A woman exits Mount Sinai Hospital in Manhattan past messages of thanks written on the sidewalk
during the outbreak of the coronavirus disease (COVID-19) in New York City, New York, U.S., April 7, 2020. REUTERS/Mike Segar

They Didn't Have Coronavirus Symptoms Until After They Gave Birth. Then They Tested Positive.

It's asymptomatic people who may hold the most urgent lessons for a maternal care
system that is scrambling to reinvent itself during the COVID-19 pandemic.

(Source: wired.com)
"Nearly 4 million people give birth to nearly 4 million babies in the United States every year, a potentially challenging influx of mostly healthy patients into the medical system at a time when it's coming under unprecedented stress. Unlike some other types of providers, OB-GYN providers can't be easily replaced by doctors and nurses from other parts of the system, particularly those who work with high-risk pregnant people.

Yet obstetrical care providers "are at particularly increased risk for occupational exposure," the report said, "because of long periods of interaction with patients during labor, multiple team members involved in patient care, and the unpredictable occurrence of sudden obstetrical emergencies with their potential for unanticipated intubations in women undergoing labor and delivery. Given this risk, and without universal rapid viral testing, we must acknowledge that every admission and delivery present real risk for infection to our front-line healthcare workers."

"Until adequate PPE supplies exist," the report said, "we can reasonably expect our obstetrical and anesthesiology providers to become ill and exit the workforce at an accelerated rate.""


A Nurse Bought Protective Supplies for Her Colleagues Using
GoFundMe. The Hospital Suspended Her.

She raised more than $12,000 to buy and distribute protective gear for her colleagues, who
say they felt inadequately protected against COVID-19. How a confrontation in one of the nation's Coronavirus hotspots illustrates a troubling national trend.

(Source: abc7ny.com)
" Olga Matievskaya and her fellow intensive
care nurses at Newark Beth Israel Medical Center in New Jersey were so desperate for gowns and masks to protect themselves from the coronavirus that they turned to the  online fundraising site GoFundMe  to raise money.

The donations flowed in - more than $12,000 - and Matievskaya used some of them to buy about 500 masks, 4,000 shoe covers and 150 jumpsuits. She and her colleagues at the hospital celebrated protecting themselves and their patients from the spread of the virus.

But rather than thanking the staff, hospital administrators on Saturday suspended Matievskaya for distributing "unauthorized" protective gear. "

That was the beginning of an article by Marshall Allen, posted yesterday on ProPublica.   Caroline Chen was a contributing reporter. They spoke with nurses at the hospital about the dire need for PPE. Hospital management had a very different take on the situation.

    
#BlackMaternalHealthWeek  #BMHW20
April 11-17

Nurses for Sexual and Reproductive Health is honored to participate in this year's  Black Maternal Health Week 2020 organized by the Black Mamas Matter Alliance. This year's theme is "Centering Black Mamas: The Right to Live and Thrive."
 
As nurses, providers and advocates for sexual and reproductive health, we work every day to address injustice within our healthcare system. According to the CDC, nearly 700 women die every year in the U.S. as a result of pregnancy or its complications. Black women are two to three times more likely to die from a pregnancy-related cause than white women. While we know that racism, poverty, and social inequity of all kinds puts many of our pregnant patients at risk before they ever see us, it is our job to interrupt and end cycles of violence that perpetuate these systems. It is our job to provide quality, compassionate care to all pregnant people, and believe them when they tell us what they are experiencing and need. It is our job to interrupt anti-Black racism when we see it operating in our healthcare systems, processes and protocols, even if it means questioning a colleague or supervisor. It is our job to educate ourselves and each other about reproductive justice, the history of reproductive coercion and other racial justice issues that affect our patients, as well as build consciousness about the conditions and cultures our patients are coming from. It is also our job to build opportunities for our fellow nurses of color, particularly Black nurses, to advance and thrive in healthcare. It is our job to listen to Black Mamas. 
 
We know that ending racism and addressing its impact on healthcare is a long game that will take all of us. We also know that our battle to provide care in the face of COVID-19 has just begun. We have a lot on our plates, and we are part of a collective grief that will take many years to heal from. This is the time to move into our power as nurses, to speak truth to power, and make sure we support Black Mamas in living and thriving. 
 
If you would like to learn more about Black Maternal Health Week 2020, we invite you to attend the #BMHW20 Webinar Series and online local events.

(Source: hrw.org)

70 Percent of People Killed in Chicago by the Coronavirus Are Black

Chicago Mayor Lori Lightfoot --
"
In Chicago, new data released Saturday showed that 70 percent of people who have died from COVID-19 in the city were Black, according to a  report  by the radio station WBEZ.  Black people make up 29 percent of the city's total population.

Similar numbers are emerging elsewhere. In New York, the epicenter for the coronavirus in the United States, the highest concentration of infections has been in  low-income neighborhoods with big immigrant populations. In Wisconsin's Milwaukee County, 81 percent of people killed by the virus have been Black, according to a  ProPublica investigation, though just 26 percent of the county's population identifies as Black. In Michigan, where Black people make up 12 percent of the population,  40 percent of those killed have been Black, many of them in Detroit.
The novel coronavirus is infecting people of all races and income levels, but it is also exposing familiar patterns of racial gaps in health outcomes that stem from systemic discrimination in access to employment, housing, and medical care. Black people are  more likely than white people to use public transportation to travel to jobs that can't be worked from home, making social distancing more difficult. They're also less likely to have health insurance, and more likely to have preexisting conditions like asthma that make them particularly vulnerable to the virus. In Chicago,  health experts noted that Black people are more likely to have diabetes, high blood pressure, and respiratory problems, conditions
that can stem from and be exacerbated by poverty, environmental pollution, and limited access to doctors. "

That was an excerpt from Samantha Michaels' story, posted earlier this week on Mother Jones. The inhumanity of it all -- yet not surprising. Yet another call to action. Who will
hear the call?

REMINDER
Fill out the NSRH network survey and get the chance to win a $50 gift card!

AND FILL OUT THE SURVEY!

Shoutout to Lenix Pecikonis for the actual perfect GIF

NSRH is building new opportunities and resources for nurse advocates and their allies to advance sexual and reproductive health. In order to do this, we need to know more about our network members - their needs, dreams, skills and expertise. Anyone who fills out 
this survey  by  April 10th is eligible to win a  $50 gift certificate  to the NSRH Shop! You 
could get the chance to win big while participating in the next phase of NSRH's
growing network of providers and advocates. A heartfelt thanks to all of you who have already filled out the survey and to all of you who will!

Reproductive Health Care Providers: Abortion Is Essential 

(Source: voteprochoice.us)
Last week, NSRH was honored to join Physicians for Reproductive Health, Abortion Care Network, National Abortion Federation, and Planned Parenthood Federation of America in calling attention to abortion as essential healthcare that must not be restricted in response to COVID-19, or ever. As front-line health-
care providers, it is important that we protect each other and our patients in their right to comprehen-
sive,  compassionate and quality healthcare. Check out the statement here

From our Allies at MAP

MAP's Clinical Training  Application 
is now available through our new website!
 
Physicians, advanced practice clinicians, nurses, and
students/trainees of these professions are eligible to apply.
 download an application guide and link to the online application.
 
Applications are due April 10, 2020.

Questions about the process?
Download an application guide, call us at
773.944.0594, or email [email protected].

Court backs Texas pandemic abortion ban, citing emergency powers

(Source: aafront.org)
"
A federal appeals court on Tuesday affirmed  Texas' right to ban nearly all abortions during the coronavirus pandemic, in what it described as a "drastic and extraordinary" move based on arguments that states can limit constitutional rights during emergencies.
A divided three-judge panel of the 5th U.S. Circuit Court of Appeals threw out a lower court ruling blocking the ban - one of a series of recent abortion curbs enacted by conservative-led states on the grounds abortion is not a medically necessary procedure. The order builds on a temporary stay of the District Court ruling that the 5th Circuit issued on March 31. "

Continue reading Alice Miranda Ollstein's story, posted yesterday on Politico. Later in her piece: " Attorneys representing Planned Parenthood's Texas affiliate earlier Tuesday said
they would ask the Supreme Court this week to intervene in the case, arguing that "patients will suffer irreparable harm" by being forced to travel long distances during the pandemic."

 
       
                  The Plague




The  At the Core of Care nursing podcast wants to share the nursing perspective on
COVID-19. If you are able, please consider sharing your story with us by taking 2 minutes to  fill out this form We are planning special coverage of the COVID-19 Pandemic, and we want to hear a variety of nursing perspectives.

Note: In an effort to elevate the voices and perspective of nurses we are seeking stories from nurses around the country.

At the Core of Care is a project of the Future of Nursing: Campaign for Action Innovations Award.

John Prine, Hero Of 'New' Nashville, Dies After Developing COVID-19 Symptoms

Read  Annie Zaleski's story , posted today on WBEZ.                
                                                                              
John Prine, you're my 'Angel from Chicago.'
                                          
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Iowa State Director
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Organizer - Georgia State
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Organizing Fellowship
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