OB | Family, Culture, and Environment

OB | Family, Culture, and Environment

From STAT Stitch Deep Dive Podcast Beyond The Bedside by Regular Guy

April 15, 2026 · 23 min · Season 5

About this episode

This episode discusses the impact of social determinants of health and substance use on maternal and infant health outcomes.

https://statstitch.etsy.com HIGH-YIELD CORE Maternal-newborn nursing requires addressing Social Determinants of Health (SDOH), substance use, interpersonal violence, and cultural disparities to prevent maternal and infant morbidity. The core priority is delivering culturally competent, trauma-informed care while assessing for high-risk complications. SOCIAL DETERMINANTS OF HEALTH (SDOH) SDOH, including poverty, racism, and unstable housing, deeply impact health outcomes. Black American pregnant clients face severe disparities, being three to four times more likely to die from pregnancy complications than non-Hispanic White clients. Nurses must assess community resources and lead care coordination to mitigate these risks. SUBSTANCE USE & COMPLICATIONS Polysubstance use affects up to 50% of pregnant clients with substance use disorders. Assess all clients using trauma-informed screening. Alcohol: No safe threshold. Linked to Fetal Alcohol Spectrum Disorder (FASD), causing lasting cognitive and behavioral challenges. Tobacco: Directly causes placental abruption, low birth weight, and Sudden Unexplained Infant Death (SUID). Opioids: Causes Neonatal Abstinence Syndrome (NAS)…

People in this episode

Host: Regular Guy

Topics covered

  • Maternal-newborn nursing
  • Social Determinants of Health
  • Cultural competence
  • Substance use in pregnancy
  • Health disparities
  • Trauma-informed care

Keywords

  • maternal health
  • infant health
  • substance use
  • health disparities
  • cultural competence
  • trauma-informed care
  • social determinants of health

Mentioned in this episode

Organizations: STAT Stitch, Etsy

Products: Fetal Alcohol Spectrum Disorder (FASD), Neonatal Abstinence Syndrome (NAS), Eat, Sleep, Console (ESC)

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