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Post by Camille Robinson on Jan 30, 2022 22:01:02 GMT
I think some of the specific challenges this patient faces is of course pregnancy at a time of change within her life. If she is a refugee, has she been able to get any or adequate prenatal care before her arrival to the US? Does she speak any English? If not, it will be harder to navigate the accessing healthcare quickly as she needs to as sooner as possible due to the pregnancy. This can also cause strain between communication with the patient and providers or other staff members. Is the way we think about childbirth and pain control culturally different and will how will this affect her? Often we talk about doing interventions in pregnancy or labor like inductions of labor which may not be the norm in other countries. Also will the stress of the move and living in a new country negatively affect her pregnancy? If she is malnourished or iron deficient or not able to access things like prenatal vitamins throughout early pregnancy means she could have an adverse pregnancy outcome that could have been prevented. Also if she alone in the USA or does she have a support network? Having a new baby is challenging and is even more so as a single parent. One of the benefits of being pregnant in the USA is that she will have access to insurance throughout this pregnancy and her child too will have access at birth. We can advocate for her to get plugged into healthcare systems ASAP and getting her access to insurance as well. We can honor her requests and be as culturally sensitive as possible using interpreters and honoring requests like female only providers when safe and possible to do so. We as providers can be a great resource for her in giving her the counseling she needs to get her as prepared to the delivery as possible. While this patient faces a lot of challenges, she will ideally have time to get settled in the USA prior to delivery if she delivers at term and we are able to still initiate interventions if necessary that could positively impact the remainder or pregnancy.
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Post by strainsk on Jan 31, 2022 2:41:47 GMT
I think some of the specific challenges this patient faces is of course pregnancy at a time of change within her life. If she is a refugee, has she been able to get any or adequate prenatal care before her arrival to the US? Does she speak any English? If not, it will be harder to navigate the accessing healthcare quickly as she needs to as sooner as possible due to the pregnancy. This can also cause strain between communication with the patient and providers or other staff members. Is the way we think about childbirth and pain control culturally different and will how will this affect her? Often we talk about doing interventions in pregnancy or labor like inductions of labor which may not be the norm in other countries. Also will the stress of the move and living in a new country negatively affect her pregnancy? If she is malnourished or iron deficient or not able to access things like prenatal vitamins throughout early pregnancy means she could have an adverse pregnancy outcome that could have been prevented. Also if she alone in the USA or does she have a support network? Having a new baby is challenging and is even more so as a single parent. One of the benefits of being pregnant in the USA is that she will have access to insurance throughout this pregnancy and her child too will have access at birth. We can advocate for her to get plugged into healthcare systems ASAP and getting her access to insurance as well. We can honor her requests and be as culturally sensitive as possible using interpreters and honoring requests like female only providers when safe and possible to do so. We as providers can be a great resource for her in giving her the counseling she needs to get her as prepared to the delivery as possible. While this patient faces a lot of challenges, she will ideally have time to get settled in the USA prior to delivery if she delivers at term and we are able to still initiate interventions if necessary that could positively impact the remainder or pregnancy. -I never have never thought to question the point you brought up regarding cultural differences in childbirth/pain control. Not my field so to think that patients can have other preconceived notions regarding birth makes sense, especially if they hail from a different country. Even something as a support network can be so crucial. Is it a cutural norm they have for family to help out with a newborn but the family isn't around to do so? If so, I could see that being a major stress. Great points.
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Post by Audrey on Feb 3, 2022 6:36:47 GMT
I think some of the specific challenges this patient faces is of course pregnancy at a time of change within her life. If she is a refugee, has she been able to get any or adequate prenatal care before her arrival to the US? Does she speak any English? If not, it will be harder to navigate the accessing healthcare quickly as she needs to as sooner as possible due to the pregnancy. This can also cause strain between communication with the patient and providers or other staff members. Is the way we think about childbirth and pain control culturally different and will how will this affect her? Often we talk about doing interventions in pregnancy or labor like inductions of labor which may not be the norm in other countries. Also will the stress of the move and living in a new country negatively affect her pregnancy? If she is malnourished or iron deficient or not able to access things like prenatal vitamins throughout early pregnancy means she could have an adverse pregnancy outcome that could have been prevented. Also if she alone in the USA or does she have a support network? Having a new baby is challenging and is even more so as a single parent. One of the benefits of being pregnant in the USA is that she will have access to insurance throughout this pregnancy and her child too will have access at birth. We can advocate for her to get plugged into healthcare systems ASAP and getting her access to insurance as well. We can honor her requests and be as culturally sensitive as possible using interpreters and honoring requests like female only providers when safe and possible to do so. We as providers can be a great resource for her in giving her the counseling she needs to get her as prepared to the delivery as possible. While this patient faces a lot of challenges, she will ideally have time to get settled in the USA prior to delivery if she delivers at term and we are able to still initiate interventions if necessary that could positively impact the remainder or pregnancy. That's a great point about leveraging the opportunity during prenatal visits to get her plugged into the health system. I agree it will be helpful to use interpreters and make the process culturally sensitive by honoring requests that help her to feel safe and comfortable with providers. It will be helpful to listen to the patient's experiences and provide counseling ahead of time on why we ask patients to attend multiple prenatal visits prior to delivery and why we provide multiple vaccinations prior to delivery. We can also use this time to connect her with primary care and pediatrics for her child.
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Post by mollybrazil on Feb 7, 2022 19:07:29 GMT
Lot's of great points made about cultural differences in the childbirth process. I think the education component of why we do what we do here is huge. That being said, I imagine for a young mom with her ?first child who just moved to a new country, the entire process is beyond overwhelming and it will be important to start with education focused on WHERE to find resources. Where to find a clinic that can help set her up with insurance and care, where the hospital is, where the pediatrician is, and how to get to those places with limited english proficiency and no transportation. Just as important to the healthcare itself is the ability to navigate an entirely new country and system.
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Post by mollybrazil on Feb 7, 2022 19:23:12 GMT
Given her recent immigation, this patient probably has had limited prenatal care. At 28 weeks, there will be a lot of labs/screening studies that she needs to get caught up on. Additionally, she has likely had exposure to tropical diseases that are not often thought about in the US. Malnutrition is an other important issue. As has already been addressed, arranging post-partum care and pediatric care for the baby will also be priorities.
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Silky
New Member
Posts: 7
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Post by Silky on Feb 13, 2022 15:41:13 GMT
Several health concerns may affect the 20 year old who is 28 weeks pregnant and just arrived in the US as a refugee from Syria.
1) Need to establish a OBGYN who can help her get through the pregnancy - it is unclear if she has insurance needed for the complete and adequate prenatal and natal care. 2) Her prior prenatal care and access to care prior to arrival to US poses challenges associated with unknowns - such as fetal growth and nutrition that might effect her current pregnancy status and impacts delivery planning. 3) Cultural difference in caring for herself and baby might be a challenge when trying to adjust to a new culture and going through pregnancy. 4) It is unclear if she has family and spouse support - this might impact her emotional status now and during postpartum period. Social work involvement early to establish the support is needed. 5) Financial challenges - she may have to find work which might be challenging due to language barriers, education level (which is unknown), establishing credential in the US and at the same time making sure that the work she finds is supportive of her pregnancy status and will allow maternity leave as needed. 6) Living condition - making sure she is living in a safe and healthy environment is a challenge more so now when she is pregnant. 7) Planning for baby - another challenge is to make sure that plan is in place such that the healthcare and daily needs of baby will be appropriately addressed.
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Post by alyssaseibold on Apr 30, 2022 1:01:51 GMT
I believe there are several health concerns that would affect a 20 year old female that is arriving to the US 28 weeks pregnant. The healthcare system in the US is very different from healthcare abroad and therefore trying to navigate the system would be challenging as she is 28 weeks pregnant and should receive prenatal care. Has she received any prenatal care prior to this as she may have lived in a rural area where there was limited access to prenatal care. Does she speak English as this may also have a significant impact on her ability to access healthcare. I also think of about how care may be limited after the child is born such as access to a pediatrician. I think that having someone to help facilitate care and someone who can speak their language to help communicate would be helpful to the whole process.
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