HTW 309 Lecture Notes - Lecture 15: Preterm Birth, Prenatal Care, Allostasis

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Document Summary

Birth outcomes are affected by the negative impact of racism over one s lifetime, not just during pregnancy. Racism in american is an added source of chronic stress for people of color. Racial justice and civic engagement are instruments for improving health and birth outcomes. Synthesis of 2 causal pathways to explain disparities in birth outcomes: Disparities in birth outcomes are the consequences of differential developmental trajectories set forth by early life experiences and cumulative allostatic stress load over the life course. Explains why higher ses may not be as protective for black women as white women. Good birth outcomes depend on health care beginning in childhood; not only on prenatal care -- pathways for access to life course health development. Ensure federally/state supported insurance programs to cover pre-conceptual and primary care for women. Education, and support, provided in a group and. Facilitated by a credentialed health provider and a co-facilitator. Preterm birth: 33% reduction (overall), 41% amon aa women.

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