Women's Health

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National Women’s Health Week starts each year on Mother’s Day to encourage women and girls to make their health a priority. Even during the coronavirus (COVID-19) pandemic, there are safe ways for you to stay active and healthy.

Covid-19 Vaccines and Axillary Lymphadenopathy on Breast MRIs

Early research suggests there is an increased incidence of axillary lymphadenopathy on breast MRI compared to other vaccines. Institutions may begin implementing workflows to ask women questions on the date of their vaccine administration to guide any imaging procedures and schedule them for a follow up scan.


For recommendations from the Society of Breast Imaging:

https://www.sbi-online.org/Portals/0/Position%20Statements/2021/SBI-recommendations-for-managing-axillary-adenopathy-post-COVID-vaccination.pdf


For research findings published in AJR:

https://www.ajronline.org/doi/10.2214/AJR.21.25604


For example, here are UCSF's recommendations for breast imaging following the Covid-19 vaccine:

https://radiology.ucsf.edu/sites/radiology.ucsf.edu/files/wysiwyg/patientcare/patient-safety/covid-19/COVID19_Axillary_Adenopathy_Advisory.pdf

Black Maternal Health Momnibus Act of 2021

On Feb 2, 2021, three Black lawmakers (Reps. Lauren Underwood and Alma Adams, and Sen. Cory Booker) introduced the “Black Maternal Health Momnibus Act of 2021”, aimed to combat the significant health inequities that Black mothers face throughout the United States. Black women are still over three times more likely than white women to die from pregnancy-related complications.

This set of bills will address social determinants of health affecting unequal access to care, structural racism, and implicit biases. Community organizations and state/local governments will receive funding to improve these maternal health outcomes.

For more information:

https://thehill.com/homenews/house/537810-black-maternal-health-omnibus-package-introduced-by-democratic-lawmakers?rl=1


For a summary of the bill:

https://blackmaternalhealthcaucus-underwood.house.gov/Momnibus

The American College of Obstetrics and Gynecologists recommends pregnant individuals who meet the criteria for vaccination should make their own decisions with their clinical care team. Vaccines should not be withheld from pregnant or lactating individuals, and individuals who choose not to be vaccinated should be supported in their choice.


Evidence suggests symptomatic pregnant patients with Covid-19 are at an increased risk for a more severe illness than their nonpregnant, symptomatic counterparts.


Pregnant individuals who experience a fever (a common, normal side effect) after the vaccination should be counseled to take acetaminophen, which is safe for pregnancy and does not appear to impact the antibody response to the vaccine.


For more information on ACOG’s recommendation, visit their website: https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/12/vaccinating-pregnant-and-lactating-patients-against-covid-19

Thank You

Ruth Bader Ginsburg

  • A whistleblower complaint was filed: A person exposing secretive information or activity within a private or public organization deemed illegal or unethical.

  • Dr. Mahendra Amin is the main physician accused of performing these invasive surgeries and medical procedures on detained women.

  • Failed to protect staff and detainees against coronavirus.

  • Nurse who filed the complaint was demoted from full time to “as needed” position because she has been asking hard questions about inappropriate testing of detained female immigrants for COVID 19.

  • There has been a long history of complaints in facilities which includes: lack of accountability, gross disregard for health and safety standards, lack of medical care, and unsanitary living conditions at Irwin County Detention Center.

  • On Sept 14, 2020, San Francisco Mayor London Breed announced a pilot program to provide basic income to Black and Pacific Islander (B and PI) women during pregnancy

  • The “Abundant Birth Project” is a fully funded public-private partnership created to tackle the disparities threatening the health of B and PI communities, largely due to the increasing racial wealth gap

  • The pilot program will provide an unconditional income supplement of $1000 to 150 B and PI women in SF for the duration of their pregnancy through the first six months of their infant’s life

  • The goal is to expand this basic income to two years following the birth of an infant

  • Prematurity is the leading cause of infant mortality and leads to lifelong conditions, and the B and PI community has the highest rates of preterm births

  • This study is led by Dr. Zea Malawa from Expecting Justice and the SFDPH, and it is supported by the Hellman Foundation and the UCSF Preterm Birth Initiative

Take Action

  • Bill authored by Sen. Dodd and co-sponsored by NARAL Pro-Choice California, Black Women for Wellness Action Project, California Nurse-Midwives Association, and United Nurses Association of California.

  • The Justice and Equity in Maternity Care Act will expand access to reproductive healthcare by removing physician supervision requirements for certified nurse-midwives (CNMs). The bill’s supporters claim that increasing access to CNMs will promote sexual and reproductive health equity in California and combat racism-based disparities in maternal and infant health outcomes.

  • California is one of only four states that still require physician supervision in order for CNMs to practice.

  • Many counties in California are facing critical shortages of maternal health care providers. CNMs can provide this critically needed care to women.

  • Midwifery care has been shown to improve birth outcomes (learn more about the benefits of midwifery here).

Read the legislation for yourself HERE

Take action!

The bill has passed through the legislature, now Gov. Newsom needs to sign it.

Let Governor Newsom know you support SB-1237!Action

steps (from the California Nurse Midwives Association).

For Individuals:

  • Go to www.gov.ca.gov

  • Click on “Contact” at the upper right or the footer at the bottom.

  • On the form that pops up click “Have Comment”

  • Enter your name and email address

  • In the last box, scroll to find SB 1237 among the multitude of issues and bills

  • Click “Continue”

  • On the following page, click on the box that says “Pro”

  • Add a sentence or two expressing why it is imperative that he sign this bill and thank him for his service.

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