Howell Elizabeth A
Departments of Population Health Science & Policy.
Obstetrics, Gynecology, and Reproductive Science, Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
Clin Obstet Gynecol. 2018 Jun;61(2):387-399. doi: 10.1097/GRF.0000000000000349.
Significant racial and ethnic disparities in maternal morbidity and mortality exist in the United States. Black women are 3 to 4 times more likely to die a pregnancy-related death as compared with white women. Growing research indicates that quality of health care, from preconception through postpartum care, may be a critical lever for improving outcomes for racial and ethnic minority women. This article reviews racial and ethnic disparities in severe maternal morbidities and mortality, underlying drivers of these disparities, and potential levers to reduce their occurrence.
在美国,孕产妇发病和死亡方面存在显著的种族和族裔差异。与白人女性相比,黑人女性死于与妊娠相关死亡的可能性要高出3至4倍。越来越多的研究表明,从孕前到产后护理的医疗保健质量,可能是改善少数族裔女性结局的关键杠杆。本文综述了严重孕产妇发病和死亡方面的种族和族裔差异、这些差异的潜在驱动因素,以及减少其发生的潜在杠杆。