Care OutLoud

In this deeply human and heartfelt episode, Mary sits down with clinical psychologist and NICU parent Frankie Harrison, founder of Miracle Moon, a global online support community for families navigating life after neonatal care. Frankie shares her powerful personal journey—from a traumatic pregnancy marked by preeclampsia, to a six-week NICU stay, to the emotional aftermath that reshaped not only her identity as a parent, but her entire professional path.Together, Mary and Frankie explore:What it means to experience trauma before, during, and after the NICUWhy so many parents don’t realize they’re experiencing trauma until long after dischargeHow anxiety, hypervigilance, dissociation, and grief often hide beneath the surfaceThe cultural and clinical barriers that make parents feel unseen, dismissed, or “palmed off”The healing power of community, validation, and meaningful attunementThe critical need for clinician training, nervous-system literacy, and emotionally attuned careWhy support shouldn’t end at NICU discharge—and what true post-NICU “rehab” might look likeFrankie also shares the evolution of Miracle Moon—from an Instagram page to a global community providing trauma-informed resources, peer support, and evidence-based guidance for the long arc of healing that follows neonatal care.This conversation is a profound reminder that trauma-informed developmental care is not only for babies—it’s for parents, clinicians, and entire systems. And that healing happens in connection.NICU trauma as both a psychological and physiological experienceDissociation, survival mode, and why parents often can’t “take things in” while hospitalizedThe overlooked emotional labor of cliniciansShame reduction through validation and shared experienceThe need for rupture-and-repair in healthcare relationshipsWhy birthdays, transitions, and milestones often retrigger traumaStrategies for rehumanizing clinical spacesHow community care can become a lifelineFrankie Harrison, CPsychol, is a UK-based clinical psychologist and founder of Miracle Moon, a groundbreaking online community providing trauma-informed support for NICU families worldwide. After her own traumatic pregnancy and NICU journey, Frankie transformed her career to focus exclusively on neonatal trauma, parent mental health, and nervous system healing.Miracle Moon offers resources, videos, community spaces, and evidence-based guidance for families navigating life during and long after the NICU.Important Links:Miracle Moon: https://www.miraclemoon.co.uk⁠Follow Frankie on Instagram: @miraclemoonuk  Podcast: https://www.miraclemoon.co.uk/podcast LinkedInLearn more about Trauma-Informed Developmental CareIf this episode resonates with you, please share it with a NICU parent, clinician, or advocate who could use the validation and support. And don’t forget to rate and review the podcast—it helps amplify trauma-informed conversations that change lives.

In this deeply moving episode of Care OUTLOUD, Mary sits down with Gigi Khonyongwa-Fernandez—author of From Rollercoasters to Carousels—for a heartfelt exploration of trauma, healing, and the transformative power of human connection.Gigi shares her journey through profound loss, her time in the NICU as a parent, and how those experiences inspired her to write a book that offers both solace and guidance for families and clinicians alike. Together, Mary and Gigi unpack what it means to “care out loud” in the face of suffering—to bring compassion and humanity into systems too often driven by data and efficiency.This conversation is an invitation to slow down, to listen deeply, and to remember that healing is not linear—it’s a lifelong dance between grief and grace, between breaking and becoming.Highlights include:The emotional realities of NICU life and how trauma manifests in silence.The invisible load families—and clinicians—carry long after discharge.How biases and systemic inequities shape the caregiving experience.The intersection of compassion, presence, and advocacy in trauma-informed care.Gigi’s insight that “compassion first, wisdom second” opens the door to true healing.About Gigi:Gigi Khonyongwa-Fernandez is an occupational therapist, leadership and organizational wellness coach, and the author of From Rollercoasters to Carousels: A Journey Through the Emotions of the NICU and Beyond. Her work centers on emotional wellness, equity, and the universal experience of healing.Resources Mentioned:From Rollercoasters to Carousels (available wherever books are sold)Gigi’s website: https://familiesblossoming.com/Listen wherever you get your podcasts, and don’t forget to subscribe, share, and leave a review.

We’ve been told the age of frontiers is over. The land has been mapped, the oceans charted, the digital frontier coded into our lives. But what if the greatest frontier has been here all along—not out there in unexplored territory, but in us?In this first episode of Frontiers of Humanity, Mary Coughlin invites you to consider a radical shift: that the next great frontier isn’t about conquest, invention, or expansion. It’s about courage, presence, and rehumanization.Mary reflects on the history of frontiers as spaces of extraction and conquest, and contrasts that with a new possibility: a frontier rooted in care, belonging, and collective flourishing.What you’ll hear in this episode:Why the old frontier model—expansion at all costs—is no longer sustainableHow the real work of progress is expanding what it means to be human togetherWhy care, belonging, and justice are not side issues but frontiers in their own rightAn invitation to reflect on your own role in crossing the frontier of humanityCheck out her blog post on this topic HEREReflection Prompt:Where do you see the frontier of humanity opening in your own life or work?Subscribe & Share:If this episode stirred something in you, share it with someone who’s also searching for a new way forward. And stay tuned for future episodes where we’ll explore the frontiers of care, belonging, healing, and democracy.

In this powerful episode of Care OutLoud, Mary sits down with Professor Dieter Wolke, a pioneering developmental psychologist whose research has shaped our understanding of prematurity and its lifelong impact.Professor Wolke reflects on his early work in the 1980s, when he challenged the medical community to consider the NICU environment not just as a site of survival, but as a place where sound, light, and human connection profoundly shape infants’ futures. From there, he shares insights drawn from decades of longitudinal studies—including the Bavarian Longitudinal Study, now following participants into their late 30s.Together, Mary and Professor Wolke explore:The origins of developmental care in the NICU and why environment matters.The concept of a “preterm phenotype”—hidden vulnerabilities that may not show up in standard follow-up, but shape social integration and well-being.How parental trauma and overprotection can echo across a child’s life.Why prematurity is not destiny—and how parenting, school support, and peer relationships can alter life trajectories.The urgent need for extended follow-up, case management, and societal investment beyond NICU discharge.This conversation is both grounding and inspiring—a reminder that small moments of care, advocacy, and support can change life courses.Interesting Links:Barda et al. (2025). The impact of socio-environmental factors on brain structure over the early life course of preterm-born individuals - A systematic review Stegmann-Woessner et al. (2025). Forever premature: Adults born preterm and their life challenges Wolke et al. (2019). The Life Course Consequences of Very Preterm Birth

CARE OUTLOUD: The Heart of It All – Final EpisodeThis final episode is both a love letter and a challenge—to see ourselves as healers, citizens, and co-creators of the future.Mary reflects on the REIMAGINE vision, The People’s Declaration, and what it means to leave a legacy of care and courage.Because we are the ancestors of tomorrow—and the future is being written now.Want to go deeper?If this series has stirred something in you, consider becoming a Trauma-Informed Professional (TIP).TIP 2.0 is a transformative certification program that weaves science, soul, and skill to help you lead change—at the bedside, in your community, and in the world.Learn more or enroll HEREDownload the reflection guide

CARE OUTLOUD: The Heart of It All – Solo Series with Mary CoughlinLanguage shapes more than just conversations—it shapes culture, care, and possibility.In this solo reflection, Mary explores how the words we choose—chart notes, labels, policies, and even the casual phrases we speak—can either create connection or perpetuate harm.This episode invites you to pause and consider: What story are we telling with our language? And what story do we want to tell?🎧 Episode 5: Language Is Care - REFLECTION GUIDEWant to go deeper?If today’s episode stirred something in you—about how you write, speak, or lead—it might be time to explore what it means to become a Trauma-Informed Professional (TIP).The TIP 2.0 Certification program weaves science, soul, and skill into a transformative journey for clinicians, educators, and change-makers ready to lead healing through language, presence, and action. Learn more or enroll at → ⁠https://www.caringessentials.net/tip-certificate-program⁠#BecomeATIP #TraumaInformedLeadership #HealingIsResistance

CARE OUTLOUD: The Heart of It All – Solo Series with Mary CoughlinWhen we talk about trauma-informed care, we must also talk about belonging.In this solo reflection, Mary explores how premature babies—and so many of us—are born into systems that were never built for us. The wound of exclusion runs deep, but healing begins with remembering: you were never meant to earn your place here. You already belong.This episode weaves stories from the NICU with generational patterns of disconnection, introduces the FACES–SPACES–PLACES framework by Lisa Cherry, and offers a gentle, powerful invitation to reclaim and redesign spaces of belonging—from the bedside to the ballot box.🎧 Listen in for soul-tending truth and one bold call to action.AffirmationI do not have to shrink to fit in.I belong in the fullness of who I am—and I can create space for others to belong, too.Call to Action:Make space. Amplify a voice that’s been left out. Say, “You belong.”Access the reflection guide: HERELearn more about trauma-informed belonging: HERE

This episode is for the caregivers—the ones who show up with open hearts and weary bones.I invite you into the paradox of caregiving: how the very thing that fuels your purpose can also deplete your reserves. And how honoring your tenderness isn’t weakness—it’s wisdom.You’ll explore what it means to set boundaries without guilt, why emotional fatigue is not failure, and how the Tender Edge of care is actually where healing begins.A balm and a challenge for anyone carrying the weight of the world.Call to Action:Before you step in, step back. Let your body lead.DOWNLOAD The Reflection Guide HEREWant to go deeper?If today’s episode stirred something in you—a remembering, a reckoning, a call—you might be ready to become a Trauma-Informed Professional.The TIP Certification program weaves science, soul, and skillinto a transformative journey for clinicians, educators, and changemakerswho are ready to lead healing—from the bedside to the boardroom.Learn more or enroll at: [TIP 2.0 Program Link]#BecomeATIP #TraumaInformedLeadership #HealingInAction #TIP2Point0

Neutrality may feel like safety—but in trauma-shaped systems, it often reinforces the very harm we say we want to heal.In this solo episode, Mary Coughlin unpacks the myth of neutrality in clinical care, professional culture, and civic life. Drawing from decades of trauma-informed practice and recent personal truths, she explores how care disrupts systems built on disconnection—and why presence can never be passive.This episode is an invitation to speak one truth you’ve been holding.In a whisper or a roar—but speak it.In this episode, Mary reflects on:Why trauma-informed care is never truly apoliticalHow systems reward silence, and what it costs usThe illusion of neutrality in healthcare and beyondHow care becomes an act of disruptionThe politics of presence—and the quiet courage of speaking truth🎧 LISTEN + SHARE📝 Download the Free Reflection Guide🔗 Stay connected:Website: https://caringessentials.net/Newsletter: Monday Musings & NewsInstagram: @caring.essentials #CareOutLoud #TheHeartOfItAll

In this inaugural episode of Care OUTLOUD's The Heart of It All solo series, Mary Coughlin explores the profound connection between trauma and healing, science and soul, care and courage. Mary challenges the notion that love is merely sentimental, emphasizing its role as a first medicine and a powerful agent against trauma. She argues that real love involves presence, protection, and relational regulation and is an act of defiance against systems that do not reward love. The episode calls listeners to reflect on their understanding and practice of love and to take actionable steps to embody it in their everyday lives. 00:00 Introduction to Care Out Loud00:30 The Biology of Love00:47 Love in the NICU01:44 Challenges in Systems02:12 The Power of Love03:42 Call to Action04:30 Conclusion and Next StepsLinks and ResourcesWEBSITEReflection GuideTranscript

What happens when the person expected to be the protector is left out of the story entirely?In this heart-opening episode of Care Out Loud, Mary sits down with Alex Zavala, founder of The NICU Dad, to spotlight the overlooked yet vital experience of fathers navigating the NICU. From the trauma of separation and silence to the transformative power of peer support and advocacy, Alex shares his personal journey from NICU parent to national changemaker — and invites us to reimagine how we care.Together, Mary and Alex unravel:The hidden trauma and mental health toll NICU dads carryWhy ignoring fathers isn’t benign — it’s a systemic failure with long-term consequencesWhat true family-centered care looks like when we actually include dadsHow stereotypes about masculinity, emotion, and resilience get in the way of healingPractical strategies for clinicians to support fathers meaningfully and intentionallyAlex doesn’t just name the problem — he’s living the solution. This conversation is a must-listen for anyone working in perinatal or neonatal care, and for every human who believes we can do better by families, starting with the quietest voices in the room.Because when we say family-centered, we have to mean every member of the family.00:00 Introduction to Today's Guest: Alex Zavala00:34 Alex Zavala's NICU Journey Begins01:54 Founding NICU Dad: The Inspiration and Growth03:43 Challenges and Realizations as a NICU Dad05:02 The Role of Dads in the NICU: Personal Experiences07:54 The Importance of Support and Community09:36 Clinician and Dad Dynamics in the NICU12:33 Advocating for Dads: Changing the System20:04 Men's Mental Health and the Future of NICU Dad25:17 Honoring Individual Experiences in Health Care26:21 The NICU Journey: From Hospital to Home28:14 Supporting NICU Dads: Tips and Strategies29:43 The Importance of Physical and Spiritual Health31:59 Addressing the Unique Needs of NICU Dads39:54 The Impact of COVID-19 on NICU Dads43:58 Caring Out Loud: Advocating for NICU Dads48:09 Conclusion: The Future of Trauma-Informed CareConnect with Alex:Website: thenicudad.comInstagram: @thenicudadCall to ActionAfter listening, take one bold step:Ask yourself — Who am I not seeing in the care I give?Clinicians: Bring this episode into your next team huddle.Families: Share this with a NICU dad in your life.

In this heart-opening episode of Care OutLoud, host Mary Coughlin sits down with Mary Jenner—pediatric nurse turned visionary entrepreneur and founder of The Butterfly Pig. What began as a creative spark to help children understand their medical care has evolved into a trauma-informed movement transforming pediatric healthcare through play.Mary shares the moving origin story behind The Butterfly Pig, how medically accurate toys like G-tubes, infusion pumps, and EKGs are helping kids feel safe, seen, and empowered in clinical settings, and why play is not just therapeutic—it’s essential.You’ll hear about:The moment a teddy bear IV sparked a transformation in patient trustThe neuroscience and emotional safety behind play-based educationHow integrating toys into care routines reduces fear and fosters agencyThe vital role of respect, belonging, and connection in trauma-informed pediatric careWhy parents and clinicians alike need to feel empowered—and how toys can helpThis episode is a call to rehumanize care for children and to embrace the creative, curious, and compassionate strategies that support healing on every level.Whether you’re a clinician, parent, educator, or just someone who believes in the power of kindness, this conversation will remind you that even the smallest gestures—like a toy with a feeding tube—can have profound impact.🔗 Resources Mentioned:Learn more about The Butterfly Pig: https://thebutterflypig.com/ Purchase The Butterfly Pig children's book: https://thebutterflypig.com/product/the-butterfly-pig-new-childrens-book/Digital Resources: CareCloud.TheButterflyPig.comConnect with Mary Jenner on Socials (Instagram, Facebook and TikTok): @thebutterflypig

Episode Summary:In this profoundly moving episode, Mary Coughlin sits down with Dr. Emma Jones — palliative care physician, mother, teacher, and author of The Phoenix Blueprint — to explore the raw truths behind burnout, healing, and reclaiming wholeness. Together, they unpack what it means to hit bottom not in a single moment, but over years of self-sacrifice, disintegration, and depletion. Emma shares her personal journey from collapse to renewal, her reflections on the myths of “self-care” and “compassion fatigue,” and the radical reimagining required to transform both healthcare systems and ourselves.This episode is a heart-centered call to stop hiding behind perfection, to embrace the messy fullness of our humanity, and to care out loud — in public, in connection, and in sacred witness to ourselves and each other.What You’ll Hear in This Episode:Emma’s unflinching account of crashing under the weight of burnoutThe false promises of surface-level “self-care” and why true care begins with receivingHow high-achieving healthcare workers mask their wounds until collapseA reframing of compassion, empathy, and the language we use to describe exhaustionInsights on why trauma-informed care must start with self-integrationA candid look at writing The Phoenix Blueprint as part of the healing journeyWhy thriving healthcare systems require thriving healthcare humansGentle wisdom for anyone who feels they are burning and sees no way outEmma’s Whisper to Every Listener:“You are whole — and wholeness isn’t the absence of suffering. It’s being seen, heard, and honored as a whole person, not a problem to be solved.”Resources Mentioned:– Dr. Emma Jones’ book The Phoenix Blueprint– Website: emmajonesmd.com– Find her book wherever books are soldWork With Emma:Emma is currently offering flexible 1:1 sessions through summer and fall — an open invitation for anyone ready to explore their own path toward renewal.Connect + Reflect:What part of Emma’s story resonates with your own journey? Share your reflections with us on social media using #CareOutLoud or leave a review to let others know how this episode touched you.Join the Movement:Subscribe to CARE OUTLOUD to keep listening, reflecting, and learning how caring out loud changes lives — including your own.

In this final episode (for now), Mary Coughlin explores the profound importance of 'holding' as a central act of care and connection. She discusses the journey from the womb to the incubator, highlighting the need for emotional and spiritual nurturing in NICUs and beyond. The episode touches on themes of justice, belonging, and resilience, emphasizing that true healing and growth begin with the ability to hold space for oneself and others. Coughlin calls for a cultural shift towards presence and tenderness, inviting listeners to honorthe messiness of becoming and the transformative power of simply being there for one another.00:00 Introduction: The Journey of Holding00:39 The Sacred Act of Holding01:12 The NICU: A Mechanical Cocoon02:08 The Power of Being Held03:54 A Blessing for You05:02 Conclusion: The Revolution of Holding

In this episode of 'Womb to World,' Mary Coughlin challenges the typical narrative of trauma recovery, emphasizing that not everyone rises from adversity and that survival itself is courageous and holy. She explores the often-overlooked aftermath of trauma, highlighting the quiet ache and unfinished healing that many experience. By advocating for grace instead of growth, she redefines post-traumatic growth to include small victories and sacred rebellions. Coughlin calls for the recognition of the enduring impacts of trauma and encourages listeners to honor their slow, uneven journey towards healing without the pressure to justify their pace or transform pain into meaning. This heartfelt episode invites reflection on how we view trauma, healing, and the true nature of survival.Quote to Remember:“You don’t have to be a phoenix. Just breathing is a form of becoming.”Reflection Invitation:💭 What stories are you carrying that haven’t had space to be honored?💭 Who told you that you needed to be stronger, sooner?This episode makes space for the slow, honest work of living after survival. Because healing isn’t always about transformation—it’s about tenderness.00:00 Introduction: The Myth ofRising from Trauma00:42 Acknowledging the Aftermath01:07 The Reality of Survival01:34 The Hidden Scars of Trauma02:07 Redefining Post-TraumaticGrowth02:31 The Lingering Effects ofNICU02:51 Small Victories and SacredRebellions03:46 The Path to True Healing04:46 Embracing the Slow HealingProcess05:50 Conclusion: Honoring theAftermath

We love to celebrate resilience.We praise babies as “fighters,” parents as “strong,” and clinicians as “heroes.”But beneath those shiny words often lies a deeper truth:Resilience is not proof that no harm was done. It’s proof that someone survived.In this episode of Womb to World, Mary Coughlin invites listeners to unpack what resilience really means—especially in the NICU. From the tiny bodies enduring separation and procedures to the clinicians holding space without always being held themselves, this conversation explores the unseen cost of surviving systems that weren’t designed for healing.What if we stopped romanticizing survival?What if we started designing care that made thriving the baseline—not the exception?In this episode, we explore:Why resilience without relationship is just enduranceHow trauma lives in the nervous system—even when outcomes look “good” on paperThe myth of the “strong baby” and the “grateful parent”How trauma-informed developmental care rewrites the story of survivalWhat it means to create spaces of co-regulation, not just crisis responseKey Quote:“Resilience isn’t about bouncing back. It’s about being held in the first place.”Reflection Prompt:Think of someone you’ve called resilient.Were you celebrating their strength—or overlooking their suffering?If this episode speaks to you, please share it with a colleague, a parent, or a fellow caregiver.Tag it. Talk about it. Reflect on it.Because healing begins when we stop calling survival the goal—and start making space for something more.

Summary:In this soul-stirring second episode of Womb to World, Mary Coughlin explores what it means to hold constitutional rights in the earliest moments of life. From the incubator to the delivery room, from presence to policy, this episode challenges us to reimagine justice, dignity, and voice—not as abstract ideals, but as birthrights. Through a trauma-informed, developmental care lens, Mary draws parallels between the NICU and the civic systems we all live within, asking: When do rights begin? And who gets to decide?In This Episode:The NICU as a reflection of societal justice and injusticeThe 9th and 14th Amendments through the lens of infant rightsHow trauma-informed developmental care restores voice, dignity, and belongingWhy presence is political—and powerfulA call to embody justice in every moment of careQuote to Remember:“We don’t just hold babies. We hold the future.”Reflection Invitation:What rights do you believe every baby is born with?How does your presence honor—or unintentionally withhold—those rights?Mentioned Concepts:The U.S. Constitution and the Ninth & Fourteenth AmendmentsDevelopmental care and trauma-informed practice in the NICUThe concept of the incubator as a civic spaceImplicit bias and disparities in parental inclusionJustice as an act of careSubscribe & Share:If this episode moved you, please share it with a colleague, your team, or someone who cares deeply about justice in healthcare. And don’t forget to subscribe to Womb to World wherever you get your podcasts.

What does a U.S.-funded foreign prison have to do with your work in the NICU?In this solo Care OUTLOUD reflection, Mary walks with us—literally and metaphorically—through the story of the CECOT prison in El Salvador, exploring how systems of harm are mirrored in the ways we care (or fail to care) for families here at home.This isn’t about politics.This is about presence.About remembering that trauma-informed developmental care is not just a clinical model—it’s a form of cultural resistance.If you’ve ever wondered whether your care makes a difference in the midst of all this chaos, this episode is for you.✨ Reflection Prompt:What’s one small moment today where I can flip the script—where I can bring more dignity, humanity, or softness into my practice?Mentioned:– The CECOT prison story– Trauma-informed developmental care → https://www.caringessentials.net/tip-certificate-program– The People’s Declaration → https://www.caringessentials.net/peoples-declaration– The REIMAGINE Movement → https://www.caringessentials.net/we-the-future

What does it mean to really care out loud? In this specialextended episode, I sit down with the incomparable Mia Malcolm—NICU parent, fierce advocate, and truth-teller. Mia shares her family's 268-day NICU journey, the generational trauma that shaped her perspective, and what healthcareproviders must understand if we ever hope to show up with true compassion, equity, and humility.We talk about systemic racism in medicine, trauma-informed care (and its absence), why being uncomfortable is part of the work, and the one moment of humanity that changed everything. This is more than a podcast—it’s a call toremember who we are, why we’re here, and who’s still drowning in a system that says “care” but often doesn’t show it.⚠️ Warning: This episode contains powerful emotional content and references to medical trauma, racism, and loss.Important Links:Mia's LinkedIn ProfileWatson L. & Malcolm M. (2021). Racism as a Preventable Harm. Nursing Administration Quarterly. 45(4), 302-310. doi: 10.1097/NAQ.0000000000000495. Racism and Quality of Neonatal Intensive Care: Voices of Black MothersWitt, R.E., Malcolm, M., Colvin, B.N., Gill, M.R., et al. (2022). Racism and Quality of Neonatal Intensive Care: Voices of Black Mothers. Pediatrics. 150 (3), e2022056971. 10.1542/peds.2022-056971.

In this episode, Mary sits down with Jennifer Bernardo, a mother of twins born at 26 weeks gestation, who shares her challenging and inspirational journey through the neonatal intensive care unit (NICU). Jennifer discusses the unexpected birth, the four-and-a-half-month NICU stay, and the emotional and physical challenges faced by her family. She explains how this experience inspired her to write the book 'Week 26,' detailing their story of hope and perseverance. Jennifer alsoemphasizes the importance of communication between parents and healthcare professionals, highlighting how critical support and understanding are for families in the NICU. The episode concludes with Jennifer's advocacy efforts and her desire to continue inspiring and supporting other families going through similar experiences. 00:00Introduction to Jennifer 00:23Jennifer's NICU Journey02:19Writing as a Healing Process05:03Challenges and Support in the NICU09:50Transitioning Home and Parenting Reflections15:41The Role of Clinicians and Communication33:30 Future Aspirations and AdvocacyLINKS & RESOURCESThe website: https://www.week26.com/A little more about Jennifer: https://www.week26.com/authorWhere you cvan get the book: https://www.week26.com/purchase-week26

In thisepisode, we explore the profound journey of Dr. Natalie Duffy, a neonatologistwhose career began in Glasgow, Scotland, and has since evolved in Melbourne,Australia. Dr. Duffy shares insights from her 14 years of experience,emphasizing the importance of viewing infants as complex, communicative beings.Her work with neonatal care includes a fascinating blend of biomedicalknowledge and the Newborn Behavioral Observation (NBO) system. She discussesher ongoing PhD research, which delves into the emotional and relationalexperiences of babies in neonatal intensive care units (NICU). The conversationexplores themes of trauma, the power of relationships, and the urgent need fora compassionate, relationship-centered approach in neonatal care. This episodecaptures Dr. Duffy’s dedication to transforming how clinicians connect withtheir tiniest patients and their families, advocating for a holistic approachthat honors the lived experiences of infants. 00:00Introduction to Today's Guest: Natalie Duffy00:19Natalie's Journey from Scotland to Australia01:40Discovering the Human Side of Neonatal Care02:31The Newborn Behavioral Observation System03:48Natalie's PhD Journey and Relational Capabilities05:43Understanding the Baby's Experience in NICU11:04Emotional Complexities and Powerful Connections22:23The Importance of Trauma-Informed Care30:59 Reflections and FutureAspirationsLINKS & ResourcesDuffy, N. et al. (2020). The lived experiences of critically ill infants hospitalised in neonatal intensive care: A scoping review. Early Human Development, 151, 105244. doi: 10.1016/j.earlhumdev.2020.105244. Duffy N, Hickey L, Treyvaud K, Delany C. (2024). 360-degree phenomenology: A qualitative approach to exploring the infant experience of hospitalisation in neonatal intensive care. Early Human Development, 190, 105963. doi: 10.1016/j.earlhumdev.2024.105963. 

In thisepisode, Mary welcomes Dr. Zina Yudina, a PhD with a background in biology,chemistry, pharmacology, and translational medicine, currently living inSwitzerland. Dr. Yudina shares her journey from a protein biochemist to aspecialist in human milk, driven by her own experiences of motherhood andrecognizing the underappreciated value of breast milk. She introduces hergroundbreaking invention, BabyLAT—a device designed to concentrate proteins andfats in breast milk, particularly for the nutritional needs of preterm infants.They discuss the challenges of developing and implementing this device, themisconceptions surrounding preterm nutrition, and Dr. Yudina’s vision for thefuture of neonatal care. The conversation emphasizes the importance ofpersonalized, human milk-based nutrition and the broader implications fortrauma-informed care. Dr. Yudina calls for critical reflection from bothclinicians and parents to support this innovative approach to neonatalnutrition. 00:00Introduction to Today's Guest: Zena Edina00:47 Zina'sJourney into Human Milk Research01:44The Vision Behind BabyLAT02:30Challenges and Innovations in Preterm Nutrition04:34The Importance of Protein in Breast Milk06:47Personalization and Emotional Impact10:02Current Status and Future Goals for BabyLAT10:34Technical Details and Clinical Trials31:44Regulatory and Reimbursement Challenges33:57The Bigger Picture: Human Milk vs. Cow Milk38:18 Final Thoughts and Call toActionLINKS LinkedIn Profile BABYLAT Website Youtube video: Babylat: novel device to improve nutrition of preterms

In this episode of the Care OutLoud podcast, host MaryCoughlin explores life after the NICU with Stephanie Woortman, a speech andlanguage pathologist. They delve into the challenges and triumphs of post-NICUlife for babies and their families, emphasizing resilience and the ongoingimpact of trauma. Stephanie shares her approach to fostering communication andfeeding skills, informed by neurodivergent affirming practices, and discussesthe significance of creating supportive, compassionate relationships with herclients. The episode highlights the importance of empowerment, validatingexperiences, and building resilience through connection and care. 00:00 Introduction to the Care Out Loud Podcast00:40 Meet Stephanie Wortmann: Speech and LanguagePathologist02:05 Diving into Resilience Beyond the NICU03:25 Understanding the Impact of NICU Experiences06:12 Building Relationships with Families08:34 Empathy, Compassion, and Clinical Practice11:42 Challenges and Strategies in Speech Pathology21:19 Supporting Families and Bridging Gaps33:09 The Role of Resilience and Empowerment41:37 Conclusion and Reflections on ResilienceWEBSITE:Keira Stone Speech PathologyLinkedIn:https://www.linkedin.com/in/stephspeech/

In this remastered episode from January 2023 of the Care Out Loud podcast, host Mary Coughlin interviews Dr. Livio Provenzi, an assistant professor at the University of Pavia, Italy. They delve into Dr. Provenzi's extensive research in the fields of epigenetics and neuroscience, specifically focusing on the neuropsychobiological aspects of early human development. Dr. Provenzi discusses the impact of early parent-child interactions, especially in conditions like preterm birth and sensory deficits. He highlights the importance of trauma-informed care and the epigenetic consequences of early experiences. The conversation also touches on the concept of hidden talents arising from adversity, the significance of bonding and connectedness in clinical settings, as well as the need for a cultural shift towards more compassionate and holistic care. Dr. Provenzi shares his vision of creating a new care culture, emphasizing the unitariness of human experiences and the importance of collaboration and mutual support in the healthcare field.   00:00 Welcome to Care Out Loud 00:59 Introducing Dr. Livio Provenzi 02:07 Discovering Trauma Informed Care 03:31 The Importance of Early Development 05:06 Epigenetics and Early Human Connections 08:24 Research on Preterm Babies 10:40 The Role of Clinicians and Families 15:58 Bridging the Gap Between Research and Practice 21:19 The Hidden Talents of Adversity 26:51 Changing the Culture of Care 32:56 Final Thoughts and Reflections Livio's Links: List of my scientific publications, from PubMed LinkedIn ResearchGate

In this enlightening conversation, Mary and the distinguished Nicola Doherty PhD from Northern Ireland delve into the profound impact of compassionate relationships in the neonatal intensive care unit (NICU). They discuss the importance of trauma-informed care, the role of parents in the healing process, and the transformative power of small interventions in neonatal care. With scientific insights and touching real-life anecdotes, Nicola illustrates how fostering compassionate connections between healthcare providers, infants, and parents can significantly enhance both short-term and long-term outcomes for families. The discussion emphasizes the necessity of self-care for healthcare professionals and proposes practical strategies for incorporating compassion and connection into clinical practice.   00:00 Introduction to Nicola Doherty 00:11 The Science of Compassionate Relationships 01:30 Modifiable Factors in Infant Care 03:39 Disruptors and Interrupters in Development 07:15 Parental Empowerment in NICU 16:29 Long-term Impact of Family-focused Interventions 23:37 The Power of Relationships and Compassion 34:50 Self-Compassion and Staff Well-being 43:44 Final Thoughts and Reflections RESOURCES 1. Campbell, N., Adair, P., Doherty, N., McCormack, D., & Walsh, A. (2025). A systematic review of clinical practice guidelines for the assessment and management of pain in neonates. Journal of Neonatal Nursing, 31(2), 101603. https://doi.org/10.1016/j.jnn.2024.12.006. [OPEN ACCESS] 2. Doherty. N.N. & McCusker, C.G. (2016) 'The Congenital Heart disease Intervention Program (CHIP) and interventions in infancy' In: Congenital Heart Disease and Neurodevelopment: Understanding and Improving Outcomes. London: Elsevier Academic press. 3. Hollie Rose (August 31, 2021). All those Yesterdays - Hollie-Rose: https://www.youtube.com/watch?v=mi-uUbszGQ0. [MUST VIEW] 3. Long, D.A., Waak, M., Doherty, N.N., & Dow, B.L. (2022). Brain-directed care: why neuroscience principles direct PICU management beyond the ABCs. Children, 9(12), 1938; https://doi.org/10.3390/children9121938. [OPEN ACCESS] 4. McCusker, C.G., Doherty, N.N., Molloy, B., Rooney, N., Mulholland, C., Sands, A., Craig, B., Stewart, M., & Casey, F. (2010). A controlled trial of early interventions to promote maternal adjustment and development in infants born with severe congenital heart disease. Child, 36(1), 110-117. https://doi.org/10.1111/j.1365-2214.2009.01026.x . 5. Sprouts (December 1, 2021). Bronfenbrenner's Ecological Systems: 5 Forces Impacting Our Lives: https://www.youtube.com/watch?v=g6pUQ4EDHeQ. [MUST VIEW] 6. Suarez, C., Adair, P., Doherty, N., & McCormack, D. (2022). Exploring adjustment and parent–infant relations in mothers of premature infants: thematic analysis using a multisensory approach. Journal of Pediatric Psychology, 47(7), 827-839. https://doi.org/10.1093/jpepsy/jsac007. [OPEN ACCESS] 7. Tong, P. & An, I.S. (2024). Review of studies applying Bronfenbrenner's bioecological theory in international and intercultural education research. Frontiers in Psychology, 14, 1233925. doi: 10.3389/fpsyg.2023.1233925. [OPEN ACCESS]

In this episode, we hear from Dr. Sandra Sullivan, a dedicated neonatologist based in Gainesville, Florida. Sandra shares her journey into the field of neonatology, her unique educational background in classics and humanities, and how these experiences shaped her career in medicine. She emphasizes the importance of trauma-informed and developmental care in the NICU, highlighting the need for empathy, active listening, and minimal intervention. Sandra discusses her experiences and transformative moments, such as her exposure to NIDCAP, and the significance of creating a supportive environment for both babies and their families. She also reflects on her current role with Prolacta Bioscience, where she continues to advocate for better care practices and nutrition. By sharing her practical wisdom and heartfelt anecdotes, Sandra inspires healthcare professionals to persist in making a difference, no matter how small the steps may seem.   00:00 Introduction to Today's Guest: Dr. Sandra Sullivan 00:33 Dr. Sullivan's Journey into Neonatology 03:29 Discovering a Passion for Neonatology 09:04 Educational Background and Personal Experiences 12:57 Trauma-Informed Developmental Care 18:20 Challenges and Insights in Neonatology 24:53 New Role at Prolacta Bioscience 25:21 Navigating Hospitals as a Visitor 26:22 The Importance of Signage and Guidance 26:43 NIDCAP Certification and Family Overwhelm 28:01 Preemie for a Day Experience 31:16 Trauma-Informed Care and Nutrition 43:06 Listening and Empathy in Healthcare 47:41 Empowering Change in Healthcare

In this episode, Mary Coughlin speaks with Bobbi Pineda, an expert in infant sensory development and an occupational therapist. Bobbi shares her journey from practicing as a clinician in pediatric settings to becoming a researcher focused on NICU care and the sensory needs of infants. She discusses her personal experiences as a mother of premature babies, which inspired her to delve into research to improve NICU practices. Bobbi highlights the importance of a sensory-rich environment for infants and the development of the SENSE program to guide parents in supporting their babies' development. The episode underscores the significance of humility and openness in advancing NICU care and the profound impact of integrating evidence-based practices in nurturing infant development.   00:00 Introduction to Bobbi Pineda 00:51 Bobbi's Early Career and Personal Journey 02:30 Transition to Research and PhD Journey 05:00 NICU Research and Sensory Development 07:39 The SENSE Program 24:37 Global Impact and Future Directions 26:25 Reflections on Caring Out Loud 33:38 Final Thoughts and Wisdom Bobbi's BIO: Bobbi Pineda is an Associate Professor in the Chan Division of Occupational Science and Occupational Therapy and was a key developer of the SENSE program,  https://chan.usc.edu/nicu/sense, which is now a trademarked intervention to support families in providing daily positive sensory exposures to their infants in the NICU.  The SENSE program is being implemented and studied by more than 500 hospitals across the world, and Dr. Pineda has funding from NIH to further evaluate the role of the SENSE program and the sensory exposures in it on the developing brain. Bobbi Pineda served in NICU OT clinical roles from 1992-2006, where she gained expertise with early therapy to fragile infants. The premature birth of her first child, in addition to her ongoing interest in learning, motivated her to pursue her PhD, which she completed at University of Florida in 2006. She then spent 14 years at Washington University exploring factors that can impact the lives of high-risk infants and families. She joined University of Southern California's faculty in 2020 and continues her research within the NICU Therapy Lab. Her research largely aims to understand modifiable factors within the NICU environment that can improve outcomes. Targets are the early sensory environment, early therapy service delivery, and early oral feeding. She is also author of the Neonatal Eating Outcome Assessment https://chan.usc.edu/nicu/neonatal-eating-outcome-assessment. She has authored more than 70 peer reviewed publications on high risk infants and families in the NICU, and engages in innovation with the development of a new bottle system called the Preemie Pacer in addition to serving as an inaugural member of the Neonatal Therapy National Certification Board. 

In this heartfelt episode, Mary welcomes Morgan Kowalski, whose path to becoming a passionate advocate for Family Centered Care (FCC) was deeply influenced by the premature birth of her son, Thomas. Morgan shares her journey from navigating the NICU as a parent to assuming a pivotal role in the FCC Task Force. Their conversation delves into the impact of personal experiences on patient care, the importance of trauma-informed care, and the transformative power of compassionate, human-to-human interactions in the medical field. Morgan's story is a testament to the significant contributions parents can make in healthcare settings and underscores the profound connections and community that arise from shared experiences.   00:00 Introduction to Today's Guest: Morgan Kowalski 00:42 Morgan's Journey: From Premature Birth to Advocacy 02:14 The Impact of Family Centered Care 03:54 Moments of Compassion in the NICU 07:09 Finding Purpose Through NICU Experiences 11:37 Transition to Family Centered Care Task Force 21:02 Global Outreach and Growth 28:52 The Importance of Trauma Informed Care 39:55 Final Reflections and Wisdom LINKS: FCC Taskforce Mailing List FCC Taskforce Website FCC Taskforce Twitter FCC Taskforce LinkedIn FCC Taskforce YouTube Channel

In this heartfelt episode, Mary interviews Daniela Machado, a neonatal nurse originally from Portugal, now practicing in the UK. Dani shares her incredible journey from adult cardiology nursing to neonatal care, fueled by her personal experience as an intensive care patient. She delves into her passion for developmental and trauma-informed care, discussing her current role in the West Midlands and the challenges and triumphs she's encountered. Danny emphasizes the importance of understanding patient experiences and integrating compassionate care into nursing practices, providing inspiring insights for healthcare professionals.   00:00 Introduction to Danny Machado 00:29 Danny's Journey to Neonatal Nursing 02:20 Personal Health Challenges 04:16 Embracing Trauma-Informed Care 13:08 Role as a Developmental Care Specialist 19:04 Challenges and Future Goals 27:09 Final Thoughts and Wisdom Dani's Poster from the Science & Soul 2024 Conference: https://www.canva.com/design/DAGOT1otmPY/ouN7A0VnlvNd-3krbHts3Q/edit?utm_content=DAGOT1otmPY&utm_campaign=designshare&utm_medium=link2&utm_source=sharebutton  Jones, T. (2019). International Neonatal Nursing Competency Framework. Journal of Neonatal Nursing, 25, 258- 264. https://www.sciencedirect.com/science/article/pii/S1355184119300973?via%3Dihub

In this episode of CARE OUTLOUD, Mary Coughlin welcomes the deeply compassionate and inspiring Melinda Chacon. Melinda shares her journey from working as a CNA with Alzheimer's patients to becoming a dedicated NICU nurse. She reflects on the impact of transparency, vulnerability, and compassionate care—not only for patients but also for her fellow healthcare team members. Melinda opens up about the challenges of working in trauma-rich environments, highlighting the essential role of supportive relationships among families and colleagues. She delves into the principles of trauma-informed care, emphasizing how authenticity and honest communication are key to creating a positive and effective caregiving environment.

In this episode of the Care Out Loud podcast, seasoned nurses Jodi Mullen and Missy Reynolds share their profound experiences and insights from working in pediatric and newborn intensive care units. The conversation covers the implementation of a bereavement support program for families coping with the loss of a child, striking a balance between empathy and professionalism, and the long-term impact of compassionate care. Key topics include the emotional challenges faced by nurses, the significance of holistic and trauma-informed care, and the importance of continuous training, self-care, and team support. The episode underscores the privilege and growth that come from providing end-of-life care, as well as the enduring legacy and ripple effects of role modeling within the nursing community.   00:00 Welcome and Introduction 00:50 Jodi's Journey in Pediatric ICU 02:00 Missy's Path and Pediatric Bereavement 04:28 Establishing the Bereavement Program 09:05 Challenges in Pediatric Nursing 11:24 The Art and Skill of Compassionate Care 20:37 The Lifelong Impact of Grief 24:51 Navigating Trauma and Preserving Dignity 25:55 The Power of Presence in Care 26:15 Practical Strategies for Providers 27:27 The Importance of Compassionate Silence 28:49 Supporting Families Through Hope and Acceptance 30:09 Debriefing and Team Support 33:59 Training and Education for End-of-Life Care 36:56 Wish-Worry Statements: Balancing Hope and Honesty 38:46 The Role of Authentic Relationships 42:16 Caring for Each Other in Healthcare 43:34 Final Thoughts and Wisdom Life Journey Bereavement Program https://news-notes.ufhealth.org/tag/life-journey-bereavement-program/ https://ufhealth.org/specialties/hospice-and-palliative-medicine/bereavement#pediatric-bereavement-services Caring for Pediatric Patients' Families at the Child's End of Life Mullen, J.E., Reynolds, M.R., & Larson, J.S. (2015). Caring for Pediatric Patients' Families at the Child's End of Life, Critical Care Nursing, 35(6), 46-55. Brené Brown on Empathy: https://www.youtube.com/watch?v=1Evwgu369Jw

In this podcast episode, Mary interviews Andrea Hickson, founder of NICU Alumni. Andrea shares her deeply personal story of giving birth to her two daughters, both of whom required NICU stays due to extreme prematurity. Her experiences and the challenges she faced during and after their NICU stays inspired her to create NICU Alumni, an organization designed to support families navigating the post-NICU journey. Andrea discusses the importance of hands-on involvement for parents in the NICU, the practical and strategic resources NICU Alumni offers, and the necessity of addressing trauma and mental health in post-NICU care. She also reflects on the overwhelming challenges and emotional struggles faced by NICU parents and offers insights into providing support and empowerment to these families. 00:00 Introduction to Today's Guest: Andrea Hickson 00:38 Andrea's Journey to Founding NICU Alumni 01:35 Navigating Early Intervention and Support 03:05 The Birth of Andrea's Second Daughter 03:46 Relocating During the Pandemic 05:38 Launching NICU Alumni 06:45 The Importance of Post-NICU Support 15:01 Practical Tools for NICU Families 18:09 Advice for NICU Clinicians 20:32 Empowering Parents in the NICU 27:34 Caring Out Loud: Andrea's Perspective 29:12 Final Thoughts and Wisdom Here are some links as well: https://www.nicualumni.org/https://www.nicualumni.org/podcastIG: https://www.instagram.com/nicu_alumni/

In this episode, we dive into the inspirational journey of Sharon Ragone, founder of the Small Beginnings company. Sharon recounts her unexpected path to entrepreneurship, starting from her early ambitions to become an RN, to her accidental love for NICU care, and eventually inventing essential products for neonatal care. She shares her struggles and triumphs in developing innovative solutions that transformed neonatal care, such as the Bili Bonnet and other supports for fragile infants. Sharon's story is a testament to her dedication to bettering conditions for babies, nurses, and hospitals, and underscores the importance of compassion, empathy, and innovation in nursing.   00:00 Introduction to Today's Guest: Sharon Ragone 00:28 Sharon's Journey to Becoming an RN 00:53 The Early Days in the NICU 01:46 Innovations and First Big Idea 03:23 Building the Business from Scratch 04:53 Challenges and Growth 09:02 Recognition and Achievements 12:43 Nurse Entrepreneurship and Innovation 18:22 Caring Out Loud: The Legacy 22:52 Final Thoughts and Wisdom   Additional Resources: https://www.small-beginnings.com/ https://www.youtube.com/channel/UCf6fA_lrevAXAjzdVpplcIw Calming Cuddler The Nest Set The Wing Sling The Pacee Pacifier  The Cuddle Buns The Bebeonkers The Bebe Chix

In this episode of the Care Out Loud podcast, host Mary Coughlin explores the profound impact of words on our lives and relationships. She discusses how the words we choose, whether spoken out loud or within our inner dialogue, carry significant weight. Words can inspire, comfort, and build bridges, but they can also wound and divide. Mary emphasizes the biological effects of positive and negative words and shares insights into the importance of practicing intentional and compassionate communication. Through personal anecdotes and reflective questions, she encourages listeners to be mindful of their language to foster healing and connection.   00:00 Introduction to the Power of Words 01:53 The Impact of Words on Our Emotions and Brain 02:53 Nonverbal Communication and Intentionality 03:57 Personal Story: The Power of Presence 05:54 Balancing Words and Silence in Sensitive Situations 07:40 Practicing Compassionate Communication 09:21 The Role of Inner Dialogue 11:46 Cultural Sensitivity and Language 13:05 The Healing Power of Words 16:11 Reflective Questions and Conclusion A few links: Why Our Words Matter—And Five Approaches to Intentionally Employing Inclusive, Respectful Language People Matter, Words Matter

In this inspiring podcast episode, we dive deep with Jenna Lammers, a pioneering research clinician with 24 years of experience in pediatric physical therapy. Jenna shares her incredible journey of developing the GiggleFit Therapeutic Play Gym, an innovative solution aimed at improving mobility and bringing joy to children with severe mobility impairments. From her early days in NICU, PICU, and other clinical settings, to founding Boost Therapeutic Innovations, Jenna discusses how she turned feedback from families during the pandemic into a groundbreaking product. Highlights include her success in the 2024 APTA Academy of Leadership and Innovation Shark Tank and a touching story of how the GiggleFit Play Gym is transforming the lives of children and their caregivers. Jenna's narrative is not just about a product but a passionate mission to ensure mobility is a right for all children.   00:00 Introduction to Jenna Lammers: A Game Changer in Pediatric Physical Therapy 01:38 Jenna's Journey: From Clinician to Innovator 02:31 The Birth of GiggleFit Therapeutic Play Gym 02:47 Challenges Faced by Families During the Pandemic 03:41 Creating the Prototype: From Idea to Reality 06:47 Testing the Prototype: Real-World Applications 09:56 Collaborations and Research Studies 12:46 Impact and Future of Therapeutic Play Gym 21:48 Understanding Musculoskeletal Development 23:19 Introduction to TPG and Self-Soothing 24:14 Caregiver Engagement and Hospital Experience 26:56 Hospital to Home Concept 27:48 Winning the PT Shark Tank 28:11 Product Kits and Safety Testing 29:39 Research and Outcome Measures 32:36 Global Statistics and Funding Challenges 38:02 Mobility as a Human Right 41:38 Advice for Innovators and Entrepreneurs 45:26 Final Thoughts and Gratitude LINKS TO LEARN MORE: Jenna's website: www.boosttherapeutic.com Recent talk by Jenna: https://clinical-excellence.heysummit.com/speakers/jenna-lammers SUGGESTED READS: Sabet et al. (2022). ON Time Mobility: Advocating for Mobility Equity. Pediatric Physical Therapy, 34(4), 546-550. doi: 10.1097/PEP.0000000000000939. 2022 Tipping Points Survey 2023 Tipping Points Survey Lammers & Smith (2024). Therapeutic Play Gym: Feasibility of a Caregiver-Mediated Exercise System for NICU Graduates with Neuromuscular Weakness-A Case Series. Pediatric Physical Therapy, 36(1), 105-112. doi: 10.1097/PEP.0000000000001071. Schiff et al. (2022). Financing Care for CYSHCN in the Next Decade: Reducing Burden, Advancing Equity, and Transforming Systems. Pediatrics, 149(Suppl 7):e2021056150I. doi: 10.1542/peds.2021-056150I. Global Research on Developmental Disabilities Collaborators (2022). Accelerating progress on early childhood development for children under 5 years with disabilities by 2030. The Lncet. Global Health, 10(3), e438-e444. doi: 10.1016/S2214-109X(21)00488-5. Epub 2022 Jan 14.

In this episode of Care OUTLOUD, our host welcomes Dr. Yamile Jackson, a pioneer in trauma-informed care and family-integrated practices. Dr. Jackson shares her journey from Colombia, where kangaroo care originated, to becoming an indomitable advocate for infant neuroprotective care through her work with ergonomics and safety engineering. Highlighting her lived experience as a NICU parent, Dr. Jackson discusses the development of the Zaky, an innovative tool designed to simulate human touch and enhance infant care. She underscores the importance of kangaroo care and trauma-informed practices in neonatal intensive care units, advocating for parent-infant bonding and compassionate care. The conversation also touches on her recognition by Oprah Winfrey and involvement with the Gates Foundation, reflecting the widespread impact of her work. 00:00 Introduction to Dr. Yamile Jackson 01:46 Dr. Jackson's Early Life and Education 02:25 The Birth of Zachary and NICU Challenges 06:07 Innovations in Infant Care 09:50 Recognition and Media Attention 12:40 Meeting Oprah and Media Verification 17:32 Advocacy for Kangaroo Care 25:59 Parental Fears and Kangaroo Care 26:59 Understanding and Addressing Parental Concerns 27:51 The Importance of Kangaroo Care 29:39 Challenges in Implementing Kangaroo Care 32:57 Innovations and Solutions for Kangaroo Care 39:51 Empirical Evidence and Personal Experiences 45:13 Advocacy and Personal Commitment 48:34 Final Thoughts and Appreciation Links:  The Zaky website: www.thezaky.com Our story, Oprah’s video, and movie inspired on Zach: https://thezaky.com/pages/our_promise Kangaroo Care Day (May 15) website: www.kangaroo.care Info for clinicians:  https://thezaky.com/pages/thezakylinks Linkedin: https://www.linkedin.com/in/yamilejackson/   Follow us! IG, Facebook, Pinterest: @TheZaky @kangaroocareday

In this episode, Mary welcomes Dr. Staci Olister, a seasoned neonatologist from New Orleans, Louisiana, as she shares her extraordinary journey from a brief ballet career to a long-standing medical practice. Dr. Olister discusses her extensive training, her passion for neurodevelopmental and trauma-informed care, and the pivotal moments and mentors that shaped her path. The conversation delves into the importance of integrating compassionate, evidence-based practices in the NICU, the challenges of changing medical culture, and the profound impact of holistic, trauma-informed approaches on both patient and provider experiences. Together, Mary and Staci explore the deep connections between professional practice and personal growth, offering valuable insights for medical practitioners and caregivers alike. 00:00 Introduction and Guest Introduction 00:38 Dr. Staci Olister's Journey to Neonatology 01:33 Professional Growth and Team Dynamics 03:34 Developmental Care in the NICU 05:45 Implementing Neurodevelopmental and Trauma-Informed Care 10:23 Challenges and Strategies for Change 17:09 The Importance of Positive Childhood Experiences 21:11 Holistic Approach in Medical Education 22:16 Changes in Medical School Curriculum 22:41 Implementing Trauma-Informed Care 24:05 The Importance of Compassion in Healthcare 28:48 Engaging with Parents Holistically 31:58 Navigating the Gray Areas of Medicine 34:16 Caring Out Loud: Professional and Personal Insights 38:56 Wisdom and Nuggets for Future Leaders

In this episode, host Mary welcomes Eline de Groot, a passionate sleep researcher from the Netherlands, and Christy Gliniak, a key figure at the National Association of Neonatal Therapists. The guests discuss their journeys, trauma-informed care, and their latest focus on sleep in neonatal intensive care units (NICUs). Eline shares her groundbreaking research on sleep patterns in preterm infants and its impact on brain development, while Christy underscores the importance of integrating this research into clinical practice to improve patient outcomes. The conversation highlights the critical role of sleep as 'free medicine' and the importance of co-regulation and attunement in neonatal care.   00:00 Welcome and Guest Introductions 00:45 Journey to Trauma-Informed Care 02:00 Challenges and Growth in Neonatal Therapy 03:49 Leadership and Education in Healthcare 05:59 The Importance of Sleep in Neonatal Care 12:05 Elena's Research Journey 28:18 Developing the BeSSPI Tool 34:07 Global Impact and Future Directions 42:03 Final Thoughts and Reflections   Cool Links to check out:  Sleep Discovery Lab of UMC Utrecht: https://www.umcutrecht.nl/nl/sleep-discovery-lab?lang=en Eline's profile page of Utrecht University: https://www.uu.nl/staff/ERdeGroot Christy's LinkedIn page: https://www.linkedin.com/in/christy-gliniak-9a679699/ de Groot et al. (2022). Creating an optimal observational sleep stage classification system for very and extremely preterm infants Wang, de Groot, Tataranno et al. (2024): Machine Learning-Derived Active Sleep as an Early Predictor of White Matter Development in Preterm Infants

In this episode, our host welcomes Dr. Diana Montoya Williams, a neonatologist at the Children's Hospital of Philadelphia and a passionate advocate for equity and diversity. Dr. Williams shares her journey to becoming a neonatologist and her dedication to addressing racial and ethnic disparities in neonatal care. The conversation delves into her research on persistent disparities in infant health outcomes and the importance of cultural humility, community cooperation, and intentional care. Dr. Williams also discusses the significance of disaggregating data to understand local disparities and implement targeted interventions. Emphasizing the importance of collective effort, she advises on the need for safe communities and shared learning in the pursuit of equitable healthcare. 00:00 Introduction to Today's Guest: Dr. Diana Montoya Williams 00:30 Dr. Diana's Journey to Neonatology 02:39 Discovering a Passion for Research and Advocacy 04:42 Mission-Driven Work in Neonatology 06:11 Challenges and Realities of Trauma-Informed Care 07:57 Understanding and Addressing Implicit Biases 11:16 The Importance of Cultural Humility in Healthcare 22:55 Equity-Focused Quality Improvement 27:23 Practical Strategies for Reducing Disparities 32:46 The Role of Community and Continuous Learning 46:26 Conclusion and Final Thoughts   Here are some links from Diana that you absolutely MUST check out: https://sites.google.com/view/neojusticecollab/home https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8809476/pdf/nihms-1670685.pdf  https://www.onceuponapreemie.org/   https://www.youtube.com/watch?v=LoBuglh1PYg   https://podcasts.apple.com/dk/podcast/018-dr-diana-montoya-williams-health-equity-research/id1566031191?i=1000533435309&l=da   https://www.onceuponapreemie.org/     To experience more of Diana who will be co-presenting with another CARE OUTLOUD guest, Kimberly Novod, Founder of Saul's Light, join us in Boston October 13-15, 2024 for Science & Soul 20204 - the 4th Annual Conference on Trauma-Informed Developmental Care.   LEARN MORE HERE

In this emotional and inspiring podcast episode, the host welcomes Advocate Abby, a devoted parent and fierce advocate for families facing the financial and emotional burdens of medical complexities. Abby shares her personal journey, beginning with a life-changing traumatic event in 2014 when her son, Wyatt, suffered a near-drowning and how that experience led her to become a beacon of hope for others. She details her path from personal hardship to creating 'Connect,' a comprehensive platform that links families to essential resources and grants for medical needs. Abby's unwavering dedication and advocacy work aim to transform how care and support are accessed, especially for those in the throes of trauma, emphasizing hope and resilience. This episode dives deep into trauma-informed care, the importance of community support, and the power of not letting tragedy define you, but rather shape your mission to help others. 00:00 Introduction to Advocate Abby 00:40 Abby's Personal Story: A Life-Changing Event 01:35 The Journey of Advocacy and Recovery 03:07 Discovering and Utilizing Grants 04:43 Launching Connect: A Platform for Families 07:16 The Vision and Mission of Connect 11:36 Trauma-Informed Care and Its Importance 19:24 Personal Reflections on Trauma and Healing 24:21 The Power of Hope and Community Support 32:28 Final Thoughts and Words of Wisdom Hi there! I'm Advocacy Abby, and I understand the challenges families with children who have disabilities and complex medical needs face. For years, I've witnessed the overwhelm, frustration, and wasted time spent searching for the right funding. That's why I created Advocacy Abby. My passion is helping you navigate the maze of grants and foundations to secure the financial support your child deserves. Stop feeling lost and free up your time to focus on what matters most – your precious child. I’ve created the CONNECT platform that helps streamline grants, foundations, and resources for families of children with disabilities, medically complex, and diagnosis. https://grants.supportnow.org/ (connect)   tips and suggestions on my Instagram Www.instagram.com/advocacy.abby   Connect with me on my website https://www.advocacyabby.com Additional Resource: https://www.emdr.com/what-is-emdr/ 

In this episode, Mary hosts Dr. Malathi Balasundaram, a passionate neonatologist and the founder of the Family Centered Care (FCC) Task Force. Malathi shares her inspiring journey from her upbringing in a small town in southern India to her influential role at Stanford University. She discusses her transition to neonatology, her work in improving family-centered care in NICUs, and the formation of the FCC Task Force, which has grown to over 1,200 members globally. The conversation highlights the importance of integrating family-centered care and trauma-informed approaches in medical training and practice, and the collaborative efforts needed to make impactful changes in patient care. 00:00 Introduction to Malathi Balasundaram 00:50 Malathi's Early Life and Education 02:34 Journey to Neonatology 04:46 Founding the Family Centered Care Task Force 09:48 Expanding the FCC Task Force 15:25 Impact and Future Vision of FCC Task Force 19:49 The Importance of Trauma-Informed Care 26:15 Final Reflections and Wisdom LinkedIn Malathi Balasundaram Stanford profile link - https://profiles.stanford.edu/malathi-balasundaram?tab=bio Twitter @Malathineo   FCC TASKFORCE Website: www.Fcctaskforce.org

In this episode, Mary interviews Marsha Campbell-Yeo, a leading neonatal nurse practitioner and academic from Canada. Marsha shares her extraordinary journey of over 37 years in neonatal care, detailing her transitions from being a bedside nurse to a neonatal nurse practitioner, and then to a full professor and researcher. She highlights her pioneering efforts in neonatal-pediatric transport, nurse practitioner legislation advocacy, and establishing the Mom-Link-Lab at Dalhousie University. Major themes include the importance of family engagement in neonatal care, trauma-informed practices, and the critical role of parents and nurses in pain management for infants. Marsha underscores the value of being a risk-taker and advocate, and emphasizes the impact of open communication, parental involvement, and evidence-based practice in improving neonatal outcomes. 00:00 Introduction and Guest Welcome 00:38 Marsha's Career Journey 02:42 Transition to Neonatal Nurse Practitioner 04:06 Research and Innovations in Newborn Care 07:43 The Importance of Family Involvement 12:11 Challenges and Misconceptions in Pain Management 25:35 Trauma-Informed Care and Communication 36:07 Advocacy and Passion in Nursing 43:08 Conclusion and Upcoming Conference   Follow Marsha on X @DrMCampbellYeo @momlinclab Follow Marsha on Twitter @DrMCampbellYeo

In this episode of the Care Out Loud podcast, host Mary welcomes Nicole Nyberg, a passionate neonatal nurse practitioner and mother, who shares her inspiring journey. Nicole discusses her path to becoming a NICU nurse and the life-changing experiences she faced when her son William was born prematurely at 23 weeks. Nicole talks about the trauma of her NICU journey, the critical importance of family-centered care, and advocating for trauma-informed support for NICU parents. She also highlights her work in creating the Empowering NICU Parents Podcast and her role in the NICU to Home project with Angel Eye Health, aiming to support families both during and after their NICU stay. 00:00 Introduction and Welcoming Nicole Nyberg 00:23 Nicole's Journey to Becoming a Neonatal Nurse Practitioner 02:00 Personal Challenges and Pregnancy Complications 03:21 William's Birth and NICU Experience 05:38 Returning to Work and Balancing Roles 07:48 The Impact of Trauma and Seeking Support 12:39 Creating the Empowered Parent and NICU Journal 18:19 Current Work and Future Aspirations 19:47 The Importance of Trauma-Informed Care 28:11 Final Thoughts and Reflections Biography Nicole Nyberg received her Bachelor of Science in Nursing with a minor in Psychology from Purdue University. She worked as a NICU nurse for over 10 years before she pursued her MSN from Rush University and became a board-certified NNP in 2013. Over the last 10 years, she has practiced as an NNP at Level I—IV NICUs.  After her son was delivered at 23 weeks and spent 91 days in the NICU, she has devoted herself to supporting, educating, and empowering NICU parents and clinicians with a particular focus on bringing awareness to the positive effects parental engagement and family-integrated care have on the infant’s long-term trajectory and the family’s overall well-being. With her unique perspective, Nicole shares her passion through the organization she founded, Empowering NICU Parents. She provides invaluable support and education through the Empowering NICU Parents’ Podcast, a resourceful website, active social media platforms, influential speaking engagements at national conferences, and her NICU Journal, "Our NICU Roadmap." As the Co-Chair of the Advocacy Committee for the Family-Centered Care Task Force, she actively advocates for parents to be considered essential members of the care team rather than “visitors.” She is a Clinical Product Specialist at AngelEye Health, currently focusing on their new NICU navigation and discharge coordination solution, NICU2Home.   Nicole enjoys spending time with her husband, Josh, their son William, who is now a healthy, funny, witty, and smart 10-year-old, and their pup, Rudy. They love to travel and currently live in North Carolina. They spend their days soaking up the lake life by boating, fishing, and taking walks.  Website: https://empoweringnicuparents.com/ Instagram: https://www.instagram.com/empoweringnicuparents/ Facebook: https://www.facebook.com/groups/256736665671416     Join Mary and the star-studded faculty at Caring Essentials' 4th Annual Trauma Informed Developmental Care Conference, October 13-15, 2024 taking place at the iconic Hilton Boston Park Plaza, Boston MA, USA.  LEARN MORE  

Kickoff Episode: The Science and Soul of Trauma-Informed Care in the NICUIn this inaugural episode of the CARE OUTLOUD Podcast's Season 3, host Mary Coughlin, president and founder of Caring Essentials Collaborative, recaps her recent webinar titled 'The Science and Soul of Trauma-Informed Care.' She delves into the principles and impact of trauma-informed care, particularly in neonatal intensive care units (NICUs). Mary discusses the paradigm’s historical roots in behavioral health, its significance in addressing both physical and mental health aspects of patients and families, and the importance of creating a safe, empowering, and collaborative environment. The episode emphasizes the necessity for healthcare professionals to also care for themselves to effectively support families in crisis. Lastly, she invites listeners to register for the 4th Annual Conference on Trauma-Informed Developmental Care (aka Science & Soul 2024) being held in Boston MA October 13-15, 2024. CONFERENCE REGISTRATION JUNE 28, 2024 WEBINAR REPLAY Stay Connected with All Things Caring Essential!

In this final Season 2 episode of the Care OutLoud podcast Debra Bingham, the CEO of the Institute for Perinatal Quality Improvement shares her rich background in nursing, leadership, and quality improvement across various healthcare settings. She discusses her journey from being a nurse to obtaining her doctorate in public health and becoming the first executive director of the California Maternal Quality Care Collaborative. This episode particularly focuses on Debra's commitment to utilizing quality improvement tools and methods to tackle preventable perinatal deaths and injuries as well as racial and ethnic disparities in perinatal care. She elucidates the significance of systemic and structured approaches to addressing these complex issues, including the development of the 'SPEAK UP' program designed to empower healthcare professionals with practical solutions for enhancing care quality and equity. The conversation also touches on the importance of community, continuous learning, and empathy in advancing perinatal health care. Debra and Mary discuss the challenges and rewards of striving for equitable and just healthcare, highlighting Debra's insights on fostering a supportive and transformative care environment. You can follow/find Dr. Bingham: Instagram, Facebook, YouTube: @perinatalQI SPEAKUP PROGRAM Institute for Perinatal Quality Improvement Website LINKEDIN PROFILE   Join Mary and the star-studded faculty at Caring Essentials' 4th Annual Trauma Informed Developmental Care Conference, October 13-15, 2024 taking place at the iconic Hilton Boston Park Plaza, Boston MA, USA.  LEARN MORE   Caring Essentials' is all about helping health and human service professionals cultivate meaningful practices and routines to live their best selves and serve at their highest potential. Join us to discover the transformative nature of trauma-informed care through education, reflective processing and tapping into the wisdom that emerges through community - BECOME A TRAUMA INFORMED PROFESSIONAL TODAY! 

In this podcast, the guest Chantel Morin, a former preterm baby turned neonatal nurse, shares her incredible journey and dedication to improving neonatal care. Born prematurely in 1980, Chantel faced numerous challenges but grew up determined to give back to the NICU community that saved her life. Her personal and professional experiences drive her passion for trauma-informed care, education, and advocacy. Chantel's stories highlight the importance of family-centered care, the impact of developmental and trauma-informed practices, and her ongoing efforts to bring positive changes to neonatal care in Canada. Through her journey from a NICU baby to a neonatal nurse educator and advocate, Chantel exemplifies resilience, compassion, and the desire to improve outcomes for premature babies and their families. Website: https://sddsenc.com/en/  LinkedIn Profile   Join Mary and the star-studded faculty at Caring Essentials' 4th Annual Trauma Informed Developmental Care Conference, October 13-15, 2024 taking place at the iconic Hilton Boston Park Plaza, Boston MA, USA.  LEARN MORE   Caring Essentials' is all about helping health and human service professionals cultivate meaningful practices and routines to live their best selves and serve at their highest potential. Join us to discover the transformative nature of trauma-informed care through education, reflective processing and tapping into the wisdom that emerges through community - BECOME A TRAUMA INFORMED PROFESSIONAL TODAY! 

This script captures an engaging conversation between the host, Mary Coughlin, and special guest Isabelle Milette, a nurse practitioner and entrepreneur from Quebec. Isabelle shares her profound journey in healthcare, transitioning from aspiring to be a doctor to becoming a passionate nurse and ultimately a nurse practitioner with a focus on neonatology and developmental care. She discusses the challenges and transformations in her career, including her pivot to founding Les Soins du Developpement, driven by her realization of the importance of developmental care and family-centered approaches in neonatal intensive care units (NICUs). Along the way, Isabel emphasizes the significance of trauma-informed care, the impactful role of education and advocacy in her field, and the creation of guidelines and training programs to improve care practices. Her mission is to foster compassionate, trauma-informed developmental care environments for the wellbeing of babies and their families, not just in Quebec but also across Canada and potentially worldwide. Isabelle's Website: https://sddsenc.com/en/ Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the Neonatal Intensive Care Unit. Part A: Background and Rationale. A Joint Position Statement From the CANN, CAPWHN, NANN, and COINN Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU. Part B: Recommendations and Justification. A Joint Position Statement From the CANN, CAPWHN, NANN, and COINN   Join Mary and the star-studded faculty at Caring Essentials' 4th Annual Trauma Informed Developmental Care Conference, October 13-15, 2024 taking place at the iconic Hilton Boston Park Plaza, Boston MA, USA.  LEARN MORE   Caring Essentials' is all about helping health and human service professionals cultivate meaningful practices and routines to live their best selves and serve at their highest potential. Join us to discover the transformative nature of trauma-informed care through education, reflective processing and tapping into the wisdom that emerges through community - BECOME A TRAUMA INFORMED PROFESSIONAL TODAY! 

In a world where medical practices can often feel clinical and distant, there are individuals like Becky Chuffo Davila who embody the essence of caring out loud. In a heartfelt conversation with Mary Coughlin, Becky shares her remarkable journey from a NICU nurse to a trauma-informed professional, highlighting the importance of including families in the care of their precious babies.  Becky's story serves as a poignant reminder of the profound impact that listening and compassion can have in healthcare. As we navigate the complexities of neonatal care, let us heed her call to prioritize human connection, empathy, and understanding in every interaction. By embracing family-centered approaches and trauma-informed care, we can create a more supportive and inclusive environment for families in crisis.   Join Becky and Mary and the star-studded faculty at Caring Essentials' 4th Annual Trauma Informed Developmental Care Conference, October 13-15, 2024 taking place at the iconic Hilton Boston Park Plaza, Boston MA, USA.  LEARN MORE   Caring Essentials' is all about helping health and human service professionals cultivate meaningful practices and routines to live their best selves and serve at their highest potential. Join us to discover the transformative nature of trauma-informed care through education, reflective processing and tapping into the wisdom that emerges through community - BECOME A TRAUMA INFORMED PROFESSIONAL TODAY! 

This podcast episode features an in-depth conversation with Emily Spaeth, detailing her professional evolution from a physical therapist in a NICU (Neonatal Intensive Care Unit) to the founder of Be Well Baby PDX. Emily shares her early career experiences, including how she recognized the need for and successfully advocated for more physical and occupational therapists in the NICU. She delves into how her background in yoga and massage therapy enriched her NICU work, particularly through introducing infant massage. Facing personal and professional challenges, including navigating her own pregnancy while working in the NICU, Emily realized the impact of empathy and the importance of setting boundaries for self-care. This realization prompted her to further her education in trauma-informed care, leading to a pivotal career transition during her maternity leave. Emily's entrepreneurial venture, Be Well Baby PDX, combines her skills in physical therapy, yoga instruction, massage therapy, pelvic floor health, and lactation consultancy to offer a holistic service to pregnant and postpartum individuals and their babies. The podcast also touches on the concept of 'matrescence,' the transition into motherhood, and the significance of community connection, nervous system regulation, and the therapeutic use of touch. Emily emphasizes the importance of creating meaningful connections and fostering a supportive community as both a professional strategy and a personal philosophy. Links: FREE 8-minute Yoga SequenceBe Well Baby - Parent Centered Online Courses@bewellbabypdx on Instagram and Facebook   Join Mary and the star-studded faculty at Caring Essentials' 4th Annual Trauma Informed Developmental Care Conference, October 13-15, 2024 taking place at the iconic Hilton Boston Park Plaza, Boston MA, USA.  LEARN MORE   Caring Essentials' is all about helping health and human service professionals cultivate meaningful practices and routines to live their best selves and serve at their highest potential. Join us to discover the transformative nature of trauma-informed care through education, reflective processing and tapping into the wisdom that emerges through community - BECOME A TRAUMA INFORMED PROFESSIONAL TODAY! 

In this engaging discussion, Lindsay Hardy, an accomplished occupational therapist from the UK with extensive experience in child health, sensory processing, and sensory integration, delves into the influence of sensory processing on child development and societal integration. She emphasizes the crucial role of parents and societal structures in shaping a child's development through sensory experiences. Lindsay also discusses the importance of creating a sensory-informed world and how this approach can support children with developmental challenges, such as cerebral palsy, in early intervention services. The conversation further explores the intersection of trauma-informed care and sensory processing, highlighting the need for empathy, understanding, and support in both healthcare settings and broader social contexts to nurture safe and empowering environments for children and their families. She is the co-founder of Sensory Beginnings, an education and training company dedicated to creating a sensory informed world. Lindsay, along with her Sensory Beginnings co-founder partner Emily Hills are invited faculty to the 4th Annual Trauma Informed Developmental Care Conference hosted by Caring Essentials and being held at the iconic Hilton Boston Park Plaza, Boston MA October 13-15, 2024.   If anyone is interested in learning more about Sensory Beginnings and becoming Sensory Informed please visit: https://sensorybeginhttps://sensorybeginnings.com Lindsay and Emily will be offering a masterclass in Boston following the 4th Annual Trauma Informed Developmental Care Conference.  To learn more, check out the link below: https://sensorybeginnings.com/wp-content/uploads/2024/04/Boston-NANT-advert-3-1.pdf Check out their neonatal journal and celebration cards for purchase at the following link:  https://sensorybeginnings.com/shop/   Join Lindsay and Mary along with the star-studded faculty at Caring Essentials' 4th Annual Trauma Informed Developmental Care Conference, October 13-15, 2024 taking place at the iconic Hilton Boston Park Plaza, Boston MA, USA.  LEARN MORE   Caring Essentials' is all about helping health and human service professionals cultivate meaningful practices and routines to live their best selves and serve at their highest potential. Join us to discover the transformative nature of trauma-informed care through education, reflective processing and tapping into the wisdom that emerges through community - BECOME A TRAUMA INFORMED PROFESSIONAL TODAY!