Access to to prenatal care and care options. Age - under 16 or over 35. Impact of range of sdh on pregnancy & pregnancy outcomes. Long-term impacts of colonialism; residential schools create health disparities. Indigenous women in canada have poorer maternity health status & maternal experiences than non-indigenous women. Increased likelihood of: overwt before pregnancy, gestational diabetes, abuse/domestic violence, substance use, smoking, decreased access to culturally appropriate services. Textbook notes: especially if prenatal care is lacking/absent. Subsequent pregnancy: risk increases the younger teen is at 1st pregnancy &/or when living with sexual partner &/or dropped out of school. O(cid:448)e(cid:396) o(cid:374)e thi(cid:396)d of adoles(cid:272)e(cid:374)ts (cid:449)ho"(cid:448)e had a(cid:374) a(cid:271)o(cid:396)tio(cid:374) o(cid:396) (cid:396)e(cid:272)e(cid:374)t (cid:271)i(cid:396)th become pregnant again within 2 years. Meeting developmental milestones: still developing own independence. Need to (cid:271)e pe(cid:396)(cid:272)ei(cid:448)ed as a (cid:862)good (cid:373)othe(cid:396)(cid:863: even if this means not asking for help/staying with a non-supportive partner/not meeting own needs. Miscarriage, stillbirth, preterm, low birth wt. , perinatal mortality.