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Prenatal care for homeless women

Author
Elizabeth Liveright, MD
Section Editor
Vincenzo Berghella, MD
Deputy Editor
Vanessa A Barss, MD, FACOG

INTRODUCTION

Homelessness is defined by the United States Department of Health and Human Services (HHS) as "an individual without permanent housing who may live on the streets; stay in a shelter, mission, single room occupancy facilities, abandoned building or vehicle; or in any other unstable or non-permanent situation" [1] Homelessness disproportionately affects women and children: women represent approximately 80 percent of adults in homeless families in the United States [2]. Homeless women are at higher risk of having chronic illnesses, infectious diseases, substance abuse problems, mental illness, and being a victim of sexual or domestic violence than women who are not homeless [3,4]. They are also less likely to have insurance, social support, income, or access to preventive health services [5]. Persons who experience homelessness may be less likely to engage in the health care system due to challenging relationships with care providers, inconvenience, cost, and a perceived lack of compassion and discrimination on the part of the providers [6]. Senior members of the health care team are particularly responsible for educating house staff and students on how to appropriately care for this vulnerable group of women.

Attention to the following principles is likely to improve results when providing care for homeless people [7]:

Outreach to engage those in need of health care services

Respect for each patient, regardless of circumstances

Cultivation of trust and rapport between the health care provider and patient

               
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Literature review current through: Nov 2017. | This topic last updated: Nov 16, 2017.
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References
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