Black Maternal Health Week: ElevateHer, Centering Pregnancy, and Heartwise

Black Maternal Health Week takes place annually from April 11th to April 17th 

Founded and led by the Black Mamas Matter Alliance, this week-long campaign aims to build awareness, activism, and community-building to amplify the voices, perspectives, and lived experiences of Black mothers and birthing people.  

Black Maternal Health Week highlights the importance of addressing the inequities of maternal and infant health.  

According to data from the New York City Health Department, Black non-Hispanic women are about five times more likely to die from a pregnancy-associated cause than white non-Hispanic women.  

This is due to the unfortunate number of disparities and challenges women in minority populations, such as Black women, may face pertaining to accessing prenatal care, including transportation issues, low socioeconomic status, lack of insurance, low education levels, and disparities in rural and urban healthcare access.  

Jamaica Hospital Medical Center has three services to address these disparities: ElevateHer, Centering Pregnancy, and Heartwise.  

ElevateHer is a comprehensive pregnancy program designed to support women throughout their pregnancy and postpartum journey. By taking a “whole person” approach, the program ensures that the health and well-being of the mother and baby are addressed. The program focuses on the health literacy of expectant and postpartum mothers by providing comprehensive, integrative healthcare education.  

Heartwise care is an example of comprehensive integrative care, as it is designed to raise awareness of the heightened risks of cardiovascular disease related to pregnancy complications.  

Cardiovascular disease (CVD) is the leading cause of death in women in the U.S. It is also the leading cause of pregnancy-related deaths in the U.S., which accounts for about 26.5% of such deaths. Approximately 1 in 3 pregnancy-related deaths are due to cardiovascular problems, with higher risks observed in Black women compared to their Hispanic or White counterparts.   

Conditions, such as preterm delivery, hypertension, diabetes, etc., can increase the risk of cardiovascular disease by two to four times later in life. To combat this, the ElevateHer program partners with Jamaica Hospital’s award-winning cardiology department for patients to have the appropriate follow-ups in group settings. 

In addition to ElevateHer and Heartwise, the Centering Pregnancy program, an innovative prenatal model, is designed to promote the overall health and well-being of mother and baby. 

Unlike traditional one-on-one prenatal visits, this approach incorporates small group sessions to receive medical care, education, and emotional support, to foster meaningful relationships between participants and clinicians. 

After an initial private visit with a provider, participants in the centering pregnancy program, all of whom are in similar stages of their pregnancy, meet in a small group setting for their prenatal appointments, where participants share with and learn from each other during their pregnancy. Each of the ten-centering prenatal care group sessions is approximately 90 minutes long. This group dynamic gives each of the participants the advantage of having more time with their provider. 

At the beginning of the session, our facilitator will guide each patient to get weighed, have their blood pressure checked, and record their values for the provider to review. The provider will listen to the baby’s heartbeat and review the pertinent patient-specific information. After this information is collected, the 8-12 participants will form a circle and begin the fun and interactive educational session. 

If you would like to learn more about these services, you can schedule an appointment with an OB/GYN at Jamaica Hospital Medical Center’s Women’s Health Center. To learn more, please call (718) 291-3276. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Elevate Her- Gestational Diabetes

Gestational diabetes is a type of diabetes that develops exclusively in pregnancy when blood sugar levels are too high.

Gestational diabetes develops when hormones from the placenta interfere with your body’s ability to make or use insulin. Insulin breaks down the glucose from food and delivers it to your cells. It keeps the glucose levels in your blood at a healthy level. If insulin doesn’t work right or you don’t have enough of it, sugar builds up in your blood and leads to diabetes.

Anyone can get gestational diabetes during pregnancy. However, certain factors can increase your risk, including:

  • Heart disease
  • High blood pressure
  • Being obese or overweight before pregnancy
  • Personal history of gestational diabetes in previous pregnancies
  • Family history of Type 2 diabetes
  • Having prediabetes
  • Having polycystic ovary syndrome
  • Having previously delivered a baby weighing more than nine pounds
  • Being of a certain race or ethnicity, such as Black, Hispanic, American Indian, and Asian American
  • Being of an advanced maternal age

There are usually no obvious warning signs of gestational diabetes. Symptoms are too mild and often go unnoticed until your pregnancy care provider tests you for the disease. If you do have symptoms, they can include:

  • Frequent urination
  • Excessive thirst
  • Tiredness
  • Nausea

Gestational diabetes that isn’t carefully managed can lead to high blood sugar levels. High blood sugar can cause problems for you and your baby, including an increased likelihood of needing a C-section to deliver the baby. If you have gestational diabetes, your baby may be at an increased risk of:

  • Excessive birth weight
  • Preterm birth
  • Serious breathing difficulties at birth
  • Low blood sugar
  • Obesity and Type 2 diabetes later in life
  • Stillbirth

To diagnose gestational diabetes, your healthcare provider will test your blood sugar during pregnancy with a blood test. Often the first test is a screening. If you don’t pass the screening, a provider will order a second blood test which is more comprehensive and includes:

  • Glucose challenge test
  • Glucose tolerance test

If you have gestational diabetes, you will need more frequent checkups during your pregnancy. Treatment for gestational diabetes includes:

  • Lifestyle changes
  • Blood sugar monitoring
  • Medication, if necessary

Managing your blood sugar levels helps keep you and your baby healthy. Close management can also help you avoid complications during pregnancy and delivery.

Gestational diabetes isn’t entirely preventable. However, there are steps you can take to reduce your risk. Eating balanced and nutritious meals and getting regular exercise before and after your pregnancy are the best ways to reduce the risk of developing gestational diabetes.

To learn more about the OB/GYN services at Jamaica Hospital Medical Center’s Department of Women’s Health Services or to make an appointment, call 718-291-3276.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is Eclampsia?

Eclampsia is a condition that causes seizures during pregnancy. It is a rare complication in people with preeclampsia, which causes high blood pressure and protein in urine during pregnancy. Eclampsia generally occurs after the 20th week of pregnancy and requires emergency medical care.

Aside from seizures, people with eclampsia may also experience severe distress, confusion, or loss of consciousness. Before the onset of these symptoms, certain warning signs may occur, such as:

  • Severe headaches
  • Nausea and vomiting
  • Distorted vision or loss of vision
  • Swelling of the hands, face, or ankles
  • Difficulty breathing or urinating
  • Abdominal pain, particularly on the upper right side of the abdomen

A few factors may increase a person’s risk of developing eclampsia. These include:

  • A family or personal history of preeclampsia or eclampsia (though most people with preeclampsia do not develop this condition)
  • Being pregnant for the first time
  • Twins or triplets
  • Autoimmune conditions
  • Obesity
  • Diabetes
  • Kidney disease
  • Pregnancy at an age younger than 17 or older than 35

While certain factors that increase your risk of eclampsia may be beyond your control, there are steps you can take to manage many of them. You should attend all of your pre-natal medical appointments and get prompt care from your doctor as needed, particularly if you experience symptoms of preeclampsia. Additionally, maintaining a healthy weight through a balanced, moderate diet and regular exercise can help to control your blood pressure.

If you have been diagnosed with eclampsia, your doctor may suggest inducing labor if the fetus is at 37 weeks gestation or more, as this is the most effective means of treating the condition and protecting the health of yourself and your baby. During pregnancy, you may also be prescribed medication to prevent seizures, lower blood pressure, and strengthen the fetus’ lungs.

You can receive treatment for eclampsia at Jamaica Hospital Medical Center’s Women’s Health Center. To schedule an appointment, please call (718) 291-3276. If you are experiencing a medical emergency, please dial 911 immediately.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Should You Speak to a Genetic Counselor Before Getting Pregnant?

Choosing to start a family can be a complex decision for many. You need to balance your desire to have a baby with an assortment of real-life concerns about raising one. For some, a real concern is the risk of passing on a genetic disorder to their child. If this is an issue for you, a genetic counselor can be helpful.

Genetic or “hereditary” conditions are diseases that run in families. If you or your partner has a parent or grandparent with one of these types of conditions, there is an increased chance that your baby is predisposed to developing it as well. 

couple meets with a genetic counselor at Jamaica Hospital

Genetic counselors are specialists that can help you understand the causes of genetic conditions, what types of screenings and diagnostic tests are available to you, and what your chances are of having a baby with a genetic condition. In addition, genetic counselors can help potential parents deal with how genetic conditions can affect your family emotionally.

Genetic counselors can help determine the likelihood of your baby developing a wide range of conditions, including:

  • Single gene disorders, such as cystic fibrosis, sickle-cell anemia, Tay-Sachs disease or hemophilia
  • Chromosomal abnormalities that can lead to conditions such as Down syndrome
  • Complex disorders such as heart defects, spina bifida, or cleft palate which can be caused by a combination of genetic predispositions and environmental factors

There are multiple factors that can increase a person’s risk of passing along a genetic disorder, including:

  • A family history of a genetic disorder
  • A prior child with a genetic disorder
  • One parent with a chromosomal abnormality
  • Advanced maternal age (35 or older)
  • Advanced paternal age (40 or older)
  • Multiple miscarriages or prior stillbirth

To help prepare for your appointment, a genetic counselor may ask you to collect the medical histories of you and your partner’s parents, grandparents, aunts, uncles, and siblings, including a history of birth defects in your family. You may also be asked to provide a history of all other known medical conditions in your family, the age at which your family members were diagnosed and of any deaths resulting from these conditions.

If you are planning a pregnancy a genetic counselor can help you assess your risk-factors, review testing options, provide education and resources, and help you make informed decisions.

To make an appointment with a genetic counselor at Jamaica Hospital’s Women’s Health Center, please call 718-291-3276.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Age and Conception

Getting Pregnant, Ob/ Gyn, Gynecologist Age is a factor that affects a woman’s chances of conceiving.  Women become less fertile as they grow older because they have fewer eggs.  The quality of a woman’s eggs also declines with age.

According to the American College of Obstetricians and Gynecologists (ACOG), fertility in women can begin to decrease at the age of 32 and they can become more at risk of developing complications after the age of 35.

Although becoming pregnant after the age of 35 may have its challenges, there are things a woman can do to help increase her chances of having a baby including:

  • Receiving preconception care from her gynecologist
  • Eating a healthy diet
  • Losing weight if overweight or obese
  • Avoiding chemicals or substances in the home or workplace that can be harmful to pregnancy
  • Avoiding smoking and drinking alcohol
  • Taking supplements that contain folic acid
  • Exercising regularly

If you are over the age of 35, you should not be discouraged from trying to conceive. Advancements in gynecological care and fertility treatments are making it possible for many women to have a baby after that age.   However, it is important that you speak with your doctor about your risks and challenges you may encounter.

To schedule an appointment with an Ob/Gyn at Jamaica Hospital Medical Center, please call  718-206-6808.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Shingles and Pregnant Women

Almost 1 out of every 3 people in the United States will develop shingles. Shingles is the term used for a skin rash that is caused by the herpes-zoster (varicella) virus, the same virus that causes chickenpox. In some cases it can reactivate and cause shingles. Anyone who has had chickenpox may develop shingles, including pregnant women and even children.

As a new or expecting mother there are a lot of concerns for staying as healthy as you can for you and your baby during pregnancy. Although you can’t give anybody shingles, you can pass the virus on as chickenpox. Whereas shingles is harmless in pregnancy, chickenpox can cause problems for an unborn baby. For this reason, stay away from other pregnant women while you have shingles.

If you are pregnant or trying to get pregnant:

  • First, get a blood test to find out if you’re immune to chickenpox. If you’re not immune, you can get a vaccine. It’s best to wait 1 month after the vaccine before getting pregnant.
  • If you’re already pregnant, don’t get the vaccine until after you give birth. In the meantime, avoid contact with anyone who has chickenpox or shingles.
  • If you’re not immune to chickenpox and you come into contact with someone who has it, tell your doctor right away. Your doctor can treat you with medicine that has chickenpox antibodies.
  • Tell your doctor if you come in contact with a person who has shingles. Your doctor may want to treat you with an antiviral medication. Antiviral medication will shorten the length of time that the symptoms will be present.

There isn’t a cure for shingles but a physician will usually prescribe medications to make the symptoms less intense. If you have questions about shingles send them to

To learn more about prenatal treatments please call the Women’s Health Center at Jamaica Hospital Medical Center at 718-291-3276.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Birth Defect Prevention

Every four minutes, a baby is born with a major birth defect in the United States. Babies born with birth defects have a greater chance of illness and long term disability than babies without birth defects. They are a leading cause of death among infants, accounting for about 20% of mortality in the first year of life. To raise awareness about the impact of birth defects and the steps taken to prevent them, January is National Birth Defect Prevention Month. Although every birth defect cannot be prevented, there are things a woman can do to prepare for a healthy pregnancy, such as:

  • Maintain a healthy diet by eating well balanced and nutritional meals. Consult with your doctor about taking a multivitamin to gain more nutrients for mother and baby.
  • Avoid consuming harmful toxins that lead to birth defects, including alcohol, tobacco, illicit drugs, and caffeine.
  • Obtain genetic counseling and birth defect screening, particularly if you have any family history of birth defects.
  • Stay active and get fit. The babies of overweight women have an increased risk of birth defects.
  • Treating long-term conditions such as diabetes are the keys to a healthy lifestyle before and during pregnancy.

Men are also encouraged to make lifestyle changes when planning ahead for pregnancy with their partner. As some birth defects are genetic, it is important that men participate fully in any family medical history research that takes place.

Steady communication with your doctor is very important to assist with planning ahead. All medications should be discussed with a doctor prior to being taken, including prescription medication, over-the-counter medication and dietary and herbal supplements.

Pregnancy is an exciting time, but it also can be stressful. Knowing that you are doing all that you can to get ready for pregnancy, staying healthy during pregnancy, and giving your baby a healthy start in life will help you to have peace of mind.

If you are an expecting mother in need of a physician, the Women’s Health Center at Jamaica Hospital Medical Center is open six days a week. Appointments are necessary to see a physician and can be made by calling 718-291-3276.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Birth Defect Prevention Month

January is Birth Defects Prevention Month. Among the most common birth defects is cleft lip. Cleft lip is a birth defect that occurs when a baby’s lip or mouth does not form properly in the womb. Collectively, these birth defects commonly are called “orofacial clefts”.

The lip forms between the fourth and seventh weeks of pregnancy. A cleft lip develops if the lip tissue does not join completely before birth, resulting in an opening of the upper lip. The opening in the lip varies in size from a small slit or a large opening that goes through the lip into the nose.

The causes of orofacial clefts among most infants are unknown. However, they are thought to be caused by a combination of genetics or other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy. Recently the Center for Disease Control reported findings from research studies about risk factors that increase the chance of infant orofacial cleft:

  • Smoking―Women who smoke during pregnancy are more likely to have a baby with an orofacial cleft than women who do not smoke
  • Diabetes―Women with diabetes diagnosed before pregnancy have an increased risk of having a child with a cleft lip with or without cleft palate, compared to women who did not have diabetes
  • Use of certain medicines―Women who used certain medicines to treat epilepsy during the first trimester (the first 3 months) of pregnancy are at greater risk

Orofacial clefts, especially cleft lip with or without cleft palate, can be diagnosed during pregnancy during a routine ultrasound. Services and treatment for children with orofacial clefts can vary depending on:

  • The severity of the cleft
  • The child’s age and needs
  • The presence of associated syndromes
  • Other birth defects

Surgery to repair a cleft lip usually occurs in the first few months of life and is recommended within the first 12 months of life. Children born with orofacial clefts might need other types of treatments and services, such as special dental or orthodontic care or speech therapy.

If you are an expecting mother in need of a doctor, Jamaica Hospital Medical Center’s Obstetrical Division practices family-centered care. The obstetrical unit is furnished with state-of-the-art equipment, including high tech monitors and sonographic equipment. For more information or to schedule an appointment, please call 718-206-6808.

For more hospital events, highlights, health and  fitness tips, visit us on  and follow us on Twitter 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Can Lifestyle Choices Affect Infertility

Did you know that infertility affects 10-15% of couples in the United States.  Although it is commonly assumed that this condition occurs only in women; it affects both genders.

Infertility is usually diagnosed after a couple has tried to conceive for over one year without success.  In women this problem can be the result of several problems such as ovulation disorders, pelvic inflammatory disease, blocked Fallopian tubes or uterine fibroids.  Factors that can cause infertility in men may include oligospermia (very few sperm cells are produced) or azoospermia (no sperm cells are produced).

There are also lifestyle practices that can increase the risk of infertility. Smoking, consuming too much alcohol, mental stress and poor diet are all known to affect fertility.

Excess stress can affect the function of the hypothalamus gland; which regulates the hormones that tells the ovaries to release eggs.  Recent studies have also indicated that women experiencing greater amounts of stress were more likely to produce high levels of alpha-amylase and had a more difficult time getting pregnant.

The toxins inhaled from cigarette smoke can affect fertility by causing damage to reproductive organs, eggs and sperm.  Heavy and prolonged alcohol consumption can also cause imbalances in the hormones of the reproductive systems of women and can also damage sperm in men.

Adopting a healthy diet that includes foods known to improve reproductive health and boost fertility can increase the chances of healthy ovulation. Dietitians often recommend eating organic foods and cold water fish such as salmon, increasing the intake of whole grains and drinking freshly squeezed fruit juices to couples who are trying to conceive.

If you have been trying to conceive for at least one year without success, it is possible that your lifestyle could be a contributing factor. It is recommended that you consult an Ob/Gyn to explore the possible causes of your infertility.

To learn more about infertility and treatments please call the Women’s Health Center at Jamaica Hospital Medical Center at 718-291-3276.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Sickle Cell Awareness for Expecting Mothers

 September is National Sickle Cell Awareness Month. Sickle cell disease (also called SCD) is a condition in which the red blood cells in your body are shaped like a sickle (like the letter C). This can result in interruption of blood flow, and prevent oxygen from reaching tissue and organs. When this occurs, painful events can occur with an associated risk of muscle, bone and organ damage.

A careful history should be taken from all pregnant women seeking to identify risk factors for genetic disorders. A simple blood test either before conception or during pregnancy can determine whether either parent carries a sickle cell trait. During pregnancy, SCD poses problems to both mother and fetus.

With regular prenatal care, most women with SCD can have a healthy pregnancy. However, if you have SCD, you’re more likely than other women to have health complications that can affect your pregnancy. These complications include pain episodes, infection and vision problems. During pregnancy, SCD may become more severe, and pain episodes may happen more often. Pain episodes usually happen in the organs and joints. They can last a few hours to a few days, but some last for weeks.

As a pregnant woman with sickle cell disease certain risk factors may increase:

  • Miscarriage
  • Premature birth
  • Having a baby with low birth weight (less than 5 pounds, 8 ounces)

If you have SCD and you’re pregnant or planning to get pregnant, talk to your health care provider about the medicines you are taking. Your provider may change your medicine to one that is safe for your baby during pregnancy.

For more hospital events, highlights, health and  fitness tips, visit us on  and follow us on Twitter 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.