As women and families join the ranks of the homeless in increasing num
bers, many women find themselves confronting both pregnancy and homele
ssness. When pregnancy accompanies the precarious state of homelessnes
s, the need for adequate shelter is not being met during one of the mo
st critical periods of a woman's life. This article focuses on the uni
que health needs of homeless pregnant women. Detailed accounts of the
daily life experiences of African American, Angle, and Latina homeless
pregnant women were derived from an ethnographic study conducted in a
large metropolitan area in southern California. Their pregnancies wer
e difficult because normal physiological changes of pregnancy often be
came pathological, signs of potential complications went unnoticed or
unattended, and minor discomforts of pregnancy were exacerbated by the
women's environment. Nursing therapeutics that support health mainten
ance and coping strategies of the women while on the streets or in she
lters were explicated.