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Public Health Nursing Practice Manual

Pregnant Women Mental Health

  • Partum and postpartum depression may be a concern.

Primary Care Provider

  • Early and consistent prenatal care is associated with good pregnancy outcomes.

Health Care Coverage

  • Almost all low-income pregnant women qualify for Medi-Cal coverage.

Dental Care

  • Lack of dental care and poor dental hygiene has been associated with poor pregnancy outcomes.

  • Good dental health is important in the pregnant woman because mouth bacteria can be transmitted to the baby as soon as the baby is born.

  • Hormonal changes in pregnancy can cause gums to be more sensitive and cause bleeding which may discourage women from brushing and flossing.

Family Violence

  • Existing family violence may escalate during pregnancy.

  • Domestic Violence: 800-978-3600 or local resource.

  • L.A. County Domestic Violence Council Resources and Information: 888-994-7575.

Safety and Injury Prevention

  • Seat belt use may require some adjustments for pregnancy girth.

  • Poison Control: 800-222-1222.

Immunization

  • Encourage client to discuss tetanus and influenza vaccination with prenatal care provider.

Diet

  • Low income, pregnant women can qualify for WIC: 1-888-942-9675.

  • Food Stamps: 877-597-4777.

  • Pica behavior may be present.

  • Eating the recommended 5-9 servings of fruits and vegetables a day helps to prevent chronic

diseases and maintain a healthy weight. Exercise/Physical Activity

  • Encourage client to discuss the proper amount of exercise/activity with the prenatal care

provider. Smoking/Chemical Dependency

  • Strongly discourage tobacco, alcohol, and drug use not prescribed by the prenatal care provider

during pregnancy. Safer Sex Practices/Education

  • While there is no need for birth control, condom use may still be indicated to prevent sexually

transmitted diseases.

© 2007 LAC DPH - Public Health Nursing

B 10

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