孕产妇护理中的风险评估和种族问题:望远镜里的错误视角?

Anna Melamed
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引用次数: 0

摘要

许多黑人和棕色人种妇女被归类为 "高风险",并遵循产科主导的路径。这可能是健康的社会决定因素造成的,也可能是医疗保健提供者和系统的种族偏见导致的过度病理化。有时,社会决定因素会被误认为是先天性的生理差异,从而导致先天性伤害。助产护理中的种族偏见导致诊断过度和诊断不足。具有中等风险因素的妇女,尤其是黑人和棕色人种妇女,可能会从助产护理中受益。以社区为基础、以关系为纽带、以妇女为中心的助产护理模式可以减少病理化问题,并纠正一些社会不平等现象。
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Risk assessments and ethnicity in maternity care: looking through the wrong end of the telescope?
Many Black and brown women are classified as ‘high risk’ and follow obstetric-led pathways. This may be the result of social determinants of health, or over pathologisation as a result of racial bias by healthcare providers and systems. There may be times when social determinants are mistaken for innate physiological differences, leading to iatrogenic harm. There is both over and underdiagnosis resulting from racial bias in midwifery care. Women with intermediate risk factors may benefit from midwifery-led care, especially Black and brown women. Community-based, relational, women-centred midwifery models of care can reduce the problems of pathologisation and redress some social inequalities.
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来源期刊
British Journal of Midwifery
British Journal of Midwifery Nursing-Maternity and Midwifery
CiteScore
1.30
自引率
0.00%
发文量
95
期刊介绍: British Journal of Midwifery (BJM) is the leading clinical journal for midwives. Published each month, the journal is written by midwives for midwives and peer reviewed by some of the foremost authorities in the profession. BJM is essential reading for all midwives. It contains the best clinical reviews, original research and evidence-based articles available, and ensures that midwives are kept fully up-to-date with the latest developments taking place in clinical practice. In addition, each issue of the journal contains a symposium on a particular theme, providing more in-depth clinical information.
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