drkdhoffman Good Evening everyone! #hchlitss is
beginning now! #hchlitss
rv_rikard @drkdhoffman Doing
alright this evening :) and you? #hchlitss
rv_rikard @mamasonbedrest -
we'll keep the light on for you! :) #hchlitss
rv_rikard RT @drkdhoffman:
Good Evening everyone! #hchlitss is
beginning now! <== WOOT! #hchlitss
drkdhoffman Welcome to our guest Darline Turner-Lee @mamasonbedrest! #hchlitss
rv_rikard Good evening all! Welcome to the #hchlitss tweet
chat!! We ask that folks introduce themselves (even wall flowers and
lurkers) #hchlitss
drkdhoffman @rv_rikard I'm
a-okay and ready for some serious tweeting! #hchlitss
drkdhoffman Our topic tonight is Women& Health...this is a new way of
thinking of Women's health...it's about acknowledging women's role #hchlitss
drkdhoffman Women and Health acknowledges women's role in health care...from
family decision maker to practitioner to patient. A new #hchlitss
mamasonbedrest Okay, I'm back. last minute homework check. Sorry for the
delay!! #hchlitss
rv_rikard MT @drkdhoffman:
Our tpc 2night is Women&Hlth...this is a new way of thinking of Womens
hlth...its about acknowledging womens role #hchlitss
drkdhoffman direction being led by Harvard's School of Public Health. We hope
to have more chats on this theme as this year proceeds. #hchlitss
rv_rikard @mamasonbedrest No
delay at all! :) #hchlitss
drkdhoffman Our first guest is @mamasonbedrest who
is an advocate and practitioner dealing with women and pregnancy #hchlitss
rv_rikard Folks, we ask that folks introduce themselves before we begin the
chat (even wall flowers and lurkers) :) #hchlitss
mamasonbedrest Harvard is doing some VERY interesting work in this area. Looking
to have more of a hand in it myself! #hchlitss
rv_rikard RT @mamasonbedrest:
Harvard is doing some VERY interesting work in this area. Looking to have more
of a hand in it myself! #hchlitss
drkdhoffman RT @rv_rikard:
Folks, we ask that folks introduce themselves before we begin the chat (even
wall flowers and lurkers) :) <=PLEASE #hchlitss
mamasonbedrest Darline Turner-Lee, Women's health advocate, high risk pregnancy,
bed rest support. #hchlitss
drkdhoffman Kathleen Hoffman, communications and health, health disparities,
social media and health literacy...here to co-host w/@rv_rikard #hchlitss
drkdhoffman Welcome @mamasonbedrest Darline
Turner-Lee...glad to see you! #hchlitss
rv_rikard RV Rikard co-host w/ @drkdhoffman and
honored to have @mamasonbedrest with
us! #hchlitss
rv_rikard Darline Turner-Lee @mamasonbedrest http://t.co/7r5KWthU #Women & #Health #hchlitss tweet
chat!!
drkdhoffman Why don't we get started w/our questions.We're going to start
w/abasic questions Q1:Why are women put on bedrest during pregnancy? #hchlitss
mamasonbedrest Glad 2B here. So glad to share that MDs & researchers r
finally looking @disparities in
maternal/infant mortality in US. #hchlitss
rv_rikard MT @drkdhoffman:
Q1:Why are women put on bedrest during pregnancy? #hchlitss
mamasonbedrest Bedrest is Rx'd to prevent preterm birth. Common causes;
pre-eclampsia, cervical insufficiency, preterm labor, multiples. #hchlitss
drkdhoffman MT @mamasonbedrest So
glad to share that MDs & researchers r finally looking @disparities in
maternal/infant mortality in US.<=YES #hchlitss
mamasonbedrest Of course there are other reasons, but those account for the vast
majority of bed rest prescriptions. #hchlitss
drkdhoffman MT @mamasonbedrest:Bedrest
is Rxd 2 prevent preterm birth.Reasons; pre-eclampsia, cervicl insufficiency,
preterm labor, multiples. #hchlitss
drkdhoffman Is the bedrest prescription common? #hchlitss
rv_rikard @mamasonbedrest which
sociodemographic groups are less likely to use/take bedrest? #hchlitss
mamasonbedrest The Bedrest Rx is far more common than most people know. Each yr
about 750K to 1milion women Rx'd bed rest during pregnancy. #hchlitss
anetto Sorry to be late. I can see that some groups would be unable to
use/take bedrest option easily or at all #hchlitss
mamasonbedrest Bedrest is non-descript in that the complications causing it are
not reserved for one group or another. #hchlitss
drkdhoffman MT@mamasonbedrest:Bedrest
Rx is more common than most pple know.Each yr about 750K 2 1milion women Rxd
bed rest during preg.<= WOW #hchlitss
drkdhoffman Welcome @anetto...really
great to see you tonight! #hchlitss
mamasonbedrest The disparity occurs btwn lower income women & women of higher
SES. LES women often can't leave their jobs, so don't "comply". #hchlitss
mamasonbedrest As a consequence, LES women, often minority women, end up with
poorer outcomes. #hchlitss
mamasonbedrest @anetto Hi How are
your?? #hchlitss
drkdhoffman MT @mamasonbedrest:
Bedrest is non-descript in that complications Rnot reserved 4 1 group or
another.<=can happen in any preg? #hchlitss
mamasonbedrest A big problem is the lack of paid maternity/sick/family leave in
the US. In lower paying jobs, if UR out, U don't get paid. #hchlitss
rv_rikard RT @mamasonbedrest The
dsprty occrs btwn low inc women & women of high SES. LES wmn often can't
lve their jobs, so don't "comply". #hchlitss
rv_rikard RT @mamasonbedrest:
As a consequence, LES women, often minority women, end up with poorer
outcomes. #hchlitss
drkdhoffman MT@mamasonbedrest Disparity
occurs btwn lower income women & women of higher SES. LES can't leave their
jobs, so don't "comply". #hchlitss
mamasonbedrest For LES women & families, that can be devastating, the
difference btwn having a home and being homeless and hungry. #hchlitss
anetto @mamasonbedrest Great,
Patient Partners today. #hchlitss
rv_rikard MT @mamasonbedrest:
In lower paying jobs, if UR out, U dont get paid. #hchlitss
drkdhoffman MT@mamasonbedrest:
Big problem is lack of paid maternty/sick/famly leave in US. In lower paying
jobs, if UR out, U dont get paid. #hchlitss
anetto It's awful that they say "comply" like they are
disobedient. Not popular word with patients #hchlitss
drkdhoffman MT @mamasonbedrest:4
LES women & families, that can b devastating,the difference btwn having a
home and being homeless and hungry. #hchlitss
rv_rikard @mamasonbedrest Q2:
Can you give us some facts and figures on infant mortality and health
disparities? #hchlitss
drkdhoffman This sounds like an issue that could use the human rights
approach, doesn't it? #hchlitss
mamasonbedrest Even women n so called "white collar" jobs, if they R
unable 2 work, they R @ risk of losing their jobs, their benefits. #hchlitss
drkdhoffman RT @rv_rikard: @mamasonbedrest Q2:
Can you give us some facts and figures on infant mortality and health
disparities? #hchlitss
drkdhoffman MT @mamasonbedrest Even
women n so called "white collar" jobs, if they R unable 2 work,they
R@ risk of losing their jobs/benefits. #hchlitss
mamasonbedrest Sadly, The US has some of the highest infant mortality rates in
the world; highest amongst industrialized nations & even amongst #hchlitss
rv_rikard MT @anetto It's
awful that they say "comply" like they are disobedient. Not popular
word with patients - Not popular with anyone!! #hchlitss
drkdhoffman MT @anetto It's
awful that they [health providers] say "comply" like they are
disobedient. Not popular word with patients #hchlitss
mamasonbedrest Some "developing" countries. Also, African American
infants are 2-3x more likely to die B4 their 1st Bday than any other
group. #hchlitss
drkdhoffman MT @mamasonbedrest:The
US has some of the highest infant mort. rates in the world;hi-est among
industrialized nations & even among #hchlitss
mamasonbedrest @rv_rikard So
true. It's not an issue of compliance. Women weigh options-provide 4
"living" family or save unborn baby. #hchlitss
mamasonbedrest @rv_rikard It's
a hell of a choice to have to make. #hchlitss
drkdhoffman @mamasonbedrest Some
"developing" countries. African Am, infants R 2-3x more likely 2 die
B4 their 1st Bday than any other group. #hchlitss
mamasonbedrest @drkdhoffman This
is actually in the US. Our rates compare to those of so called developing
nations. #hchlitss
rv_rikard MT @mamasonbedrest: @rv_rikard Its a hell of a choice to
have to make. <== an *unequal* choice to make! #hchlitss
drkdhoffman MT @mamasonbedrest Women
weigh options-provide 4 "living" family or save unborn baby. It's a
hell of a choice to have to make. #hchlitss
mamasonbedrest @rv_rikard Precisely.
How does one make such a choice?? UR damned either way! #hchlitss
rv_rikard RT @mamasonbedrest: @rv_rikard Precisely. How does one
make such a choice?? UR damned either way! #hchlitss
anetto The percentage of people who feel they should help their neighbour
is going down in some political surveys. recently in NY Times #hchlitss
mamasonbedrest @rv_rikard It
infuriates me 2 hear media, politicians speak of such instances as if women
want 2 work & endanger their babies. #hchlitss
drkdhoffman @mamasonbedrest I
know we've started on this but here's Q3:What are some of the issues working
women who are put on bedrest face? #hchlitss
drkdhoffman MT @anetto:
The %of people who feel they should help their neighbour is going down in some
political surveys. recently in NY Times #hchlitss
drkdhoffman MT@mamasonbedrest:It
infuriates me 2 hear media,politicos speak of such instances as if women want 2
work & endanger their babies. #hchlitss
mamasonbedrest @anetto The conservative
viewpoint is "everyman for himself", "pull yourself up by your
bootstraps". This just isn't feasible. #hchlitss
mamasonbedrest The Family Medical Leave Act, FMLA, only provides protection 4 12
weeks unpaid leave w/job guarantee. After that.,,,? #hchlitss
drkdhoffman A horrible dilemma to face--food and livelihood versus their
unborn child #hchlitss
katellington Ok! RT @rv_rikard:
RT @drkdhoffman: Good Evening
everyone! #hchlitss is
beginning now! <== WOOT! #hchlitss
mamasonbedrest @drkdhoffman So
many women go on bed rest at 18-20wks (especially 4 cervical insufficiency). So
many lose their jobs, income at a #hchlitss
mamasonbedrest @drkdhoffman time
when they need both the most. #hchlitss
anetto NY Times Column by Nick Kristof: Scott's Story http://t.co/gsqSpMiJ... #hchlitss
rv_rikard Welcome @katellington -
thank you for joining in! #hchlitss
drkdhoffman MT@mamasonbedrest @anetto Conservative viewpt is
"everyman 4 himself","pull yourself up by your bootstrps".
just isn't feasible. #hchlitss
drkdhoffman MT @mamasonbedrest:
So many women go on bed rest at 18-20wks (esp.4 cervical insufficiency). So
many lose their jobs, income at a #hchlitss
drkdhoffman Great to see you @katellington!
thanks for being here! #hchlitss
katellington Many women go on bed rest at 18-20wks (especially 4 cervical
insufficiency). Many lose their jobs, income #hchlitss MT @mamasonbedrest #sdoh
mamasonbedrest RT @anetto:
NY Times Column by Nick Kristof: Scotts Story http://t.co/suIgOoYY... #hchlitss
drkdhoffman MT@mamasonbedrest TheFamily
Medical Leave Act, FMLA, only provides protection 4 12 weeks unpaid leave w/job
guarantee. After that? #hchlitss
mamasonbedrest @anetto Part of the
contention comes from the lack of evidence that bedrest actually prolongs
pregnancy. #hchlitss
katellington Glad to join-in #hchlitss with @drkdhoffman @rv_rikard @mamasonbedrest
drkdhoffman MT@anetto:I didnt realize
bedrest was a contentious issue.It sounds so sane<=Makes U wonder if MDs R
aware of what it means 4 some #hchlitss
drkdhoffman RT @mamasonbedrest: @anetto Part of the contention comes
from the lack of evidence that bedrest actually prolongs pregnancy. #hchlitss
rv_rikard @mamasonbedrest Q4:
Are there alternatives to being placed on bedrest? #hchlitss
mamasonbedrest @anetto When women
face employment issues they think "Well, if it's not really going 2
help" But there's gr8 risk n that thinking. #hchlitss
anetto @mamasonbedrest Well
they can't do a controlled trial of that! #hchlitss
katellington Research/clinicians differ as do patients needs for bedrest #hchlitss
drkdhoffman RT @rv_rikard: @mamasonbedrest Q4:
Are there alternatives to being placed on bedrest?<=since lack of
evidence #hchlitss
mamasonbedrest The alternatives 2 bed rest R2 treat issues acutely then monitor.
But our litigating society has kept bedrest in the mix. #hchlitss
mamasonbedrest Jennie Joseph, CPM has found that early prenatal care, addressing
women's Q's & education lowers risks better than bedrest. #hchlitss
mamasonbedrest She's fighting an uphill battle. OB's don't want 2 start prenatal
care B4 8-12 wks & n some cases, problems have already started. #hchlitss
drkdhoffman RT @mamasonbedrest:
Alternatives 2 bedrest R2 treat issues acutely-monitor.<==request 4 plain
language explanation please :) . #hchlitss
drkdhoffman MT @mamasonbedrest:
Jennie Joseph, CPM has found that early prenatal care, addressing Qs & ed.
lowers risks better than bedrest. #hchlitss
mamasonbedrest Example, if a woman has preterm labor, treat the contractions,
stabilize, release. OB's 2 keep on bed rest. Not proven effective. #hchlitss
mamasonbedrest But the reality is that if that woman is released and loses the
baby, that OB can kiss his/her career good-bye. #hchlitss
mamasonbedrest We don't really know which woman was "stable" and which
would have miscarried anyway. How can you litigate what may be nature? #hchlitss
drkdhoffman @mamasonbedrest Why
would OB's be unwilling 2 start pre-natal care earlier?...seems like an
opportunity 4 more services/& payment #hchlitss
mamasonbedrest 1st, bcuz ins reimbursement is so poor. Most policies only cover a
certain # of OB visits. OB's opt 2 save them 4 later. #hchlitss
drkdhoffman @mamasonbedrest Q5:
Can you discuss some of your advocacy work for women on bedrest? Do you do
legislative advocacy? #hchlitss
mamasonbedrest Jennie has found that providing more visits at the top half of
pregnancy reduces the need 4 visits at the later stages. #hchlitss
rv_rikard RT @drkdhoffman: @mamasonbedrest Q5:
Can u discuss some of your advocacy work for women on bedrest? Do u do
legislative advocacy? #hchlitss
mamasonbedrest I don't personally legislate, I'm just one person. But I do
support the work of MomsRising, MotherWoman, WorkingWoman & others. #hchlitss
drkdhoffman MT @mamasonbedrest:1st
ins reimbursemnt is poor.Most policies only cover a certain # of OB visits.OBs
opt 2 save them 4 later. #hchlitss
drkdhoffman MT @mamasonbedrest:
Jennie has found that providing more visits at 1st half of preg. reduces need 4
visits at the later stages. #hchlitss
mamasonbedrest Often these organizations need 2 spread the word & I always
help by posting 2 my followers, blogging, etc... #hchlitss
katellington Preconception care and improvements in women's health support
better birth outcomes. Prenatal care is too late. #hchlitss
mamasonbedrest The National Partnership of Women & Families (NPWF) is really
pushing 4 national paid family leave, so doing my best to support. #hchlitss
mamasonbedrest @katellington U've
hit the nail on the head. Jennie's found that starting prenatal care @ 6 wks
lowers maternal/infant morbidity. #hchlitss
drkdhoffman MT@katellington:Preconceptioncare
&improvm'ts in womens hlth support betternoutcomes.Prenatal is
2late<=need 2 address disparities #hchlitss
rv_rikard RT @mamasonbedrest:
The Ntnl Partnership of Wmn & Families (NPWF) is really pushing 4 ntnl pd
family lve, so dng my best 2 spprt. #hchlitss
drkdhoffman MT@mamasonbedrest:
Nat'l Partnership of Women & Families (NPWF) is pushing 4 national paid
family leave,so doing my best 2support. #hchlitss
katellington Yes! @NPFW is
really pushing 4 national paid family leave, so doing my best to support.
HT @mamasonbedrest #hchlitss
mamasonbedrest Several states R advocating 4 paid leave, but 4 ease of
understanding & enforcement, a national policy would be best. #hchlitss
drkdhoffman MT@mamasonbedrest:Several
states R advocating 4 paid leave,but 4 ease of understanding & enforcement,
a nat'l policy would b best. #hchlitss
rv_rikard @mamasonbedrest -
will the #ACA make
any provisions for womens health related to bedrest? #hchlitss
drkdhoffman It is approaching 9pm ET, @mamasonbedrest Do
you have any final thoughts? #hchlitss
rv_rikard RT @katellington:
Yes! @NPFW is really
pushing 4 national paid family leave, so doing my best to support. HT @mamasonbedrest #hchlitss
drkdhoffman RT @rv_rikard: @mamasonbedrest -
will the #ACA make
any provisions for womens health related to bedrest? #hchlitss
mamasonbedrest @anetto, can you resend
Scott's Story link. I couldn't capture it. #hchlitss
drkdhoffman RT @katellington:
Yes! @NPFW is really
pushing 4 national paid family leave, so doing my best to support. HT @mamasonbedrest #hchlitss
mamasonbedrest Bedrest remains complicated & controversial. 4now, its all
we've got. Thankfully, there is more research happening & people #hchlitss
mamasonbedrest getting involved. I think that eventually, all our efforts will
coalesce & we'll find a workable solution. #hchlitss
drkdhoffman MT @mamasonbedrest:
Bedrest remains complicated & controversial. 4now, its all weve got. #hchlitss
katellington Yes! @NPWF is
really pushing 4 national paid family leave, so doing my best to support.
HT @mamasonbedrest #hchlitss
mamasonbedrest @rv_rikard #ACA will make
availability better, but if women can't get to OB's or if they live n an
underserved area, still hard. #hchlitss
drkdhoffman MT @mamasonbedrest Thankfully,
there is more research happening on bedrest & people getting
involved. #hchlitss
mamasonbedrest High risk pregnancy is really complicated bcuz the complication
itself raises so many other issues; social, financial, jobs... #hchlitss
drkdhoffman MT @mamasonbedrest: @rv_rikard #ACA will make
availability of bedrest better, but if women cant get 2 OBs, still hard. #hchlitss
drkdhoffman MT @mamasonbedrest:
Hi risk pregnancy is complicated bcuz the complication itself raises so many
issues; social, financial, jobs.. #hchlitss
anetto Here's the link http://t.co/50ku7Y4I @mamasonbedrest #hchlitss
mamasonbedrest In some respects, the pregnancy issue is the least of the issues.
Healthcare delivery, access, availability all come into play. #hchlitss
rv_rikard Y'all we are approaching 9 pm ET -- @mamasonbedrest thank
you for being our guest! :) #hchlitss
katellington #ACA opens
more comprehensive primary care and prevention to address full range of
maternal care #hchlitss
mamasonbedrest Thx 4 giving me an opportunity to share my passion!! #hchlitss
katellington #ACA opens
more comprehensive primary care and prevention to address full range of
maternal care needs #hchlitss
drkdhoffman MT@mamasonbedrest:In
some respects, preg. issue is least of issues. Healthcare
delivery,access,availability all come into play. #hchlitss
drkdhoffman RT @rv_rikard:
Yall we are approaching 9 pm ET -- @mamasonbedrest thank
you for being our guest! :) <==Thank you so much! #hchlitss
katellington Great #hchlitss chat
with @drkdhoffman @rv_rikard @mamasonbedrest
drkdhoffman MT @mamasonbedrest:
Thx 4 giving me an opportunity to share my passion!!<=it is our honor and
pleasure! #hchlitss
rv_rikard Folks - thank you for being part of the chat tonight! A transcript
will be posted at http://t.co/bRBOMP53 #hchlitss
mamasonbedrest @katellington precisely.
We're going to have to look at prenatal care, childbearing, etc..differently,
change the paradigm. #hchlitss
mamasonbedrest Thanks everyone!! #hchlitss
drkdhoffman Thank you all participants and lurkers for being here tonight!
Next week, both RV and I have conferences so we will be back Nov 1 #hchlitss
rv_rikard Good night all and many thanks to my co-host @drkdhoffman #hchlitss
drkdhoffman #hchlitss will
be back Nov. 1 with Josh Glasser on Global population movement/global warming
and health impacts #hchlitss
mamasonbedrest I'm going to be traveling nearly every week in November, so I may
be hit or miss, but will chime in when I can! #hchlitss
anetto Very interesting chat tonight. Thanks @mamasonbedrest @drkhoffman @rv_rickard @katellington #hchlitss
drkdhoffman MT @mamasonbedrest: @katellington Were
going 2have to look at prenatal care, childbearing, etc..differently, change
the paradigm. #hchlitss
drkdhoffman Thanks to all our participants our guest @mamasonbedrest and
to my co-host @rv_rikard Good
night & see you Nov. 1 @8pm ET
4 #hchlitss
