干预措施,以减轻与怀孕相关的死亡率和发病率在黑人分娩的人:一个系统的审查
Christina A Toval1, Shilpa M Darivemula2, Tenisha D Wilson3
1School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC (Toval).
American journal of obstetrics & gynecology MFM
|August 15, 2024
概括
对黑人分娩患者的干预措施存在有限的研究.
科学领域:
- 围产期健康 围产期健康
- 孕产妇健康公平的权利.
- 公共卫生干预 公共卫生干预
背景情况:
- 黑人分娩的人面临着不成比例的高妊娠相关死亡率和发病率.
- 关于干预的现有文献很少,特别是关于特定的围产期结果.
- 迫切需要确定有效的策略来解决这些差异.
研究的目的:
- 系统地审查旨在改善黑人分娩个体围产期结果的干预措施.
- 确定最常被研究的干预类型和围产期结果.
- 评估目前关于减轻怀孕相关死亡率和发病率的研究现状.
主要方法:
- 从2000年到2023年4月发表的定量研究 (观察性和RCT) 的系统审查.
- 搜索了五个主要的数据库和ClinicalTrials.gov,寻找涉及黑人分娩的人的研究.
- 包括测量围产期结果的研究,如死亡率,早产和心血管疾病;不包括非英语或2000年以前的出版物.
主要成果:
- 在4302项独特研究中,有41项符合纳入标准.
- 社区计划 (如WIC,健康开始) 和个人咨询是最常见的干预措施.
- 过早分娩是最受研究的结果;心血管疾病和出血不太常见,与怀孕相关的发病率没有被研究.
结论:
- 在黑人孕产妇健康干预措施的文献中存在很大的差距,特别是围产期发病率和死亡率.
- 目前的干预措施可能无法充分解决已确定的围产期结果.
- 以患者为中心的结果研究对于解决不平等问题和改善黑人孕产妇健康至关重要.
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