Bowles Betty Carlson, Gibson Marty, Jansen Lauren
J Perinat Educ. 2020 Apr 1;29(2):90-94. doi: 10.1891/J-PE-D-19-00008.
The U.S. maternal mortality rate has doubled in the past 25 years and has risen despite improvements in health care and an overwhelming global trend in the other direction. Forty-five countries have lower maternal mortality rates than the United States (CIA World Factbook, 2018). For a country that spends more than any other country on health care and more on childbirth-related care than any other area of hospitalization, this is a shockingly poor return on investment. After prolonged attention during pregnancy and birth, there is relatively little attention to the mother's health and well-being in the postpartum period. Yet more than half of childbirth-related deaths occur during this time (Muza, 2017). To minimize complications leading to maternal mortality, childbirth educators need to teach mother and families to identify and respond promptly to warning signs of postpartum complications.
在过去25年里,美国的孕产妇死亡率翻了一番,尽管医疗保健有所改善,且全球其他地区呈现出压倒性的相反趋势,但该死亡率仍在上升。有45个国家的孕产妇死亡率低于美国(《中央情报局世界概况》,2018年)。对于一个在医疗保健方面支出超过其他任何国家,且在与分娩相关护理方面的支出超过任何其他住院领域的国家来说,这是一个惊人的低投资回报率。在孕期和分娩期间经过长时间关注后,产后对母亲健康和幸福的关注相对较少。然而,超过一半的与分娩相关的死亡发生在这个时期(穆扎,2017年)。为了将导致孕产妇死亡的并发症降至最低,分娩教育工作者需要教导母亲及其家人识别并及时应对产后并发症的警示信号。