Pregnant Refugee Patients

Overview

Pregnant refugees require the standard prenatal care plus attention to refugee-specific health issues.

Additional Screening

In addition to routine prenatal screening:

• Hepatitis B serology (if not already done)
• HIV screening
• Syphilis screening
• Rubella immunity
• Hemoglobinopathy screen

Specific Considerations

Malaria

• Consider screening in recently arrived pregnant women from endemic areas
• Malaria in pregnancy has significant risks for mother and fetus

Vitamin Deficiencies

• Screen for vitamin B12 deficiency
• Screen for iron deficiency
• Consider vitamin D supplementation

Iodine Deficiency

• Screen for subclinical hypothyroidism in patients from iodine-deficient regions

Zika Virus

• Consider testing based on travel history

Mental Health

• Screen for depression and anxiety
• Assess for PTSD symptoms
• Ensure access to mental health support

Cultural Considerations

• Prior experience with healthcare may vary greatly
• Preferences for female providers
• Understanding of prenatal care may differ