ABLE: The Black Maternal Health Webinar The ABLE Foundation Source: https://www.youtube.com/watch?v=6Q_kLXb1bk4 Automatic captions exported September 20, 2026. Names and wording may contain errors. [1:36] You're so [3:32] Natalie. [4:08] Baby [4:44] Hello everyone. [4:46] Welcome, welcome, welcome [4:49] to our breaking barriers access advocacy [4:52] and maternal health virtual wellness [4:55] workshop for new moms, experienced moms. [4:59] I am so excited to be a part of this [5:01] project. Um, this is a groundbreaking [5:05] topic and so I am just um intrigued to [5:09] to dive in deep into this topic. [5:13] Um, this is on behalf of the Able [5:15] Foundation. My name is Charardai [5:18] Alexander [5:19] and I have my um, pillar intern with me. [5:24] Hello everyone. My name is Chloe Alsynor [5:27] and I am a graduating senior health [5:29] sciences major at Howard University and [5:32] I am the health and wellness pillar [5:33] intern for the AEL Foundation. [5:36] >> Give it up for Chloe. [5:38] Um we also have AAB that has been [5:41] working with us on um this project. So [5:45] just a little bit about myself. Um once [5:48] again my name is Charardia Alexander. I [5:49] am the um health and wellness pillar [5:52] coordinator um for the AEL Foundation. [5:56] I attended Cal State Dominguez Hills [5:59] where I received my psychology degree um [6:02] well my BA and then I later completed um [6:06] my master's in social work from Cal Bapt [6:08] Baptist University. So Lanceup [6:11] um I am currently a parent coach for an [6:14] organization um by U first five LA. It's [6:19] welcome baby. So I service families um [6:21] within the Los Angeles area. I am really [6:25] really really excited to um just talk [6:30] about this topic. I see so many [6:32] beautiful babies daily and so um it is [6:35] just a great opportunity to educate our [6:38] community on um what we're learning, [6:41] what we've researched, and how we can [6:44] just better influence healthy families [6:46] and healthy babies. And so we are [6:49] definitely excited. we will have a [6:51] raffle. Um, and so I would definitely [6:54] recommend using the comment section [6:57] of um, our one second. Um, so I would [7:04] recommend using the comment section for [7:06] our raffle. Um, and so the way that you [7:09] enter, you just type in enter. Um, and I [7:13] will say it throughout the slides, we'll [7:15] do the raffle at the end. And so the [7:18] winner will receive a e card, a gift [7:21] card at the end of our presentation. So [7:23] you don't want to miss that. So make [7:25] sure you are tuned in and utilizing the [7:29] comment tab um on Streamyard [7:33] and and click share. If you um know any [7:36] mommies within your um neighborhood or [7:40] community, um please please share this [7:44] um presentation or this workshop. And [7:46] it's not just specifically for um [7:48] pregnant women. It's all women, right? [7:51] And so we want to make sure even if you [7:53] aspire to be um a mom or you're um [7:56] planning to [7:58] um have children, this is definitely [7:59] information that you want to keep. And [8:02] so click um share, please like, comment, [8:05] share, and enter that raffle so that you [8:07] can win those that that gift card. [8:13] So the objective of um our workshop is [8:16] definitely designed to empower black [8:18] mothers with knowledge, practical tools, [8:21] and cultural responsive support to [8:23] promote healthy pregnancies, safe infant [8:26] care, and confident parenting by [8:29] addressing key topics such as infant [8:30] feeding. So we're going to cover safe [8:32] sleep, bonding, building strong support [8:34] systems, um also maternal mental health. [8:37] This workshop aims to reduce health [8:39] disparities, which is strengthening [8:42] family well-being and contributing to [8:44] lowering maternal and infant mortality [8:46] rates in black communities. And so we [8:48] want to stand with our African-American [8:51] families and lowering the mortality rate [8:54] in our communities. [9:01] All right. So now we are going to shift [9:05] into what is prenatal health and why it [9:07] is important. [9:16] Okay. So starting off prenal prenatal [9:18] care is the medical care received during [9:20] pregnancy to monitor the health of the [9:22] mother and the fetus. Maintaining a [9:24] healthy pregnancy is crucial for a [9:26] healthy birth. According to the National [9:28] Institute of Health, prenatal care helps [9:30] prevent complications and inform women [9:32] about important steps they can take to [9:34] pro protect their infant and ensure a [9:36] healthy pregnancy. Prenatal care and a [9:39] healthy pregnancy starts with a healthy [9:40] diet. Let's look at nutrition dos and [9:43] don'ts. [9:44] So, starting off with folic acid, [9:47] mothers should take at least 400 [9:49] micrograms of folic acid daily, reducing [9:51] the risk of neural tube defects by 70%. [9:54] A similar form known as folate is found [9:57] in dark green leafy vegetables such as [9:58] kale and spinach as well as orange [10:00] juice. However, it is not absorbed as [10:02] well as folic acid. Foods include [10:04] cereal, breads, pasta, and other [10:07] grainbased foods. Next is going to be [10:10] iron. Mothers should take at least 27 [10:12] milligrams a day to support the baby's [10:14] growth and brain development. It helps [10:16] prevent iron deficiency anemia, which [10:18] raises risk for premature birth, low [10:20] birth weights in babies, and postpartum [10:22] depression. Foods containing iron [10:24] includes lean red meat, poultry, and [10:27] fish. Next is going to be calcium. [10:30] Mothers need 1,000 milligrams a day to [10:32] promote healthy bone growth in their [10:34] fetus. Products include dairy products, [10:37] salmon, broccoli, and orange juice. [10:39] Next, we have vitamin D. Mothers need [10:42] 600 international units a day of vitamin [10:44] D to also support the healthy growth of [10:47] their fetus's bones and teeth [10:49] development. Foods include fatty fish [10:51] such as salmon, milk, and orange juice [10:53] that are fortified with vitamin D. Last, [10:56] but certainly not least, is protein. [10:58] Mothers should eat at least 71 grams of [11:01] protein a day, which is absolutely [11:02] crucial in supporting the growth of [11:04] their fetus. Foods includes lean meat, [11:07] poultry, seafood, and or eggs. Now, [11:10] let's talk about some foods that we [11:11] should avoid. Starting off with alcohol. [11:14] No amount of alcohol is safe during [11:16] pregnancy. There is a lot of associated [11:19] health risks and to be safe every all [11:21] mothers should avoid all alcohol for the [11:23] duration of your pregnancy. Next is [11:25] going to be seafood high in mercury or [11:28] raw seafood. While fish can be a great [11:31] source for protein and omega-3 fatty [11:33] acids, some fish or shellfish contain [11:35] high levels of mercury which could [11:37] damage your baby's growing nervous [11:39] system. Avoid big eye tuna, king [11:41] mackerel, marlin, swordfish, tilefish, [11:45] etc. The rule of thumb is that the older [11:47] and the bigger the fish, the higher [11:49] content of mercury it contains. Next, [11:51] it's going to be caffeine. Caffeine can [11:54] cross over to the baby through the [11:55] placenta. Avoid caffeine at all cost or [11:58] just consume small amounts less than 200 [12:00] milligrams a day. Next, mothers should [12:03] avoid unpasteurized products when you [12:05] are pregnant. And during pregnancy, you [12:07] are at a higher risk of bacteria. So you [12:10] want to avoid any raw milk, soft [12:12] cheeses, and products that have not been [12:14] through the process of pasteurization as [12:16] these products can cause food born [12:18] illnesses. Next is going to be uncooked [12:21] meat, poultry, eggs, as well as unwashed [12:24] produce. Again, you are at a higher risk [12:26] for bacteria. And consuming uncooked [12:29] meat, poultry or eggs or unwashed [12:31] produce can all contain harmful [12:33] bacteria. So, make sure that you cook [12:35] food thoroughly to prevent food born [12:37] illnesses and to make sure to wash all [12:39] produce thoroughly before consuming to [12:41] make sure that you're not consuming any [12:43] harmful bacteria. For more information, [12:46] I highly recommend visiting the Mayo [12:47] Clinic website for more detailed [12:49] information on nutrition dos and don'ts. [12:55] Okay, next we'll look at managing [12:57] high-risisk pregnancies and mental [12:58] health during pregnancy. Starting off, [13:01] what is a high-risisk pregnancy and what [13:03] does it look like? According to the [13:04] Cleveland Clinic, a high-risisk [13:06] pregnancy involves increased health risk [13:08] for both the fetus and the mother. [13:10] High-risisk pregnancies require close [13:12] monitoring and extra medical care [13:14] before, during, and after birth. This is [13:17] a result from pre-existing health [13:19] conditions, pregnancy related health [13:20] conditions that develop during pregnancy [13:22] and or any smoking, substance, or [13:25] alcohol use disorders. Symptoms include [13:28] ongoing abdom abdominal pain, chest [13:30] pain, dizziness, extreme fatigue, [13:33] stopping or slowing of fetus movement, [13:35] nausea, headaches, and or thoughts of [13:38] self harm. Approximately 30,000 to [13:41] 50,000 pregnant women, which is between [13:43] 6 to 8% of pregnant women in the United [13:45] States have high-risisk pregnancies per [13:47] year. So, how do we manage it? Mothers [13:51] can manage high-risisk pregnancies with [13:53] closer monitoring from your [13:54] obstitrician, consultation with a [13:56] maternal fetal medicine specialist, home [13:58] blood pressure monitoring, or careful [14:01] monitoring of medications used to manage [14:03] pre-existing conditions. [14:06] Next, mental health is a very, very [14:08] important topic during and after [14:11] pregnancy. Mental health issues like [14:13] anxiety and depression are common during [14:15] pregnancy, affecting roughly one in five [14:17] women and are often caused by hormonal [14:20] changes, stress, or a history of mental [14:22] illness. Mental health is currently the [14:24] leading complication of childirth today. [14:27] According to the Policy Center for [14:28] Maternal Health, stigma remains a [14:30] barrier. Many mothers still feel [14:32] uncertainty or discomfort with seeking [14:34] mental health support due to the social [14:36] stigma. In one 2025 study, 62% of [14:40] mothers felt that they were judged or [14:42] treated unfairly during the paranatal [14:44] period for various issues, including [14:46] postpartum depression. Depression does [14:48] not just occur postpartum. It can occur [14:50] during pregnancy as well. It is [14:52] important to identify the signs and the [14:54] symptoms of struggling mothers to [14:56] prevent maternal death. Implement [14:58] intervention strategies and treatment. [15:00] Maternal mental health is an extremely [15:02] impactful and significant yet often [15:05] overlooked topic during pregnancy. [15:07] Passing over to my colleague Awab, he [15:09] will further explore the details and [15:10] implications of maternal mental health. [15:14] Uh now we're we're going to be talking [15:16] about the maternal mental health aspect [15:17] of this. Maternal mental health is one [15:19] of the most overlooked but important [15:21] parts of pregnancy and postpartum care. [15:23] Many mothers experience something called [15:25] the baby blues which usually lasts few a [15:27] few days but postpartum depression is [15:29] more serious and lasts longer. Uh some [15:31] signs include feeling constantly sad, [15:34] overwhelmed, disconnected from the baby [15:36] or anxious. And this is not a we this is [15:38] not a weakness but in reality is a [15:41] health condition that deserves [15:42] attention. That's why trauma informed [15:45] care is so important because providers [15:47] need to understand a mother's experience [15:49] and support her emotionally, not just [15:51] physically. [15:55] And coping with coping with stress and [15:57] emotional overwhelm is critical for new [15:59] mothers because simple things like [16:01] talking to someone, getting rest, and [16:03] join and joining support groups can make [16:04] a huge difference. But one of the [16:06] biggest barriers is stigma. Many mothers [16:08] feel like they have to handle everything [16:09] alone, which is not the case at all. [16:11] It's important to understand that asking [16:13] for help is not a weakness, but it's a [16:15] strength. And getting support early can [16:17] help protect the baby and the mother [16:18] altogether. [16:20] All [16:32] right. Next, we're going to talk about [16:35] what actually happens after birth [16:36] because I feel like nobody really tells [16:38] you the full picture. So, after [16:40] delivery, your body enters what's called [16:42] the postpartum period, which is roughly [16:44] the first 6 to 8 weeks. You're dealing [16:46] with bleeding, cramping, fatigue, and [16:49] hormone shifts all at once while also [16:51] adjusting to a brand new role as a [16:52] mother. About 80% of new moms experience [16:55] the baby blues in those first few days. [16:57] I know it can be a lot, but it is [16:59] completely normal. Recovery looks very [17:02] different depending on how you give [17:03] birth. Vaginal deliveries come with s [17:06] vaginal deliveries come with soreness, [17:08] paranal swelling, and several weeks of [17:10] bleeding. C-sections are major abdominal [17:13] C-sections are major abdominal surgeries [17:15] and the incision in incision alone takes [17:17] about six weeks to heal. Either way, [17:19] strenuous activity is off the table [17:21] early on. During that time, your body [17:24] keeps changing in ways people don't [17:26] always talk about. From postpartum hair [17:28] loss to night sweats to breast [17:30] engorgment, self-care here is not [17:32] optional. Rest when you can, make sure [17:34] that you stay hydrated, eat nourishing, [17:37] whole foods, and lean on your support [17:40] system when needed. And one of the most [17:42] important things that I cannot stress [17:44] enough is make sure to show up to your [17:46] follow-up appointments. The American [17:48] College of OBGYNS recommends a check-in [17:51] within 2 to 3 weeks and a full exam by 6 [17:53] to 12 weeks postpartum. This is where [17:56] all of the health complications get [17:58] caught, including postpartum depression, [18:00] which affects one in five women and is [18:02] often missed without proper care. [18:04] Recovery is simply not linear. However, [18:07] it cannot happen alone. [18:13] Next, we will transition to infant care [18:15] and bonding. And thus far, we have been [18:18] saying some informative information. My [18:20] interns have broken down the prenatal [18:24] care. um maternal mental health, which [18:26] is a loaded loaded um topic because we [18:29] definitely want um healthy mommies, [18:31] right? And what equals healthy mommies [18:33] is making sure that we are whole um [18:36] mentally, physically, emotionally. And [18:39] so it is all playing into a part of [18:41] creating just a healthy family dynamic, [18:44] right? And so as we transition to infant [18:47] care and bonding, we think about [18:49] breastfeeding, right? That nourishment [18:51] um for our little ones. And so [18:52] breastfeeding supports immunity and [18:54] bonding um which supports matters. And [18:57] so challenges are common especially [18:59] within our African-American cultural [19:01] community. And so sometimes it's not the [19:04] norm for our moms to um breastfeed their [19:07] babies, right? Sometimes there's the [19:08] stigma of um inappropriate if you see a [19:12] mom breastfeeding in public or um it's [19:14] not common, right? The support from our [19:17] families. And so we want to change that [19:19] narrative ultimately, right? And so the [19:21] challenges are common. Um, seek [19:23] lactation help early. So if um there is [19:26] a situation where let's say you're [19:28] breastfeeding your baby in the hospital [19:30] and you may not be getting it so [19:32] quickly, right? Because sometimes we [19:33] forget that babies aren't born with [19:35] knowing how to breastfeed. They learn [19:37] just like us, but sometimes it can be [19:39] frustrating as a new mom who's also [19:41] healing from the birthing process. And [19:43] so we want to make sure we encourage our [19:45] mommies to seek help early. Right? It [19:49] doesn't mean um not breastfeeding within [19:51] the first couple days doesn't mean that [19:52] that's the ending of breastfeeding. You [19:54] can still relactate um so many times [19:57] after birth and so we definitely want to [19:59] make sure you ask for help. Formula or [20:02] breastfeeding which is also a form of [20:04] combination feeding are healthy options. [20:07] So you can do both. So I don't know who [20:10] told you if if anyone has told you that [20:13] um you cannot do both. That is [20:14] absolutely not true. You can do breast [20:17] milk and formula and so fed is best. [20:20] Your well-being matters too. Then we [20:23] kind of think about the attachment [20:25] aspect, right? And so um attachment and [20:28] bonding which it influences building [20:30] trust for our babies. It helps with [20:32] brain development and emotional [20:34] security. Um skin-to-skin is essential [20:37] especially hours after having baby and [20:39] even thus far right when baby's three [20:41] months or four months. Um, I still [20:43] recommend some skin-to-skin, um, [20:46] talking, eye contact, responding to [20:48] cries, and so knowing to also changing [20:51] this narrative that you're, if you pick [20:53] up your baby, every time your baby cry, [20:55] they're going to be spoiled. Well, let [20:57] me tell you, a twomonth-old baby is too [21:00] young to be spoiled, right? There's no [21:02] such thing as spoiled newborns. And so, [21:05] you cannot spoil a newborn. Our baby [21:08] crying is their way of communicating [21:10] with us. And so that is their their [21:13] cues, right? And so the funny thing that [21:16] I I love to encourage my moms about when [21:19] working with my clients is um babies [21:22] gives us early cues. And so if your baby [21:25] is crying, guess what? We miss all the [21:28] little cues that they give us. So [21:30] usually when babies are hungry, they're [21:32] sticking their tongue out. They're [21:33] looking for the breast. They're biting [21:35] their fingers. Um but if they're crying, [21:38] right, we kind of miss those early cues. [21:40] So, we definitely want to make sure [21:42] we're in tune to our baby's language and [21:45] how they're they're talking to us, their [21:47] um how they're yawning, how they're [21:49] stretching their arms, their body [21:50] languages. And so, that is definitely [21:52] going to help us to building a secure [21:54] attachment. There's two forms of [21:56] attachment. There's insecure where our [21:58] baby doesn't feel safe and then there's [22:00] secure attachment where our babies are [22:02] feeling safe and loved. And so, we want [22:04] to make sure especially within our [22:06] community that we're building that [22:08] secure attachment with our little ones. [22:10] How do you do that? Breastfeeding. [22:12] That's a great way, right? Um, also [22:16] making sure that we are um holding our [22:19] baby, we're picking our baby up, right, [22:21] when they're crying. So, it's definitely [22:23] a way that we can uh make sure that [22:26] we're building building that attachment. [22:28] Newborn development. So, between zero [22:31] and three months, what are our babies [22:32] doing around that time, right? is [22:35] lifting their head slightly, moving [22:37] their arms, beginning to smile, [22:39] recognizing our voice, tracking objects [22:42] with their eyes. Um, and so we want to [22:44] make sure when we are um building up, [22:47] implementing um infant health and [22:49] development, that we're talking to our [22:51] baby, we're giving our baby some tummy [22:53] time, right after two months, um making [22:56] sure that we're kissing our little one [22:58] and extra cuddles. Okay, so that is a [23:00] great way to build up that attachment [23:02] for our little ones. the safe sleep [23:04] practice. So, this is crucial. Um, SIDS [23:07] is real. So, what is SIDS? It stands for [23:10] um sudden infant death syndrome and it's [23:12] when it's also known as crib death. So, [23:14] it's when babies pass away, right? And [23:16] we're not sure why. So, that can be um [23:19] whether in the crib, the car seat. Um, [23:22] so this definitely a serious topic and [23:25] so we definitely want to make sure we um [23:27] discuss ways to reduce that risk which [23:30] is placing baby to sleep on their back [23:32] right whether it's in a crib or [23:34] co-sleeping. Now there is a um stigma [23:37] with co-sleeping of course we recommend [23:40] baby sleeps by themselves but if they [23:42] are sleeping with um parents and then I [23:46] just recommend practicing safe [23:47] co-sleeping styles which is placing your [23:49] baby to sleep on their back. Um, as far [23:52] as what surface, a firm, flat surface, [23:54] no pillows, blank, I would say limit the [23:57] blanket. So, the blanket should be [23:59] covering under the neck. Um, and no [24:01] toys. Absolutely no toys, stuffed [24:03] animals, no Disney toys. I know we have [24:06] some Disney lovers that love um plush [24:08] toys, but we definitely want to make [24:10] sure we be careful with that. Room [24:12] sharing, avoid bed sharing, and [24:15] smokefree. Avoid overheating. So, [24:18] another thing that I see is common is um [24:20] we dress baby and we overly dress baby, [24:23] right? So, baby has on a beanie, hand [24:26] mittens, two shirts, and socks. And what [24:29] if it's 80° outside, right? Well, we [24:32] have sometimes in our culture, our [24:34] families are saying, "Put that beanie on [24:36] that child before that child gets [24:38] college or put that beanie before it [24:39] gets a coat." Well, guess what? We dress [24:42] baby how how we dress. And so if we're [24:45] hot, baby's hot. If we're cold, baby's [24:49] cold. So we dress them accordingly. Now, [24:51] if baby is sweating, right, we [24:53] definitely want to make sure you're [24:54] taking that precaution to remove layers [24:56] of clothing or if you see that baby's [24:58] clothing, you add layers of clothing. So [25:00] always paying attention. Um that is a [25:03] part of infant care. And lastly, trust [25:05] yourself and seek support. So you know [25:07] your baby best. Advocate for yourself [25:09] and for your baby confidently. And so [25:12] motherhood is not we don't really get [25:14] like a manual of this is how you do it, [25:16] right? But it's more so you learn as you [25:18] go. We still want you to make sure [25:20] you're advocating for yourself and for [25:22] your baby confidently. So ask questions [25:25] whether from family, from healthcare [25:27] providers. Um watch for feedings and [25:29] responsiveness concerns. So making sure [25:31] like if you see that something isn't [25:33] right. Um, I always recommend taking [25:36] videos of um, let's say your baby's sick [25:38] or let's say you see something that's [25:40] unusual and you want to show your [25:42] pediatrician, you can always always take [25:45] um, pictures, take um, like photos to [25:49] reference at your pediatrician [25:51] appointment. Um, and then lastly, lean [25:54] on your community. So, there's resources [25:57] and programs such as WIC doulas support [26:00] groups. So, I do recommend exploring [26:04] what's in your community. So, looking up [26:06] local um community organizations that um [26:10] can help you as you continue to take [26:12] care of your little one. [26:16] >> And now we're going to be talking about [26:18] the health and equity access for this. [26:21] So, uh health equity in maternal in [26:23] maternal care means every mother should [26:25] have access to safe quality care. But [26:28] that's not always the case here in the [26:29] DMV. And a lot of women deal with with [26:32] barriers like cost, insurance issues, [26:34] transportation, or not having enough [26:36] providers nearby, which can make it very [26:38] hard to get to get to the care that the [26:40] women need. And because of that, we see [26:43] real disparities, especially for black [26:44] mothers who face a higher risk of a [26:47] higher who face higher health risk [26:49] during pregnancies and childirth. And [26:51] that's why advocacy matters. It's [26:53] important for mothers to ask questions, [26:55] speak up, and bring someone they trust [26:57] to the appointment so they can be able [26:58] to to, you know, just speak about the [27:02] things that they're going to and the [27:03] things that they aren't able to access [27:05] so they can get help. And there's also [27:07] other helpful resources like Wick, [27:09] Medicaid, Dual S, and local clinics that [27:12] support mothers all along the lines. And [27:14] at the end of the day, better accessing [27:16] support leads to healthier outcome for [27:19] baby for both the babies and the mother. [27:26] So when thinking about support systems [27:28] and parenting, [27:31] I think about the co-parenting and [27:33] partner support. So with within a um [27:37] let's say mom and dad. So it's always [27:40] important to have clear communication [27:41] and shared responsibilities. Focus on [27:44] the child's well-being even if you guys [27:47] are not together and set healthy [27:49] boundaries and expectations. And so we [27:51] are not mind readers, right? So you have [27:53] to communicate with your partner to see [27:56] say what you need or what you need [27:58] support with or what you're expecting. [28:01] Um building your support network. So [28:04] leaning on trusted family, friends, and [28:06] community. Connect with doulas, home [28:09] visiting programs, wig support groups. [28:11] As I stated in the other slide, [28:13] community care is strength. It is not a [28:15] weakness. So especially within our um [28:18] culture, I want to kind of influence in [28:21] changing that that um narrative that [28:24] community care is strength. It is not a [28:26] weakness to ask for help whether from a [28:28] lactation support um or lactation [28:30] consultant, whether from um a clinic, [28:33] whether from a health care provider or [28:35] even friends or family. Um parenting [28:37] under stress or crisis. So give yourself [28:40] grace. Parenting is hard. I'm gonna say [28:44] that again for myself because I have a [28:47] 2-year-old. So, give yourself grace. [28:50] Parenting is hard, but guess what? We [28:52] can do it. And so, focus on safety, [28:55] routines, basic needs first. Reach out [28:58] early for help such as housing, if you [29:01] need resources or just medical support. [29:04] Um, balancing work, school, and [29:05] motherhood. for all the mommies that are [29:08] working mommies. Okay, I want to [29:11] encourage you, we want to encourage you [29:13] to prior prioritize what matters most. [29:16] And so at the beginning of our [29:17] presentation, Chloe did a fant fantastic [29:20] job at explaining just the prenatal [29:22] healthy side um of just eating and the [29:26] benefit of eating when you are pregnant. [29:28] Uh but even after you have your little [29:31] one, if you are breastfeeding, there is [29:33] an important feature of that too because [29:35] your body has to produce that milk. And [29:38] so ways to help that is getting that [29:40] adequate amount of calories. So you're [29:41] going to need to eat, you need to take [29:43] your vitamins, you're going to need to [29:44] get some sleep. And so sometimes it's [29:46] hard to do that when your schedule is [29:48] surrounded by a little one's schedule. [29:51] And so I always like to say [29:52] breastfeeding is inconvenient. So if no [29:55] one has told you that, let me tell you [29:56] that right now. breastfeeding is very [29:58] inconvenient. Okay. But um thinking [30:01] about the bigger picture if you're [30:03] supporting your baby, right? Um so going [30:06] back to balancing work, school, [30:08] motherhood, use child care supports and [30:10] flexible options when possible. So if [30:12] you have more than one child or if [30:14] you're planning to go back to work after [30:16] you have your little one, kind of just [30:18] using that child care support. Um and [30:20] time management plus rest equals [30:22] sustainability. [30:24] Okay. So, time management and rest. So, [30:28] knowing exploring routines that every [30:31] day at 8:00 PM I'm or 700 p.m. I'm going [30:34] to take my little one a bath and then [30:35] I'm going to get some sleep. That [30:37] promotes sustainability. Okay. And so, [30:40] we need that especially for our mental [30:42] health, emotional well-being, and [30:43] physical health. So, protecting your [30:45] well-being, your mental health matters [30:47] for you and your baby. Take breaks, ask [30:50] for help, and set boundaries. No one to [30:53] say no or no one's too much is on your [30:55] plate. Remember, just like AAB had um [30:58] explained earlier with maternal [31:00] depression and postpartum um well, baby [31:03] blues, you're in a very sensitive period [31:06] even after you have your baby, right? [31:08] And so postpartum depression can happen [31:10] from birth, so right up until you push [31:12] the little one out all the way up until [31:14] 12 months, moms can experience [31:16] postpartum depression. Even if your baby [31:18] is 6 months old or seven months or eight [31:20] months old, you can still experience [31:22] postpartum depression. And so taking [31:24] breaks, asking for help, and setting [31:26] boundaries, let's normalize that, [31:28] especially within our African-American [31:30] culture. [31:34] At this time, we are going to add Dr. [31:38] Claudia Alender [31:40] to the table. [31:46] >> Hello. Hello everyone. [31:49] Firstly, I am so honored to be part of [31:52] this um amazing guest panel. Um all this [31:56] in information was wonderful. So I [31:59] definitely enjoyed the presentation. [32:01] Every single one of you definitely that [32:04] was an excellent um presentation. So my [32:07] name is Dr. Alisindor. I'm I'm a [32:09] pediatrician [32:10] and um the first important thing that I [32:13] would like to um talk about and you know [32:16] this is an important part of the [32:18] conversation around the pregnancy and [32:20] the and postpartum. [32:22] So um the first thing that we need to [32:25] recognize about pregnancy is the warning [32:28] signs and the complications. So one of [32:31] the most serious complications that can [32:34] occur during pregnancy is something [32:36] called preeacclampsia. [32:38] So preeacclampsia is a condition that [32:41] can develop during pregnancy or even [32:43] after delivery [32:45] where you know the um the mother um [32:48] would complain of like a severe [32:50] headache, blurred vision, sudden [32:53] swelling in the hands and face and [32:55] basically it's high blood pressure that [32:57] does not resolve. So now black women are [33:02] definitely disproportionately affected [33:04] by preeacclampsia and its complications [33:08] and you know you have heard on the news [33:10] the world health organizations has [33:13] declared it as a serious problem you [33:16] know for black women in terms of um you [33:18] know maternal health. So what increases [33:22] the risk of preeacclampsia? So like I [33:24] said preeacclampsia it's a constellation [33:27] of all of headaches blurred vision [33:29] swelling of the hands and face you know [33:31] and that's when the blood pressure is [33:33] increased. So there are certain risk [33:36] factors that increases this risk and [33:38] that includes if this is a mother's [33:41] first time being pregnant that's a risk [33:43] factor. Secondly, if the mother is [33:47] carrying u multiple pregnancies, for [33:49] example, twins or you know triplets, [33:53] that increases the risk of developing [33:55] preeacclampsia. Obesity is a risk [33:58] factor. Uh family history of [34:01] preeacclampsia [34:02] and pre-existing medical conditions are [34:05] also a big risk factor such as high [34:08] blood pressure, diabetes, and kidney [34:10] disease. And unfortunately um a lot of [34:13] these comorbid conditions do exist in [34:17] you know the black um uh community. So [34:20] that's why it's so important as was [34:21] mentioned by um the previous speakers [34:24] that we need to take into consideration [34:26] our diet. You know your body has to be [34:29] ready in other words for you know the [34:31] pregnancy or sometimes if you know um [34:34] the pregnancy was unexpected we can [34:36] still manage you know our our diet and [34:39] our health. The other complication for [34:42] preeacclampsia is the ultimate [34:45] e-clampsia. Now eclampsia that's when [34:47] the blood pressure is so severe it [34:50] causes you know seizures and it can also [34:53] lead to um strokes. Now the risk of um [34:57] preeacclampsia [34:59] um once again I'm seeing it from the [35:00] pediatric side like once the mother um [35:03] delivers the baby. Now if the mother had [35:05] preeacclampsia the risk for the infant [35:08] now you can get a baby born prematurely [35:11] you can get something called abruption [35:14] of the placenta which affects the [35:16] mother. So that's when the placenta will [35:19] separate from the uterus and then the [35:21] mother will develop intense abdominal [35:24] pain and bleeding and this is definitely [35:28] um a high-risisk factor for fetal and [35:31] maternal death you know during the [35:32] pregnancy. [35:34] So saying all this um it's very [35:37] important you know for someone to [35:38] monitor you know like in other words [35:41] find a good doctor who can monitor your [35:43] blood pressure and the main important [35:46] thing is you have to show up for those [35:48] prenatal visits. I know um in my [35:50] pediatric practice um you know some of [35:53] the mothers um maybe they may not go to [35:55] every single prenatal visit but it's [35:58] very important when you go to the [35:59] prenatal visits you know besides the you [36:02] know the routine like ultrasounds and [36:05] things that are done they monitor the [36:06] urine for any protein in the urine and [36:08] the blood pressure it's very important [36:10] now suppose you do develop [36:12] preeacclampsia there there are things [36:14] you can do that can treat it you know [36:16] there are certain um blood pressure [36:18] medications they can prescribe to the [36:20] mother if they found that the mother [36:22] does have preeacclampsia that'll be safe [36:24] for mother and the infant also maybe a [36:27] lowd do aspirate but what have you but [36:29] the bottom line is um uh it's very [36:32] important to keep those doctor's [36:33] appointments now like I said premature [36:36] birth is you know something that happens [36:39] you know a lot to um these mothers who [36:42] do have preeacclampsia now the risk of [36:44] babies who are premature and this is my [36:47] part where I see them as pediatrician s [36:49] is that they, you know, they they're [36:52] prone to getting certain health [36:53] conditions such as um eye issues, [36:57] developmental [36:59] um issues in their growth, their [37:01] development, their speech. They can also [37:04] have you know other issues um you know [37:08] that can definitely affect them. [37:11] Now next I want to address the issue of [37:15] substance abuse during pregnancy and the [37:17] postpartum period. So this is not a [37:20] topic meant to shame anyone. You know [37:23] it's a top topic that's meant to protect [37:25] you. So alcohol, cannabis, marijuana use [37:30] and opioids and other substances um [37:34] while a mother is pregnant. Now those [37:36] can pass on to the placenta. So in other [37:40] words, you know, the baby whatever mom [37:42] is taking in, the baby is taken in also. [37:45] So from a standpoint once again of a [37:47] pediatrician, um babies who are born to [37:51] mothers with um alcohol, there's [37:54] something they can develop called fetal [37:56] alcohol syndrome. So that's a condition [37:59] that causes severe developmental issues, [38:02] you know, with the baby. So every women [38:05] every woman wants a healthy baby. So [38:08] that's one thing to consider if there's [38:10] substance abuse. But the other thing [38:12] also is you know substance abuse can [38:15] also interfere with the bonding and what [38:18] was excellently um brilliantly um talked [38:21] about initially bonding is a very [38:23] important thing you know that's [38:25] important for mother and child. So if [38:28] the mother you know like let's say if [38:30] she's addicted to alcohol or opioid so [38:34] once the baby is born you know those [38:36] substances once again can also transfer [38:38] to the breast milk. So the bottom line [38:42] is when you do go to your doctor for [38:44] these prenatal visits they do ask [38:46] questions you know any cigarette use [38:49] smoking um illicit drug use don't be [38:53] ashamed or embarrassed just be honest [38:55] and tell them because there is help. [38:57] there is help you know for um the [38:59] mothers it's it's I know it's not easy [39:01] sometimes if someone is um addicted to [39:04] um a substance but they also have to [39:06] know the complications that can develop [39:09] you know um as a result the baby can [39:12] have a a bad impact on that. Now the [39:16] other third thing I would like to talk [39:18] about is domestic violence and maternal [39:21] safety planning because pregnancy is [39:24] actually one of the highest risk periods [39:27] for intimate partner violence. So abuse [39:30] can escalate during pregnancy and then [39:32] you know and after when the baby is born [39:34] and this is all due to stress and you [39:37] know sometimes the the person may want [39:40] control and then the woman is definitely [39:42] more vulnerable. So, signs of um a [39:45] partner who like controls your medical [39:48] appointments, who isolates you from your [39:50] family, makes you feel unsafe. If any of [39:53] that, you know, resonates with someone [39:55] that you know, then I guarantee you [39:58] there are confidential, you know, [40:00] resources out there. Don't be afraid to [40:02] tell your doctor, you know, if um if you [40:06] know someone or if you're the victim, [40:08] you know, of abuse. I know um in our [40:10] clinic we do have social workers that [40:13] are very helpful and if it gets to the [40:15] point where the mother is scared there [40:18] are safe houses and different you know [40:22] safety nets that that can that can help [40:25] the mother and the child at risk. And [40:28] finally reproductive planning and birth [40:31] spacing. So research shows that [40:33] pregnancies spaced too closely together, [40:37] typically less than 18 months apart [40:40] carry a higher risk for both mother and [40:42] um the infant. Now that's because during [40:45] pregnancy of course you have all these [40:47] hormones that are you know um included [40:51] and to help develop a healthy baby. But [40:54] the problem you know arises that once [40:56] the baby is born you know mentally you [40:59] could be ready for you know another [41:01] child but you know the body also has to [41:05] recuperate. So you need to recuperate. [41:07] So better, you know, give your body a [41:09] chance because sometimes if you have a [41:11] baby too soon, then the second birth can [41:14] put you at risk of preeacclampsia or [41:17] pre-term, you know, birth. And like I [41:19] mentioned, um some babies who are born [41:21] pre-term can suffer some other [41:23] consequences. So this is also a good [41:25] time to talk about um family planning. I [41:28] know in a lot of clinics and hospitals [41:31] after the first pregnancy the doctor [41:33] would come and say um would you like to [41:35] consider you know some birth control you [41:38] know perhaps temporarily until you're [41:40] ready for you know um when you choose to [41:43] grow your family again. So that's [41:45] another important consideration. [41:47] So I wanted to leave you with this. [41:50] Black maternal health is not just a [41:53] statistic. So it's personal because it's [41:56] about your mother, your sister, your [41:59] friend, and one day it could even be [42:01] about you. So getting that support and [42:06] you know finding the right doctor, the [42:08] right provider who can help you, who you [42:10] feel comfortable discussing everything [42:13] in your life, you know, that's [42:15] important. So don't be afraid to talk to [42:17] your doctor and to be honest you know [42:20] there's no stigma cuz as as a doctor [42:23] myself I'm interested in the health of [42:26] you know the patient and then whether it [42:29] be you know also although I see um [42:31] infants newborns I do I am concerned [42:34] about the mother because if the mother [42:36] is not healthy is not happy she cannot [42:39] be a good you know provider for her for [42:41] her child. So, the bottom line, don't be [42:44] afraid to ask. There are resources out [42:46] there to help you. And very important in [42:49] this um period of black maternal health, [42:52] be an advocate for yourself. If you feel [42:56] something is odd with your pregnancy, [42:58] you're not feeling right, you know, a [43:00] headache that doesn't seem to resolve, [43:03] monitor it. Take your blood pressure, go [43:05] to your doctor. you know, many times you [43:07] can just, you know, walk in or if you if [43:10] you really feel bad, don't be afraid to [43:12] go to the emergency room because this is [43:15] very very important. The statistics are [43:18] really high, you know, in terms of black [43:20] maternal death. And if we can encourage [43:24] every single woman who is pregnant, [43:27] especially black women to, you know, to [43:30] take into consideration about their [43:33] health, whether it be, you know, [43:35] physical, mental, we must do that. And [43:38] on that note, I definitely thank thank [43:42] you for allowing me um this opportunity [43:44] to talk and I enjoyed the the whole [43:46] session. Thank you. [43:49] Thank you so much, Dr. um Elsor. I'm [43:53] trying to look for my clapping my [43:55] applause. [43:59] Thank you so so much. Um we do have a [44:01] question for you, Dr. Alendor. before we [44:05] um I read the question in the chat um [44:07] and you and for our viewers you can [44:10] definitely feel free to type in a [44:12] question if you have um and I'll just [44:14] read it and we can answer it um after I [44:17] type it but there was so many nuggets [44:19] that you have said in in that short um [44:23] time span that was just incredible [44:25] information [44:26] um there was a question that I wanted to [44:28] ask of how do you navigate the child [44:32] spacing because I know typically it's a [44:34] year, right, that that um healthcare [44:36] providers recommend waiting to have [44:38] another child. And so, how do you [44:40] navigate the child spacing requirement [44:44] with let's say your partner who may not [44:46] understand [44:48] um just how your body how women body [44:51] heals and just different things like [44:52] that. So, what would you recommend as [44:55] being a health care provider? How would [44:57] you recommend we handle that [44:59] conversation with our [45:00] >> Okay, excellent, excellent topic. Now as [45:04] a pediatrician I do see the newborns and [45:06] then u many times I would say 90% of the [45:09] visits um the dads come along with the [45:12] mom you know for the first child and you [45:14] know that's when I do my anticipatory [45:16] guidance talk and then I talk to um in [45:19] other words ideally it's it's best if [45:21] the father comes into at least not every [45:23] visit but at least one or two visits I [45:26] think let him get a clear understanding [45:29] sometime it helps if um the spouse the [45:32] person he or the uh the man born for [45:34] whatever if he hears it from somebody [45:36] else. So, usually what I do is, you [45:39] know, I try to um tell them the dangers, [45:42] you know, of what can happen, you know, [45:45] with a birth that's um too soon. So, you [45:48] know, birth control, that's when we [45:49] bring up the topic of birth control and, [45:52] you know, the importance of that. I know [45:54] a lot of times they say, "Oh, it's cute. [45:55] I want, you know, the um this baby to [45:58] have a sibling." We say, "No, that's [46:00] fine. That's great." But just think [46:02] about you know the mother you know just [46:04] think about what can happen to her in [46:07] terms of her medical health and then if [46:10] she's not around like let's say if they [46:12] have a baby too soon then the mother can [46:14] suffer all these other complications of [46:16] preeacclampsia she may not be you know [46:19] in the best health to take care of two [46:21] kids you know so I think the best um [46:24] thing is to try to have the partner come [46:26] to at least one or two of the sessions [46:29] whether it be with your OB be or with [46:31] the pediatrician and you know that can [46:34] that can that tends to help because I [46:36] find that um men they're more open they [46:39] listen more if they hear it from [46:41] somebody else they may not you know [46:43] totally you know listen to the the [46:46] spouse or you know the the the woman but [46:49] sometimes if you can bring them together [46:50] that can help. [46:52] >> Beautiful. Thank you. Thank you. And [46:54] then I have another I have a question in [46:57] the chat. Um it says as new mom are [47:00] there signs need to Oh thank you. As new [47:05] mom are there signs need to monitor if [47:08] infant is needing medical attention? [47:10] Example baby cry constantly. How can you [47:12] differentiate normal cry versus cry for [47:15] help needing medical attention? This is [47:17] a great [47:18] >> Okay. Excellent. Excellent question. So [47:21] you know we get a lot of that you know [47:23] for um new moms. Yes, babies will cry. [47:25] So what I like to tell them, okay, so if [47:28] you have a newborn, a baby, you know, [47:31] that's crying uncontrollably, [47:33] unconsolably also, let's say you fed the [47:36] baby, you know, the baby should not be [47:38] hungry or if you know, you change the [47:41] baby and then the baby really, you know, [47:44] should be comfortable. But if you see a [47:47] warning signs, if you see any change in [47:49] feeding patterns, in other words, like [47:51] if the baby, you know, always took like [47:53] 2 three ounces and then all of a sudden [47:56] is latching or if the baby is [47:57] breastfeeding is latching less, doesn't [48:00] is not interested in feeding. That's a [48:02] warning sign. Two, fever. fever in a [48:07] newborn is anything higher than 100.3 [48:12] or even if it's if the baby does not [48:15] have a fever. If the baby looks extra [48:17] drowsy, extra sleepy, that's a warning [48:20] sign. The other thing is breathing. Now, [48:23] babies normally breathe, you know, to [48:26] the stomach that it may appear fast. But [48:28] if you notice that the baby is breathing [48:30] faster than usual, um, which we call [48:33] retractions, or if the nose is flaring [48:35] in and out, that's a warning sign that [48:37] the baby is having, um, breathing [48:39] issues. So, all of those things should [48:41] prompt you to go to the emergency room. [48:44] Another important thing is cyanosis. [48:46] Cyanosis mean any blue or purple facial [48:50] discoloration. It doesn't have to be the [48:52] entire face, but if you see it around [48:54] the the lips or the tongue area, that [48:57] means something is not is not well, you [49:00] know, with the baby. So, those are [49:02] warning signs to go to um to the ER. [49:04] Now, back to the crying. There is [49:06] something called collic that does [49:07] develop in babies and usually from the [49:10] second week to three months of age. So, [49:13] that's common collic, you know, the the [49:15] formula, the milk because the milk is a [49:18] sugar. So the digestive system has to [49:21] work hard to try to digest it and then [49:23] you get all the gas bubbles, the collic. [49:25] So yes, that can be a consideration. But [49:28] if the baby still wants to feed, that's [49:30] a good sign. But not feeding well, like [49:32] I said, or if you see the stomach [49:34] appears distended or any blood in the [49:36] stools, that should prompt you to seek [49:38] um medical um help from your [49:41] pediatrician. And then um breathing, [49:44] respiratory issues, go straight to the [49:46] ER. [49:48] Thank you Dr. Alendor. [49:51] Um I don't see any other questions. Um [49:54] like I said, this has been a very [49:56] informative [49:58] um workshop and I'm hoping that we can [50:00] do this again. I feel like we need more [50:03] time. There's so many questions [50:06] that can be answered um concerning this. [50:10] And so thank you. Thank you again for [50:12] allowing um us to take take up some of [50:14] your time and being willing to be a part [50:16] of our presentation. [50:19] So now is the time for our virtual [50:22] raffle. [50:24] like let me see if I can [50:30] one name correct in the chat because I [50:33] am using will of names and so I have tea [50:38] abu [50:40] um I have pal I don't know if I'm [50:43] pronouncing the last name faux chan um [50:47] let me know you can retype if that's [50:50] correct jana egaria [50:53] And then I don't see any Oh, Ford [50:56] Butler. [50:58] So, you guys are all entering into the [51:01] raffle. Let me know if I said your name [51:04] right. So, the way that it works, I will [51:06] enter your name until the Well, your [51:08] name is already in the wheel. [51:10] It's spinning. whoever um it lands on [51:14] wins and then I'll say the name and you [51:17] will type your email in the chat and I [51:19] will email you your um ecard. Okay. [51:24] So, let's see. [51:41] It's spinning. Drum roll. [51:49] Ford Butler. [51:52] Butler. [51:57] I don't think you can see that. Ford [51:59] Butler. [52:00] So, Ford Butler are I don't know if [52:03] you're still on. Can you email me? [52:06] Oh, Palm Palin. Okay. Oh, okay. Chloe, [52:11] that's your mom. Hi, Mom. [52:14] Um, you can email me your [52:17] um email and then I'll do another one. [52:20] So, I'll do another raffle. So, we have [52:23] two. [52:26] So, hold on tight. Don't lock off just [52:29] yet. [52:31] I don't know if if Ford is still on. [52:34] Ford Butler, [52:37] if you're still on, can you um type in [52:40] your email and then I'm going to do [52:42] another spin? [52:49] Drum roll for our second winner is [52:56] Jana. [52:59] Jana Egaria. [53:03] Well, congratulations to our two [53:06] winners. Um, Ford Butler, I am going to [53:10] email you your ecards and Jana Eggeria, [53:14] I will email you. Please put your email [53:17] in the chat right now. On behalf of the [53:20] Able Foundation, [53:22] um, we thank all of you for tuning in. [53:25] And if you're um planning to um rewatch [53:28] it, thank you for for clicking. Um and [53:32] also I encourage to share share share [53:34] share this presentation. Um this is so [53:38] informative especially within our [53:40] community and so we definitely want to [53:42] make sure that we normalize having these [53:44] conversations, right? And so, um, I kind [53:47] of think of when thinking of a family [53:49] dynamic, especially with maternal [53:51] health, is thinking about a healthy mom [53:54] equals a healthy baby. And so, we want [53:57] to make sure it's a parallel process, [53:59] right? So, if we take care of mom, we [54:02] take care of baby, right? And so, we [54:05] definitely want to make sure that um we [54:07] continue to um promote that life cycle, [54:10] that circle of life. Um, but thank you. [54:13] If you want to stay connected with the [54:15] Able Foundation, um you can screenshot [54:19] our number um you can screenshot um the [54:22] email um so that we can stay connected. [54:26] Um thank you again to my amazing interns [54:28] Chloe and AAB who did a fantastic job at [54:31] researching this topic and creating such [54:35] a informative um wellness workshop via [54:38] virtual. So thank you guys so much. Take [54:41] care. And the winners of our raffle, I [54:44] will email you. Let me take a picture. [54:47] I will email you right now your Eve gift [54:50] cards. And thank you so much. Have a [54:54] good one.