
Understanding and Preventing Miscarriage and Recurrent Pregnancy Loss
Creating a Family: Talk about Adoption, Foster & Kinship Care
03/02/22
•55m
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What causes miscarriage and recurrent pregnancy loss? What is the best treatment and what are the controversies in the diagnosing and treating of miscarriage? In this episode, we talked with Dr. Lora Shahine, Reproductive Endocrinologist and Director of the Recurrent Pregnancy Program at Pacific NW Fertility and clinical faculty at the University of Washington in Seattle, and author of the book Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.
In this episode, we cover:
- What is miscarriage? What other names do medical professionals use?
- Does the name change depending upon when in the pregnancy it occurs?
- What is a biochemical pregnancy and is it a “miscarriage”?
- When does miscarriage become “recurrent pregnancy loss”?
- How common are miscarriages? How common is recurrent pregnancy loss?
- Who should you see?
- What is the role of the male in miscarriage and recurrent pregnancy loss?
- Common causes and treatment
- What are the common causes for first trimester miscarriage?
- What are the common causes for recurrent pregnancy loss?
- How to diagnosis the cause of recurrent pregnancy loss?
- How to treat/prevent recurrent pregnancy loss?
- What should patients do to reduce their chance of a miscarriage?
- Understanding the controversies in treatment of recurrent pregnancy loss.
- Inherited Thrombophilia
- Methylene Tetrahydrofolate Reductase (MTHFR)-how our body processes folate
- Luteal Phase Defect and progesterone treatment
- Infection
- Thyroid
- Immune system & immune treatment for RPL
- Aspirin treatment
- IVF as treatment for recurrent pregnancy loss
This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:
- Weekly podcasts
- Weekly articles/blog posts
- Resource pages on all aspects of family building
Please leave us a rating or review RateThisPodcast.com/creatingafamily
Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.
Creating a Family brings you the following trauma-informed, expert-based content:
- Weekly podcasts
- Weekly articles/blog posts
- Resource pages on all aspects of family building
Previous Episode

How to Choose an Adoption Competent Therapist
February 23, 2022
•44m
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Have you or your child faced adoption related struggles? Do you think therapy might be helpful? We discuss how to find and choose an adoption competent therapist with Kelly Raudenbush, a child and family therapist and the director of Sparrow Counseling, providing specialized therapeutic services for foster and adopted children and their families.
In this episode, we cover:
- What type of professional can provide therapy?
- What’s the difference between being adoption competent and adoption informed?
- Why is competency in adoption issues important?
- What do we mean be an “adoption competent therapist”? What makes a therapist adoption informed?
- Is adoption competence the same as trauma competence?
- How can you tell if a therapist is competent to handle adoption issues? Are there specific trainings that provide adoption competency?
- Creating a Family provides a list of ways to find an adoption competent therapist on our Adoption Therapy section.
- How to find a therapist with lived experience of being adopted?
- Is one type of therapeutic model of treatment more effective for adoptive children and families? Theraplay, Dyadic Developmental Psychotherapy, Trust-Based Relational Intervention (TBRI), Narrative therapy, EMDR (Eye Movement Desensitization and Reprocessing)
- Should therapy with adopted kids on adoption issues involve just the child, or the child and the parent?
- How can a parent determine if the therapist is a good fit for the child and family? What questions should they ask?
- What is home-based therapy and what are the advantages to this type of therapy for adoptive and foster families.
- How can you find a therapist that will provide therapy within the home? (One source is http://www.familycenteredtreatment.org/)
- Is therapy via tele-health or via teleconferencing as effective for adoptive families? How to know if it will work for your family? Ways to make it more effective.
- When to seek a therapist?
Resources:
- Creating a Family’s Adoption Therapy section
- A Guide to Selecting an Adoption or Foster Therapist
- 10 Reasons for Parents to be in Child’s Therapy Session
This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:
- Weekly podcasts
- Weekly articles/blog posts
- Resource pages on all aspects of family building
Please leave us a rating or review RateThisPodcast.com/creatingafamily
Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.
Creating a Family brings you the following trauma-informed, expert-based content:
- Weekly podcasts
- Weekly articles/blog posts
- Resource pages on all aspects of family building
Next Episode

Parenting Kids with Prenatal Exposure (Part 1): Practical Tips
March 9, 2022
•58m
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Do you suspect (or know) that your child was exposed to alcohol or drugs during pregnancy? We discuss tips for how to best work with these children with Dr. Robin Gurwitch, a professor at Duke University's Department of Psychiatry and Behavioral Sciences and the Center for Child and Family Health.
In this episode, we cover:
- How does prenatal exposure to alcohol or drugs affect children at different ages?
- Oftentimes adoptive, foster, and kinship families may not know specifically if their child was exposed in pregnancy to alcohol or drugs? How can a parent determine if their child was prenatally exposed?
- What are some of the more common signs, symptoms, and behaviors a parent might see at different ages?
- Birth to age five
- Elementary age
- Tweens and adolescence
- Young adults
- Parents, teachers, and other adults working with these children often don’t think about prenatal exposure because of the lag in time between the exposure and when the more disruptive symptoms appear. At what age do you see parents and kids beginning to struggle more?
- What are some of the common misdiagnoses that these children receive?
- How do the attention and focus issues common with kids who have been exposed to alcohol and drugs differ from ADHD? Is ADHD medication effective to improve attention in prenatally exposed kids?
- Is it common for children with prenatal exposure to be uneven in their abilities? For example, average to above average in verbal skills but substantially below average in other areas.
- What do we mean by “executive function” or “higher level thinking skills” and how does prenatal exposure to alcohol and drugs impact this?
- We hear from parents that one of the most frustrating symptoms is not being able to learn from their mistakes. Doing the same thing even though they have been told not to. Not learning from cause and effect. Is this common with kids who have been exposed to alcohol and drugs during gestation?
- What are some practical tips for working with kids with prenatal exposure to help them thrive at home and at school?
This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:
- Weekly podcasts
- Weekly articles/blog posts
- Resource pages on all aspects of family building
Please leave us a rating or review RateThisPodcast.com/creatingafamily
Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.
Creating a Family brings you the following trauma-informed, expert-based content:
- Weekly podcasts
- Weekly articles/blog posts
- Resource pages on all aspects of family building
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