Clinical Focus

  • Psychiatry

Academic Appointments

Boards, Advisory Committees, Professional Organizations

  • Member, Lifeline for Moms Perinatal Access Program Network (2018 - 2022)
  • Physician Advisor, Perinatal Mental Health Learning Community Advisory Group, Hospital Quality Institute (2020 - 2021)

Professional Education

  • Board Certification: American Board of Psychiatry and Neurology, Psychiatry (2011)
  • Residency: NYU Langone Psychiatry Residency Program (2009) NY
  • Medical Education: Stanford University School of Medicine (2005) CA

Contact

  • Academic
    Department: Psychiatry and Behavioral Sciences - Child and Adolescent Psychiatry and Child Development Position: Program Director, Ambulatory Perinatal Mental Health Services
    • 770 WELCH RD
    • PALO ALTO,  California  94304 
  • Clinical (Primary)  Obstetrics Clinic 770 Welch Rd Ste 201 Palo Alto, CA 94304 (650) 498-2583 (fax)

Additional Clinical Info

Additional Info

  • Mail Code: 5719

All Publications

  • Adverse childhood experiences and post-cesarean pain and in-hospital opioid use: a prospective cohort study. International journal of obstetric anesthesia Joudi, N., Reddy, N. S., Sherwin, E. B., Markwei, M., Hurtado, J., Simpson, S. L., Burgess, J. J., Leonard, S. A., Schultz, M., Carvalho, B., Sultan, P., Bianco, K., Panelli, D. M. 2025; 65: 104822

    Abstract

    Adverse childhood experiences (ACEs) are linked to higher opioid use and pain in non-pregnant populations, yet their effect after cesarean delivery is unclear. We evaluated whether ACEs influence postpartum opioid use and pain following cesarean.We prospectively enrolled English or Spanish speaking women undergoing scheduled or intrapartum cesarean delivery under neuraxial anesthesia (2023-2024).The exposure was ≥ 1 ACEs, assessed via a validated questionnaire 24-48 h post-delivery. The primary outcome was opioid use (0-48 h) post-delivery in milligram morphine equivalents (MME). Pain was measured using the Short-Form Brief Pain Inventory (SF-BPI) 24-48 h postpartum and average numerical rating scale pain scores (recorded every 4 h). We used multivariable modified Poisson regression models to evaluate the association between ACEs and any opioid use, and multinomial regression to examine opioid dose quartiles.Among 129 participants, 53 (41%) reported ≥ 1 ACEs. Women with ACEs were more likely to use opioids in the first 48 h postpartum than those without ACEs (89% vs. 59%, adjusted risk ratio [aRR] 1.52; CI 1.20, 1.91). ACEs were also associated with higher opioid dosage across quartiles: 2nd [adjusted odds ratio (aOR) 8.60; CI 2.47, 29.9], 3rd (aOR 5.74; CI 1.54-21.4), and 4th (highest) [aOR 4.54; CI 1.30, 15.9] vs. the lowest quartile. Numerical rating scale pain scores were higher among women with ACEs (3/10 vs. 2/10, P = 0.037), as were SF-BPI worst pain scores (7/10 vs. 6/10, P = 0.029).Adverse childoohd experiences were common and associated with higher opioid consumption and greater pain after cesarean delivery, supporting trauma-informed approaches to postpartum analgesia.

    View details for DOI 10.1016/j.ijoa.2025.104822

    View details for PubMedID 41370910

  • The Influence of Childhood Abuse, Neglect, and Household Dysfunction on Postpartum Opioid Use Reddy, N., Sherwin, E., Hurtado, J., Simpson, S., Burgess, J., Joudi, N., Markwei, M., Schultz, M., Sultan, P., Carvalho, B., Bianco, Y., Panelli, D. SPRINGER HEIDELBERG. 2025: 51A

    View details for Web of Science ID 001609923000012