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    Millions of Women Will Lose Access to Contraception as a Result of Trump Aid Cuts

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    The United States is ending its financial support for family planning programs in developing countries, cutting nearly 50 million women off from access to contraception.This policy change has attracted little attention amid the wholesale dismantling of American foreign aid, but it stands to have enormous implications, including more maternal deaths and an overall increase in poverty. It derails an effort that had brought long-acting contraceptives to women in some of the poorest and most isolated parts of the world in recent years.The United States provided about 40 percent of the funding governments contributed to family planning programs in 31 developing countries, some $600 million, in 2023, the last year for which data is available, according to KFF, a health research organization.That American funding provided contraceptive devices and the medical services to deliver them to more than 47 million women and couples, which is estimated to have averted 17.1 million unintended pregnancies and 5.2 million unsafe abortions, according to an analysis by the Guttmacher Institute, a sexual health research organization. Without this annual contribution, 34,000 women could die from preventable maternal deaths each year, the Guttmacher calculation concluded.“The magnitude of the impact is mind-boggling,” said Marie Ba, who leads the coordination team for the Ouagadougou Partnership, an initiative to accelerate investments and access to family planning in nine West African countries.The funding has been terminated as part of the Trump administration’s disassembling of the United States Agency for International Development. The State Department, into which the skeletal remains of U.S.A.I.D. was absorbed on Friday, did not reply to a request for comment on the decision to stop funding family planning. Secretary of State Marco Rubio has described the terminated aid projects as wasteful and not aligned with American strategic interest.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Can Adults Develop Seasonal Allergies? Symptoms and Treatments, Explained

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      After sidestepping symptoms for years, the sneezing and runny nose can come for you. Here’s why.After decades of never experiencing seasonal allergies, you suddenly find yourself sneezing and sniffling along with the tens of millions of Americans who suffer from them. What happened?“People tend to think of allergies as a childhood thing” and not something they can get later in life, said Dr. Tolly Epstein, an adjunct assistant professor at the University of Cincinnati College of Medicine who researches allergies and immunology. But “it’s very common to develop new allergies,” especially in your 20s, 30s and 40s, she said. And the symptoms aren’t always obvious.Most people with seasonal allergies will have sneezing, itchy eyes or nasal congestion. But those can also be accompanied by fatigue, a headache or sinus pressure — which, if you’ve never faced allergies before, you might mistake as cold symptoms, Dr. Epstein said.If you’ve recently developed a pollen allergy, you might also experience itching in your mouth after eating certain raw fruits and vegetables, said Dr. Andrew Rorie, an assistant professor in the Division of Allergy and Immunology at the University of Nebraska Medical Center. That’s because the immune system sometimes confuses proteins in the plants for pollen proteins, he said.What causes seasonal allergies to develop?Seasonal allergies are reactions to environmental elements like pollen or mold spores that tend to swirl around in the air during certain times — such as in the spring, when plants pollinate. When you’re allergic to something like pollen, your immune system perceives it as a threat and triggers a chain reaction at the point of exposure. Antibodies in the nose or lungs stimulate the release of chemicals like histamine, which can lead to the sneezing, runny nose or congestion.Scientists aren’t exactly sure why you can develop new allergies or symptoms without ever having had them before, but there are several potential causes. For one, climate change is causing allergy season to start earlier and last longer, so it makes people more prone to developing symptoms, experts said.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      My Mother-in-Law Wants to Be in the Delivery Room With Me. Help!

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      A reader asks for help setting boundaries with her husband’s mother, who has floated the idea of a lengthy stay with the couple after the arrival of their firstborn.My husband and I are expecting our first child this year, and our parents will become first-time grandparents. As much as I love my mother-in-law, she can be controlling — even from 500 miles away. Recently, she told us that she wants to visit us monthly until the baby arrives and to stay with us for two weeks after the baby is born. Later, I heard that she told my husband and others that she wants to be in the delivery room! I know that this is all coming from a good place, but it feels overwhelming. I would prefer less frequent visits. My husband and I work full time, and our weekends are packed with baby planning. After the baby is born, we want time alone to bond as a new family. How can I politely set boundaries with my mother-in-law?WIFEBe careful not to become your mother-in-law. In my experience, so-called controlling people are sometimes shoved into that position. Consider your husband, for instance: He seems to be mostly absent from your strategizing. Is that because you are trying to control the relationship with his mother or because you can’t count on him to step up and speak to her himself? If he hasn’t spoken to her yet, why hasn’t he?Don’t get me wrong: Your mother-in-law sounds like a challenging figure, and her plans for the coming months seem daunting. Still, it is not your job to shoulder all the emotional labor in your marriage. Too often, that interpersonal work falls to women. So I am going to suggest that your husband communicate your joint decisions about visits with his family.What’s more, his decades of experience with his mother presumably make him better qualified than you to express your family’s needs to her. If he wants help, I’m here for him! (I bet you are, too.) I expect your whole family is feeling exuberant about the birth of your child — which is all the more reason for you and your husband to share the load of discussing your desires and boundaries with them.Miguel PorlanValue Your Friend? Then Value His Skills.Over 12 years, my husband and I have become friends with his personal trainer. We have entertained him and his partner, a retired makeup artist, frequently. Recently, we asked his partner to do a makeup session for my daughter and a couple of our friends. He did and took some photos. (I served an elaborate lunch.) Unfortunately, one of my friends was unable to attend. So I emailed him to arrange another session for her. He asked if he should provide his services for free again or if he could charge his discounted rate. I told him I didn’t expect anything for free. So he sent me a bill for the second session, which I paid. Was I wrong to expect that it would be free?We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Woman Gives Birth to Baby Girl on NYC Subway

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      A 25-year-old woman from Florida gave birth on a W train in Midtown Manhattan on Wednesday morning. She had been missing since last summer, her sister said.A 25-year-old Florida woman who had been missing for months was found on Wednesday under dramatic circumstances, after she gave birth on a subway train rumbling beneath the streets of Manhattan.The woman, Jenny Saint Pierre of Hallandale Beach, Fla., had been reported missing to her hometown police in September. Her family, who made the report, said they had not seen her since last summer. On Wednesday, a law enforcement official identified her as the woman who gave birth on a southbound W train in Midtown shortly before noon.A police spokesman said the mother and the baby, a girl, had been brought to Bellevue Hospital in stable condition. Ms. Saint Pierre’s older sister, Stephania Saint Pierre, confirmed the mother’s identity after seeing a video of the newborn’s first moments that was shared on social media on Wednesday.“Oh, my God, look at her little face!” Stephania said in a phone interview from her home in Texas as she watched the video. She recognized her sister’s pink duffel bag on a subway seat and heard her voice as another passenger lifted the infant. “Oh, my God, I am going to cry! That’s my first niece!”Stephania, who knew her sister was pregnant, was surprised to learn that she was in New York City and said she did not know why she had gone there.Jenny Saint Pierre, right, with her sister Stephania. The two had not seen each other in months when Stephania learned that her sister had given birth in New York.via Stephania Saint PierreWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Don’t Cut an Agency So Vital to Our Health

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      More from our inbox:Needed: More Maternity WardsRacial Inequities in the Overdose CrisisVet the Presidential CandidatesTech Tycoons in ChargeA building on the N.I.H. campus in Bethesda, Md. The agency comprises 27 institutes and has a budget of $48 billion.Hailey Sadler for The New York TimesTo the Editor:Re “Long Government’s ‘Crown Jewel,’ Health Institute Is Becoming a Target” (news article, Dec. 3):Your article describes the National Institutes of Health as a “crown jewel” of the federal government based on its track record of success in driving medical and health research and innovation. The article also captures the longstanding bipartisan support for the agency and its work.When asked in a national survey we commissioned this year, Americans of all political persuasions expressed their support for federally funded research:Eighty-eight percent of Americans agree that basic scientific research is necessary and should be supported by the federal government.Some 62 percent would be willing to pay $1 per week more in taxes to support additional medical and health research.And 89 percent say it is important that the U.S. is a global leader in research to improve health.Continuing to treat the N.I.H. as a top national priority is a strategy that will spur new treatments and cures for the health threats facing our population. It will also drive U.S. business and job growth across the life science, technology, manufacturing and service sectors that in the end will keep us globally competitive.Mary WoolleyNew YorkThe writer is the president and C.E.O. of Research!America.To the Editor:The suggestion to cut infectious disease funding displays dangerous historical amnesia. Just as the 1918-20 flu pandemic killed millions of people globally, Covid-19’s emergence in 2020 demonstrated how quickly a novel pathogen can upend society. While vaccines helped curb Covid-19’s impact, we face an equally urgent crisis: antibiotic resistance.Currently, drug-resistant bacteria infect over two million Americans annually, causing more than 20,000 deaths. Without sustained funding and research, projections show antimicrobial resistance could cause 10 million annual deaths globally by 2050.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      The Unnecessary Suffering of Women With Obstetric Fistulas

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      One of the most dangerous things a woman can do in much of the world is become pregnant, and the risks caught up with a Kenyan named Alice Wanjiru a decade ago.Then 20 years old and pregnant for the first time, she suffered a childbirth injury called an obstetric fistula, caused by prolonged labor without access to a C-section to end it. This left her with a hole in the tissue between her rectum and her vagina, and for 10 years she endured the humiliation of continually leaking stool through her genital tract.“I could never get fully clean, for there was always some stool left,” she told me. “The other women would say, ‘She is the woman who stinks.’ I would ask God, ‘Why me? Why can’t I be like other women?’”Wanjiru bathed herself several times a day, fasted from morning until evening so there wouldn’t be much in her digestive tract during the day, and always wore a sanitary pad. Doctors misdiagnosed her, sex was a nightmare and her husband abandoned her after harshly accusing her of having poor hygiene.Shamed by the continuous odor, she withdrew from friends and stayed home from church and other gatherings. She endured her shame in solitude, year after year.Perhaps one million or two million women worldwide are enduring fistulas and leak stool or, more commonly, urine through their vaginas. These are typically impoverished women in poor countries where home births are the norm, who couldn’t get to a doctor in time for a needed C-section.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      ‘Witches’ Review: Redeeming the Wicked Witch

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      The director Elizabeth Sankey’s experience with postpartum depression anchors this documentary about the pop-cultural representation of witches.The arrival of “Witches,” a documentary streaming on Mubi, seems strategically timed. The director Elizabeth Sankey’s contribution is part essay film, part personal testimony, though like Jon M. Chu’s musical blockbuster “Wicked” she, too, starts in the land of Oz.As a child, Sankey explains in a voice-over, she wanted to be Glinda the good witch. But her experiences dealing with mental illness made her see an unsettling correlation between the wicked witches of the world and the women who, like her, have had trouble performing traditional domestic roles.The first part of Sankey’s documentary plays like a cultural history of the witch onscreen, weaving together clips from TV shows and movies across the decades to illustrate a somewhat stale point: that stigmas around women’s health have informed the characterization of witches. When Sankey shares her personal story — weaving in interviews with other women and experts who also have firsthand experience of postpartum psychosis — the details of her illness take on an eerie new light next to pop-cultural images of madwomen, like Mia Farrow in “Rosemary’s Baby” and Isabelle Adjani in “Possession.” Based on the real women’s accounts, the fictional renderings don’t seem outlandish — the satanic underpinnings of witchcraft, clearly a superstitious, and deeply misogynistic, justification.“Witches” eventually explores other parallels — for instance, the demonization of midwives and natural healers with the advent of modern medicine — but the maternal madness framework dominates the bulk of the run time to diminishing effect. The clips also veer from the occult and take on a more generalized creepiness that feels bleary and arbitrary. If all women behaving badly can be summed up as witchy, then Sankey’s documentary too often works like a game of associations.WitchesNot rated. Running time: 1 hour 30 minutes. Watch on Mubi. More

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      How Does Pregnancy Change the Brain? Clues Are Emerging.

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      As hormones surge, some brain areas shrink in what scientists say may be a fine-tuning that helps mothers bond with and care for their babies.Research is revealing intriguing clues about how pregnancy changes the brain. Studies scanning women’s brains before and after pregnancy have found that certain brain networks, especially those involved in social and emotional processing, shrink during pregnancy, possibly undergoing a fine-tuning process in preparation for parenting. Such changes correspond with surges in pregnancy hormones, especially estrogen, and some last at least two years after childbirth, researchers have found.A new study, published Monday in the journal Nature Neuroscience, adds to the picture by documenting with M.R.I.s brain changes throughout one woman’s pregnancy. It confirms previous results and adds detail, including that white matter fibers showed greater ability to efficiently transmit signals between brain cells, a change that evaporated once the baby was born.“What’s very interesting about this current study is that it provides such a detailed mapping,” said Elseline Hoekzema, a neuroscientist who heads the Pregnancy and the Brain Lab at Amsterdam University Medical Center and has helped lead studies analyzing brain scans of more than 100 women before and after pregnancy.Dr. Hoekzema, who was not involved in the new study, said it showed that along with previously documented “longer-lasting changes in brain structure and function, more subtle, transient changes also occur.”Dr. Ronald Dahl, director of the Institute of Human Development at the University of California, Berkeley, who was not involved in the new study, said the emerging research reflected the key role of hormones in transitions like puberty and pregnancy, guiding neurological shifts in priorities and motivations.“There is that sense that it’s affecting so many of these systems,” he said. The study participant, Elizabeth Chrastil, is a neuroscientist at the University of California, Irvine. She became pregnant in 2019, at 38, after in vitro fertilization. That allowed precise tracking of her pregnancy from the start.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Boar’s Head Listeria Outbreak Survivors Describe Harrowing Illnesses

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      The outbreak, linked to Boar’s Head products, has been especially devastating for high-risk groups like pregnant women and older adults.Ashley Solberg wasn’t worried about the risk to her pregnancy when she bought Boar’s Head sliced ham from a Florida supermarket in May. Her doctor had told her the risk was negligible, Ms. Solberg said, and she’d eaten deli meat without any issues in her last pregnancy. So she used it to make a poolside lunch for her parents and toddler.It was only when she returned home to Coon Rapids, Minn., that she started to feel ill. When her fever persisted for a third day, she went to a hospital, where a blood test revealed she had been infected with the bacteria Listeria monocytogenes. A doctor told Ms. Solberg, who was 36 weeks pregnant, that she might need an emergency C-section, or worse.“The doctor came in and said there’s a possibility that your baby won’t make it, and said over and over how serious a listeria infection is,” she said. “I was terrified.”Ms. Solberg, 33, is one of 57 people across 18 states who have been hospitalized in an ongoing listeria outbreak tied to Boar’s Head deli meats. The bacteria thrive in cold temperatures, which is why listeria is more commonly found in processed meats, fruit and dairy products. Contaminated food can also deposit the bacteria on counters, deli-meat slicers and other places where food is processed.Most people don’t get very sick from listeria. But for older adults, immunocompromised people and pregnant women, an infection can cause serious health issues or even death. All nine deaths linked to the outbreak have been of people older than 70, according to the Centers for Disease Control and Prevention.Ms. Solberg and others sickened in the outbreak described their shock at falling seriously ill after eating cold cuts or liverwurst they had enjoyed without issues for years. One patient had to pause her chemotherapy treatments for leukemia to battle the infection. Some became so ill they had to spend weeks receiving IV antibiotics, and are still trying to regain their strength.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More