Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, GRJ 440, Boston, MA 02114, USA.
Department of Obstetrics and Gynecology, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, Founders 4, Boston, MA 02114, USA. Electronic address: https://twitter.com/asbryantmantha.
Obstet Gynecol Clin North Am. 2021 Mar;48(1):31-51. doi: 10.1016/j.ogc.2020.11.005.
Racism in America has deep roots that impact maternal health, particularly through pervasive inequities among Black women as compared with White, although other racial and ethnic groups also suffer. Health care providers caring for pregnant women are optimally positioned to maintain vigilance for these disparities in maternal care, and to intervene with their diverse skillsets and knowledge. By increasing awareness of how structural racism drives inequities in health, these providers can encourage hospitals and practices to develop and implement national bundles for patient safety, and use bias training and team-based training practices aimed at improving care for racially diverse mothers.
美国的种族主义有着深远的根源，这对母婴健康产生了影响，尤其是在与白人相比时，黑人女性普遍存在不平等现象，尽管其他种族和族裔群体也受到影响。照顾孕妇的医疗保健提供者最适合保持警惕，注意母婴护理方面的这些差异，并利用他们多样化的技能和知识进行干预。通过提高对结构性种族主义如何导致健康不平等的认识，这些提供者可以鼓励医院和诊所制定和实施针对患者安全的国家套餐，并利用偏见培训和基于团队的培训实践，旨在改善对不同种族母亲的护理。
