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Case 93 - A 35-Year-Old Somali-Speaking Patient at 40 Weeks’ Gestation Presents in Active Labor with Her Husband as Her Interpreter

from Section 11 - Psychosocial Considerations

Published online by Cambridge University Press:  08 April 2025

Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
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Summary

A person is considered to have limited English proficiency (LEP) if English is not their primary language and they are not consistently able to read, write, speak, and/or understand English. The overall rate of LEP in the US population is approximately 8% as of 2013. There are federal and state protections against discrimination based on LEP status. This includes appropriate access to interpreters and translated materials in the healthcare setting. Hospitals have been the subject of complaints to the Office of Civil Rights on behalf of LEP patients and, as a result, have significantly improved their access to language services. It is particularly necessary in the setting of healthcare to provide language services as LEP patients who need but do not receive interpreter services are associated with medical errors, decreased patient satisfaction, and worse outcomes. Use of professional medical interpreters or bilingual health providers can decrease this disparity. It is important to educate medical providers on ways to provide nonconcordant language care and optimal use of interpretation services and translated materials. Additionally, addressing barriers to correct and consistent use such as workflow and time constraints can be addressed at the individual and system levels.

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Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
, pp. 292 - 294
Publisher: Cambridge University Press
Print publication year: 2025

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References

What Languages Do We Speak in the United States? Nearly 68 Million People Spoke a Language Other Than English at Home in 2019. www.census.gov/library/stories/2022/12/languages-we-speak-in-united-states.html (accessed May 10, 2023).Google Scholar
The Limited English Proficient Population in the United States in 2013. www.migrationpolicy.org/article/limited-english-proficient-population-united-states-2013 (accessed May 10, 2023).Google Scholar
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