Impact of Socio-Determinants of Health in Pregnant Women

Disciplines

Maternal, Child Health and Neonatal Nursing

Abstract (300 words maximum)

Impact of Socio-Determinants of Health in Pregnant Women

Background: Socio-determinants of health influences the outcome of healthcare in pregnant women in different parts of the world. An estimated 700-900 women in the United States die each year from pregnancy-related complications. Most of these deaths can be prevented. Purpose: This research aims to address the question: Among pregnant women, does having insurance affect their quality of life and mortality rates? Methods: This evidence-based practice project reviewed quantitative and qualitative literatures using PRISMA and the John Hopkins Evidence-Based Practice Tools to analyze the impact of health insurance to the health outcomes of pregnant women. Results: There is an increased risk for pregnancy-associated deaths for those in low-income areas compared to pregnancy-associated deaths in high-income areas. We found that geographical barriers to adequate maternal care exist in rural areas due to infrastructure in addition to financial hardships. Despite improvements on coverage of maternal care, affordability remains an access barrier. When it pertains to critically ill pregnant patients without insurance, they not only were more ill when admitted, but they also had a worse prognosis and more fetal deaths than those patients with some of the same illnesses with insurance. Conclusion:Problems in maternal health care involve a lack of equipment, human resources, and evidence-based treatment. Individual behaviors along with population-level interventions are needed to address systemic issues.

Academic department under which the project should be listed

Wellstar School of Nursing

Primary Investigator (PI) Name

Mary Ramos

Research PPT.pptx.pdf (267 kB)
Symposium Poster

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Impact of Socio-Determinants of Health in Pregnant Women

Impact of Socio-Determinants of Health in Pregnant Women

Background: Socio-determinants of health influences the outcome of healthcare in pregnant women in different parts of the world. An estimated 700-900 women in the United States die each year from pregnancy-related complications. Most of these deaths can be prevented. Purpose: This research aims to address the question: Among pregnant women, does having insurance affect their quality of life and mortality rates? Methods: This evidence-based practice project reviewed quantitative and qualitative literatures using PRISMA and the John Hopkins Evidence-Based Practice Tools to analyze the impact of health insurance to the health outcomes of pregnant women. Results: There is an increased risk for pregnancy-associated deaths for those in low-income areas compared to pregnancy-associated deaths in high-income areas. We found that geographical barriers to adequate maternal care exist in rural areas due to infrastructure in addition to financial hardships. Despite improvements on coverage of maternal care, affordability remains an access barrier. When it pertains to critically ill pregnant patients without insurance, they not only were more ill when admitted, but they also had a worse prognosis and more fetal deaths than those patients with some of the same illnesses with insurance. Conclusion:Problems in maternal health care involve a lack of equipment, human resources, and evidence-based treatment. Individual behaviors along with population-level interventions are needed to address systemic issues.