1. Health disparities she may experience related to her pregnancy, such as the risk for preterm labor and the high rate of infant mortality in low-income women.

Ms Miller has many obstacles going against her in her life at this time. She is a single mother of 3 children and she is 20 weeks pregnant. She works 2 jobs to make ends meet and her health is taking a back seat as evidence by her current lab values and assessment findings. It is clear that something is very wrong in the United States of America if one of the indicators of the performance of the health system is the degree to which women are supported during pregnancy, labor, and after delivery (Obare et al., 2020)The rate of maternal mortality is seen as the most reliable indication. Although it has been decreasing in many parts of the world, the number of deaths that occur during pregnancy and the year after among women in the United States has been increasing (Obare et al., 2020)  In 1987, there were 7.2 deaths per 100,000 live births, but by 2015, that number had increased to 17.2 deaths per 100,000 births (Obare et al., 2020). However, there are still persisting racial disparities: black women are three times more likely to die of pregnancy-related causes than white women. This is despite the fact that maternal mortality rates have grown for both white and black women. Despite the fact that other hypotheses have been proposed to explain these patterns, including improved reporting, an increase in the frequency of chronic diseases, and the influence of structural racism and poverty. The impact of high-level chronic stress caused by living as a Black person in a racist society can cause weathering of the body. The current Black maternal health crisis is a stark and urgent example of how all these factors conspire to sabotage Black health (Kim et al., 2018). Black women bear a heavier burden of perinatal mood and anxiety disorders that appear during pregnancy and postpartum. When left undiagnosed and unmanaged, maternal mental health conditions can lead to long-term adverse health consequences for the birthing person, infant, and family. Preventing and consistently managing MMH conditions is crucial in fighting the larger Black maternal mortality and morbidity crisis in the United States (Kim et al., 2018). 

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