University of New Mexico.
Obstet Gynecol Clin North Am. 2023 Sep;50(3):629-638. doi: 10.1016/j.ogc.2023.03.011. Epub 2023 May 8.
As more data from maternal mortality reviews are available, it has become clear that social determinants of health have major impacts on the morbidity and mortality of mothers and infants. The ability to verify and address these requires an effective screening process during prenatal care. The challenges include selection of an appropriate tool for use in pregnancy; incorporating the tool into the clinical flow to ensure screening of all pregnant patients; and developing an approach to address the issues, be it providing emotional support, management within the clinic, or referring to outside resources.
随着更多的孕产妇死亡评审数据的出现,很明显,健康的社会决定因素对母婴的发病率和死亡率有重大影响。要验证和解决这些问题,就需要在产前护理期间进行有效的筛查。挑战包括选择一个适合在怀孕期间使用的工具;将该工具纳入临床流程,以确保对所有孕妇进行筛查;并制定解决问题的方法,无论是提供情感支持、在诊所内进行管理,还是转介到外部资源。