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Homelessness in pregnancy.

L Creswell1, C Leahy1, E McNamee1

  • 1The Coombe Hospital, Dublin, Ireland.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|March 14, 2024
PubMed
Summary
This summary is machine-generated.

Women experiencing homelessness or living in refuge have poorer perinatal outcomes, including higher rates of preterm birth and lower birth weights. This study highlights disparities in maternal and infant health for vulnerable populations.

Keywords:
High risk pregnancyHomelessHousingPreterm birth

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Area of Science:

  • Maternal-fetal medicine
  • Public health
  • Sociology

Background:

  • Homelessness and refuge accommodation are significant social determinants of health.
  • Perinatal outcomes can be influenced by socioeconomic factors and access to care.
  • Understanding these associations is crucial for targeted interventions.

Purpose of the Study:

  • To investigate the link between homelessness/refuge status and delivery/perinatal outcomes.
  • To compare outcomes in a vulnerable population with a reference group in Ireland.
  • To inform healthcare strategies for at-risk pregnant individuals.

Main Methods:

  • Retrospective cohort study of 133 pregnant women in homeless or refuge situations.
  • Comparison with a reference group of 76,858 women with stable housing.
  • Analysis of sociodemographic characteristics and perinatal data from 2013-2022.

Main Results:

  • Homeless/refuge population showed higher rates of single status, unplanned pregnancies, and histories of psychiatric illness, domestic violence, and substance use.
  • Significantly increased likelihood of preterm birth (adjusted OR 1.71).
  • Lower median birth weight (3270g vs 3420g) compared to the reference group.

Conclusions:

  • Women in homeless or refuge situations face increased risks of adverse perinatal outcomes.
  • These findings underscore the need for enhanced support services for pregnant individuals experiencing housing instability.
  • Addressing social determinants is vital for improving maternal and infant health equity.