Epidemiology of racial/ethnic disparities in severe maternal morbidity and mortality

被引:77
|
作者
Somer, Sarah J. Holdt [1 ]
Sinkey, Rachel G. [1 ]
Bryant, Allison S. [2 ]
机构
[1] Univ S Florida, Coll Med, Dept Obstet & Gynecol, Tampa, FL USA
[2] Massachusetts Gen Hosp, Dept Obstet & Gynecol, 55 Fruit St,Founders 4, Boston, MA 02114 USA
关键词
Racial/ethnic disparities; Inequities; Maternal morbidity; PREGNANCY-RELATED MORTALITY; AFRICAN-AMERICAN WOMEN; INTRACRANIAL VENOUS THROMBOSIS; ACUTE MYOCARDIAL-INFARCTION; ELEVATED LIVER-ENZYMES; SICKLE-CELL-DISEASE; RISK-FACTORS; ETHNIC-DIFFERENCES; UNITED-STATES; PERIPARTUM CARDIOMYOPATHY;
D O I
10.1053/j.semperi.2017.04.001
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The literature abounds with examples of racial/ethnic disparities in both obstetric outcomes and care. Disparities in maternal mortality are well documented with non-Hispanic blacks carrying the burden of the highest maternal mortality rates. Maternal deaths likely represent only the "tip of the iceberg" with respect to pregnancy complications, leading many to explore risk factors and disparities in severe maternal morbidity, a more common precursor to maternal mortality. This review article explores commonly cited indicators of severe maternal morbidity and includes a review of the epidemiological literature supporting or refuting disparities among each indicator. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:258 / 265
页数:8
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