SMFM Special Report: Putting the "M" back in MFM: Reducing racial and ethnic disparities in maternal morbidity and mortality: A call to action

被引:59
|
作者
Jain, Joses A. [1 ]
Temming, Lorene A. [2 ]
D'Alton, Mary E. [1 ]
Gyamfi-Bannerman, Cynthia [1 ]
Tuuli, Methodius [2 ]
Louis, Judette M. [3 ]
Srinivas, Sindhu K. [4 ]
Caughey, Aaron B. [5 ]
Grobman, William A. [6 ]
Hehir, Mark [1 ]
Howell, Elizabeth [7 ]
Saade, George R. [8 ]
Tita, Alan T. N. [9 ]
Riley, Laura E. [10 ]
机构
[1] Columbia Univ, Irving Med Ctr, New York, NY 10032 USA
[2] Washington Univ St Louis, St Louis, MO USA
[3] Univ S Florida, Morsani Coll Med, Tampa, FL USA
[4] Univ Penn, Philadelphia, PA 19104 USA
[5] Oregon Hlth & Sci Univ, Portland, OR 97201 USA
[6] Northwestern Univ, Evanston, IL USA
[7] Mt Sinai Hlth Syst, New York, NY USA
[8] Univ Texas Med Branch, Galveston, TX 77555 USA
[9] Univ Alabama Birmingham, Birmingham, AL USA
[10] Massachusetts Gen Hosp, Boston, MA 02114 USA
基金
美国国家卫生研究院;
关键词
barrier; care; research gap; SMFM; HEALTH-CARE; UNITED-STATES; RACIAL/ETHNIC DISPARITIES; UNINTENDED PREGNANCIES; CONTRACEPTIVE FAILURE; INTERPRETER SERVICES; CULTURAL COMPETENCE; NATIONAL-SURVEY; OUTCOMES; DISCONTINUATION;
D O I
10.1016/j.ajog.2017.11.591
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Racial and ethnic disparities in maternal morbidity and mortality rates are an important public health problem in the United States. Because racial and ethnic minorities are expected to comprise more than one-half of the US population by 2050, this issue needs to be addressed urgently. Research suggests that the drivers of health disparities occur at 3 levels: patient, provider, and system. Although we have recognized this issue and identified elements that contribute to it, knowledge must be converted into action to address it. In addition, despite available funding and databases, research directed towards understanding and reducing these disparities is lacking. This document summarizes findings of a workshop convened at the 2016 Society for Maternal-Fetal Medicine's 36th Annual Pregnancy meeting in Atlanta, GA, to review and make recommendations about immediate actions in clinical care and research that will serve to reduce racial and ethnic disparities in maternal morbidity and mortality rates in the United States.
引用
收藏
页码:B9 / B17
页数:9
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