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Case 90 - A 40-Year-Old at 24 Weeks’ Gestation Presents with Food and Housing Insecurity

from Section 11 - Psychosocial Considerations

Published online by Cambridge University Press:  08 April 2025

By
Stacey L. Holman
Edited by
Peter F. Schnatz ,
D. Yvette LaCoursiere ,
Christopher M. Morosky ,
Jonathan Schaffir ,
Vanessa Torbenson  and
David Chelmow
Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
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Summary

Social determinants of health are nonmedical factors that influence health outcomes. They have a direct impact on maternal morbidity and mortality. There are five domains considered in the umbrella of social determinents of health. This case represents an example of food and housing insecurity for a patient who presents for prenatal care. Important collaboration with social work and local resources are critical for those who provide prenatal care for patients. The case reviews assessment of social determinants of health, approach to resources, and overall impact on pregnancy outcome.

Keywords

maternal mortalitysocial determinants of healthprenatal carefood insecurityhousing insecurityperinatal mood disorders
Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
 , pp. 283 - 285
Publisher: Cambridge University Press
Print publication year: 2025

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References

ACOG Committee Opinion No. 729 Summary: Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Care. Obstet Gynecol. 2018;131(1):198–199.Google Scholar
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Wang, E, Glazer, KB, Howell, EA, et al. Social Determinants of Pregnancy-Related Mortality and Morbidity in the United States: A Systematic Review. Obstet Gynecol. 2020;135(4):896–915.Google ScholarPubMed
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Arvizo, C, Garrison, E. Diversity and Inclusion: The Role of Unconscious Bias on Patient Care, Health Outcomes and the Workforce in Obstetrics and Gynaecology. Curr Opin Obstet Gynecol. 2019;31(5):356–362.CrossRefGoogle ScholarPubMed

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