Norton Alexandra, Wilson Tenisha, Geller Gail, Gross Marielle S
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Health Equity. 2020 Dec 3;4(1):505-508. doi: 10.1089/heq.2020.0073. eCollection 2020.
Racial disparities in both obstetrics and COVID-19 are well documented. Troublingly, implicit biases and related testimonial injustice potentiate adverse outcomes for women of color whose voices and concerns have been historically discredited by the medical establishment. In the context of COVID-19, the restriction of hospital visitors for infection prevention and control in a labor and delivery setting may disproportionately burden black women by eliminating or severely limiting access to essential in-person advocacy, which threatens to exacerbate existing disparities in maternal and neonatal outcomes. The potential disproportionate impact of visitor restrictions on women of color should inform the ongoing pandemic response.
产科和新冠疫情中的种族差异都有充分记录。令人不安的是,隐性偏见和相关的证言不公加剧了有色人种女性的不良后果,她们的声音和担忧在历史上一直被医疗机构质疑。在新冠疫情背景下,为预防和控制感染而限制分娩环境中的医院访客,可能会给黑人女性带来不成比例的负担,因为这会消除或严重限制她们获得必要的现场支持的机会,这可能会加剧现有的母婴结局差异。访客限制对有色人种女性可能产生的不成比例影响,应该为当前应对疫情的措施提供参考。