Social Detriments of Pregnancy

Question 1

What are the barriers to HC?

Answer 1

income and social status
social support networks (lack of support increases anxiety and stress)
education and literacy (decreased understanding of prenatal education)
employment/working conditions
social environments
physical environments
personal health practices and coping skills
Biology and genetic endowment

Question 2

Income and social status?

Answer 2

food insecurity
child care
stress
tobacco/alcohol/drug use
cost of HC
transportation

Question 3

Employment/working conditions?

Answer 3

lack of time off for DR visits
stressful conditions
lack of family and medical leave

Question 4

social environments?

Answer 4

racism/discrimination
culture
disability status
gender identity
community violence
incarceration status

Question 5

physical environments?

Answer 5

safe housing
utilities
pollution
availability of care

Question 6

personal health practices and coping skills?

Answer 6

hygiene
taking vitamins/medications
dealing with stress

Question 7

biology and genetic endowment?

Answer 7

increased risk of complications such as gestational DM or HTN/preeclampsia

Question 8

What are the effects of social detriments?

Answer 8

Increased pregnancy and delivery complications
Increased rates of postpartum depression
Neonatal Loss
Poor birth outcomes –> (Low birth weight and Preterm birth)

Question 9

What is trust vs. mistrust?

Answer 9

child can develop mistrust of others if needs are not met
birth to 1 year

Question 10

what is autonomy vs. shame and doubt

Answer 10

child can develop self-doubt if not allowed to be independent and self-sufficient
1 to 3 years

Question 11

what is initiative vs. guilt?

Answer 11

child may develop guilt or helplessness if not allowed to try new things
3 to 6 years

Question 12

what is industry vs. inferiority?

Answer 12

child may develop sense of inferiority if not able to accomplish realistic task successfully
6 to 12 years

Question 13

what is identity vs. role confusion?

Answer 13

developing sense of self or role confusion
12 to 18

Question 14

what is intimacy vs. isolation?

Answer 14

adult needs to develop relationships or will feel isolated and lonely
18 to 40

Question 15

what is generatively vs. stagnation?

Answer 15

adult needs to feel accomplished and useful or will feel unproductive and uninvolved
40 to 65

Question 16

what is integrity vs. despair?

Answer 16

adult needs to feel sense of fulfillment or will feel regret and failure
65 to death

Question 17

What are the Erikson’s developmental stages?

Answer 17

Master of each stage requires a balance between two conflicts that must be resolved before moving to next level in a healthy way.

Trust vs Mistrust
Autonomy vs. Shame and Doubt
Initiative vs. Guilt
Industry vs. Inferiority
Identity vs. Role Confusion
Intimacy vs. Isolation
Generativity vs. Stagnation
Integrity vs. Despair