience walking alongside families through their darkest moments in the NICU and maternity wards, Chaplain Bloodworth shares profound insights on grief, hope, and the healing power of presence. The conversation explores how fathers navigate crisis differently than mothers, the role of prayer and faith in medical settings, and practical ways healthcare professionals can support families facing devastating diagnoses. Through personal stories and hard-won wisdom, this episode offers both medical professionals and parents a compassionate guide to finding meaning and connection in the midst of loss.

Episode Highlights

00:00:00: Introduction to the Healthy Mom, Healthy Baby Tennessee podcast and its mission to improve perinatal health outcomes across Tennessee

00:00:46: Dr. Scott Guthrie introduces the episode as one focused on healthcare professionals while remaining accessible to families, addressing themes of loss, grief, and hope

00:01:53: Chaplain Scott Bloodworth introduces himself and his role at Jackson Madison County General Hospital

00:01:56: Dr. Guthrie provides Chaplain Bloodworth's background, including his 15 years as lead chaplain, his doctorate in behavioral health, and his research on fathers in the NICU

00:03:18: Chaplain Bloodworth reflects on how frequently impactful moments occur in his work with families

00:03:44: Chaplain Bloodworth shares a powerful story of a hospice baby whose father's only wish was to hear her cry, and the miracle of that cry despite all medical indicators suggesting it wouldn't happen

00:05:03: Discussion begins on Chaplain Bloodworth's doctoral research about fathers in the NICU and how they navigate crisis

00:05:22: Chaplain Bloodworth explains how fathers struggle with their inability to protect their child or comfort their wife in meaningful ways during NICU crises

00:06:33: Chaplain Bloodworth advises fathers that true strength is crying with their wives rather than suppressing emotion, as it acknowledges shared grief

00:06:45: Using the movie "The Green Mile" as an analogy, Chaplain Bloodworth explains how tears are designed to purge our systems of emotional pain

00:07:26: Dr. Guthrie introduces the topic of prayer, citing a Forbes Magazine article about how faith can ease depression, anxiety, and loneliness

00:08:11: Chaplain Bloodworth explains how prayer focuses the mind, shuts out surrounding noise, and helps people acknowledge what is beyond their control

00:09:14: Discussion of how faith helps build coping skills during devastating news

00:09:49: Chaplain Bloodworth emphasizes the importance of focusing on the present moment rather than jumping ahead to worst-case scenarios

00:10:37: Chaplain Bloodworth uses a scene from "Apollo 13" to illustrate the importance of taking one step at a time rather than worrying about distant problems

00:11:29: Dr. Guthrie asks whether medical professionals should leave faith issues to chaplains or engage themselves

00:11:45: Chaplain Bloodworth encourages doctors to engage spiritually with patients through presence, touch, and reassurance that families are not alone

00:12:27: Introduction to the Butterflies Embrace bereavement team at Jackson Madison County General Hospital

00:13:23: Chaplain Bloodworth describes how the bereavement team first lets families know they're not alone and will be protected during their hospital stay

00:14:25: Discussion of the unique challenge that perinatal loss presents no memories to cherish, leading the team to create tangible memories

00:15:22: Chaplain Bloodworth describes memory-making activities including handprints, footprints, three-dimensional molds, memorial services, and weighted Build-a-Bear programs

00:16:22: Dr. Guthrie asks about the heartbeat bear program

00:16:33: Chaplain Bloodworth explains how the team records a baby's heartbeat and places it in a stuffed animal for parents to keep and hear whenever they need

00:17:37: Dr. Guthrie emphasizes the importance of these tactile items as families move through months and years after loss

00:18:19: Discussion shifts to advice for healthcare teams on how to better support families

00:18:19: Chaplain Bloodworth advises medical teams to avoid talking over parents' heads and to explain situations in layman's terms

00:19:27: Chaplain Bloodworth warns against trying to make sense of senseless situations and encourages honesty about not knowing why tragedies occur

00:20:13: Dr. Guthrie introduces the topic of guilt that parents carry

00:20:59: Chaplain Bloodworth discusses how humans want to assign blame and assume control, but must acknowledge when situations are beyond control

00:22:48: Chaplain Bloodworth shares advice for a mother on bed rest facing potential loss

00:23:17: Chaplain Bloodworth tells mothers to love themselves first, then love their baby, and cherish every moment as a gift

00:24:07: Dr. Guthrie asks what Chaplain Bloodworth would say to fathers

00:24:15: Chaplain Bloodworth advises fathers to hold onto their partners, cry with them, and tell them they are great mothers

00:24:56: Dr. Guthrie reflects on how he will incorporate Chaplain Bloodworth's words into his own practice

00:25:18: Dr. Guthrie poses the billboard question

00:25:53: Chaplain Bloodworth's billboard message would be to love each other more today than yesterday

00:26:12: Dr. Guthrie thanks Chaplain Bloodworth for his wisdom and heart

00:26:57: Closing remarks and information about TIPQC and the Healthy Mom, Healthy Baby Tennessee podcast

Key Takeaways

Fathers in the NICU often struggle with feelings of helplessness because they cannot protect their child or meaningfully comfort their wife; the best way they can show strength is by crying with their partner rather than suppressing emotions

Prayer serves a biological and spiritual purpose by focusing the mind, shutting out surrounding chaos, and helping individuals acknowledge what is beyond their control

Medical professionals should avoid talking over parents' heads using technical jargon and should not try to make sense of senseless situations—sometimes honesty about not knowing why tragedy occurs is most helpful

Creating tangible memories through handprints, footprints, heartbeat recordings, and weighted bears helps parents who have no other memories to cherish with their child

Parents experiencing perinatal loss need to be reminded that it's not their fault, that they should love themselves, and that the time they have with their child—whether hours or years—is a gift to be cherished

Healthcare providers can and should engage spiritually with patients through the ministry of presence—simply being in the room, offering touch, and reassuring families they are not alone

Fathers should tell their partners "you are a great mother" even in the face of loss, as this affirmation helps with long-term healing and reminds both parents they are part of something bigger than themselves

Quotable Moments

"I just want to hear her cry. And all of the indicators were there that her lungs were not going to be developed and she was not going to be able to produce any sound."

"I tell dads, if you want to show how much you love your wife, cry with her. Take the time to cry with her. It acknowledges her grief and it allows for you to empty your heart of grief."

"If prayer does nothing else, it focuses our attention on the fact that this is beyond me and I need help that is outside of my person."

"Don't focus way down here. We've got to get past this point."

"Not every situation makes sense. And we have to admit that to ourselves and to the people we're caring for."

"No, this deal just stinks. You did nothing wrong. This is just the universe and it stinks."

"The time that we have is a gift. Whether that's hours, days, or years. The time that we have is a gift. Cherish that moment, savor it and hold onto that."

"Tell her what a great mother she is that is really gonna help her in the long run. It's gonna help her psyche, it's gonna help her spirit."

"Love each other more today than you did yesterday."

Show Notes by Barevalue

EO: 201 Let's Talk PPCM with Brianna Harris-Henderson

Fri, 21 Nov 2025 05:00:00 -0500

LetsTalkPPCM — Links & Resources

Website: https://www.letstalkppcm.org

Instagram: https://instagram.com/letstalkppcm

Facebook: https://facebook.com/letstalkppcm

YouTube: https://youtube.com/@letstalkppcm

PPCM Awareness| Children Books: https://letstalkppcm.org/children-books

PPCM Awareness Magazine: https://www.letstalkppcm.org/magazine

BNP Blood Test Info & Support: https://letstalkppcm.org/ppcm-screening

Doula Training (Heart-Healthy Birth Workers Program): https://letstalkppcm.org/trainings

Donate / Support the Mission: https://letstalkppcm.org/become-a-donor

EO: 200 Understanding the Arabic Culture with Efat Welson

Fri, 31 Oct 2025 05:00:00 -0500

Improving+Healthcare+for+Coptic+Egyptian+Migrants

Opening cultural doors: Providing culturally sensitive healthcare to Arab American and American Muslim patients - American Journal of Obstetrics & Gynecology

Cultural Competence in the Care of Muslim Patients and Their Families - StatPearls - NCBI Bookshelf

EO: 199 Maternal Workforce Solutions with Rachel Hanson

Fri, 26 Sep 2025 05:00:00 -0500

centerstone.org

Centerstone Maternal Workforce Solutions Project is hosting upcoming Healthy Outcomes from Positive Experiences (HOPE) virtual trainings.

Join us for a 90-minute interactive workshop to receive training on how to infuse HOPE into your work and gain a deeper understanding of health impacts of positive experiences. By equipping the workforce with skills to create supportive and empathic interactions, this training can enhance the quality of care provided. Which then leads to increased patient satisfaction and reduced stress levels for all involved.

Topics covered during the training include:

The Science of HOPE

HOPE and Health

The 4 Building Blocks of HOPE

Shifting Mindsets Toward a Strength-Based Approach

Incorporating HOPE into your work

To enroll in one of the trainings – please contact Rachel.Hanson@centerstone.org

Training dates include:

October 21st 8:30am – 10:00am CT

November 14th 11:00am – 12:30pm CT

December 10th 1:00pm – 2:30pm CT

EO: 198 Tennessee Hospital Association Reaching Non-Delivery Hospitals with Jackie Moreland

Fri, 12 Sep 2025 14:00:00 -0500

THA.com

EO: 197 IPPLARC with Dr. Nikki Zite and Megan Young

Fri, 05 Sep 2025 05:00:00 -0500

ACOG PCAI website U.S. Postpartum Contraceptive Access Initiative

AJOG article from the TIPQC project Statewide quality improvement initiative to implement immediate postpartum long-acting reversible contraception

TIPQC Website for IPPLARC Project

TIPQC Website for IPPLARC Initiative including resources

Lacy, Megan MPH; Monaco, Alexandra MD; Zite, Nikki B. MD, MPH. Initiating and Monitoring a Postpartum Contraceptive Program [8N]. Obstetrics & Gynecology 133():p 152S, May 2019.

Lacy Young M, Mastronardi A, Shelton Z, Maples JM, Zite NB. Tennessee Medicaid patient immediate postpartum long-acting reversible contraception utilization. Contraception. 2025 Feb;142:110721.

Mastronardi A, Lacy Young M, Shelton Z, Maples JM, Zite NB. Short-interval births among patients choosing immediate postpartum long-acting reversible contraception (ipp larc) after tennessee medicaid policy change. Contraception. 2022 Dec; 116:89-90

Kaak, Katherine MD; Zite, Nikki MD; Mastronardi, Alicia MPH; Maples, Jill M. PhD; Young, Megan Lacy MPH. Evaluating Contraception Counseling and Desire for Immediate Postpartum Long-Acting Contraception in Publicly Insured Adolescents. Obstetrics & Gynecology 143(5S):p 10S, May 2024.

EO: 196 POST-BIRTH Warning Signs with AWHONN's Jessica Irrobali

Fri, 29 Aug 2025 00:45:00 -0500

Mobile Device https://www.awhonn.org/education/post-birth-warning-signs-education-program/

POST-BIRTH Warning Signs Education Program - AWHONN

Revised POST-BIRTH Warning Signs Education Now Available Updated in December 2023, this online course provides participants with strategies to educate patients and their families to recognize POST-BIRTH warning signs and reducing their risk for postpartum complications. www.awhonn.org

EO: 195 Language Translation Services with Genna Linton

Fri, 22 Aug 2025 05:00:00 -0500

Best practice for working with healthcare interpreters

Code of ethics for healthcare interpreters

Tips for working with an over-the-phone interpreter

Case study - the story of Willie Ramirez

EO: 194 Team Birth with Hardin Medical Center

Fri, 08 Aug 2025 05:00:00 -0500

Add Show Notes Here

EO: 193 Cardiac Issues in Pregnancy & Postpartum with Dr. Diana Wolfe

Fri, 01 Aug 2025 05:00:00 -0500

https://tipqc.org/project-cardiac-conditions-in-obstetric-care/

Cardiovascular Disease Assessment in Pregnant and Postpartum Women

Cardiovascular Disease

EO: 192 Nurses for Newborns with Carianna Johnson, RN

Fri, 25 Jul 2025 05:00:00 -0500

Nurses for Newborns www.nursesfornewborns.org

Postpartum support international www.postpartum.net

National Preeclampsia Foundation www.preeclampsia.org

TN.Gov for Evidence-based home visitation by county in Tennessee

EO: 191 Cribs for Kids with Devon George

Fri, 18 Jul 2025 05:00:00 -0500

Cribs for Kids

EO: 190 Family-Centered Care Taskforce with Dr. Malathi Balasundaram and Morgan Kowalski

Fri, 11 Jul 2025 05:00:00 -0500

Read FCC Taskforce Spring Newsletter

-Family Centered Care Taskforce Website

-Become a Member What members receive! – sample example

-Register for Office Hours

-FCC Taskforce YouTube Channel

-Improving Commitment to Family-Centered Care in the NICU: A Multicenter Collaborative Quality Improvement Project | Journal of Perinatology

-#288 - The Future of Family-Centered Neonatal Care - The Incubator

EO: 189 New Blood Pressure Cuff Benefit for Pregnant Women from TennCare with Dr. Jona Bandyopadhyay

Thu, 03 Jul 2025 05:00:00 -0500

TennCare Programs https://www.tn.gov/tenncare/providers/programs-and-facilities/maternal-health.html

POST BIRTH Warning Signs

https://tipqc.org/our-work/

*TIPQC has distributed 277,980 AWHONN POST BIRTH Warning Signs patient education magnets & flyers to 37 hospitals and 50 doulas since 2020, plus the ongoing training from 2020-23, with 46 hospitals including a tool kit, online training, and statewide webinars.

EO: 188 Doulas, Parent Advocacy, Breastfeeding & Childbirth Education with LaToshia Rouse

Fri, 27 Jun 2025 05:00:00 -0500

Systematic Review of the Impact of Doula Support During Pregnancy, Childbirth and Beyond (2024)

Website: www.birthsistersdoula.com

Social: Birth Sisters Facebook

contact@birthsistersdoula.com

Birth Sisters Instagram

EO: 187 Supporting Dads with Robert Taylor from the New Life Center

Fri, 20 Jun 2025 05:00:00 -0500

The New Life Center (Nashville)

Nashville Strong Babies – Strong Babies. Strong Nashville

Homepage | Fatherhood.gov

Boot Camp for New Dads

EO: 186 Healthy Start TN Centerstone with Rachel Hanson

Fri, 13 Jun 2025 05:00:00 -0500

Our website to make a referral is: Early Childhood Services Referral - Centerstone. For referrals to Healthy Start TN, Project LAUNCH, and Healthier Beginnings using this link.

Rachel’s contact information for general questions, referrals, or to ask about how to be a part of the Healthy Start TN Consortium:

Rachel.Hanson@centerstone.org

EO: 185 Middle TN March of Dimes Ambassador Family Kristyn Byrd shares their Journey

Fri, 06 Jun 2025 05:00:00 -0500

Middle TN family supports March of Dimes after daughter born at 22 weeks

Help us improve the health of all moms and babies | March of Dimes

EO: 184 TIPQC Annual Maternal & Infant Project Poster Winner Dr. Angela Nakahara

Fri, 30 May 2025 05:00:00 -0500

Add Show Notes Here

EO: 183 Governor's Early Literacy Foundation with Heather Logan

Fri, 23 May 2025 05:00:00 -0500

Dolly Parton’s Imagination Library https://governorsfoundation.org/

Link to enroll - https://imaginationlibrary.com/check-availability/?#selectedCountry=US

https://imaginationlibrary.com/news-resources/parent-resources/

www.GovernorsFoundation.org @GovEarlyLitTN

EO: 182 Necrotizing Enterocolitis Faculty with Drs. Jack Owens & Scott Guthrie

Fri, 16 May 2025 05:00:00 -0500

For more information on this project: https://tipqc.org/nec/

EO: 181 Infant Poster Winner - CLD - with Dr. Koneru and Shannon Rister

Fri, 09 May 2025 05:00:00 -0500

For more on the TIPQC Tiniest Baby Chronic Lung Disease, please see https://tipqc.org/project-chronic-lung-disease/

EO: 180 Occupational Therapy Support for Baby and Mom with Libby Skolnik

Fri, 02 May 2025 05:00:00 -0500

Instagram: @borntobloomtherapy

Website: www.borntobloomtherapy.com

Article on skin to skin efficacy in non-pharmacological pain relief: https://pmc.ncbi.nlm.nih.gov/articles/PMC6464258/#:~:text=SSC%20appears%20to%20be%20effective,of%20SSC%20with%20other%20interventions.

EO: 179 The NOWS Prediction Tool with Dr. Stephen Patrick

Fri, 25 Apr 2025 05:00:00 -0500

Adapting a Risk Prediction Tool for Neonatal Opioid Withdrawal Syndrome

Pediatrics (2025) 155 (4): e2024068673.

https://doi.org/10.1542/peds.2024-068673

EO: 178 Optimal Cord Clamping Journal Article Published with Drs. Scott Guthrie & Howard Harrell

Fri, 18 Apr 2025 05:00:00 -0500

Pediatrics Article https://doi.org/10.1542/peds.2024-066158

All of the OCC project resources can be found: https://tipqc.org/occ/

EO: 177 Child Developmental Support

Fri, 11 Apr 2025 05:00:00 -0500

CDC’s Learn the Signs. Act Early. program with free print and digital

materials including CDC’s Milestone Tracker App

https://www.cdc.gov/ncbddd/actearly/index.html

Welcome Baby is the Tennessee Department of Health’s universal outreach program.

https://www.tn.gov/health/health-program-areas/fhw/welcome-baby.html

Tennessee Early Intervention System (TEIS) offers services to families of infants and young children with developmental delays or disabilities.

https://www.tn.gov/disability-and-aging/disability-aging-programs/teis/teis-community-resources.html

American Academy of Pediatrics - Reference for clinician guidance for developmental surveillance and screening recommendations

https://publications.aap.org/pediatrics/article/145/1/e20193449/36971/Promoting-Optimal-Development-Identifying-Infants?autologincheck=redirected

TN Chapter American Academy of Pediatrics – free Screening Tools and Referral Training (START) for clinicians

https://tnaap.org/programs/start/start-overview/

Imagination Library – check availability in your area

https://imaginationlibrary.com/check-availability/

EO: 176 The GIFTS Program at TDH

Fri, 04 Apr 2025 05:00:00 -0500

Pregnancy Smoking Cessation

EO: 175 Breastfeeding and Mental Health with Cierra Nichole Murphy

Fri, 28 Mar 2025 05:00:00 -0500

Human Lactation Pathway 2 Program at NC A&T https://www.ncat.edu/caes/departments/family-and-consumer-sciences/lactation-cert.php

FamilyWell Health Collaborative Care Model https://www.familywellhealth.com/providers

EO: 174 "The Forest for the Trees" Film with Producer Dr. Kelly Moore

Fri, 21 Mar 2025 05:00:00 -0500

Link to video: https://www.gochromacreative.com/forestforthetrees

Additional Resources:

v Strategies to reduce the stigma of substance use disorder

Ø Changing language

§ https://www.recoveryanswers.org/addiction-ary/

Ø Respectful maternity care

§ https://www.awhonn.org/birthequity/

§ **Respectful maternity care is an approach that emphasizes treating all women, regardless of their mental health or substance use struggles, with respect, compassion, and encouragement during their pregnancy to improve pregnancy outcomes.

v International and national guidelines on managing substance use in pregnant/postpartum women

Ø Substance Abuse and Mental Health

Services Administration (SAMHSA)

§ https://store.samhsa.gov/product/Clinical-Guidance-for-Treating-Pregnant-and-Parenting-Women-With-Opioid-Use-Disorder-and-Their-Infants/SMA18-5054

Ø World Health Organization (WHO)

§ https://www.who.int/publications/i/item/9789241548731

v Screening measures for pregnant women

Ø Tobacco, Alcohol, Prescription

Medication, and Other Substance Use (TAPS) Online Screening Tool; https://nida.nih.gov/taps2/

§ **Recommended universal screening (yet

to be validated with pregnant patients) to identify problematic use of

nicotine, alcohol, and illegal drugs. This is a user-friendly

computer-administered test that patients can complete on their own or a

clinician can administer. It takes about 1 to 8 minutes to complete, depending

on which substances are endorsed. Responses are immediately scored, risk levels

are calculated, and detailed resources and recommendations for treatment are

offered for each substance use problem that is indicated.

§ **Recommended universal screening for

all pregnant patients to identify who may be at risk of and need further

assessment of alcohol and drug use. This is a 5-question paper and pencil

screener that asks about substance use (in general, not broken down by

substance type) by a woman’s parents, peers, partner, as well as in her past

and currently during pregnancy. It takes about 1 minute to complete, although

positive responses will require additional assessments.

Ø Adverse Childhood Experiences (ACES)

§ **Paper and pencil questionnaire (that could be made into an online survey to facilitate completion), which patients can complete on their own or can be administered by a clinician. Higher ACE scores indicate higher risk for physical and mental health problems, substance use, and other poor outcomes during pregnancy, and referrals to mental health services should be considered.

v Substance use treatment services for pregnant women

MOM Power

§ https://familiesfree.com/mom-power-a-therapeutic-intervention-for-mothers-of-young-children/

§ **MOM

Power is an evidence-based group therapy for pregnant/postpartum women with substance use disorder and other mental health concerns. Groups teach skills for coping with strong emotions and healing from past trauma. Currently offered by the organization, Families Free, this program has rolling admissions and provides childcare so that mothers can engage in and benefit from treatment. Located in Johnson City, TN.

Ø Baby Steps Clinic

§ https://www.etsu.edu/com/pediatrics/babystepsclinic.php

§ **Babysteps supports families with a child who has been exposed to substances before birth. Babysteps offers wraparound services from birth until age 5, and their team includes a care coordinator, audiologist, speech-language pathologist, occupational therapist, physical therapist, registered dietician, and

board-certified pediatrician. The team works with families to make sure

children get the support they need to thrive, and that parents get access to

the mental health and substance use treatment they may need. Located in Johnson City, TN.

Ø ETSU Family Medicine Clinic

§ https://www.etsuhealth.org/locations/family-medicine-jc.php

§ **ETSU’s family medicine clinic is led

by Dr. Joyce Troxler, who also leads the Addiction Medicine Fellowship and

trains physicians to care for people with substance use disorders. The clinic

provides care for the whole family, including obstetrics, so you can see a primary care doctor and receive behavioral health or medication services if needed during pregnancy and beyond. Located at 917 W Walnut St, Johnson City, TN 37604

Ø East Tennessee Children’s Hospital, Grow With Me Clinic

§ https://www.etch.com/medical-services/nicu/grow-with-me-clinic/

§ **The Grow with Me Clinic is an outpatient service for at-risk children who were

diagnosed with neonatal abstinence syndrome (NAS) or were exposed to substances before birth. Grow with me provides medication and other supports to babies experiencing withdrawals after birth and continues to provide services that address medical, developmental, and emotional needs through age 5.

Ø Strong Futures, Ballad Health

§ https://www.balladhealth.org/locations/behavioral-health/strong-futures-greeneville

§ **Strong Futures coordinates care for expectant or current parents of children under the age of 18 who are struggling with substance use problems in Carter, Cocke, Greene, Hamblen, Hancock, Hawkins, Johnson, Sullivan, Unicoi and Washington counties. This program offers a variety of services for parents so that they can be healthy and stable for their children. Located in Greeneville, TN.

Ø Tennessee Recovery-Oriented Compliance

Strategy (TN-ROCS)

§ https://tnsmartjustice.org/tn-rocs/

§ **TN-ROCS is a program for people who have been arrested and determined to have a substance use problem that would benefit from treatment. TN-ROCS operates in 14 Tennessee counties (Cannon, Grainger, Hickman, Jefferson, Lewis, McMinn, Monroe, Perry, Rutherford, Sevier, Sullivan, Van Buren, Warren, and Williamson), and involves close coordination between a judge, probation officer, mental health service provider, and others in order to ensure people, including pregnant and parenting women, receive effective treatment for substance use disorder.

Ø Additional treatment programs across the state may be found through the Department of Mental Health and Substance Abuse Services resources

§ https://www.tn.gov/content/dam/tn/mentalhealth/documents/Listing_of_Women_and_Pregnant_Women_(2).pdf

§ https://www.tn.gov/behavioral-health/substance-abuse-services/treatment---recovery/treatment---recovery/treatment-for-pregnant-women-abusing-substances.html

Ø Select clinics providing medication for opioid use disorder that will treat pregnant women

§ Cedar Recovery, Knoxville (https://www.cedarrecovery.com/)

§ Catalyst Health Solutions, Johnson City

(https://catalysthealth.org/home-patient/)

§ Overmountain Recovery, Johnson City (https://www.overmountainrecovery.org/)

§ ReVida Recovery, multiple locations (https://www.revidarecovery.com/)

Ø State-wide Opioid Treatment Program Locator

§ https://www.tn.gov/content/dam/tn/mentalhealth/documents/TN_OTP_Map_4-4-22.pdf

More educational resources for healthcare workers

Ø Tennessee Initiative for Perinatal Quality Care (TIPQC)

§ https://tipqc.org/educationalvideos/

§ **Under the OUD/OEN Series, find videos

about opioid use disorder, medication treatment for OUD during pregnancy,

caring for opioid-exposed newborns, safe baby courts, pain management, the

eat-sleep-console method, videos of how providers can interact with patients to

decrease stigma, and more.

Ø ETSU Interdisciplinary Addiction Medicine ECHO (I AM ECHO)

§ https://www.etsu.edu/com/cme/iamecho.php

§ **I AM ECHO is a virtual meeting that is

open to health professionals who serve individuals with substance use disorder,

such as Family Medicine Physicians, Physicians, APNs, PAs, Residents/Fellows,

Pharmacists, and Psychologists. The goal of I AM ECHO is to 1) provide brief

educational presentations on the latest research and clinical skills for

working with addiction (e.g., harm reduction, managing co-occurring diagnoses,

neuroscience of addiction, withdrawal) and 2) facilitate discussions around how

to better treat patients struggling with substance use disorder. Health

professionals can attend just to listen and learn, or they can submit case

presentation information for discussion amongst the group. Sessions occur on

select Wednesdays from 12:15-1:15pm EST.

Ø Substance Misuse and Addiction Resource for Tennessee

§ https://smart.ips.tennessee.edu/

§ **SMART is a group of academics,

researchers, and other professionals who aim to address the opioid epidemic in

the state of Tennessee. SMART offers consultation to organizations, publishes

best practices and policy briefs around the treatment of opioid use disorder,

and records a podcast with some of our local thought leaders trying to mitigate

the impacts of the opioid epidemic.

v General information about substance use disorder, recovery, and treatment

Ø The impact of ACES

§ https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime?language=en

§ **This video breaks down how ACES put people at risk for issues like substance use later in life.

Ø What is addiction?

§ https://www.youtube.com/watch?v=M5Mky3Jr960

§ **This video breaks down what happens to the brain when people develop an addiction to alcohol or drugs.

Ø What does recovery look like?

§ https://www.recoveryanswers.org/recovery-101/brain-in-recovery/

§ **Harvard’s Recovery Research Institute

offers a variety of resources about the science behind recovery from substance

use disorder, including studies about how the brain changes during recovery,

different pathways to recovery, and more.

Ø Why do we stigmatize addiction?

§ Stigma and the Toll of Addiction

§ https://www.nejm.org/doi/pdf/10.1056/NEJMp1917360?articleTools=true

§ **This is a brief article written by Dr. Noral Volkow, Director of the National Institute on Drug Abuse, who has been a strong advocate for the effective treatment of substance use disorder.

Ø Why should we connect with people in recovery?

§ The opposite of addiction is connection

§ https://www.youtube.com/watch?v=PY9DcIMGxMs

§ **This is a popular TED Talk by Johann Hari, a former journalist who speaks about substance use disorder

EO: 173 A Step Ahead Community Organization

Fri, 14 Mar 2025 05:00:00 -0500

Middle Tennessee Step Ahead 615-671-7837 (STEP)

Chattanooga A Step Ahead 423-265-7837 (STEP)

EO: 172 The Heart of a Mother: Lifelong Preventative Care with Dr. Connie Graves

Fri, 07 Mar 2025 05:00:00 -0500

TIPQC Cardiac Project and resources

American Heart Association

171: Preeclampsia Spokesperson KK Dixon

Sat, 01 Mar 2025 05:00:00 -0500

https://www.preeclampsia.org/

EO: 170 The Heart of a Mother: Cardiac Physiology and Screening with Dr. Connie Graves

Wed, 26 Feb 2025 05:00:00 -0500

For additional information and resources please see: https://tipqc.org/project-cardiac-conditions-in-obstetric-care/

EO: 169 Safe Sleep with Derrick Stone Safe Sleep Founder Alexandr

Fri, 31 Jan 2025 05:00:00 -0500

Educational – Safe Sleep – In Loving Memory of Derrick

EO: 168 Mom BLOOM with Dr. Rolanda Lister

Fri, 24 Jan 2025 05:00:00 -0500

To contact Mom BLOOM: www.momblooms.org

Facebook: Building Life Opportunities and Options for Mothers

Instagram: mom_blooms

EO: 166 Pregnancy & PostPartum Suicide Screening with Dr. Julia Wood

Fri, 10 Jan 2025 05:00:00 -0500

In this episode we discuss suicide and suicide screening & prevention. If you are struggling, please see the resources below for support and help.

PostPartum Support International https://www.postpartum.net/

Call 988 Suicide and Crisis Hotline

PSI Helpline 800-944-4773 or text help to 800-944-4773

text en espanol: 971-203-7773

(help line is NOT a hotline)

National Maternal Mental Health HOTLINE

1-833-TLC-MAMA

988 suicide and crisis lifeline

MGH womens mental health website with information for

patients and professionals about PMADs and medication

mothertobaby.org is website with medication info/fact sheets

EO: 165 Pregnant & Postpartum Mental Health with Dr. Julia Wood

Fri, 03 Jan 2025 05:00:00 -0500

PostPartum Support International https://www.postpartum.net/

Call 988 Suicide and Crisis Hotline

PSI Helpline 800-944-4773 or text help to 800-944-4773

text en espanol: 971-203-7773

(help line is NOT a hotline)

National Maternal Mental Health HOTLINE

1-833-TLC-MAMA

988 suicide and crisis lifeline

MGH womens mental health website with information for

patients and professionals about PMADs and medication

mothertobaby.org is website with medication info/fact sheets

EO: 164 Whooping Cough with Dr. Caitlin Newhouse

Fri, 27 Dec 2024 05:00:00 -0500

T DH Respiratory Viral Illness Homepage: https://www.tn.gov/health/rvi.html

(does not include data on pertussis, but outlines general respiratory infection prevention measures that can be taken)

CDC Website Pertussis: https://www.cdc.gov/pertussis/index.html

TDH Website Pertussis: https://www.tn.gov/health/cedep/reportable-diseases/pertussis-whooping-cough.html

Reportable Diseases in Tennessee: https://www.tn.gov/health/cedep/reportable-diseases.html

EO: 163 The SHINE Clinic with Drs. Neill Broderick & Anna Morad

Fri, 20 Dec 2024 05:00:00 -0500

https://pediatrics.vumc.org/shine

EO: 161 Infant Mental Health with Dr. Diana Morelen

Fri, 06 Dec 2024 05:00:00 -0500

aimhitn.org
Instagram:
Howtohuman.morelen

Website: dianamorelen.com

EO: 158 Necrotizing Enterocolitis with Dr. Joe Neu

Fri, 15 Nov 2024 05:00:00 -0500

https://tipqc.org/ttb/

EO: 157 Grow with Me with Dr. Malinda Harris and Caroline Milford

Fri, 08 Nov 2024 05:00:00 -0500

Grow With Me Clinic | East Tennessee Children's Hospital

Referenced article:

Wilkinson, A., Rackers, H.S. & Harmon, T.M. Developmental implications of prenatal opioid exposure among school-aged children: a mixed methods and community-initiated analysis. BMC Public Health 23, 1815 (2023). https://doi.org/10.1186/s12889-023-16702-8

https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-16702-8

EO: 155 Count the Kicks with Sarah Coleman

Fri, 25 Oct 2024 05:00:00 -0500

Go to www.CountTheKicks.org to find these FREE Resources (and so much more!)

· Order Materials - Materials are available for FREE in Tennessee

· Count the Kicks App - a FREE Hallmark tool with no ads or

pop-ups - available in 21 languages

· Academy for Parents - A suite of resources to help maternal

healthcare professionals educate expectant parents about fetal movement monitoring

· Academy for Providers - includes a free sample childbirth

education plan and downloadable kick-counting charts.

· Link to our multi-language PSA

· How To Count - This is where you'll find that How To Count document and other great tips

EO: 154 Baby Steps with Dianna Puhr

Fri, 18 Oct 2024 05:00:00 -0500

ETSU Health Baby Steps website - with links to AAP Promising

Practice site -- https://www.etsu.edu/etsu-news/2021/10-october/baby-steps-promising-practice.php

Local news article about Baby Steps -- https://www.wjhl.com/news/baby-steps-clinic-provides-hope-care-for-children-exposed-to-drugs-before-birth/#:~:text=The%20American%20Academy%20of%20Pediatrics,country%20to%20receive%20this%20honor.

EO: 152 Florida's Compassionate Care: Reduction of the Primary C-section Rates with Nancy Travis

Fri, 04 Oct 2024 05:00:00 -0500

Add Show Notes Here

EO: 151 Tennessee Doula Association with Rebekah Porter

Fri, 27 Sep 2024 05:00:00 -0500

For any doulas out there listening, we would love to have you join us for our October 19th conference!

For any pregnant people who want to participate in the grant that covers the cost of doula services for moms with no insurance or on TennCare with a due date up until April 2025, please visit our website www.tndoula.org to sign up. Approval and doula connection is a fast simple process.

For any organization that wants to partner with us, please visit tndoula.org www.tndoula.org and click on the partner with us button. We look forward to connecting with you soon.

EO: 150 Family & Children's Services & Get Covered TN with Sharon Barker

Fri, 20 Sep 2024 05:00:00 -0500

Family & Children's Services

Crisis Line 24/7: 615-244-7444

HealthCare Access

Get Covered TN 1-866-475-7879 | enroll@fcsnashville.org

Language Services (615) 313-9841 | akhoshnaw@fcsnashville.org

EO: 149 Cherished Mom -Maternal Mental Health Awareness with Kristina Dulaney

Fri, 13 Sep 2024 05:00:00 -0500

Cherished Mom

IsMOMok

Maternal Mental Health Hotline - 1833-TLC-MAMA

Postpartum Support International

EO: 148 Helping Mamas Knoxville with Tess Frear

Fri, 06 Sep 2024 05:00:00 -0500

To connect with Helping Mamas: https://tennessee.helpingmamas.org/about/

Or to find a diaper banks near you: https://nationaldiaperbanknetwork.org/member-directory/

EO: 147 Mental Health & Breastfeeding with Drs. Debra Rose Wilson and Leslie Binford

Fri, 23 Aug 2024 05:00:00 -0500

Post Partum Support International https://www.postpartum.net/

Get Help

Call the PSI HelpLine:

1-800-944-4773

#1 En Español or #2 English

Text “Help” to 800-944-4773 (EN)

Text en Español: 971-203-7773

EO: 146 Breastfeeding in Tennessee with Gloria Dudney, RN, IBCLC, RLC

Fri, 16 Aug 2024 05:00:00 -0500

Link to “Evidence-Based Updates on the First Week of Exclusive Breastfeeding Among Infants >35 Weeks” from ABM published in Pediatrics

https://doi.org/10.1542/peds.2018-3696

Link to Academy of Breastfeeding Medicine protocols

https://www.bfmed.org/protocols

EO: 145 TennCare Diaper Benefits with Dr. Victor Wu

Fri, 09 Aug 2024 05:00:00 -0500

For more information on TennCare's diaper program, visit www.tn.gov/tenncare/dipaers

Key resources include:

A list of participating pharmacies
List of diaper products that are covered
Stakeholder communication toolkit (materials for
providers and members that are ready made for printing/sharing including
flyers in multiple languages)
Frequently Asked Questions

TennCare will be updating this website frequently in the upcoming weeks as new pharmacies, new diaper brands and products, and additional information is provided. Make sure to check back frequently.

EO: 144 Breastfeeding Highlights with Dr. Julie Ware

Fri, 02 Aug 2024 05:00:00 -0500

National Breastfeeding Month

World Breastfeeding Week

First Droplets https://firstdroplets.com/

The Breastfeeding Curriculum

Implicit Bias test: Race IAT (harvard.edu)

Evidence-Based Updates on the First Week of Exclusive

Breastfeeding Among Infants ≥35 Weeks | Pediatrics | American Academy of

Pediatrics (aap.org)

ABM Clinical Protocol #3: Supplementary Feedings in

the Healthy Term Breastfed Neonate, Revised 2017 (memberclicks.net)

Drugs and Lactation Database (LactMed®) - NCBI Bookshelf (nih.gov)

Breastfeeding-Workplace-Guide-for-Healthcare-providers.pdf

(pregnantatwork.org)

The Breastfeeding-Friendly Pediatric Office Practice |

Breastfeeding Handbook for Physicians | AAP Books | American Academy of Pediatrics

Posters | WIC Breastfeeding Support (usda.gov)

· AAP

policy statement Breastfeeding

and the Use of Human Milk

· AAP breastfeeding residency curriculum

· U.S. Breastfeeding Committee

· First Droplets, a resource to

help prepare families who desire to breastfeed

EO: 142 The Syphilis Crisis with Dr. Soha Patel

Fri, 19 Jul 2024 05:00:00 -0500

https://www.cdc.gov/std/treatment-guidelines/syphilis.htm

All Syphilis All the Time, for your viewing pleasure, the latest syphilis rap video to increase awareness of the need for testing! https://youtu.be/nrntqlPgDiQ?si=Lp-J2D6Pqd0mPkjW

EO: 141 QI and AI with Dr. Jim Barry

Fri, 12 Jul 2024 05:00:00 -0500

JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, interviews Kedar S. Mate, MD, an internal medicine physician, President and Chief Executive Officer at the Institute for Healthcare Improvement, and faculty at Weill Cornell Medical College, to discuss AI’s role in health care quality and approaches to improving health equity.

https://edhub.ama-assn.org/jn-learning/video-player/18822296

Open Sessions for NeoMINDAI, 4th Thursday

of each month at 1 pm MST (statring in September).

Join from the meeting link

https://uwmadison.webex.com/uwmadison/j.php?MTID=m2219c21bc9c806093f09c9f0447098c8

Join by meeting number Meeting number (access

code): 2630 894 3434

Meeting password: qMaA8xyXe92 (76228999 from phones)

Tap to join from a mobile device (attendees only)

+1-415-655-0001,,26308943434#76228999# US Toll

+1-312-535-8110,,26308943434#76228999# United States Toll

(Chicago)

Some mobile devices may ask attendees to enter a numeric meeting

password.

Join by phone

+1-415-655-0001 US Toll

+1-312-535-8110 United States Toll (Chicago)

Education tab on our NeoMINDAI website on education for AI in healthcare that is informative and constantly changing

IHI and AI: https://www.ihi.org/resources/publications/patient-safety-and-artificial-intelligence-opportunities-and-challenges-care-delivery

EO: 140 Maternal Mental Health with Dr. Kristy Christopher-Holloway

Fri, 05 Jul 2024 05:00:00 -0500

Dr. Kristy Christopher-Holloway can be reached through her website at: https://www.kristycholloway.com/

For more information on Post-Partum Support International: https://www.postpartum.net/

If you need help, call 1.800.944.4773

EO: 139 March of Dimes Maternity Care Deserts with Tamara Currin

Fri, 28 Jun 2024 05:00:00 -0500

www.marchofdimes.org/mcdr

EO: 138 Whitney Brown shares her Heart Conditions After Pregnancy

Fri, 21 Jun 2024 05:00:00 -0500

For more on the TIPQC Cardiac Project, please see: https://tipqc.org/project-cardiac-conditions-in-obstetric-care/

EO: 137 Cardiac Conditions in Pregnancy with Dr. Karen Florio

Fri, 14 Jun 2024 05:00:00 -0500

To learn more about this project or cardiac disease is pregnancy, see:

https://tipqc.org/project-cardiac-conditions-in-obstetric-care/

EO: 136 The Syphilis Crisis with Dr. Walter Dehority

Fri, 07 Jun 2024 05:00:00 -0500

Syphilis During Pregnancy - STI Treatment Guidelines (cdc.gov)

Screening for Syphilis in Pregnancy | ACOG

Vital Signs: Missed Opportunities for Preventing Congenital Syphilis — United States,

2022 | MMWR (cdc.gov)

https://news.vumc.org/2024/05/22/rising-syphilis-cases-prompt-more-testing-during-pregnancy/

EO: 135 TIPQC Annual Meeting Maternal QI Poster Winners

Fri, 31 May 2024 05:00:00 -0500

To listen to these quality improvement projects and many others, please see: https://tipqc.org/2024-annual-meeting/#

EO: 134 Cardiac Concerns in Pregnancy with the Prior Family

Fri, 24 May 2024 05:00:00 -0500

To see the TIPQC Cardiac Project: https://tipqc.org/project-cardiac-conditions-in-obstetric-care/

EO: 133 TIPQC Infant Quality Poster Winners

Fri, 17 May 2024 05:00:00 -0500

To listen to these quality improvement projects and many others, please see: https://tipqc.org/2024-annual-meeting/#

EO: 132 Mental Health for Providers Part 2 with Dr. Colleen Moss & Edna Brown

Fri, 10 May 2024 14:00:00 -0500

The National Maternal Mental Health Hotline can help. Call or text 1-833-TLC-MAMA (1-833-852-6262). TTY users can use a preferred relay service or dial 711 and then 1-833-852-6262.

If you are in suicidal crisis, please call or text 988 or visit the 988 Suicide & Crisis Lifeline.

Music shared graciously shared for this podcast can be found at: https://amazon.com/music/player/albums/B0BS1VRWC6?marketplaceId=ATVPDKIKX0DER&musicTerritory=US&ref=dm_sh_uDQVIBnx4llGH82KUf7lzKhgZ&trackAsin=B0BS2FWPV5

https://music.apple.com/us/album/heaven-dont-need-you-yet-single/1664225508

https://open.spotify.com/album/5LihUeVTAkdgcHw2aLEyyg?si=UouwqmlqQN2w4O0J3sdcuQ

EO: 131 Mental Health for NICU Providers with Dr. Colleen Moss & Edna Johnson

Fri, 03 May 2024 13:00:00 -0500

The National Maternal Mental Health Hotline can help. Call or text 1-833-TLC-MAMA (1-833-852-6262). TTY users can use a preferred relay service or dial 711 and then 1-833-852-6262.

If you are in suicidal crisis, please call or text 988 or visit the 988 Suicide & Crisis Lifeline.

The Shoebox Effect: The Shoebox Effect: Transforming Pain Into Fortitude and Purpose

https://www.amazon.com/Shoebox-Effect-Transforming-Fortitude-Purpose/dp/1949856178

EO: 130 Twelve Skills for a Better Life with Dr. Tarif Bakdash, Part 1

Fri, 26 Apr 2024 05:00:00 -0500

Twelve Skills for a Better Life:

1. Got Time? Time management

2. How to think clearly and avoid cognitive errors.

3. How to change yourself to the best

4.Finding your purposes and talents.

5.Managing your emotions

6. How to argue.

7.Difficult conversations

8. Life work balance.

9.Problem solving and creativity

10.leadership in the 21st century.

11.How to be moral

12.Positive thoughts 💭 and actions.

EO: 129 Twelve Skills for a Better Life with Dr. Tarif Bakdash, Part 1

Fri, 19 Apr 2024 05:00:00 -0500

Twelve Skills for a Better Life:

1. Got Time? Time management

2. How to think clearly and avoid cognitive errors.

3. How to change yourself to the best

4.Finding your purposes and talents.

5.Managing your emotions

6. How to argue.

7.Difficult conversations

8. Life work balance.

9.Problem solving and creativity

10.leadership in the 21st century.

11.How to be moral

12.Positive thoughts 💭 and actions.

EO: 128 TeamBirth with Amber Weiseth

Fri, 12 Apr 2024 05:00:00 -0500

deliverydecisions@ariadnelabs.org

https://www.ariadnelabs.org/delivery-decisions-initiative/teambirth

EO: 126 Archana Shares Her Daughter’s NICU and Chronic Lung Disease Journey

Fri, 29 Mar 2024 05:00:00 -0500

EO 125: Candace's Family's Journey through Prematurity and Chronic Lung Disease

Fri, 22 Mar 2024 05:00:00 -0500

Add Show Notes Here

EO: 124 The Tiny Baby with Dr. Jonathan Klein, Part 2

Fri, 15 Mar 2024 05:00:00 -0500

Care from Birth to Discharge of Infants Born at 22 to 23 Weeks’ Gestation -ScienceDirect

Outcome sat 18 to 22 Months of Corrected Age for Infants Born at 22 to

25 Weeks of Gestation in a Center Practicing Active Management -

ScienceDirect

Ventilator Management in Extremely Preterm Infants | NeoReviews | American Academy of Pediatrics (aap.org)

First intention high-frequency jet ventilation for periviabl... : Current Opinion in Pediatrics (lww.com)

Cardiorespiratory management of infants born at 22 weeks’ gestation: The Iowa approach -ScienceDirect

HFJV Guidelines:

High-Frequency-Jet-Ventilation-in-ELBW-infants-Iowa-Approach.pdf

(uiowa.edu)

MANAGEMENT STRATEGIES WITH HIGH FREQUENCY (uiowa.edu)

EO: 123 The Tiny Baby with Dr. Jonathan Klein, Part 1

Fri, 08 Mar 2024 05:00:00 -0500

Care from Birth to Discharge of Infants Born at 22 to 23 Weeks’ Gestation -ScienceDirect

Outcome sat 18 to 22 Months of Corrected Age for Infants Born at 22 to

25 Weeks of Gestation in a Center Practicing Active Management -

ScienceDirect

Ventilator Management in Extremely Preterm Infants | NeoReviews | American Academy of Pediatrics (aap.org)

First intention high-frequency jet ventilation for periviabl... : Current Opinion in Pediatrics (lww.com)

Cardiorespiratory management of infants born at 22 weeks’ gestation: The Iowa approach -ScienceDirect

HFJV Guidelines:

High-Frequency-Jet-Ventilation-in-ELBW-infants-Iowa-Approach.pdf

(uiowa.edu)

MANAGEMENT STRATEGIES WITH HIGH FREQUENCY (uiowa.edu)

EO: 122 RSV Infant Immunizations with TDH's Dr. Caitlin Newhouse

Fri, 01 Mar 2024 05:00:00 -0500

Tennessee Department of Health Vaccine-Preventable Diseases and Immunization Program

https://www.tn.gov/health/cedep/immunization-program/ip/immunization-program-about.html

https://www.tn.gov/health/cedep/immunization-program.html

Pregnant & Protected

https://www.cdcfoundation.org/pregnant-and-protected#:~:text=The%20Pregnant%20%26%20Protected%20campaign%20aims,to%20get%20up%20to%20date.

EO: 121 New Project-Chronic Lung Disease with Faculty, Drs. Malinda Harris, Vineet Lamba and RT Marla Kirk

Fri, 23 Feb 2024 13:15:00 -0500

https://tipqc.org/chronic-lung-disease-cld/

EO: 120 Chronic Lung Disease with Dr. Kathleen Gibbs

Fri, 16 Feb 2024 14:15:00 -0500

https://tipqc.org/chronic-lung-disease-cld/

EO: 119 CDC Experts on Congenital Syphilis with Drs. Miele & Hufstetler

Fri, 09 Feb 2024 11:45:00 -0500

CDC STI Treatment Guidelines App:

https://www.cdc.gov/std/treatment-guidelines/provider-resources.htm

CDC Division of STD Prevention:

cdc.gov/std/default.html

CDC Atlas Plus:

https://www.cdc.gov/nchhstp/atlas/index.htm

https://www.cdc.gov/nchhstp/atlas/syphilis/index.html

CDC STD Surveillance Report:

https://www.cdc.gov/std/stats18/default.htm

National STD Curriculum:

www.std.uw.edu

National Network of STD Prevention Training Centers:

www.nnptc.org www.STDCCN.org

National Coalition for Sexual Health:

www.ncshguide.org/providers

EO: 118 MoMMA's Voices with Bekah Bischoff

Fri, 02 Feb 2024 13:30:00 -0500

MoMMA's Voices https://www.mommasvoices.org/

EO: 117 Sodium Bicarbonate with Dr. Judy Aschner

Fri, 26 Jan 2024 14:00:00 -0500

"Sodium Bicarbonate: Basically Useless Therapy"

https://publications.aap.org/pediatrics/article-abstract/122/4/831/71328/Sodium-Bicarbonate-Basically-Useless-Therapy?redirectedFrom=fulltext?autologincheck=redirected

EO: 115 The Burke Family's Delivery & NICU Journey

Fri, 12 Jan 2024 13:00:00 -0500

Add Show Notes Here

EO: 114 Vaccines In Pregnancy with Drs. Dudney & Miller

Fri, 08 Dec 2023 13:30:00 -0500

Tennessee Department of Health's Vaccine Preventable Disease and immunizations Program: About VPDIP (tn.gov)

Talking with Patients about COVID-19 Vaccination | CDC

Pregnancy and Vaccination | CDC

EO: 113 CDC's mPINC Survey

Fri, 01 Dec 2023 13:15:00 -0500

For questions and to sign up for CDC mPINC listserv, email mPINC@cdc.gov

EO: 112 A Family's Story through Early Delivery & IVH

Fri, 24 Nov 2023 05:00:00 -0500

Add Show Notes Here

EO: 111 Caring for HIV Newborns & Infants with Drs. John Purvis & Katherine Knapp

Fri, 17 Nov 2023 14:00:00 -0500

Add Show Notes Here

EO:110 HIV and Pregnancy with Dr. Nina Sublette

Fri, 10 Nov 2023 12:00:00 -0500

https://hivinfo.nih.gov/home-page

Add Show Notes Here

EO: 109 Vaccinations in Pregnancy with Dr. Caitlin Newhouse

Fri, 03 Nov 2023 13:15:00 -0500

You can follow the Pregnant & Protected campaign

on CDC Foundation’s Facebook

[facebook.com], Instagram

[instagram.com] and X,

formerly known as Twitter [twitter.com].

We encourage you to share this information with your

partners and networks. If you have any questions, please reach out to PregnantandProtected@cdcfoundation.org.Add Show Notes Here

EO: 108 Genetics & Pregnancy, Part 2 with Dr. Owen Phillips

Fri, 13 Oct 2023 14:00:00 -0500

Add Show Notes Here

EO: 107 Genetics & Pregnancy Part 1 with Dr. Owen Phillips

Fri, 06 Oct 2023 14:00:00 -0500

Add Show Notes Here

EO: 106 Preeclampsia and Maternal Heart Disease with Dr. Connie Graves

Fri, 29 Sep 2023 13:00:00 -0500

National Preeclampsia Foundation: https://www.preeclampsia.org/

TIPQC Hypertension Project: https://tipqc.org/tennessee-aim-severe-maternal-hypertension/

NIH https://www.nichd.nih.gov/health/topics/preeclampsia/conditioninfo/diagnosed

EO: 105 Tongue Ties with Dr. Anna Messner

Fri, 22 Sep 2023 14:00:00 -0500

Clinical Consensus Statement: Ankyloglossia in Children

https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1177/0194599820915457d

EO: 104 Breastfeeding with Dr. Sarah Eriksen

Fri, 15 Sep 2023 14:15:00 -0500

Intention to breastfeed prior to delivery:

Child Nutr. 2021 Apr;17(2):e13093. doi: 10.1111/mcn.13093. Epub 2020 Oct 1.

PMID: 33006242; PMCID: PMC7988881.

IABLE

Home

- The Institute for Breastfeeding and Lactation Education (IABLE) (lacted.org)

E-Lactancia

e-lactancia.

Is this compatible with breastfeeding?

TN Mother's Milk Bank

https://www.milkbanktn.org/

EO: 103 FindHelpNowTN.org

Fri, 08 Sep 2023 14:00:00 -0500

https://findhelpnow.org/tn

TN Redline (Available 24 hours) 1-800-889-9789

VUMC Study: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2769427

EO: 102 Kathi Salley Randall, SYNAPSE Small Baby Training

Fri, 01 Sep 2023 14:15:00 -0500

https://sbc.synapsecare.com/

EO: 101 Breastfeeding Medicine with Dr. Stephanie Attarian

Fri, 25 Aug 2023 14:00:00 -0500

The following resorces were discussed on today's episode:

https://www.positivemed.com/2012/10/27/the-breastfed-baby/

https://lacted.org/

https://www.infantrisk.com/infantrisk-center-resources

https://trashthepumpanddump.org/

https://www.bfmed.org/protocols

https://www.cmqcc.org/resources-toolkits

https://physicianguidetobreastfeeding.org/

https://kellymom.com/

https://www.bellybelly.com.au/breastfeeding/

https://www.milkbanktn.org/

EO: 100! Celebrating 100 with TIPQC Oversight Leaders

Fri, 18 Aug 2023 14:00:00 -0500

Add Show Notes Here

EO: 99 TennCare Lactation Benefits with Dr. B

Fri, 11 Aug 2023 14:00:00 -0500

TN Breastfeeding Hotline: 1-855-423-6667

TennCare Lactation Benefits

EO: 98 Breastfeeding with Dr. Margreete Johnston

Fri, 04 Aug 2023 14:15:00 -0500

National Breastfeeding Month

https://nationaltoday.com/national-breastfeeding-month

Reaching Our Sisters Everywhere

https://breastfeedingrose.org/

Breastfeeding Handbook for Physicians (3rd Edition)

By American Academy of Pediatrics Edited by Richard J. Schanler, MD, FAAP, FABM

https://publications.aap.org/aapbooks/book/727/Breastfeeding-Handbook-for-Physicians?autologincheck=redirected

EO: 97 Promotion of Vaginal Delivery Pilot Hospitals: TriStar Stonecrest Medical Center & TriStar Centennial Medical CenterShare

Fri, 28 Jul 2023 14:00:00 -0500

https://tipqc.org/pvd/

EO: 96 Conversations on Addiction with Dr. Stephen Loyd

Fri, 21 Jul 2023 14:00:00 -0500

Links for Dr. Loyd

EO: 94 Dr. Ralph Alvarado, MD, FACP - 15th Commissioner of Tennessee Department of Health

Fri, 07 Jul 2023 14:00:00 -0500

https://www.tn.gov/health/history-of-public-health-in-tennessee/health-department-commissioners.html#:~:text=Ralph%20Alvarado%2C%20MD%2C%20FACP%20became,Health%20on%20January%2017%2C%202023.

EO: 93 Dr. Katherine Coughlin on Skin-to-Skin

Fri, 30 Jun 2023 14:00:00 -0500

EO: 92 PROMOTION OF SAFE VAGINAL DELIVERIES (PVD) Pilot Teams - Regional One and St. Thomas Midtown

Fri, 23 Jun 2023 14:00:00 -0500

https://tipqc.org/pvd/

EO: 89 Part One - Data Series with Tennessee and Illinois PQCs

Fri, 02 Jun 2023 14:00:00 -0500

TIPQC's Theresa Scott, MS - Data Manager, sat down with Dan Weiss, MPH of Illinois PQC for a series on Data.

https://ilpqc.org/

EO: 88 Community Engagement with Tennessee Department of Health

Fri, 26 May 2023 14:00:00 -0500

Join us for a discussion with Director of the Office of Faith-Based and Community Engagement Elizabeth Hart, MS.

EO: 87 2023 Annual Meeting Poster Winners Dr. Anuj Sinha and Dr. Vineet Lamba

Fri, 19 May 2023 14:00:00 -0500

To hear more from our poster winners check out the following resources:

https://www.youtube.com/playlist?list=PLrVWpAo5Npbb0_UyMEg2jEbhxWabGbp9x

https://tipqc.org/2023-annual-meeting/

EO: 86 Maternal Cardiac Diseases with Dr. Afshan B. Hameed

Fri, 12 May 2023 14:00:00 -0500

Check out the latest episode of TIPQC Healthy Mom Healthy Baby with Dr. Afshan Hameed to discuss maternal cardiac diseases and reducing maternal mortality.

https://profiles.icts.uci.edu/afshan.hameed

EO: 84 Tennessee Breastfeeding Hotline with Pacify Health

Fri, 28 Apr 2023 14:00:00 -0500

Chief Clinical Officer of Pacify Health, Melanie Silverman MS, RD, IBCLC, discusses the Tennessee Breastfeeding Hotline.

https://www.pacify.com/https://www.tn.gov/health/health-program-areas/fhw/bf/breastfeeding-hotline.html

EO: 83 Human Trafficking Detection and Resources with Ancora Tennessee

Fri, 14 Apr 2023 14:00:00 -0500

Catch up on our latest episode with Ancora Tennessee formerly End Slavery Tennessee with Kelli Cary, MSSA, LISW-S Chief Executive Officer.

https://www.ancoratn.org

EO: 82 Rising Rates of Congenital Syphilis in Tennessee with Dr. Greg Wilson

Fri, 07 Apr 2023 14:00:00 -0500

Dr. Greg Wilson - Associate Professor of Pediatrics, Pediatric Infectious Diseases and Medical Director Pediatric Infection Prevention at Vanderbilt University Medical Center discusses the rising rates of congenital syphilis in Tennessee.

Red Book: https://publications.aap.org/redbook?autologincheck=redirected

Tenn Resources: https://www.cdc.gov/std/dstdp/sti-funding-at-work/jurisdictional-spotlights/tennessee.pdf

EO: 81 A Conversation with SeedCo on Improving Family Resources during Pregnancy

Fri, 31 Mar 2023 14:00:00 -0500

Listen to Travis Walker, Cletis Foster, and Marla Brown discuss #dadication and resources for families during pregnancy.

https://www.seedco.org/

https://www.seedco.org/midsouthdads/

EO: 80 Exploring Skin-to-Skin Practices with Helen Nation, APRN, MSN, NNP

Fri, 24 Mar 2023 14:00:00 -0500

Helen Nation, APRN, MSN, NNP discusses Skin-to-Skin practices and other best practices in neonatology.

EO: 75 Chronic Lung Disease (BPD) QI project at Nationwide Children’s Hospital with Dr. Roopali Bapat

Fri, 17 Feb 2023 14:00:00 -0500

Explore the Chronic Lung Disease (BPD) QI project at Nationwide Children’s Hospital with Dr. Roopali Bapat, Neonatologist and Medical director of Quality and Safety of Neonatal Network and Medical co-director of the Clinical pathways Program at Nationwide Children’s Hospital.

EO: 72 IVH QI Project at UCSF with Katie Kramer, MD

Fri, 27 Jan 2023 14:00:00 -0500

Katie Kramer, MD Assistant Clinical Professor, UCSF Department of Pediatrics and Director, Quality Improvement and Patient Safety, Neonatology at UCSF Benioff Children's Hospital, walks us through their Intraventricular Hemorrhage QI Project.

IVH Project: https://www.ucsfbenioffchildrens.org/-/media/project/ucsf/ucsf-bch/pdf/manuals/49_intraventricularhem.pdf

EO: 69 The White House Opioid & Pregnancy Report with Dr. Stephen Patrick

Fri, 06 Jan 2023 14:15:00 -0500

Dr. Stephen Patrick shares the White House Substance Use Disorder In Pregnancy: Improving Outcomes for Families. Outlining how overdose-related deaths in pregnant and postpartum women and birthing people can be prevented with evidence-based treatment for opioid use disorder (OUD). The report describes systemic barriers that make accessing care challenging and outlines key actions that will take to connect pregnant women and birthing people with substance use disorder to care.

EO 66: The Zarzour Family NICU Journey, Part 2

Fri, 23 Dec 2022 05:00:00 -0500

Hear more of the Zarzour Family NICU journey through a physician and parent's perspective.

EO 65: The Zarzour Family Pregnancy Journey, Part 1

Fri, 16 Dec 2022 05:00:00 -0500

As physicians, the Zarzour family offers a unique insight--their own--of their pregnancy journey. You will laugh and cry with this family!

EO: 64 EMS SIMS: Saving Mom & Baby, Devin Branham & Taylor

Fri, 09 Dec 2022 14:00:00 -0500

Add Show Notes Here

EO 63: Mothers' Milk Bank of Tennessee & Dr. Susan Campbell

Fri, 02 Dec 2022 10:00:00 -0500

For more information on the Mother's Milk Bank, becoming a volunteer, donating milk or other needed support see: https://www.milkbanktn.org/

EO: 61 Quality Improvement & the QI Bootcamp, Dr. Dupree Hatch

Fri, 18 Nov 2022 14:45:00 -0500

QI Resources:

Institute for Healthcare Improvement ( IHI)

TIPQC QI Just in Time Modules

Vermont Oxford Network (VON)

The World Health Organization (WHO) QI Resources including the new QI Toolkit

Cincinnati Children's Hospital Improvement Science Education Courses

EO 60: Dr. Stephen Swanson-Quality Improvement in Tanzania

Fri, 11 Nov 2022 15:00:00 -0500

For more information Dr. Swanson's work in Tanzania

Videos Every Breath Counts: ALMC NICU

www.vimeo.com/drswanson/aichi
www.vimeo.com/drswanson/cecelia
www.vimeo.com/drswanson/breath (first video ever, in 2017

Every breath counts: Lessons learned in developing a

training NICU in Northern Tanzania (Frontiers

in Pediatrics, 25 Aug 2022)

EO 59: Spinning Babies® with Trainer Emma Moreland, CPM

Fri, 04 Nov 2022 14:00:00 -0500

To learn more about Spinning Babies®

https://www.spinningbabies.com/

EO 58: Beth Shelton on Birth Trauma & Trauma Informed Care

Fri, 28 Oct 2022 14:00:00 -0500

Post Partum Support International: https://www.postpartum.net/

Get Help

Call the PSI HelpLine:

1-800-944-4773

#1 En Español or #2 English

Text “Help” to 800-944-4773 (EN)

Text en Español: 971-203-7773

EO55: Janet Tucker and Supporting Patients with Fetal Anomaly Diagnoses

Fri, 07 Oct 2022 15:00:00 -0500

Contact information: Janet Tucker, PhD, MSN, RNC-OB, jtucke27@uthsc.edu

Resources:

Maternal Distress in Disclosing a Nonlethal Fetal Anomaly Di... : MCN: The American Journal of Maternal/Child Nursing - LWW

https://journals.lww.com/mcnjournal/Abstract/2022/07000/Maternal_Distress_in_Disclosing_a_Nonlethal_Fetal.7.aspx

Tennessee Birth Defects Data Report-Tennessee Department of

Health

https://www.tn.gov/content/dam/tn/health/program-areas/reports_and_publications/Birth-Defects-2021-Report-FINAL.pdf

March of Dimes-

https://www.marchofdimes.org/peristats/

EO53: Kris Perelmutter's Journey Through Postpartum Depression & Anxiety

Wed, 14 Sep 2022 14:00:00 -0500

Post-partum Depression and Anxiety are common experiences which are often unaddressed. Hear Kris share her story. Reach out to Get Help

Call the PSI HelpLine:

1-800-944-4773

#1 En Español or #2 English

Text “Help” to 800-944-4773 (EN)

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EO51: New Safe Sleep Guidelines

Fri, 02 Sep 2022 03:00:00 -0500

Safe sleep resources:

TN Department of Health Resources

New APP Guidelines

Cribs for Kids

EO50: Join Dr. Connie Graves as she talks with Eleni Tsigas, from the National Preeclampsia Foundation.

Fri, 26 Aug 2022 15:00:00 -0500

Dr. Connie Graves talks with Eleni Tsigas CEO of the Preeclampsia Foundation. Eleni recently came through Nashville on her Reconnect Tour!

E049: NICU Family Experience: The McKnight Family

Fri, 19 Aug 2022 16:30:00 -0500

In today's episode, Dr. Scott Guthrie, TIPQC Infant Medical Director, is joined by Crystal and Phillip McKnight to discuss their family's NICU experience with their son, Nori.

E046: Caring for Motherhood with Dr. Karen Schetzina

Fri, 29 Jul 2022 15:00:00 -0500

Join Dr. Danielle Tate, TIPQC Maternal Medical Director, and Dr. Karen Schetzina to discuss the Caring for Motherhood project.

E045: The History of TIPQC

Fri, 22 Jul 2022 15:30:00 -0500

Join Brenda Barker, MEd, MBA, Executive Director for TIPQC, and Dr. Mike DeVoe, Neonatologist as they discuss the history of the Tennessee Initiative for Perinatal Quality Care.

For more information visit: www.TIPQC.org

Add Show Notes HereNo content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

E044: Babyscripts with Dr. Lauren Demosthenes

Fri, 15 Jul 2022 10:15:00 -0500

Dr. Danielle Tate, TIPQC Maternal Medical Director, is joined by Dr. Lauren Demosthenes, Senior Medical Director with Babyscripts. Listen in on how the Babyscripts blood pressure monitoring app can have an impact on pregnancy care.

For more information visit: www.babyscripts.com

E042: TIPQC Optimal Cord Clamping Project: The Pilot Teams

Fri, 01 Jul 2022 16:30:00 -0500

New episode alert!

In today's episode, Dr. Scott Guthrie sits down with OCC pilot team leaders Dr. Chris Welsch, Dr. Darshan Shah, Dr. Parul Zaveri, Dr. Marcelo Rains, and Dr. Kirk Bass to discuss their experiences with the Optimal Cord Clamping Project.

For more information on the Optimal Cord Clamping Project visit: https://tipqc.org/occ/

E041: A Look Into the PSI Perinatal Mood and Anxiety Disorder Training

Fri, 24 Jun 2022 17:00:00 -0500

Today's episode features guest host, Dr. Julia Wood, discussing the upcoming PSI Perinatal Mood and Anxiety Disorder Training with Birdie Meyer, RN, MA, PHM-C.

For more information visit: www.postpartum.net

E040: The Value in the Role of Maternal Medical Director

Fri, 17 Jun 2022 10:00:00 -0500

In today's episode, Dr. Nikki Zite, Dr. Jessica Young, and Dr. Danielle Tate come together to discuss their perspectives on the value of being a Maternal Medical Director for TIPQC.

E038 - LMA with Dr. Kari Roberts

Fri, 03 Jun 2022 12:30:00 -0500

In this episode, Dr. Scott Guthrie is joined by fellow Neonatologist Dr. Kari Roberts of the University of Minnesota Masonic Children's Hospital, to discuss the use of the Laryngeal Mask Airway (LMA).

Resources mentioned in today's episode:

SALSA (Surfactant Administration through Laryngeal or Supraglottic Airways): Training Video: https://www.youtube.com/watch?v=Iig9l4BgIy4&t=10s

SALSA Algorithm: https://docs.google.com/file/d/1zV6StNTK65zOeF4Kzcfm6T1jiBAYbB_J/edit?usp=docslist_api&filetype=msword

Questions for Dr. Roberts? email: rober694@umn.edu

E037 - Maternal Medical Director Transition

Fri, 27 May 2022 09:15:00 -0500

In this episode, Dr. Danielle Tate, the TIPQC Maternal Medical Director elect, sits down with Dr. Jessica Young, the current Maternal Medical Director for TIPQC, to discuss the role of Maternal Medical Director. We invite you to listen to learn about our new medical director!

E036 - Golden Week with Dr. Colm Travers

Fri, 20 May 2022 11:15:00 -0500

This episode, Dr. Scott Guthrie, TIPQC Infant Medical Director, is joined by Dr. Colm Travers, a neonatologist from the University of Alabama Birmingham Hospital, to discuss his recently published paper on the Golden Week. The Golden Week is a quality improvement project targeting the smallest babies cared for in the NICU. This podcast will begin to lay the groundwork for TIPQC's project to improve care of Tennessee's Tiniest Babies.

Question for Dr. Travers? Email: cptravers@uabmc.edu

E035: Pain Management in Delivery with OUD

Fri, 25 Mar 2022 05:00:00 -0500

Dr. Jessica Young is joined by Dr. Laura Sorabella to discuss best practices for managing pain during delivery for a mother with Opioid Use Disorder.

E034: Patient/Family Story - The Simone Family

Mon, 07 Feb 2022 05:00:00 -0500

In this episode, Dr Guthrie sits down with Chanci Simone, her husband Andre, and their son Lazar to discuss her pregnancy challenges, Lazar’s NICU stay, and PPD/PTSD from the mother’s and father’s perspective.

HearHer from CDC https://www.cdc.gov/hearher/index.html

E033: Optimal Cord Clamping with Dr. Anup Katheria

Mon, 24 Jan 2022 05:00:00 -0500

TIPQC is launching a new project revolving around the term “Optimal Cord Clamping”. In this episode, Dr. Scott Guthrie, TIPQC Infant Medical Director, and Dr. Anup Katheria introduce the concept, benefits, challenges of implementation and what OCC looks like from the perspective of a neonatologist.

E032: Optimal Cord Clamping with Dr. Howard Herrell

Wed, 19 Jan 2022 05:00:00 -0500

TIPQC is launching a new project revolving around the term “Optimal Cord Clamping”. In this episode, Dr. Scott Guthrie, TIPQC Infant Medical Director, and Dr. Howard Herrell introduce the concept, benefits, challenges of implementation and what OCC looks like from the perspective of an OB/GYN.

Dr. Herrell's Podcast "Thinking About OB/GYN": https://thinkingaboutobgyn.com/

E029: Family Integrated Care with Zuzanna Kubicka, MD

Thu, 09 Dec 2021 05:00:00 -0500

This episode Dr. Scott Guthrie, Infant Medical Director for TIPQC, sits down with Dr. Zuzanna Kubicka, Neonatologist from South Shore Hospital. They discuss FI Care (Family Integrated Care) and how providers can improve upon providing higher quality, family-centered care for infants in the Neonatal Intensive Care Unit.

E028: Butterfly's Embrace with LeighAnn Sutton

Mon, 15 Nov 2021 05:00:00 -0500

Dr. Scott Guthrie, TIPQC Infant Medical director is joined by LeighAnn Sutton. LeighAnn works at Jackson-Madison County General Hospital in Jackson, TN. She leads their Perinatal Bereavement program. LeighAnn is Certified in Perinatal Loss and Bereavement and is soon to be a Certified Perinatal Mental Health Coordinator. We discuss this unique role and the how we can learn from her work to best take care of our mothers during a NICU stay … especially when there’s a loss involved.

LeighAnn has pioneered a program called Butterfly’s Embrace in Jackson, that walks families through trauma with the hope of ultimately turning these experiences into something beautiful.

E027: A NICU Parent Perspective - Karen Broadway

Mon, 01 Nov 2021 05:00:00 -0500

This episode our Infant Medical Director, Dr. Scott Guthrie is joined by NICU parent, Karen Broadway. Karen gave birth to her son in 2017 and very quickly was swept into the world of the NICU. This episode they discuss a multitude of topics including a parent perspective of NICU care, Postpartum Depression and what it’s like parenting a NICU graduate. This special episode will have something for both provider and patient. Our goal for this story to help improve care across the state of Tennessee.

E026: Simulation Training & Debriefing - Part 2

Tue, 12 Oct 2021 05:00:00 -0500

This episode we conclude the Simulation training conversation between Dr. Scott Guthrie, TIPQC Infant Medical Director 2020-22 and Dr. Kimberly Shimer.

*If you haven’t listened to part one just yet, we encourage you to hit that back arrow and listen to last week’s episode first! This chat was just too good to cut short!*

E025: Simulation Training & Debriefing - Part 1

Mon, 04 Oct 2021 05:00:00 -0500

Our TIPQC team had a very busy summer, full of learning sessions, developing educational videos, AND one of our most favorite improvement opportunities so far - this past June we hosted a hands-on simulation training.

On today’s episode we are joined by Dr. Kimberly Shimer, who led our trainees through the importance of simulation debriefing. She and Dr. Scott Guthrie, the TIPQC Infant Medical Director, sit down to discuss methods and tools to improve care through simulations.

This conversation was so rich, we have broken this episode up into parts 1 & 2 – so make sure to check back next week for the second half of this conversation!

E021: Perinatal Mood Disorders

Thu, 20 May 2021 05:00:00 -0500

Dr. Jessica Young, the TIPQC Maternal Medical Director, is joined by Dr. Julia Wood, President of the Tennessee Chapter of Postpartum Support International. She is a Psychiatrist in Knoxville, TN and specializes in Perinatal Mood Disorders. We discuss the importance of screening, treatment options and disparities in perinatal mood disorders.

E018: ACEs with Dr. McDonald

Wed, 14 Apr 2021 10:15:00 -0500

Dr. Anna Morad, the TIPQC Infant Medical Director and Dr. Morgan McDonald, the Deputy Commissioner for Population Health at the Tennessee Department of Health discuss Adverse Childhood Experiences, or ACEs, and how those experiences can affect the long-term health of children across our state.

E014: Safe Sleep in the Hospital Environment

Mon, 15 Feb 2021 05:00:00 -0500

Dr. Anna Morad, the TIPQC Infant Medical Director sits down with Dr. Jason Yaun from Le Bonheur Children's Hospital in Memphis, TN. Dr. Yaun is the Clinical Director of General Pediatrics as well as an Associate Professor at The University of Tennessee Health Science Center. Dr. Morad and Dr. Yuan discuss Safe Sleep education in the children’s hospital setting and how Le Bonheur has updated their policies and education to improve sleep safety for babies in Memphis.

E009: Hepatitis C Screening in the Perinatal Period

Mon, 04 Jan 2021 05:00:00 -0500

This episode we sit down with TIPQC Infant Medical Director, Dr. Anna Morad, and Dr. Jimmy Carlucci to discuss Hepatitis C Screening for mothers and babies. Dr. Carlucci will be joining us for our Annual Meeting in March 2021 and we are so excited to share this conversation as a preview! Register today for the TIPQC 2021 Annual Meeting at www.tipqc.org.

E006: New AAP NAS Guidelines with Dr. Stephen Patrick

Mon, 30 Nov 2020 05:00:00 -0500

Episode 006: We are joined by Dr. Stephen Patrick to discuss the development and release of the new guidelines recently released by the American Academy of Pediatrics surrounding Neonatal Abstinence Syndrome.

View the full recommendations here: https://pediatrics.aappublications.org/content/pediatrics/early/2020/10/10/peds.2020-029074.full.pdf

E002: Opioid Use Disorder in Pregnancy & MAT

Mon, 26 Oct 2020 09:00:00 -0500

If you or someone you know is struggling with opioid addiction, then you are urged to call the Tennessee Redline. The Redline number is 1-800-889-9789 and is open 24 hours a day, 7 days a week.

Episode 2: We are joined by Dr. Jessica Young to discuss a common term around Opioid Use Disorder – MAT. We will find out just exactly what MAT is, who qualifies for this type of treatment, how it’s helpful and what’s coming up in innovations for opioid treatments here in Tennessee.