Stanford PRIHSM: PReventing Inequities in Hemorrhage-related Severe Maternal Morbidity
Stanford PRIHSM: PReventing Inequities in Hemorrhage-related Severe Maternal Morbidity
批准号:
10748636
负责人:
SUZAN L CARMICHAEL
金额:
$212.0万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2023
资助国家:
美国
项目状态:
未结题
起止时间:
2023-08-17 至 2030-07-31
关键词:
AddressAdmission activityAffectAnemiaAsianAsian populationAttentionBirthBlack PopulationsBlack raceCaliforniaCaringCenters of Research ExcellenceCesarean sectionClinicalCollaborationsCommunitiesComplexDiagnosisDimensionsDisciplineDiscipline of obstetricsDisparityEmotionalEnvironmentEquityEthnic OriginEvaluationGoalsHealthcareHemorrhageHigh PrevalenceHospitalizationHospitalsIncidenceIndividualInequityInterventionIron deficiency anemiaLatinxLatinx populationLeadershipLife Cycle StagesLinkLocationMaternal HealthMaternal MortalityMaternal health equityMental HealthMethodsMorbidity - disease rateMothersNative AmericansOutcomePatientsPersonsPlayPopulationPopulation HeterogeneityPositioning AttributePost-Traumatic Stress DisordersPostpartum DepressionPostpartum HemorrhagePostpartum PeriodPregnancyPrevalencePreventionPrevention strategyProviderRaceResearchResearch InfrastructureRestRiskRisk FactorsRoleScienceStandardizationTrainingTranslatingUniversitiesWorkantenatalcommunity involvementdisparity eliminationdisparity reductioneffective therapyethnic disparityexperiencehealth equityhigh riskimprovedinnovationintrapartummarginalized populationmortalitymultidisciplinarypost-traumatic stresspost-traumatic symptomspostpartum healthpreventprospectiveracial disparitysevere maternal morbiditysocialsocial structuretraining opportunitytreatment strategyunderserved area
中文摘要
项目总结:
英文摘要
Project Summary: Overall
Postpartum hemorrhage (PPH) is a leading cause of maternal death and severe maternal morbidity (SMM) and disproportionately affects socially marginalized groups. We propose to create a Maternal Health Research Center of Excellence at Stanford University called PRIHSM (PReventing Inequities in Hemorrhage-related Severe Maternal morbidity). The goals of PRIHSM are to reduce PPH and associated SMM by reducing and addressing disparities in important precursors to PPH-related SMM and mortality: cesarean birth and iron deficiency anemia (IDA). The problem of maternal IDA is vastly under-appreciated yet it affects approximately 16% of pregnancies in the U.S.; rates are 3-4x higher among Black people and 1.5-2x higher among Latinx people compared to the rest of the population. This translates to higher rates of PPH-related SMM. We propose that by effectively addressing antenatal IDA and these disparities, we can reduce PPH-related SMM. Additionally, almost 1 in 3 U.S. births are by cesarean delivery, rates vary 10-fold across hospitals, and Black and Asian individuals have the highest prevalence of cesarean section among low-risk pregnancies. While cesarean section can be a lifesaving intervention when appropriate, it is associated with significant risks that include PPH. We propose that enhanced birth equity and reduced variability in obstetric management are important strategies in addressing disparities in cesarean-linked PPH and reducing PPH-related SMM. Thus, our Aims are to: Aim 1 (Project 1). Reduce antenatal IDA by developing, implementing, and disseminating a patient-informed Anemia Prevention Toolkit, which will standardize the evaluation, diagnosis, and treatment of IDA and reduce the prevalence of IDA and racial/ethnic disparities in IDA at birth admission and PPH-associated SMM. Aim 2 (Project 2). Reduce disparities in rates of primary cesarean birth and cesarean-linked PPH by conducting a mixed methods study to understand drivers of hospital-level disparities in these outcomes, and implementing a patient-informed Maternal Equity Guide. Our work will involve community-university partnerships focused on improving maternal health equity and be driven by perspectives of patients, providers, and healthcare leadership. Our work will provide training opportunities to build research and clinical expertise relevant to PPH, especially among individuals who represent diverse perspectives and experiences within academic and community-based settings, and underserved areas. We propose a bold yet achievable agenda that will affect a sustainable decline in PPH-related mortality and morbidity and disparities.
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会议论文
PRIHSM Training Component
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批准号:10748641
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项目类别:
-
资助金额:$52.27万
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财政年份:2023
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负责人:SUZAN L CARMICHAEL
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依托单位:
Building a causal pathway framework to identify interventions to eliminate racial/ethnic disparities in severe maternal morbidity
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批准号:10684599
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项目类别:
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资助金额:$11.66万
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财政年份:2022
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负责人:SUZAN L CARMICHAEL
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依托单位:
Building a causal pathway framework to identify interventions to eliminate racial/ethnic disparities in severe maternal morbidity
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批准号:10656523
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项目类别:
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资助金额:$68.1万
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财政年份:2021
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负责人:SUZAN L CARMICHAEL
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依托单位:
Building a causal pathway framework to identify interventions to eliminate racial/ethnic disparities in severe maternal morbidity
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批准号:10280836
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项目类别:
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资助金额:$74.85万
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财政年份:2021
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负责人:SUZAN L CARMICHAEL
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依托单位:
Building a causal pathway framework to identify interventions to eliminate racial/ethnic disparities in severe maternal morbidity
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批准号:10878197
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项目类别:
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资助金额:$11.6万
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财政年份:2021
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负责人:SUZAN L CARMICHAEL
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依托单位:
Building a causal pathway framework to identify interventions to eliminate racial/ethnic disparities in severe maternal morbidity
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批准号:10490296
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项目类别:
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资助金额:$69.39万
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财政年份:2021
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负责人:SUZAN L CARMICHAEL
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依托单位:
Severe Maternal Morbidity: An Investigation of Racial-Ethnic Disparities, Social Disadvantage & Maternal Weight
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批准号:10660008
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项目类别:
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资助金额:$60.08万
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财政年份:2018
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负责人:SUZAN L CARMICHAEL
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依托单位:
Severe Maternal Morbidity: An Investigation of Racial-Ethnic Disparities, Social Disadvantage & Maternal Weight
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批准号:10087967
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项目类别:
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资助金额:$54.18万
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财政年份:2018
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负责人:SUZAN L CARMICHAEL
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依托单位:
Severe Maternal Morbidity: An Investigation of Racial-Ethnic Disparities, Social Disadvantage & Maternal Weight
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批准号:10300988
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项目类别:
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资助金额:$54.18万
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财政年份:2018
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负责人:SUZAN L CARMICHAEL
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依托单位:
Severe Maternal Morbidity: An Investigation of Racial-Ethnic Disparities, Social Disadvantage & Maternal Weight
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批准号:10091301
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项目类别:
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资助金额:$20.08万
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财政年份:2018
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负责人:SUZAN L CARMICHAEL
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依托单位:
Disparities in Care, Morbidity & Survival Among Infants with Birth Defects
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批准号:8890208
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项目类别:
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资助金额:$40.13万
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财政年份:2014
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负责人:SUZAN L CARMICHAEL
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依托单位:
Disparities in Care, Morbidity & Survival Among Infants with Birth Defects
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批准号:9068674
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项目类别:
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资助金额:$40.13万
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财政年份:2014
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负责人:SUZAN L CARMICHAEL
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依托单位:
Disparities in Care, Morbidity & Survival Among Infants with Birth Defects
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批准号:9275869
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项目类别:
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资助金额:$40.13万
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财政年份:2014
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负责人:SUZAN L CARMICHAEL
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依托单位:
Disparities in Care, Morbidity & Survival Among Infants with Birth Defects
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批准号:8772295
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项目类别:
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资助金额:$40.13万
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财政年份:2014
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负责人:SUZAN L CARMICHAEL
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依托单位:
California Center of BD-STEPS - Finding Causes and Preventives of Birth Defects
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批准号:8722858
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项目类别:
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资助金额:$74.5万
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财政年份:2013
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负责人:SUZAN L CARMICHAEL
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依托单位:
California Center of BD-STEPS - Finding Causes and Preventives of Birth Defects
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批准号:8911692
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项目类别:
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资助金额:$80.0万
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财政年份:2013
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负责人:SUZAN L CARMICHAEL
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依托单位:
California Center of BD-STEPS - Finding Causes and Preventives of Birth Defects
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批准号:8609947
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项目类别:
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资助金额:$32.5万
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财政年份:2013
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负责人:SUZAN L CARMICHAEL
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依托单位:
Society for Pediatric & Perinatal Epidemiologic Research 25th Anniversary Meeting
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批准号:8399420
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项目类别:
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资助金额:$0.6万
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财政年份:2012
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负责人:SUZAN L CARMICHAEL
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依托单位:
Genes, environmental exposures, and hypospadias
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批准号:8232256
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项目类别:
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资助金额:$6.54万
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财政年份:2010
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负责人:SUZAN L CARMICHAEL
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依托单位:
Risk factors for orofacial clefts
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批准号:8204727
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项目类别:
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资助金额:$15.8万
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财政年份:2010
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负责人:SUZAN L CARMICHAEL
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依托单位: