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Having a baby can be painful. Life after shouldn't have to be.

A new recommendation urges medical providers to screen new mothers for depression.

Having a baby can be painful. Life after shouldn't have to be.

"I was like, 'Hey, I'm having postpartum depression.' I went to my OB, and he kind of brushed me off."

Almost immediately, Heidi Koss knew something wasn't right. The psychology major was experiencing some of the symptoms of postpartum depression and sought help. Sadly, it was hard to come by.

She went to her obstetrician/gynecologist only to be told she needed to "get out more" and maybe "buy a nice dress." She wasn't being heard. She wasn't being taken seriously.


"I kind felt like help was unavailable to me," she says.

She loved her baby, but she didn't love motherhood. Heidi recognized the symptoms of postpartum depression right away. Photo by Heidi Koss, used with permission.

Her postpartum depression continued on, untreated, for 17 months.

For those who've never experienced depression, it may be hard to understand what it's like to feel the symptoms compound over time. Heidi had nightmares, she felt scared, and she was irritable. The more time passed, the worse it got.

"And while I bonded to my baby and I loved my baby, I wasn't enjoying motherhood," she said. "It was a nightmare becoming a mother even though I loved my child."

It wasn't an issue of not bonding with her baby. She did. It was the depression, anxiety, hyper-vigilance, and fear that kept her from keeping calm. Photo by Heidi Koss, used with permission.

Her story isn't at all out of the ordinary. Pregnancy-related depression is very common.

According to Postpartum Support International, between 15% and 21% of women experience moderate to severe symptoms of depression or anxiety during pregnancy. Roughly 21% experience depression after birth. In fact, at that rate, mood and anxiety disorders are one of the most common pregnancy-related complications.

"It was a nightmare becoming a mother even though I loved my child."

Various studies have found that untreated depression and anxiety leave potentially lasting negative effects on parents and children.

That nightmare Heidi went through with her first doctor? It should never happen, but now it should happen much, much less.

The U.S. Preventative Services Task Force, an independent review board, in early 2016 issued some new, potentially lifesaving guidelines for depression screening. Here's what that means:

  • All adults should be screened for depression (including pregnant women and new moms).
  • Treatment should be made available for people who test positive.

This may not seem like a big deal, but it is. As Heidi's story illustrates, even when mothers actively sought help, it was sometimes denied. Now, hopefully, screening for depression will become a routine part of pregnancy, and new mothers won't face that same struggle.

"I think it's imperative to do early screening with every single mother every single time," Heidi tells me. Photo by Heidi Koss, used with permission.

Having a treatment plan in place ahead of her second pregnancy made all the difference in the world for Heidi.

Knowing she was at risk — mothers affected by mood and anxiety disorders are more likely to develop them during future pregnancies — she took preemptive measures before and during her second pregnancy, such as receiving therapy and medication to help ease the transition. Shortly after giving birth, symptoms of depression returned. Luckily for her, she had the right people and care providers in place.

"With my first, it took 17 months before I found an appropriate care provider who actually listened and got me into appropriate treatment. ... 17 months is a world of difference."

Not only will new guidelines help prepare doctors, but they'll also reduce stigma that surrounds depression.

In 1996, a National Mental Health Association survey found that the majority of Americans "think of depression as a sign of personal or emotional weakness." Other studies have shown a belief that seeking therapy or medication to treat depression or anxiety is a sign of poor character. Medically, these beliefs are flat-out wrong. Even so, they may deter people from seeking treatment.

If doctors roll depression screening into the battery of tests that accompany pregnancy, they will help normalize and reduce the stigma associated with it.(And, you know, it ensures that they're equipped to help out in these types of situations, as well.) Other tests can be self-administered, such as the Edinburgh Postnatal Depression Scale.

This was a huge step forward in identifying and treating an all-too-common complication.

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Shopping sustainably is increasingly important given the severity of the climate crisis, but sometimes it's hard to know where to turn. Thankfully, Amazon is making it a little easier to browse thousands of products that have one or more of 19 sustainability certifications that help preserve the natural world.

The online retailer recently announced Climate Pledge Friendly, a program to make it easier for customers to discover and shop for more sustainable products. To determine the sustainability of a product, the program partnered with third-party certifications, including governmental agencies, nonprofits, and independent labs.

With a selection of items spanning grocery, household, fashion, beauty, and personal electronics, you'll be able to shop more sustainably not just for the holiday season, but throughout the year for your essentials, as well.

You can browse all of the Climate Pledge Friendly products here, labeled with an icon and which certification(s) they meet. To get you on your way to shopping more sustainably, we've rounded up eight of our favorite Climate Pledge Friendly-products that will make great gifts all year long.

Amazon

Jack Wolfskin Women's North York Coat

Give the gift of warmth and style with this coat, available in a variety of colors. Sustainability is built into all Jack Wolfskin products and each item comes with a code that lets you trace back to its origins and understand how it was made.

Bluesign: Bluesign products are responsibly manufactured by using safer chemicals and fewer resources, including less energy, in production.


Amazon

Amazon All-new Echo Dot (4th Gen)

For the tech-obsessed. This Alexa smart speaker, which comes in a sleek, compact design, lets you voice control your entertainment and your smart home as well as connect with others.

Reducing CO2: Products with this certification reduce their carbon footprint year after year. Certified by the Carbon Trust.


Amazon

Burt's Bees Family Jammies Matching Holiday Organic Cotton Pajamas

Get into the holiday spirit with these fun matching PJs for the whole family. Perfect for pictures that even Fido can get in on.

Global Organic Textile Standard: This certifies each step of the organic textile supply chain against strict ecological and social standards. Each product with this certification contains 95%-100% organic content.

Amazon

Naturistick 5-Pack Lip Balm Gift Set

With 100% natural ingredients that are gentle on ultra-sensitive lips, this gift is a great gift for the whole family.

Compact by Design (Certified by Amazon): Products with this certification are packaged without excess air and water, which reduces the carbon footprint of shipping and packaging.


Amazon

Arus Women's GOTS Certified Organic Cotton Hooded Full Length Turkish Bathrobe

For those who love to lounge around, this full-length organic cotton bathrobe is the way to go. Available in five different colors, it has comfortable cuffed sleeves, a hood, pockets, and adjustable belt.

Global Organic Textile Standard: This certifies each step of the organic textile supply chain against strict ecological and social standards. Each product with this certification contains 95%-100% organic content.

Amazon

L'Occitane Extra-Gentle Vegetable Based Soap

This luxe soap, made with moisturizing shea butter and scented with verbena, is perfect for the self-care obsessed.

Compact by Design (Certified by Amazon): Products with this certification are packaged without excess air and water, which reduces the carbon footprint of shipping and packaging.

Amazon

Goodthreads Men's Sweater-Knit Fleece Long-Sleeve Bomber

For the fashionable men in your life, this fashion-forward knit bomber is an excellent choice. The sweater material keeps it cozy and warm, while the bomber jacket-cut, zip front, and rib-trim neck make it look elevated.

Recycled Claim Standard 100: Products with this certification use materials made from at least 95% recycled content.

Amazon

All-new Fire TV Stick with Alexa Voice Remote

Make it even easier to access your favorite movies and shows this holiday season. The new Fire TV Stick lets you use your voice to search across apps. Plus it controls the power and volume on your TV, so you'll never need to leave the couch! Except for snacks.

Reducing CO2: Products with this certification reduce their carbon footprint year after year. Certified by the Carbon Trust.

Even as millions of Americans celebrated the inauguration of President Joe Biden this week, the nation also mourned the fact that, for the first time in modern history, the United States did not have a peaceful transition of power.

With the violent attack on the U.S. Capitol on January 6, when pro-Trump insurrectionists attempted to stop the constitutional process of counting electoral votes and where terrorists threatened to kill lawmakers and the vice president for not keeping Trump in power, our long and proud tradition was broken. And although presidential power was ultimately transferred without incident on January 20, the presence of 20,000 National Guard troops around the Capitol reminded us of the threat that still lingers.

First Lady Jill Biden showed up today with cookies in hand for a group of National Guard troops at the Capitol to thank them for keeping her family safe. The homemade chocolate chip cookies were a small token of appreciation, but one that came from the heart of a mother whose son had served as well.

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If the past year has taught us nothing else, it's that sending love out into the world through selfless acts of kindness can have a positive ripple effect on people and communities. People all over the United States seemed to have gotten the message — 71% of those surveyed by the World Giving Index helped a stranger in need in 2020. A nonprofit survey found 90% helped others by running errands, calling, texting and sending care packages. Many people needed a boost last year in one way or another and obliging good neighbors heeded the call over and over again — and continue to make a positive impact through their actions in this new year.

Upworthy and P&G Good Everyday wanted to help keep kindness going strong, so they partnered up to create the Lead with Love Fund. The fund awards do-gooders in communities around the country with grants to help them continue on with their unique missions. Hundreds of nominations came pouring in and five winners were selected based on three criteria: the impact of action, uniqueness, and "Upworthy-ness" of their story.

Here's a look at the five winners:

Edith Ornelas, co-creator of Mariposas Collective in Memphis, Tenn.

Edith Ornelas has a deep-rooted connection to the asylum-seeking immigrant families she brings food and supplies to families in Memphis, Tenn. She was born in Jalisco, Mexico, and immigrated to the United States when she was 7 years old with her parents and sister. Edith grew up in Chicago, then moved to Memphis in 2016, where she quickly realized how few community programs existed for immigrants. Two years later, she helped create Mariposas Collective, which initially aimed to help families who had just been released from detention centers and were seeking asylum. The collective started out small but has since grown to approximately 400 volunteers.

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Two weeks ago, we watched a pro-Trump mob storm the U.S. Capitol in an attempt to overthrow the results of a U.S. election and keep Donald Trump in power. And among those insurrectionists were well-known adherents of QAnon, nearly every image of the crowd shows people wearing Q gear or carrying Q flags, and some of the more frightening elements we saw tie directly into QAnon beliefs.

Since hints of it first started showing up in social media comments several years ago, I've been intrigued—and endlessly frustrated—by the phenomenon of QAnon. At first, it was just a few fringey whacko conspiracy theorists I could easily roll my eyes at and ignore, but as I started seeing elements of it show up more and more frequently from more and more people, alarm bells started ringing.

Holy crap, there are a lot of people who actually believe this stuff.

Eventually, it got personal. A QAnon adherent on Twitter kept commenting on my tweets, pushing bizarro Q ideas on many of my posts. The account didn't use a real name, but the profile was classic QAnon, complete with the #WWG1WGA. ("Where we go one, we go all"—a QAnon rallying cry.) I thought it might be a bot, so I blocked them. Later, I discovered that it was actually one of my own extended family members.

Holy crap, I actually know people who actually believe this stuff.

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Having lived in small towns and large cities in the Pacific Northwest, Southwest, and Midwest, and after spending a year traveling around the U.S. with my family, I've seen first-hand that Americans have much more in common than not. I've also gotten to experience some of the cultural differences, subtle and not-so-subtle, real and not-so-real, that exist in various parts of the country.

Some of those differences are being discussed in a viral thread on Twitter. Self-described "West coaster" Jordan Green kicked it off with an observation about East coasters being kind and West coasters being nice, which then prompted people to share their own social experiences in various regions around the country.

Green wrote:

"When I describe East Coast vs West Coast culture to my friends I often say 'The East Coast is kind but not nice, the West Coast is nice but not kind,' and East Coasters immediately get it. West Coasters get mad.

Niceness is saying 'I'm so sorry you're cold,' while kindness may be 'Ugh, you've said that five times, here's a sweater!' Kindness is addressing the need, regardless of tone.

I'm a West Coaster through and through—born and raised in San Francisco, moved to Portland for college, and now live in Seattle. We're nice, but we're not kind. We'll listen to your rant politely, smile, and then never speak to you again. We hit mute in real life. ALOT.

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