Bradford Heather M, Bradley Patricia K, Gomes Melissa, Simpson Kathleen Rice, Tilden Ellen L, Lyndon Audrey, Krulewitch Cara, Alexander Ivy M, Trego Lori L
Jonas Policy Scholar.
Health Equity Expert Panel.
Nurs Outlook. 2025 May-Jun;73(3):102393. doi: 10.1016/j.outlook.2025.102393. Epub 2025 Apr 15.
Perinatal care in the United States is in crisis. U.S. childbearing women are dying at higher rates than in comparable economically developed countries, despite the fact that four of every five perinatal deaths are preventable. The crisis disproportionately affects Black and American Indian and Alaska Native women, who are dying at two to three times the rate of their White counterparts. These disparities have been linked to systemic and structural racism and lack of access to care. A perinatal care workforce that reflects and meets the needs of a racially and ethnically diverse U.S. population is warranted to increase the likelihood of equitable care and decrease perinatal disparities. Using a health equity lens, this paper provides policy recommendations for a system-wide approach to growing and diversifying the perinatal nursing workforce as part of the solution to decrease disparities in perinatal outcomes.
美国的围产期护理正处于危机之中。美国育龄妇女的死亡率高于经济发展水平相当的其他国家,尽管五分之四的围产期死亡是可以预防的。这场危机对黑人、美国印第安人和阿拉斯加原住民妇女的影响尤为严重,她们的死亡率是白人妇女的两到三倍。这些差异与系统性和结构性种族主义以及缺乏医疗服务有关。为了提高公平护理的可能性并减少围产期差异,需要一支能够反映并满足美国种族和族裔多样化人口需求的围产期护理队伍。本文从健康公平的角度出发,为全系统培养和增加围产期护理人员的多样性提供政策建议,作为减少围产期结果差异解决方案的一部分。