美国正在与孕产妇死亡率的持续斗争
James A O'Brien1, Adam K Lewkowitz2, Elliot K Main3
1Emeritus of Obstetrics and Gynecology, Brown University, Providence, Rhode Island.
American journal of perinatology
|October 10, 2024
概括
美国的孕产妇死亡率是其他高收入国家的两倍,种族差异很大. 改善孕产妇护理协调至关重要,以减少这些比例,并确保所有妇女获得公平的结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
背景情况:
- 美国的孕产妇死亡率 (MMR) 是其他高收入国家的两倍.
- 存在显著的种族差异,黑人和美洲原住民女性面临不成比例地高的MMR.
- 产妇护理沙漠有助于增加孕产妇死亡率.
研究的目的:
- 分析美国当前孕产妇死亡率的情况.
- 突出在孕产妇死亡中的种族差异.
- 提出改善孕产妇护理和降低死亡率的战略.
主要方法:
- 利用来自母亲死亡率审查委员会 (MMRC) 和围产质量协作机构的数据.
- 审查了旨在改善孕产妇健康结果的现有成功举措.
- 综合信息以确定国家干预的关键领域.
主要成果:
- 与同行国家相比,美国的MMR仍然不可接受地高.
- 黑人和美国印第安人/阿拉斯加土著妇女的MMR体验比其他种族群体高2-3倍.
- 有成功的策略存在,但需要更广泛的实施和协调.
结论:
- 需要一个强大的联邦基础设施来协调全国的努力,跨越孕产妇护理的连续性.
- 公平,高质量的孕产妇护理对于减少美国孕产妇死亡率至关重要.
- 综合的国家战略可以使美国的孕产妇死亡率与其他高收入国家保持一致.
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