what age group faces a higher risk of pregnancy complications?
young adolescents between the ages of 10-14 face a higher risk of death and complication due to pregnancy
94% of maternal deaths occur in what type of countries
low and lower middle class income countries
________ die from preventable causes related to pregnancy
810 women
leading cause of death for children under 5
preterm birth complications
in Canada what type of women are at higher risk for maternal and infant mortality
Indigenous and POC women
black women and pregnancy complications?
3-4 times more likely to die from complications
who is infant mortality twice as high for?
Indigenous women
what are health inequities
differences in health or distribution of resources between populations, caused by social conditions in which people are
born, work, grow, and live
how can we reduce health inequities
by the right mix of government policies
what is social justice
focuses on the advantage that certain groups have compared to others, and understanding the root causes of these
inequities
what is the sole purpose of social justice
need to take responsible action to eliminate inequities
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equality
equal rights for all groups and individuals regardless of varying disparities and needs
equity
fair distribution of rights and resources that individual and groups require based on their disparities and determinants
What is the UN Sustainable Development Goals?
made to ensure healthy lives and promoting well-being for all ages for development
Why is the UN SDG important?
support the idea of a sustainable population and provides access to those without the resources and tools to create
sustainable environments for growth
What are reproductive rights?
The basic right of all couples and individuals to decide the number and timing of their children, having information,
sexual and reproductive health, and the right to make a decision free of discrimination or coercion
Do all women are the world have the same reproductive rights?
no
What is reproductive justice
complete physical, mental, spiritual, political, and social well-being of women will be achieved when they have the
power and resources to make health decisions for themselves
Critical Social Theory
understanding root causes of inequities and examines relationships of power in society structures that produce
inequities
what does critical social theory challenge
social inequities and injustices and their health impact
how does critical social theory challenge inequities
works with individuals, families, and multiple sector collaboration to influence policies and address determinants
critical race theory
rooted in the understanding that race is a social construct and how it is embedded within systems and institutions
critical race theory and health disparities
analyses the impact structures have on health outcomes between races and groups
intersectionality
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considers how different determinants and disparities overlap and interact with one another to create advantages and
disadvantages at individual and structural levels
forced evacuation for Indigenous women
imposed by the government stating that Indigenous women who live on reserves must leave traditions and support to
travel to urban centres to give birth
2017 change for Indigenous women in labour?
government now provides funds for travel companion for Indigenous women leaving communities to give birth
Implications of leaving community to give birth for Indigenous women?
feelings of loneliness, lack of traditions and practices incorporated into experience and newborn care
allostatic load
can be caused by repeated exposure to stress by discrimination and racism
what happens during allostatic load
stress induces cortisol, norepinephrine, and epinephrine which in high amounts can cause high BP, cholesterol, and
waist-hip ratio over time causing physiological wear and aging
what are Black women at higher risk of in pregnancy
diabetes, preeclampsia, placental abruption, low birth weight, small gestational age
higher rates of what complications for Black women
stillbirths, preterm birth, and c-section
obstetric racism
forms of violence and abuse that HCP and medical institutions perpetuate against black women
hormone therapy and fertility
hormone therapy can have impacts on fertility for Trans youth and HCP must discuss fertility preservation and/or birth
control prior to hormone therapy
Female Genital Mutilation (FGM)
Partial or total removal of the external female genitalia or other injury to female genital organs for non-medical reasons
types of FGM
normal, type one, type two, type 3
Type 1 FGM
partial or total removal of the clitoris
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Type 2 FGM
partial or total removal of the clitoris and the labia minora
Type 3 FGM
labia majora sewn together covering the urethra and vagina leaving a small hole or urine or menstrual fluid
cultural considerations for FGM
assess prior to initial prenatal visit, clear documentation, refer to it in same terms as pt, culturally safe, privacy
can health care providers preform FGM
no, women and family members must know that they cannot legally request a FGM by HCP
what is trauma and violence informed care
policies and practices that make connections between trauma and negative health outcomes
how is trauma and violence informed care implemented
focused to minimize potential harm and re traumatization to enhance safety
four principles of trauma and violence informed care
understand traumas' impact on behaviour, create a safe enviourment, foster choice and collaboration, and strength-
based capacity building approach to support coping
cultural safety
highlights power imbalances in health care relationships
cultural humility
self-reflection to raise awareness of personal and systemic bias
inclusive language and care
ask about pronouns and preferred words for body parts
what is healthy babies healthy children program
free program made to support individuals and families with healthy pregnancy, bonding, promoting development,
resources, and giving children a good start
perinatal nurses
work with childbearing individuals and families from preconception to postpartum
paediatric nurses
care for children from birth to 18 years old
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