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Pregnancy in homeless women: introduction and case report


Authors: Andrea Pekárková
Authors place of work: Ordinace praktického lékaře pro bezdomovce Naděje
Published in the journal: Prakt Gyn 2015; 19(3): 159-161
Category: Gynecology and Obstetrics: Review Article

Summary

Pregnancy of homeless women represents a specific social and health problem which involves a number of aspects. The first one is minimum prevention of pregnancy as a result of a more difficult access to contraceptives for economic reasons, because of low intelligence or maybe a hope that pregnancy offers a way to solve a precarious social situation with the support of the state or charitable organizations. A serious problem is also a considerable health risk for the pregnant woman and fetus, resulting from inadequate intimate hygiene, the absence of regular gynecological care, risk of sexually transmitted diseases, addictions and malnutrition. Similarly problematic are the social and health aspects of perinatal care. The described state is illustrated by case studies.

Key words:
homeless women – pregnancy – street medicine


Zdroje

1. Pekárková A. Poskytování zdravotní péče ženám bez domova. Prakt Gyn 2014; 18(4): 265–267.

2. Marek J, Strnad A, Hotovcová L. Bezdomovectví v kontextu ambulantních sociálních služeb. Portál: Praha 2012. ISBN 978–80–262–0090–1.

3. Crawford DM, Trotter EC, Hartshorn KJ et al. Pregnancy and mental health of young homeless women. Am J Orthopsychiatry 2011; 81(2): 173–183.

4. Informace dostupné z WWW: <http://www.azylovedomy.cz>.

5. Bečková B. Pomoc při řešení problému těhotných žen bez domova. Magisterská diplomová práce. Masarykova univerzita Brno – Fakulta sociálních studií: Brno 2013. Dostupné z WWW: <https://is.muni.cz/th/209800/fss_m/Beckova_Vladimira_Diplomova_prace.txt>.

6. Cutts DB, Coleman S, Black MM et al. Homelessness During Pregnancy: A Unique, Time-Dependent Risk Factor of Birth Outcomes. Matern Child Health J 2014; 19(6): 1276–1283. Dostupné z DOI: <http://dx.doi.org/10.1007/s10995–014–1633–6>.

7. Kennedy S, Grewal M, Roberts EM et al. A qualitative study of pregnancy intention and the use of contraception among homeless women with children. J Health Care Poor Underserved. 2014; 25(2): 757–770.

8. Dostupné z WWW: http://www.nadeje.cz.

Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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