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  • Complex Social Factors

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    Poetri Iermayani
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    Complex social factors that may impact pregnancy can include poverty, homelessness, substance abuse, recent immigration, domestic violence, language barriers, and young age. These factors vary between populations and commissioners should track several metrics related to antenatal care attendance and outcomes for women with these challenges. Care providers should conduct multi-agency needs assessments, respect patient confidentiality, and ensure women have support and means to contact care providers. Some women may be discouraged from care due to feeling overwhelmed, unfamiliarity with services, practical and communication barriers, and anxiety about staff attitudes.

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    Complex social factors that may impact pregnancy can include poverty, homelessness, substance abuse, recent immigration, domestic violence, language barriers, and young age. These factors vary between populations and commissioners should track several metrics related to antenatal care attendance and outcomes for women with these challenges. Care providers should conduct multi-agency needs assessments, respect patient confidentiality, and ensure women have support and means to contact care providers. Some women may be discouraged from care due to feeling overwhelmed, unfamiliarity with services, practical and communication barriers, and anxiety about staff attitudes.

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    1 views2 pages

    Complex Social Factors

    Uploaded by

    Poetri Iermayani
    Complex social factors that may impact pregnancy can include poverty, homelessness, substance abuse, recent immigration, domestic violence, language barriers, and young age. These factors vary between populations and commissioners should track several metrics related to antenatal care attendance and outcomes for women with these challenges. Care providers should conduct multi-agency needs assessments, respect patient confidentiality, and ensure women have support and means to contact care providers. Some women may be discouraged from care due to feeling overwhelmed, unfamiliarity with services, practical and communication barriers, and anxiety about staff attitudes.

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    2/11/2016

    Complexsocialfactors

    Examplesofcomplexsocialfactorsinpregnancyinclude:
    poverty
    homelessness
    substancemisuse
    recentarrivalasamigrant
    asylumseekerorrefugeestatus
    difficultyspeakingorunderstandingEnglish
    ageunder20
    domesticabuse

    Complexsocialfactorsmayvaryacrossdifferentlocalpopulations

    Definitions

    Domesticabuse
    Anincidentofthreateningbehaviour,violenceorabuse(psychological,physical,sexual,
    financialoremotional)betweenadultswhoareorhavebeenintimatepartnersorfamily
    members,regardlessofgenderorsexuality.Itcanalsoincludeforcedmarriage,femalegenital
    mutilationand'honourviolence'.

    Recentmigrants
    WomenwhomovedtotheUKwithintheprevious12months.

    Substancemisuse(alcoholand/ordrugs)
    Regularuseofrecreationaldrugs,misuseofoverthecountermedications,misuseof
    prescriptionmedications,misuseofalcoholormisuseofvolatilesubstances(suchassolventsor
    inhalants)toanextentwherebyphysicaldependenceorharmisarisktothewomanand/orher
    unbornbaby.

    Regulatoryissues

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    2/11/2016

    Commissionersshouldensurethatthefollowingarerecorded
    Numberofwomenpresentingforantenatalcarewithanycomplexsocialfactor
    Thenumberofwomenwithineachcomplexsocialfactorgrouping

    Commissionersshouldensurethatthefollowingarerecordedforeachcomplexsocialfactor
    grouping:

    Thenumberofwomenwho:
    attendforbookingby10,12+6and20weeks
    attendfortherecommendednumberofantenatalappointments
    experience,orhavebabieswhoexperience,mortalityorsignificantmorbidity
    Thenumberofappointmentseachwomanattends
    Thenumberofscheduledappointmentseachwomandoesnotattend

    Careprovision
    Consideramultiagencyneedsassessment,includingsafeguardingissues
    Respectthewoman'srighttoconfidentiality
    Tellthewomanwhyandwheninformationaboutherpregnancymayneedtobesharedwith
    otheragencies.

    Informationandsupportforwomen
    Provideonetooneconsultationonatleastoneoccasion.
    Atthefirstcontactandatthebookingappointment,askthewomantotellherhealthcare
    professionalifheraddresschanges,andensurethatshehasatelephonenumberforthis
    purpose.
    Atthebookingappointment,givethewomanatelephonenumbertoenablehertocontacta
    healthcareprofessionaloutsideofnormalworkinghours

    Reasonswhysomewomenwithcomplexsocialfactorsarediscouragedfromusingantenatal
    careservices
    Overwhelmedbytheinvolvementofmultipleagencies
    Unfamiliarwithantenatalcareservices
    Practicalproblemsmakingattendancedifficult
    Communicationproblems
    Anxietyaboutattitudeofstaff

    2/2

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