Poverty During Pregnancy–Challenges and The Hard Truth

Going through a pregnancy can be very expensive, emotional, and difficult. For some families,  just accessing resources to give birth is challenging. If this relates to you, a friend or a loved one or you just want to learn about this pressing topic, read more about how a low income status can affect pregnancies. Low-income mothers often face even more unique challenges during pregnancy due to limited financial resources. These challenges can impact their health and well-being, as well as the health outcomes of their babies. Poverty during pregnancy is an issue that is a huge problem in healthcare that lacks discussion.

The lack of care that women of color receive is a concerning issue that stems from systemic inequalities, biases, and historical injustices. Women of color, including Black, Latina, Asian, Indigenous, and other non-white women, often face unique challenges and discrimination that intersect with both gender and racial identities. Disparities in care manifest across various domains, encompassing heightened healthcare discrepancies. These include diminished rates of health insurance coverage, challenges in locating healthcare providers attuned to diverse cultural needs, as well as biases permeating medical treatment and diagnosis. Furthermore, amplified mortality rates are evident due to insufficient prenatal care and escalated childbirth risks. Limited access to reproductive healthcare services compounds these disparities. Additionally, workplace discrimination compounds the predicament, resulting in reduced earnings, constrained growth prospects, and an elevated probability of engagement in low-wage occupations devoid of adequate benefits.

Prenatal care:

Access to quality prenatal care is crucial for a healthy pregnancy. Low-income mothers may face many barriers in accessing prenatal services due to financial constraints, lack of transportation or limited availability of healthcare providers. This can result in delayed or inadequate prenatal care, which increases the risk of complications. 

Prenatal visits are essential for the health of both the expectant person and their baby. These appointments involve gathering medical history, conducting routine tests and screenings, performing ultrasound examinations, providing lifestyle and nutrition advice, preparing for childbirth and parenthood, and creating a birth plan. By addressing these important aspects, prenatal visits ensure a comprehensive and personalized approach to pregnancy care, promoting a smooth and healthy journey for both the expectant person and their baby.

Nutrition:

Nutrition is essential during pregnancy to support the development of the baby and support the mothers health as well. However, low-income mothers may have difficulty affording nutritious food or accessing food assistance programs. This can lead to inadequate maternal nutrition, which may increase the risk of pregnancy complications, preterm birth, low birth weight, and other adverse outcomes.

Housing and living conditions:

Low-income mothers may struggle with unstable housing or living in substandard conditions, which can negatively impact their health and the health of their babies. Unsafe or overcrowded housing environments may increase the risk of infections, stress, and one huge factor–sleep. For the health of the mother and child during pregnancy, postpartum, and early childhood, sleep is of the utmost significance. Sleep is essential for a baby's growth and brain development. During sleep, the baby's brain processes and consolidates new information and experiences. Adequate sleep is crucial for a baby's developing immune system, helping them fight off infections and illnesses. Sleep also supports milk production in breastfeeding mothers, ensuring the baby receives the necessary nutrition.

Stress and mental health:

Financial instability and the challenges of low-income living can contribute to increased stress levels among expectant mothers. Chronic stress during pregnancy can have adverse effects on both the mother and the baby. Additionally, those who are low-income may have limited access to mental health support services, exacerbating any existing mental health issues.

Employment and income:

Balancing work and pregnancy can be challenging for low-income mothers, especially if they lack access to paid maternity leave or other workplace accommodations. Financial pressures may lead to longer working hours, inadequate rest, and reduced access to healthcare, all of which can impact maternal and fetal well-being

Access to social support:

Low-income mothers may have limited access to social support networks, including family, friends or community resources. Lack of support can increase feelings of isolation, affect mental health, and limit access to important information and resources.

Potential Strategies

Here are some suggestions for low-income pregnant women who are trying to negotiate the difficulties and encourage a healthful pregnancy and postpartum period:

Emotional support and mental health:

  • Pregnancy can be emotionally taxing. Ask your family, friends, or support groups for emotional assistance. For people with limited budgets, several localities offer free or inexpensive mental health care.

Discover Maternity Benefits:

  • Recognize your options and legal rights with regard to paid time off, maternity leave, and pregnancy-related workplace adjustments. To be sure you receive the advantages to which you are entitled, research the rules and regulations of your nation.

Early Prenatal Care:

  • Early Prenatal Care Seeking: A healthy pregnancy requires early and consistent prenatal care. Make contact with medical professionals that give solutions for low-cost or subsidized prenatal care. Medicaid and other similar programs can help with prenatal care and delivery expenses.

Access to Supportive Services:

  • A healthy pregnancy requires early and consistent prenatal care. Make contact with medical professionals that give solutions for low-cost or subsidized prenatal care. Medicaid and other similar programs can help with prenatal care and delivery expenses.

Healthy Food and Nutrition:

  • It's crucial to have a balanced diet while pregnant. Look into local food banks, the Women, Infants, and Children (WIC) program, or other nutrition assistance programs to obtain wholesome foods. Maintain a diet that is well-balanced and rich in fruits, vegetables, and whole grains.

Exercise and Maintain Activity:

  • When advised by your healthcare provider, physical activity can improve your general well-being while you're pregnant. You can look for low or free exercise classes in your area but even a morning walk and some home stretches has numerous benefits.

Discover Maternity Benefits:

  • Recognize your options and legal rights with regard to paid time off, maternity leave, and pregnancy-related workplace adjustments. To be sure you receive the advantages to which you are entitled, research the rules and regulations of your nation.

Keep Yourself Educated:

  • Attend workshops, classes, and other educational events for expectant mothers. To feel more prepared and confident, learn about pregnancy, childbirth, nursing, and baby care.

Request Help Needed:

  • Don't be afraid to ask for assistance when you need it. If you find yourself overwhelmed or confronting difficulties, ask for help from friends, family, or neighborhood support groups.

To promote a healthy and safe pregnancy experience, keep in mind that every pregnancy is different and that working closely with your healthcare professional is crucial. You may increase your chances of having a happy pregnancy experience despite having a limited budget by asking for help, remaining informed, and taking care of your physical and emotional well-being.

References:

Advanced Solutions International, Inc. (2022, September 26). Pregnancy and poverty: Forging a path forward for families. APHSA Influence Build Connect. https://aphsa.org/APHSABlog/mhhspp/pregnancy-and-poverty-forging-a-path-forward-for-families.aspx

Confronting racism in health care. Proclamations to New Practices | Commonwealth Fund. (2021, October 18). https://www.commonwealthfund.org/publications/2021/oct/confronting-racism-health-care

Kim, M. K., Lee, S. M., Bae, S.-H., Kim, H. J., Lim, N. G., Yoon, S.-J., Lee, J. Y., & Jo, M.-W. (2018, January 5). Socioeconomic status can affect pregnancy outcomes and complications, even with a universal healthcare system - International Journal for Equity in health. BioMed Central. https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-017-0715-7

Why are black women at such high risk of dying from pregnancy complications?. www.heart.org. (2021, August 16). https://www.heart.org/en/news/2019/02/20/why-are-black-women-at-such-high-risk-of-dying-from-pregnancy-complications

Wood, A. (2021, February 26). 5 barriers pregnant women in poverty face in getting the care they need - mid-iowa health foundation. Mid. https://www.midiowahealth.org/blog/5-barriers-pregnant-women-in-poverty-face-in-getting-the-care-they-need

Khadija Kuyateh

Khadija Kuyateh is a fourth year student at the University of Virginia studying Psychology & Public Health.  She is currently an intern with a dietetics team at Athena’s Bump. Khadija is passionate about studying healthcare impacts and disadvantages to the black community, as well as researching ways to mitigate these effects. As the eldest of three sisters, and the first in her family to go to college in the United States, she hopes to make her family proud and follow her dreams.

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