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CHAPTER 3 - Prepregnancy services for women with social needs

Published online by Cambridge University Press:  05 July 2014

By
Mary Hepburn  and
Kirstyn Brogan
Edited by
Tahir Mahmood ,
Philip Owen ,
Sabaratnam Arulkumaran  and
Charnjit Dhillon
Mary Hepburn
Affiliation:
Princess Royal Maternity Hospital
Kirstyn Brogan
Affiliation:
Crosshouse Hospital
Tahir Mahmood
Affiliation:
Forth Park Hospital, Kilcaldy
Philip Owen
Affiliation:
Glasgow Royal Infirmary
Sabaratnam Arulkumaran
Affiliation:
St George’s University London
Charnjit Dhillon
Affiliation:
Royal College of Obstetricians and Gynaecologists, London
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Summary

Prepregnancy care for women with social needs should enable women to protect and control their fertility and to ensure any pregnancies are intended and optimally timed for good medical and social outcomes. In 2006, the USA published recommendations and guidelines on preconception care for all women, but these guidelines do not specifically address the needs of socially disadvantaged women. All reproductive healthcare professionals must be trained and must be able to take a full social history in both the prepregnancy and maternity setting. Provision of reproductive health care, including prepregnancy care, for women with social problems should be incorporated into strategic planning and reflected in staffing levels and skill mix. Complementary services including information, education and social and health care should be provided for socially disadvantaged men and partners of socially disadvantaged women. Development of routine service provision is a priority and such services should be subject to audit.

Keywords

socially disadvantaged womenservice deliverysocial needsprepregnancy carereproductive health carematernity servicesclinical guidelines
Type
Chapter
Information
Models of Care in Maternity Services , pp. 25 - 33
Publisher: Cambridge University Press
Print publication year: 2010

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