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  • Title: Women and the family of the future.
    Author: Quimby CH.
    Journal: J Obstet Gynecol Neonatal Nurs; 1994 Feb; 23(2):113-23. PubMed ID: 8201453.
    Abstract:
    The complexities of current societal trends impose a daunting challenge to providers of maternal child health services. Demographers, anthropologists, sociologists, policy makers, and health care providers struggle to grasp the multiple issues in an effort to create useful strategies for the 21st century. The 1990s have been labeled the decade of women's health. Legislative and policy efforts have focused new and much-needed attention on women as recipients and providers of health care. The realities of mothers in the work force, the epidemic of adolescent pregnancy, the swelling ranks of women and children in poverty, the increasing number of women with acquired immune deficiency syndrome, the new advances in reproductive technology, and the effect of population and immigration trends greatly influence the childbearing client of the future and create enormous pressures for critical problem solving. Childbearing, now and in the future, brings with it many challenges due to the complexity of living in a highly technological world with diminishing natural resources. A dialogue about these challenges should be initiated and should involve everyone in the community: patients, families, policy-makers, health professionals, and business leaders. Key problems in 1989 were unintended pregnancy, pregnancy among unmarried mothers, lack of prenatal care, children in poverty, teenage births, lack of health insurance, low birth weight babies, birth defects among infants, pregnancy among alcoholic mothers, and infant mortality. Controversial issues will continue to be abortion, lesbian health care, AIDS and pregnancy, and lifestyle issues. The women's health research agenda for the future aims to improve the health of all women and to eliminate competing agendas. Working mothers are viewed as representing the prevalent lifestyle. More study should, therefore, be devoted to the impact of the work situation on the health of mothers and children and to such issues as quality day care and sharing of household responsibilities among families. Global demographic trends referenced from Kennedy's "Preparing for the 21st Century" indicate that costs of health care for the aged, teenagers, and HIV-infected infants and mothers will be high. Women are viewed as vulnerable in sexual relationships. Assisted reproductive technology has advanced women's ability to bear children, but little has been studied about who infertility affects. Poverty among women is increasing, and it is estimated that by the year 2000, three billion people will lack adequate fuel, food, or energy. Economic cooperation and integration will be needed to accommodate increases in technology, communications, and trade.
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