Phung Binh
Department of Pediatrics, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Department of Epidemiology and Public Health, Yale University, New Haven, CT, United States.
Front Glob Womens Health. 2023 Jan 4;3:1029226. doi: 10.3389/fgwh.2022.1029226. eCollection 2022.
The postpartum period is characterized by a myriad of changes-emotional, physical, and spiritual; whilst the psychosocial health of new parents is also at risk. More alarmingly, the majority of pregnancy-related deaths in the U.S. occur during this critical period. The higher maternal mortality rate is further stratified by dramatic racial and ethnic variations: Black, brown, and American Indian/Alaska Native indigenous people have 3-4x higher rates of pregnancy-related deaths and severe morbidity than their White, non-Hispanic, and Asian/Pacific Islander counterparts. This policy brief explores how expanding evidence based home visiting programs (HVPs) and strengthening reimbursement policies that invest in such programs can be pivoted to optimize the scope of care in the postpartum period.
产后时期的特点是在情感、身体和精神方面发生无数变化；同时，初为人父母者的心理社会健康也面临风险。更令人担忧的是，美国大多数与妊娠相关的死亡都发生在这一关键时期。孕产妇死亡率较高，且存在显著的种族和族裔差异：黑人、棕色人种以及美国印第安/阿拉斯加原住民的妊娠相关死亡和严重发病几率比白人、非西班牙裔和亚裔/太平洋岛民高出3至4倍。本政策简报探讨了如何调整扩大循证家访计划（HVPs）以及加强对此类计划进行投资的报销政策，以优化产后护理范围。
