Reducing Disparities in Severe Maternal Morbidity and Mortality.

Reducing Disparities in Severe Maternal Morbidity and Mortality.
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DOI:
10.1097/grf.0000000000000349
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发表时间:
2018-06
影响因子:
1.5
通讯作者:
Howell EA
Howell EA
中科院分区:
医学4区
文献类型:
--
作者:
Howell EA

文献摘要

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在美国,产妇发病率和死亡率方面存在明显的种族和族裔差异。黑人女性死于妊娠相关死亡的可能性是白人女性的三到四倍。越来越多的研究表明,从先入为主到产后护理的医疗质量可能是改善种族和少数民族妇女结局的关键杠杆。本文回顾了严重孕产妇发病率和死亡率方面的种族和民族差异,这些差异的潜在驱动因素,以及减少其发生的潜在杠杆。
Significant racial and ethnic disparities in maternal morbidity and mortality exist in the United States. Black women are three to four times more likely to die a pregnancy-related death as compared with white women. Growing research indicates that quality of healthcare, from preconception through postpartum care, may be a critical lever for improving outcomes for racial and ethnic minority women. This article reviews racial and ethnic disparities in severe maternal morbidities and mortality, underlying drivers of these disparities, and potential levers to reduce their occurrence.