Graves Cornelia R, Firoz Tabassum, Smith Skylar N, Hernandez Natalie, Haley Shaconna, Smith Kim, D'Oria Robyn, Celi Ann C
Tennessee Maternal Fetal Medicine, University of Tennessee Health Science Center, 201 23rd Ave., Nashville, TN, 37203, USA.
Department of Medicine, Yale New Haven Health- Bridgeport Hospital, Bridgeport, CT, USA.
J Racial Ethn Health Disparities. 2024 Aug 26. doi: 10.1007/s40615-024-02126-6.
Hypertensive disorders of pregnancy (HDP) are among the leading causes of maternal mortality in the United States, with Black women and birthing people disproportionately having higher HDP-related deaths and morbidity. In 2020, the Preeclampsia Foundation formed a national Racial Disparities Task Force (RDTF) to identify key recommendations to address issues of racial disparities related to HDP. Recommendations are centered around the Foundation's three pillars: Community, Healthcare Practice, and Research. Healthcare practices include adequate treatment of chronic hypertension in Black women and birthing people, re-branding low-dose aspirin to prenatal aspirin to facilitate uptake, and innovative models of care that especially focus on postpartum follow-up. A research agenda that examines the influence of social and structural determinants of health (ssDOH) on HDP care, access, and outcomes is essential to addressing disparities. One specific area that requires attention is the development of metrics to evaluate the quality of obstetrical care as it relates to racial disparities in Black women and birthing people with HDP. The recommendations generated by the Preeclampsia Foundation's RDTF highlight the strategic priorities and are a call to action that requires listening to the voices and experiences of Black women and birthing people, engaging their communities, and multi-sectoral collaboration to improve healthcare practices and drive needed research.
妊娠高血压疾病（HDP）是美国孕产妇死亡的主要原因之一，黑人女性和分娩人群中与HDP相关的死亡和发病率尤其高。2020年，子痫前期基金会成立了一个全国性的种族差异特别工作组（RDTF），以确定解决与HDP相关的种族差异问题的关键建议。这些建议围绕基金会的三大支柱展开：社区、医疗实践和研究。医疗实践包括对黑人女性和分娩人群的慢性高血压进行充分治疗，将低剂量阿司匹林重新命名为产前阿司匹林以促进其使用，以及特别注重产后随访的创新护理模式。研究议程对于解决差异至关重要，该议程要研究健康的社会和结构决定因素（ssDOH）对HDP护理、可及性和结果的影响。一个需要关注的特定领域是制定指标，以评估与患有HDP的黑人女性和分娩人群中的种族差异相关的产科护理质量。子痫前期基金会的RDTF提出的建议突出了战略重点，是一项行动呼吁，需要倾听黑人女性和分娩人群的声音和经历，让他们的社区参与进来，并进行多部门合作，以改善医疗实践并推动必要的研究。
