产后导航对降低黑人妇女严重孕产妇发病率的作用最大

Z. Brown, C. Messaoudi, E. Silvia, H. Bleau, A. Meskill, A. Flynn, A.C. Abel-Bey, T.J. Ball
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引用次数: 0

摘要

(Am J Obstet Gynecol. 2023;229:160.e1-160.e8)在美国,不同种族和族裔群体之间在与妊娠相关的死亡方面存在显著差异。研究表明,黑人妇女和美国印第安人或阿拉斯加原住民妇女与妊娠相关死亡的风险是白人妇女的 3 到 4 倍,与教育程度无关。产后护理会在很大程度上影响严重孕产妇发病率(SMM)和孕产妇死亡情况的处理方式。本研究的主要目的是确定产后指导计划是否能降低产后 30 天因各种原因住院的人数和因 SMM 指标住院的人数。这项研究采用了美国疾病控制和预防中心(CDC)的指导方针。这项研究还分析了该计划的有效性是否跨越了患者的人口统计学特征,如民族和种族。
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Postpartum Navigation Decreases Severe Maternal Morbidity Most Among Black Women
(Am J Obstet Gynecol. 2023;229:160.e1–160.e8) The United States has significant disparities across varying racial and ethnic groups for pregnancy-related deaths. Research shows that Black women and American Indian or Alaskan Native women have a 3 to 4 times higher risk of pregnancy-related death than White women do, regardless of education. Postpartum care can greatly affect how severe maternal morbidity (SMM) and maternal mortality conditions are addressed. The primary aim of this study was to determine if a postpartum navigation program lowered 30-day postpartum hospitalization admissions from all causes and hospitalization admissions from indicators of SMM. This was done using guidelines from the US Centers for Disease Control and Prevention (CDC). This study also analyzed if the effectiveness of this program transcended across patient demographics like ethnicity and race.
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