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FOZA News and Updates

Rural Doc Alan - FAQ - Weight Gain During Pregnancy

3/17/2023

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All mothers gain weight during their pregnancy, but where do they gain it, how much is a healthy amount to gain, and how much weight is TOO much?
In this article,  Dr. Alan Lindemann, an obstetrician from North Dakota nicknamed the “Rural Doc” who has over 40 years of experience, over 6000 babies delivered, will discuss weight gain during pregnancy and we are fortunate to have OBGYN Dr. Alan Lindeman's Top 8 Questions & Answers on Weight Gain During Pregnancy.

1. Why do pregnant women gain weight (outside of the baby's weight)? Women need to gain weight during pregnancy for several reasons:
  • The uterus enlarges several hundred times in order to accommodate the size of a baby, the amniotic fluid, and the placenta.
  • The amniotic fluid is necessary to protect the baby from external injury and to help develop organs such as the lungs.
  • The placenta brings oxygen and nutrition from mom to baby while the mother’s blood removes waste in several forms including carbon dioxide.
  • The mother’s blood volume increases so that she can give adequate nutrition to the baby.

2. In which areas of the body do women usually gain weight during pregnancy? Mothers gain weight in their breasts, uterus, placenta, amniotic fluid, blood volume, skin and fat (subcutaneous tissue).

3. How much weight can you expect to gain during your pregnancy? Mothers can expect to gain 32 to 35 pounds in pregnancy. Women who weigh less than one hundred pounds need to gain a little bit more, and women who weigh more than 200 pounds need to gain a few pounds less.

4. How much is TOO much weight gained during pregnancy? If you have one baby in your uterus, more than forty pounds would probably be considered too much most of the time. Remember that if you start your pregnancy weighing less than one hundred pounds you should expect to gain a little bit more than 33 to 35 pounds.

5. Should I try to lose weight during pregnancy? Generally speaking, you should not. Why? Because you want to avoid ketones at all costs during pregnancy. Ketones are a chemical your body produces as an alternative source of fuel from your stored fat; unfortunately, high ketone levels can affect your baby’s cognitive abilities. Ketones are created when you don’t eat, such as when you are sleeping, dieting, or fasting, and may also become a problem if you are unable to eat or are vomiting. To avoid problems with ketones, eat frequently. I recommend three large meals and three or four smaller meals a day.
Rural Doc Alan - pregnancy your way
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​6. What should I do if I'm overweight or underweight before pregnancy? If you are overweight when you start pregnancy — for example, more than 200 pounds — you should probably consider gaining only 25 to 27 pounds during pregnancy. If, on the other hand, you weigh less than 100 pounds, 35 to 38 pounds during pregnancy would probably be a better choice.

7. What foods should women concentrate on eating during pregnancy? During pregnancy remember to try to balance all meals with three things: protein, fat, and carbs.
  • Protein: Eat at least 120g each day. Although you can find protein in foods like peanut butter, that protein is not complete unless eaten with milk. Eggs, milk, and meat such as chicken, turkey, fish, and beef would be good sources of protein.
  • Fat: 20% of what you eat should be fat. Fat helps you avoid nausea and vomiting.
  • Carbs: 30% of what you each should be carbohydrates. However, do not eat carbohydrates alone because you will have a rapid increase in blood sugar and a rapid increase in insulin. This can lower blood sugar rapidly, leading to feeling nauseated.

8. Should you listen to food cravings during pregnancy? Should you ignore cravings to keep weight down? I am of the opinion that cravings are actually good for you. I think it’s important for you to listen to your body and eat what your body tells you to eat. Common cravings include pickles and ice cream. Ice cream in small amounts is good for you as it has a lot of protein, fat, and carbohydrates. If you want to eat ice cream, I suggest you eat real full-fat ice cream. It’s not unusual to crave sweet and sour together, so pickles are not a surprising addition to the ice cream.

Contact Dr. Alan @:
Michelle Tennant & Klaudia Simon
Wasabi Publicity, Inc.
828.749.3200
828.817.4034 (cell)
ibookinterviews@gmail.com
About Dr. Lindemann:
An obstetrician and maternal mortality expert, “Rural Doc” Alan Lindemann, M.D. teaches women and their families how to create the outcomes they want for their own personal health and pregnancy. A former Clinical Assistant Professor at the University of North Dakota, he is currently a clinical faculty member available to serve as preceptor with medical students in rural rotations. In his nearly 40 years of practice, he has delivered around 6,000 babies and achieved a maternal mortality rate of zero! Learn more at LindemannMD.com and PregnancyYourWay.com.

Online Press Kit: dralanlindemann.onlinepresskit247.com
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Is it challenging to find supportive resources in your area?  Try our FOZA Finder:  If you are in a perinatal or postpartum period, or you are a caregiver, you can request that we make a private search within your community for specific services.  No sensitive information is required. You only need provide your email address and zip code and the nature of your request. FOZA will search your community,  within 1-10 miles of your zip-code and send you the contact information on the category of service(s) you are seeking. You can also connect with our 
FOZA Facebook page and send a Private Message to request FOZA Finder Services.
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Seasonal Affective Disorder Symptoms (SAD)-

1/26/2023

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Yes...it's a thing. Seasonal Affective Disorder Symptoms (SAD)- and awareness can be the key to feeling better. Learn more about this disorder from this article published in the mayoclinic.org
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In most cases, seasonal affective disorder symptoms appear during late fall or early winter and go away during the sunnier days of spring and summer. Less commonly, people with the opposite pattern have symptoms that begin in spring or summer. In either case, symptoms may start out mild and become more severe as the season progresses. Read More

If you are experieincing difficulty finding resources in your local arfea, for perinatal or postpartum issues, send us your zip and we'll research resources near you.  clcik on FOZA Finder
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Legislation Supported By Mom Congress Becomes Law

12/29/2022

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From Mom Congress Dec 2022
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​Five Mom Congress Supported Bills Become Law in 2022
Mom Congress is thrilled to announce the passage of five pieces of our supported legislation in 2022. Thank you to all Mom Congress Member Advocates for your efforts to get these bills (listed below) signed into law. 

Data Mapping to Save Moms' Lives Act (H.R.1218 / S.198) 
This bill looks at locations in the U.S. where there are high maternal mortality rates to increase broadband access to provide telemedicine in those locations. The bill requires the Federal Communications Commission to incorporate data on maternal health outcomes into its broadband health maps. 

Mom Congress first supported the Data Mapping to Save Moms' Lives Act in 2020. Read the White House Press Release here.  

PUMP for Nursing Mothers Act (S. 1658/H.R. 3110)
The PUMP for Nursing Mothers Act will strengthen the Break Time Law by expanding protections for lactating workers. 

Mom Congress first supported the PUMP for Nursing Mothers Act in 2020. 

The Pregnant Workers Fairness Act (H.R. 1065, S. 1486) 
This bill requires employers to make reasonable accommodations to support the health of pregnant workers. Read more about the powerful advocacy efforts made like this Advocacy op-ed published in The Hill.

This bill was included in our 2022 Moms’ Agenda. 

TRIUMPH for New Moms Act (H.R. 4217, S. 2779) 
TRIUMPH calls for the formation of a temporary Federal interagency Taskforce to coordinate efforts to address maternal mental health, and to create a national strategic plan including recommendations to state governors, House and Senate Committees, and relevant federal agencies to support and improve maternal mental health in the U.S. 

This bill was included in our 2022 Moms’ Agenda. 

Into the Light for Maternal Mental Health (H.R. 7073, S. 3824) 
Provides permanent mental health resources to moms across the country, from a 24/7 voice and text hotline to grants to states to support improved screening and treatment programs.

This bill was included in our 2022 Moms’ Agenda. 

Thank you again for all of your support and advocacy! 
Please share this information with tags:
​#UseYourMomVoice  |   #TogetherWeWillRise   |   #MomCongress2022

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Expert Advice from - Alan Lindemann, MD

12/13/2022

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Alan Lindemann, M.D., aka Rural Doc Alan brings a refreshing spring of accurate information that provides moms with a path to a less stressful experinece with the perinatal and postpartum period. In this article he shares insight on Four Pregnacy Myths Revisted​

Pregnant Mothers all search the internet for answers to their questions. The question is what does she do with conflicting information? Pregnancy questions need real answers. On the internet, you can find a lot of conflicting information. Then what? One good solution would be to visit Pregnancy Your Way and ask your questions, learn how this resource can answer your questions and ease your stress. Read the entire article: 
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If you are experiencing problems finding resources for postpartum depression in your area,
​Please follow this link to use our FOZA Finder Service.  No private or sensitive information is required.
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National Relaxation Day

8/11/2022

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By James Quigley

​​National Relaxation Day was created in 1985 by a 9-year-old Michigan boy who believed people “think too much about working” and that “people don’t think enough about relaxing.” In the nearly 40 years of its existence, National Relaxation Day has become a global phenomenon, promoted by institutions as varied as BBC Earth, the Mental Health Foundation, Tommy Bahama, and the US Army. 
Relaxation isn’t just for fun: it’s fundamental to your overall wellbeing. They say that stress is the silent killer, because it can take a real toll on your health without you noticing. Over time, that all-too-common feeling of being “stressed out” could lead to: 
  • High blood pressure 
  • Trouble sleeping 
  • Digestive issues 
  • Increased likelihood of smoking and obesity 
  • Weaker immune system  
  • Fatigue and burnout  
Creating dedicated spaces for “me-time” in your schedule is a tried-and-true way to keep stress in check. More than a one-off celebration of chilling out, National Relaxation Day is a public service announcement reminding people everywhere that regular leisure is part of a healthy lifestyle. 
On August 15, join the National Relaxation Day party by simply enjoying yourself however you like. If you’re a little out of practice with relaxing, check out some of the ideas below for inspiration. Make your holiday plan, then incorporate some of those simple pleasures into an ongoing routine.  Read More....
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Consider starting a journey with journaling! For National Realxation Day and beyond, journaling can help you relax,  help relieve many of the symptoms of stress and help you achieve a sense of self!  If you are aready "journaling" share your postive expereinces with a friend and remember to visit the FOZA Journaling page for a look at some amazing journal designs to inspire you and uplift your your day!  www.FOZAInc.org/journaling
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Mama and Baby Mobile Health Unit

6/2/2022

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Check for appointment status

The Mama Baby mobile health unit is provided through a partnership with the March of Dimes and UM Capital and is specifically designed to help uninsured and under-insured women throughout Prince George's County receive quality health care. We see women of childbearing age and pregnant women.The unit is equipped with 2 private exam rooms and is staffed by an experienced team of certified nurse midwives. The Mama and Baby Mobile Health Unit travels throughout the county to deliver a range of health services for women and babies:
  • Well-woman exams and education
  • Pregnancy testing
  • Pregnancy care education
  • Birth control consultation
  • Infant care and well child visits
  • Maternal and child health education
  • Care coordination and social support services
  • Now providing services to Ward 7 and Ward 8 patients in Washington, D.C.
All services are provided free of charge. 
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2022 MMH Advocacy Day

3/15/2022

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​Organizations Combining to Work With Policy Makers
to Improve Maternal Health Care Across the Nations
2020 Moms - Mission: To Close the Gaps in Maternal Healthcare

Shades of Blue - Committed to Breaking Cultural Barriers in Maternal Mental Health & ensuring black women get the proper care they deserve during and after childbirth.

MMHLA - Maternal Mental Health Leadership Alliance  - Dedicated to promoting the mental health of childbearing women in the US via universal education, screening, referral & treatment of MMH challenges.
Do You Know...
The number of births in your State?
The number of moms impacted?
The Number of Moms left untreated?
Cost of Leaving Moms Untreated?

This information can bring enlightenment and impact your advocacy for Maternal Mental Health
and awareness of Postpartum Depression .
statisticsonhrsa-grants.pdf
File Size: 415 kb
File Type: pdf
Download File

view online
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2022 - Black History Month

2/3/2022

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Article from PSI News
Support PPD Awareness
Why is this?  Well, there are many contributing factors, most of which are grounded in systemic racism, from lack of diversity in healthcare to higher levels of stress and trauma to perceived racial discrimination, which leads to overall distrust in the healthcare system.   All of these reasons and so many more play a role in the experience of Black women regarding perinatal mental health care.  Black women continue to fall through the cracks.  So what is PSI doing to help change this narrative?
read the full article
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Intrusive Thoughts

1/16/2022

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#FOZA4PPDAwareness - At FOZA we are introduced to hundreds of conversations from postpartum moms who have all sorts of fears; many relate to keeping their baby safe… This podcast from Arielle Wozniak, telling her own story, will provide you with some powerful insight on ways to recognize your fears and over time to conquer them. Stay in close communication with your primary medical caregivers, but never cease to explore the positive aspects of self-care. You are not alone. 
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It’s possible to go from a life filled with fear to a life filled with faith. In this episode, Arielle shares her experience with intrusive thoughts and how she overcame the constant fear of potentially hurting her baby or family.
Take Action:
  • Find out more about our programs: www.defeatppd.com/programs
  • Leave a review
  • Share this podcast with someone you know
Contact us:
  • Email, info@defeatppd.com
  • IG, @defeatppd
  • IG, @ariellewozniak
--- Send in a voice message: https://anchor.fm/defeatppd/message
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Understanding Attachment and Bonding

1/4/2022

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Here at FOZA we read the concerns and comments from postpartum moms related to "not feeling bonded" with their baby. This podcast from Mom & Mind brings important insight on why you are not alone in your feelings and how you can avoid the feelings of guilt that can accompany understanding attachment and bonding. 
MomandMindPodcasts
Today’s show focuses on attachment and bonding. Some parents feel immediate love and connection with their new baby, but for many, they struggle to achieve a “normal” bond. The good news is that there are specific steps parents can take to understand the basics of attachment and bonding. Join us to learn more!
Beth Warren is a psychotherapist in private practice in San Diego, California. She has a passion for reproductive mental health and has worked in this field for over 20 years. Beth is certified in EMDR therapy and Perinatal Mental Health, specializing in perinatal mood and anxiety disorders, birth trauma, pregnancy loss, and infertility. She has worked in both hospital and outpatient psychiatric settings and has led postpartum support groups for new mothers. She is a current member and previously served as the President of the Board of the Postpartum Health Alliance, a nonprofit organization in San Diego dedicated to promoting awareness of Perinatal Mental Health. In addition to working as a therapist and EMDR consultant, she facilitates trainings and is a regular speaker, lecturer, podcast/radio guest. She has written a newly released book called The Pregnancy and Postpartum Mood Workbook, which helps new parents navigate their emotions and build skills towards mental wellness through their journey of parenthood. 
Show Highlights:
  • The fundamental basics of bonding and attachment
  • How bonding includes feelings of warmth, connection, protection, and responsibility that unfold over time
  • How traumatic births can delay feelings of bonding and attachment
  • How a disruption in attachment from your childhood can play out to delay bonding with your own child
  • How an anxious parent can have an effect on how that child grows up and then parents their own child—and why they might want to parent differently
  • How culture and community can play into parenting because of our experiences in life
  • Why parents have to heal themselves in order to be good parents and break multi-generational patterns
  • How perinatal mood and anxiety disorders can cause delayed bonding, but the good news is that parents can keep working on it
  • How the feedback loop happens as a new baby grows and develops to interact with his parents
  • Why mirror neurons are vitally important for babies to learn from their parents
  • How therapy can help parents learn what they are doing well even when they don’t feel the bonding with their baby that they want
  • How Beth works with parents to help them think about what their baby “would thank them for today”
  • How words of affirmation and encouragement can make all the difference for an anxious mom
  • Beth’s advice for parents to promote bonding and attachment:
  • Talk to your baby during every chance for interaction.
  • Why some parents have the distorted belief that their baby doesn’t like them or they are a bad parent when they don’t understand how bonding unfolds over time
  • How positive quiet-time intervention can help the struggling parent
  • How Beth’s new book, The Pregnancy and Postpartum Mood Workbook, has suggested bonding and attachment exercises
Resources:
Bethany Warren LCSW  
Find Beth on Instagram.
The Pregnancy and Postpartum Mood Workbook: The Guide to Surviving Your Emotions When Having a Baby by Bethany Warren and Beth Creager Berger
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In Loving Memory
Proceeds go to  providing supportive resources for PPD awareness suicide prevention,  and  the children who are left behind.   ​
​Please get involved.
In Loving Memory of Christina LaShawn Thompson-Adams
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