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Creciendo Juntos; A Conversation with Cynthia Arias-Cardoso

Cynthia Arias-Cardoso, MS, QMHP wants us to expand what it means to care for the health and well-being of women and children within the first year of birth. “Now that you (or your partner) have given birth, your days are filled with caring for your newborn or infant child – but who is caring for you? What aren’t you being told about postpartum health?” she asks before passionately describing her inspiration for creating Creciendo Juntos, a drop-in group for parents of children one year and younger.

“Creciendo Juntos is a safe space where parents have the opportunity to discuss postpartum issues such as infant bonding, the emotional development of both the child and the parents, building a relationship and bond with your baby”, and other culturally specific parenting needs.

Cynthia is on to something and she isn’t alone. A 2018 article in the Chicago Tribune reports that “The United States is experiencing an alarming rise in the number of women dying within a year of giving birth.” The article continues that since 2008, 650 women in Illinois have died due to pregnancy-related complications within a year of giving birth.

To address the problem, in May of 2018 “Illinois Rep. Robin Kelly, D-Matteson, who is co-chair of the Congressional Caucus on Black Women and Girls, introduced the Mothers and Offspring Mortality and Morbidity Awareness Act in May. Known as the MOMMA Act, it would expand Medicaid coverage, establish emergency obstetric protocols, encourage training and create a federal collection of data”, the Tribune reports.

While it remains to be seen what will come from the MOMMA Act and other proposed legislation in Springfield, closer to home- Cynthia was inspired to offer the six to eight-week support group by the need to provide parents with additional support and information following the birth of a child.

Cynthia Arias-Cardoso’s goal is to provide a safe space for parents to get the support and information they’ll need to raise emotionally, developmentally, and socially capable children while also learning to care for their own health and well-being in the long-term. “When you are pregnant, women and their partners can receive up-to-the-minute information about how their baby is developing and how the growing child affects mom’s body. But once the baby is born, the focus shifts primarily toward the child’s physical and medical needs.” Cynthia explains.

Creciendo Juntos is a welcome complement to the vital preventative services of our midwifery groups as well as convenient next-step for families of our CenteringPregnancy© groups.

Creciendo Juntos is a wonderful example of the service integration that our providers and programs strive to achieve.  “We need ongoing services for mothers and their partners. For instance, most people don’t know that there are physical therapy services available specifically to help mothers’ bodies safely return to normal- especially after an event as traumatic as birth.”

That is just a single example of why ongoing care is necessary for new moms- almost like a fourth trimester of care. Another important issue that Cynthia would like to address during the weekly, 90-minute sessions is parenting advice specifically for fathers. “There is so much information about child development and parenting – all of which is written for the benefit of women. Even my own husband had a difficult time finding parenting advice that is specific to or written for fathers”.

“Dads need support too! Fathers are caregivers!” That is why Cynthia wants to provide a safe space for all types of parents and caregivers to receive the support, resources, and information they need to lead healthy and productive lives while raising happy, healthy children. “Creciendo Juntos is member-led. I will start the group with a general prompt or idea and then let the conversation develop based on participant needs.”

“Our primary focus is meeting the needs of our current patient population…”, a population that is 96% Spanish speaking.

 

Originally posted November 9, 2018

Cathy Alvarez, MSN, CPNP-PC

Family Practice

Cathy Alvarez, MSN, CPNP-PC, is a board-certified Pediatric Nurse Practitioner with over two decades of experience dedicated to nurturing the health and well-being of children from birth through adolescence. Known for her warm, individualized approach to care, Cathy is passionate about building lasting relationships with her patients and their families—many of whom she’s supported through every milestone of childhood.

Cathy began her nursing career after earning her Bachelor of Science in Nursing from the University of Illinois at Chicago in 1999. She gained valuable experience working on the inpatient pediatric unit at Advocate Lutheran Children’s Hospital in Aurora. Driven to deepen her impact, she returned to UIC to complete the Pediatric Nurse Practitioner program, earning her Master of Science in Nursing in 2005. She is certified by the Pediatric Nursing Certification Board (PNCB) and has since devoted her career to providing expert care to diverse pediatric populations.

She is an active member of the National Association of Pediatric Nurse Practitioners and the American Cleft Palate-Craniofacial Association, always staying at the forefront of pediatric healthcare.
Fluent in English and Polish, with conversational Spanish skills, Cathy connects seamlessly with families from many cultural backgrounds.

Outside of work, you can find her cheering on her son at soccer games, exploring new destinations, and enjoying quality time with her family. Her caring spirit and clinical excellence make her a trusted partner in every child’s healthcare journey.” 

Marixa Alvarez, ARN, MSN, FNP-BC

Family Practice

Marixa Alvarez, ARN, MSN, FNP-BC, is a dedicated and compassionate Family Nurse Practitioner, board certified by the American Nurses Credentialing Center. She earned her Master of Science in Nursing from Lewis University, where she cultivated her passion for holistic, patient-centered care.

Fluent in both English and Spanish, Marixa connects deeply with diverse communities, ensuring every patient feels heard and supported. Outside of the clinic, you’ll likely find her in the kitchen—cooking, baking, and bringing people together over a homemade meal. A fun fact? Marixa has a knack for solving puzzles and putting things together—whether it’s a 1,000-piece jigsaw or helping patients piece together their path to better health.

Carlos Sian, PA

Physician Assistant

Carlos is a board-certified Physician Assistant who joined the IWS Family Health team in January 2024. He was born and raised in Antigua, Guatemala and is fluent in both English and Spanish.

His academic journey began at Saint Michael’s College, where he earned a Bachelor of Science in Biology alongside minors in Chemistry and Religious Studies. Driven by a commitment to service, he devoted a year to volunteering as a medical assistant at a health clinic in Albuquerque, NM, through the Jesuit Volunteer Corps. This experience solidified his interest in medicine, inspiring him to delve deeper into healthcare and ultimately leading Carlos to pursue a Master of Public Health in Community Health Sciences and Infectious Diseases from Boston University School of Public Health.

Following his MPH, Carlos dedicated several years to the public health sector, primarily serving as a linkage to care coordinator,  clinical research coordinator, and COVID-19 contact tracer. Moved by a need to help his community during the 2020 pandemic, he secured admission to and completed the Northwestern University Feinberg School of Medicine PA program, earning his Master of Medical Science degree.

Carlos aims to integrate his public health training with his medical practice to bring culturally competent and inclusive medical services to all his patients, but specially the Hispanic/Latino and LGTBQ+ communities he serves. In his downtime, Carlos enjoys cooking, collecting plants, fostering dogs, playing video games, watching reality TV shows, and adding more stamps to his passport!

Dr. Tara Ioffe

Family Practice

Dr. Tara Ioffe is a dedicated and compassionate Board-Certified Family Medicine physician with a strong commitment to providing excellent care to her patients. She obtained her medical degree from Avalon University in Curacao and went on to complete her Family Medicine Residency at the University of Oklahoma. She has worked at the University of Chicago and most recently NorthShore University. She has since returned to Chicago and is thrilled to join the IWS Family Health team in 2023, where she will continue to provide excellent care to her patients.

Throughout her career, Dr. Ioffe has gained experience in diverse medical fields, such as immediate and urgent care medicine while working at NorthShore Immediate Care. She did clinical research at the University of Chicago. Dr. Ioffe strives to foster a secure and inclusive environment for all her patients. She believes in an integrated approach to medicine, dedicating her time to understand each patient’s unique needs.

During her leisure time, Dr. Ioffe indulges in reading a variety of books for pleasure, plays boardgames, and loves to explore Chicago with her spouse and young child.