Putting the "M" back in maternal-fetal medicine: A 5-year report card on a collaborative effort to address maternal morbidity and mortality in the United States
Putting the "M" back in maternal-fetal medicine: A 5-year report card on a collaborative effort to address maternal morbidity and mortality in the United States
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DOI：
10.1016/j.ajog.2019.02.055
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发表时间：
2019-10-01
影响因子：
9.8
通讯作者：
Foley, Michael R.
中科院分区：
文献类型：
--
作者：
D'Alton, Mary E.;Friedman, Alexander M.;Foley, Michael R.
疾病控制和预防中心已经证明，孕产妇死亡和严重发病的风险持续增加，非西班牙裔黑人妇女之间的种族差异是一个重要的促成因素。2014年，超过5万名妇女经历了严重的孕产妇发病率，死亡率为18.0/10万，高于许多其他发达国家。2012年，第一次“把'M'放回母胎医学”会议在母胎医学学会（SMFM）年会上举行。由于认识到严重孕产妇发病率和死亡率的风险不断上升，需要采取行动，“MFM中的M”会议确定了以下迫切需要：㈠加强对母胎医学研究员的孕产妇护理教育和培训; ㈡改善全国孕妇的医疗护理和管理; ㈢解决孕产妇医学方面的重大研究差距。自第一次会议以来，广泛的合作努力取得了一些重大进展，包括孕产妇死亡率审查委员会的扩散，研究的进展，对孕产妇重症监护的教育重点增加，以及制定全面的临床战略，以减少孕产妇风险。五年后，2017年MFM会议成为回顾所取得进展的“成绩单”，但也展望了未来5年需要做的事情，因为太多的母亲仍然经历可预防的伤害和不良后果。
The Centers for Disease Control and Prevention have demonstrated continuous increased risk for maternal mortality and severe morbidity with racial disparities among non-Hispanic black women an important contributing factor. More than 50,000 women experienced severe maternal morbidity in 2014, with a mortality rate of 18.0 per 100,000, higher than in many other developed countries. In 2012, the first "Putting the 'M' back in Maternal-Fetal Medicine" session was held at the Society for Maternal-Fetal Medicine's (SMFM) Annual Meeting. With the realization that rising risk for severe maternal morbidity and mortality required action, the "M in MFM" meeting identified the following urgent needs: (i) to enhance education and training in maternal care for maternal-fetal medicine (MFM) fellows; (ii) to improve the medical care and management of pregnant women across the country; and (iii) to address critical research gaps in maternal medicine. Since that first meeting, a broad collaborative effort has made a number of major steps forward, including the proliferation of maternal mortality review committees, advances in research, increasing educational focus on maternal critical care, and development of comprehensive clinical strategies to reduce maternal risk. Five years later, the 2017 M in MFM meeting served as a "report card" looking back at progress made but also looking forward to what needs to be done over the next 5 years, given that too many mothers still experience preventable harm and adverse outcomes.