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本文引用的文献

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Update on Valvular Heart Disease in Pregnancy.妊娠期间瓣膜性心脏病的最新进展
Curr Treat Options Cardiovasc Med. 2017 Sep;19(9):70. doi: 10.1007/s11936-017-0570-2.
2
Preconception Counseling for Women With Cardiac Disease.患有心脏病女性的孕前咨询
Curr Treat Options Cardiovasc Med. 2017 Sep;19(9):67. doi: 10.1007/s11936-017-0565-z.
3
Pregnancy-Related Mortality in the United States, 2011-2013.2011 - 2013年美国与妊娠相关的死亡率
Obstet Gynecol. 2017 Aug;130(2):366-373. doi: 10.1097/AOG.0000000000002114.
4
Exploring the social determinants of racial/ethnic disparities in prenatal care utilization and maternal outcome.探讨产前护理利用和母婴结局方面种族/民族差异的社会决定因素。
Semin Perinatol. 2017 Aug;41(5):308-317. doi: 10.1053/j.semperi.2017.04.008. Epub 2017 Jul 29.
5
Maternal mortality and the role of the obstetric anesthesiologist.孕产妇死亡率与产科麻醉医生的作用
Best Pract Res Clin Anaesthesiol. 2017 Mar;31(1):91-105. doi: 10.1016/j.bpa.2017.01.005. Epub 2017 Feb 3.
6
Ethnic and racial disparities in hypertension management among women.女性高血压管理中的种族和民族差异。
Semin Perinatol. 2017 Aug;41(5):278-286. doi: 10.1053/j.semperi.2017.04.004. Epub 2017 Jun 7.
7
Strategies to reduce disparities in maternal morbidity and mortality: Patient and provider education.降低孕产妇发病率和死亡率的策略：患者和医务人员教育。
Semin Perinatol. 2017 Aug;41(5):323-328. doi: 10.1053/j.semperi.2017.04.010. Epub 2017 Jun 7.
8
Using a Patient Navigator to Improve Postpartum Care in an Urban Women's Health Clinic.在城市妇女健康诊所使用患者导航员改善产后护理。
Obstet Gynecol. 2017 May;129(5):925-933. doi: 10.1097/AOG.0000000000001977.
9
Racial and ethnic disparities in postpartum care and contraception in California's Medicaid program.加利福尼亚医疗补助计划中产后护理和避孕方面的种族与族裔差异。
Am J Obstet Gynecol. 2017 Jul;217(1):47.e1-47.e7. doi: 10.1016/j.ajog.2017.02.040. Epub 2017 Mar 3.
10
Racial and Ethnic Disparities in Health and Health Care.健康与医疗保健中的种族和族裔差异。
Obstet Gynecol Clin North Am. 2017 Mar;44(1):1-11. doi: 10.1016/j.ogc.2016.10.001.

减少严重孕产妇发病和死亡方面的差异。

Reducing Disparities in Severe Maternal Morbidity and Mortality.

作者信息

Howell Elizabeth A

机构信息

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.

出版信息

Clin Obstet Gynecol. 2018 Jun;61(2):387-399. doi: 10.1097/GRF.0000000000000349.

DOI:10.1097/GRF.0000000000000349
PMID:29346121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5915910/
Abstract

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.

摘要

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。