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Related Concept Videos

Language Development01:22

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Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
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Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
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Language Proficiency and Maternal and Neonatal Adverse Outcomes: A Retrospective Cohort Study.

Valerie Melson1, Benjamin G Gorman1,2, Sanjna Rajput1

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Pregnant women with limited English proficiency (LEP) face higher risks for adverse delivery outcomes, including gestational diabetes and postpartum hemorrhage. These risks persist even with interpreter services, highlighting disparities in maternal and neonatal care.

Keywords:
childbirthinterpreterlanguage proficiencylimited English proficiencymaternal healthmaternal morbidityneonatal morbiditypregnancypregnancy complicationstranslation

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Area of Science:

  • Obstetrics and Gynecology
  • Health Services Research
  • Health Disparities

Background:

  • Limited English proficiency (LEP) is a barrier to healthcare access and quality.
  • Understanding adverse outcomes in pregnant LEP individuals is crucial for improving maternal and neonatal health.
  • Existing research may not fully capture outcomes in diverse settings with interpreter services.

Purpose of the Study:

  • To compare maternal and neonatal adverse outcomes between English-proficient (EP) and LEP pregnant individuals.
  • To identify specific adverse outcomes more prevalent in the LEP group.
  • To assess the impact of language proficiency on delivery outcomes in an academic medical center.

Main Methods:

  • Retrospective cohort study of pregnant women delivering between 2015-2019.
  • Comparison of EP (n=10,427) and LEP (n=900) individuals.
  • Analysis of composite maternal and neonatal adverse outcomes using logistic regression, controlling for clinical factors.

Main Results:

  • LEP individuals had higher rates of gestational diabetes, ICU admission, uterine rupture, postpartum hemorrhage with transfusion, neonatal death, and low Apgar scores.
  • Composite adverse outcomes were more prevalent in the LEP group.
  • Adjusted analysis showed a significant association between LEP and composite adverse outcomes (OR, 1.40; 95% CI, 1.03-1.90).

Conclusions:

  • Pregnant women with LEP experience increased adverse delivery outcomes.
  • These disparities persist despite the availability of medical interpreter services.
  • Further interventions are needed to mitigate risks for LEP pregnant individuals.