Simpson Samantha L, Mena Kylie, Cortezzo DonnaMaria E, Liu Chunyan, Ehrlich Shelley R, Eaton Sarah, Fu Ting Ting, Beck Andrew F, Greenberg James M, Miller Emily R
Cincinnati Children's Hospital Medical Center, Division of Neonatal and Pulmonary Biology, Cincinnati, OH, USA.
Cincinnati Children's Hospital Medical Center, Office of Population Health, Cincinnati, OH, USA.
J Perinatol. 2025 Aug 20. doi: 10.1038/s41372-025-02377-z.
To explore inequities in prenatal consultation and parental resuscitation decisions across high-mortality conditions.
We conducted a retrospective chart review of pregnant people whose liveborn neonates were diagnosed with high-mortality conditions. We examined two cohorts: periviable infants (22 0/7-24 6/7 weeks) and infants with severe congenital anomalies.
A total of 194 neonates met eligibility criteria for the periviable cohort, 197 for the congenital anomaly cohort. In the periviable cohort, 94% of White vs. 81% of Black pregnant people received neonatology consultation (p = 0.009). A total of 96% of those with commercial insurance vs. 82% of those with Medicaid received consultation (p = 0.005). Half of Hispanic pregnant people did not receive neonatology consultation (p = 0.02). In the congenital anomaly cohort, pregnant people who spoke a language other than English were less likely to receive consultation (44% vs. 81%, p = 0.02).
This regional assessment found previously unrecognized inequities in prenatal neonatology consultation.
探讨在高死亡率疾病中，产前咨询及父母复苏决策方面的不公平现象。
我们对其活产新生儿被诊断患有高死亡率疾病的孕妇进行了回顾性病历审查。我们研究了两个队列：可存活期婴儿（22 0/7 - 24 6/7周）和患有严重先天性异常的婴儿。
共有194名新生儿符合可存活期队列的入选标准，197名符合先天性异常队列的入选标准。在可存活期队列中，94%的白人孕妇与81%的黑人孕妇接受了新生儿科咨询（p = 0.009）。共有96%拥有商业保险的孕妇与82%拥有医疗补助的孕妇接受了咨询（p = 0.005）。一半的西班牙裔孕妇未接受新生儿科咨询（p = 0.02）。在先天性异常队列中，说英语以外语言的孕妇接受咨询的可能性较小（44%对81%，p = 0.02）。
这项区域评估发现了产前新生儿科咨询中先前未被认识到的不公平现象。
