Equity in Obstetrics: Reducing disparities in rates of cesarean birth and cesarean-linked hemorrhages

产科公平:减少剖宫产率和剖宫产相关出血率的差异

基本信息

  • 批准号:
    10748638
  • 负责人:
  • 金额:
    $ 55.44万
  • 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
  • 起止时间:
    2023-08-17 至 2030-07-31
  • 项目状态:
    未结题

项目摘要

Project Summary/Abstract: Project 2 Almost 1 in 3 births in the United States involves cesarean delivery. A lifesaving intervention when appropriate, cesarean is associated with significant risks that include severe postpartum hemorrhage and severe maternal morbidity (SMM). Compared to vaginal delivery, women undergoing cesarean delivery incur the highest risk of postpartum hemorrhage and hemorrhage-related morbidity. In the last 30 years, significant disparities in rates of cesarean birth have developed for Black women, disparities that elevate their risks of morbidity from hemorrhage and mortality. Reducing cesarean rates is therefore essential for reducing postpartum hemorrhage and postpartum-related SMM. Eliminating disparities in cesarean delivery requires multifaceted, multilevel interventions that can be deployed at scale. We will build on our expertise in achieving population-level improvements in maternal outcomes (including hemorrhage and cesarean delivery) and long-standing collaborative partnerships with patients, communities, and public health agencies to identify and implement strategies to reduce disparities in cesarean birth and hemorrhage. Our state-wide quality improvement network with a sophisticated real-time data center will enable us to support complex equity interventions and track improvement. Capitalizing on our collaborative network of 218 hospitals covering 99% of births in CA, we will realize the following Specific Aims: (1) Use mixed method approaches to identify strategies to reduce disparities in rates of cesarean birth and cesarean-associated hemorrhages. (2) Center patient voices in the validation and continuous curation of action tools and resources that will be integrated into a Maternal Equity Guide, a toolkit of resources to drive equity change within hospitals. (3) Expand implementation of the Maternal Equity Guide in state-wide efforts to reduce disparities. (4) Assess effectiveness of the Maternal Equity Guide tools/resources and implementation strategies. We collect real-time patient-level data for all California births including patient-identified race and ethnicity allowing us to measure changes in multiple maternal health outcomes at state, hospital, and even provider levels. Combined with qualitative methods, this will provide a particularly robust analysis of effectiveness of our interventions. Results will establish a national roadmap for effectively integrating equity into large-scale quality improvement to address disparities in rates of cesarean births with potential application to other aspects of obstetric care.
项目摘要/摘要:项目2

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

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Elliott K Main其他文献

The relative impact of labor induction versus improved labor management: Before and after the ARRIVE (a randomized trial of induction vs. expectant management) trial.
引产与改善分娩管理的相对影响:ARRIVE(引产与期待管理的随机试验)试验之前和之后。
  • DOI:
  • 发表时间:
    2024
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Annette E Fineberg;Kim Harley;Maureen Lahiff;Elliott K Main
  • 通讯作者:
    Elliott K Main
Composite Perinatal Morbidity Metrics: Getting closer but still with challenges.
综合围产期发病率指标:越来越接近,但仍然面临挑战。

Elliott K Main的其他文献

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{{ truncateString('Elliott K Main', 18)}}的其他基金

Disparities in Processes and Outcomes of Care Across Asian/Pacific Islander Populations at Childbirth
亚洲/太平洋岛民分娩护理过程和结果的差异
  • 批准号:
    10667578
  • 财政年份:
    2021
  • 资助金额:
    $ 55.44万
  • 项目类别:
Disparities in Processes and Outcomes of Care Across Asian/Pacific Islander Populations at Childbirth
亚洲/太平洋岛民分娩护理过程和结果的差异
  • 批准号:
    10455642
  • 财政年份:
    2021
  • 资助金额:
    $ 55.44万
  • 项目类别:
Disparities in Processes and Outcomes of Care Across Asian/Pacific Islander Populations at Childbirth
亚洲/太平洋岛民分娩护理过程和结果的差异
  • 批准号:
    10315907
  • 财政年份:
    2021
  • 资助金额:
    $ 55.44万
  • 项目类别:

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