- Basic right of all couples & indiv. to decide freely number of, spacing, & timing of children
- And to have info & means to do so
- Right to attain highest standard of sexual & reproductive health
- Right to make decisions concerning reproduction free of discrimination, coercion & violence
Reproductive Justice
Critical Race Theory
- Race is social construct; racism is central feature to society embedded within systems & institutions
- Challenges race as biological construct in understanding of health disparities
- Analyze hx, & sociopolitical structures
- Reframe health disparities away from pathologizing marginalized communities
- Explicit commitment to social justice
Intersectionality
- How system (e.x. racism, sexism, homophobia,...) overlap & interact w/ one another to advantage some &
disadvantage others at indiv. & social-structure level
Anti-Indigenous Racism
- Colonization & dominance of biomed. model (lack of culturally approp. perinatal care)
- Isolated communities (need to travel to deliver baby)
- Loneliness when forced to leave home communities
- Lack of traditional practices or ceremonies incorp. into birth experiences/newborn care
Racial Disparities in Birth Outcomes
- Repeated exposure to socioeconomic adversity, political marginalization, racism, & perpetual discrimination can harm
health
- Allostatic load: Physiological effect of chronic or repeated exposure to stress
- Stress releases cortisol, NE, and epi
-- High amts can lead to high BP, high cholesterol, HbA1c, & incr. waist-to-hip
- Physiological wear & tear
Black Women - Higher Rates & Risk of
- Still births
- Preterm births
- C-sections
- GDM
, Solution 2024/2025
Pepper
- Preeclampsia
- Placental abruption
- LBW
- Small for gestational age
Obstetric Racism
Forms of violence abuse that medical personnel routinely perpetuate against black women
Sexual Orientation, Gender Identity & Pregnancy
- Intersecting identities face unique forms of stigma
- Deserve respectful care during childbearing experience as well as during health screening & wellness
- Same range of reproductive interests
- Hormone therapy can have temp. & long-term impact on fertility
-- HCPs need to discuss birth control & fertility preservation therapy prior initiation
Female Genital Mutilation (FGM)
- Partial or total removal of external female genitalia or other injury for non-medical reasons
- Assess during initial prenatal visit, b/f exam
- Document, how client refers to this, non-stigmatization, privacy
- Provide info during pregnancy
Meaning of Pregnancy
- What meaning does pregnancy, childbirth, & parenthood have for people
- What is r/s b/w how someone became pregnant & meaning of pregnancy to them
- What assumptions does society have
- Impact of pregnancy & parenthood for indiv., families, communities, & society
Principles of Family-Centered Maternity & Newborn Care
1. Family-centered approach
2. Pregnancy & birth are normal, healthy process
3. Early parent-infant attachment critical
4. Family-centered maternal & newborn care applied to all care envir.
5. Informed by research evidence
6. Requires holistic approach
7. Invol. collab. among care providers
8. Culturally approp. care impor. in multicultural society
9. Indigenous people have distinctive needs
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