Azarmehr Heather, Lowry Kathy, Sherman Amber, Smith Claire, Zuñiga Julie A
Nurs Womens Health. 2018 Dec;22(6):489-498. doi: 10.1016/j.nwh.2018.09.005. Epub 2018 Oct 30.
Women who are homeless are less likely to receive preconception care or prenatal care in the first trimester, and they tend to have fewer prenatal visits overall than their housed counterparts. Homelessness during pregnancy can increase the risk for many maternal, fetal, and neonatal complications. Barriers to proper prenatal care can be categorized as logistical, psychosocial, intellectual, and attitudinal. Although all women face potential barriers to optimal care, women who are homeless are particularly vulnerable and experience these barriers to a greater degree. Nursing strategies for prenatal care of homeless pregnant women include therapeutic communication, focused assessment, and upstream interdisciplinary approaches.
无家可归的女性在孕前期接受孕前护理或孕早期产前护理的可能性较小，而且总体上她们的产前检查次数往往比有住所的女性少。孕期无家可归会增加许多孕产妇、胎儿和新生儿并发症的风险。获得适当产前护理的障碍可分为后勤、心理社会、知识和态度方面的障碍。尽管所有女性在获得最佳护理方面都面临潜在障碍，但无家可归的女性尤其脆弱，且在更大程度上经历这些障碍。为无家可归的孕妇提供产前护理的护理策略包括治疗性沟通、重点评估和上游跨学科方法。
