Department of Anesthesiology, Northwestern University Feinberg School of Medicine, 251 E, Huron St, F5-704, Chicago, IL 60611.
Department of Anesthesiology, Northwestern University Feinberg School of Medicine, 251 E, Huron St, F5-704, Chicago, IL 60611; Center for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, IL 60611.
Semin Perinatol. 2017 Aug;41(5):293-298. doi: 10.1053/j.semperi.2017.04.006. Epub 2017 Jun 7.
Racial and ethnic disparities are prevalent within healthcare and have persisted despite advances in medicine and public health. Disparities have been described in the use of neuraxial labor analgesia, with minority women being less likely to use neuraxial labor analgesia than non-minority white women. Minority women are also more likely to have a general anesthetic for cesarean delivery than non-minority women. The origins of these disparities are likely multi-factorial, with patient-, provider-, and systems-level contributors. The purpose of this article is to give an overview of disparities in obstetric anesthesia.
种族和民族差异在医疗保健中普遍存在,尽管医学和公共卫生取得了进步,但这些差异仍然存在。在使用椎管内分娩镇痛方面存在差异,少数族裔女性使用椎管内分娩镇痛的可能性低于非少数族裔白人女性。少数族裔女性接受剖宫产手术时使用全身麻醉的可能性也高于非少数族裔女性。这些差异的根源可能是多方面的,涉及患者、提供者和系统层面的因素。本文的目的是概述产科麻醉方面的差异。