Chapter 13: pregnancy risk factors & assessment. Chapter 14: pregnancy at risk: gestational conditions. Chapter 15: pregnancy at risk: pre-existing conditions (pages. Perinatal issues (volume 4) in responding to domestic violence in clinical settings e learning program. (cid:498)one in which the life or health of the mother or fetus is made vulnerable because of a medical(cid:499) condition, obstetric condition or maternal life- Influence of determinants of health on maternal/newborn outcomes circumstances (adapted from cannon et al. , 2000 p. 435). Demographic factors: availability of health care, physical environment, income / social status, education, social support, culture, employment / working hazards. Personal health practices & coping skills: substance use, nutritional status, dental hygiene, psychosocial stressors. Metabolic disorders: pre-gestational diabetes mellitus, thyroid disorders. Anemia: iron deficiency anemia, folic acid deficiency anemia. 75,000 canadians living with hiv: 22. 4% (16,880) are women, 70% are of reproductive age.