Reducing Maternal Mortality in the United States.
@article{Lu2018ReducingMM, title={Reducing Maternal Mortality in the United States.}, author={Michael C Lu}, journal={JAMA}, year={2018}, volume={320 12}, pages={ 1237-1238 } }
Every year in the United States, more than 700 women die of complications related to pregnancy and childbirth and more than 50 000 women experience a lifethreatening complication (severe maternal morbidity).1 Maternal mortality in the United States more than doubled between 2000 and 2014, from 9.8 to 21.5 maternal deaths per 100 000 live births, at a time when 157 of 183 countries in a World Health Organization study reported decreases in maternal mortality.2 Among 31 countries in the…
37 Citations
Targeting bias to improve maternal care and outcomes for Black women in the USA
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This scoping review identifies four problems that may contribute to the maternal mortality burden in the US: inadequately investing in women’s health, poor quality of care, increasing disparities, and poor data collection and monitoring of maternal health issues.
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Pregnancy-related deaths occurred during pregnancy, around the time of delivery, and up to 1 year postpartum; leading causes varied by timing of death.
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This work sought to understand the intersection of MMM and IPV in the United States, particularly data issues that hinder research in this area and the resulting knowledge gaps, and identified major articles of interest and drafted a mini review based on relevant information.
Racial and Ethnic Disparities in Death Associated With Severe Maternal Morbidity in the United States: Failure to Rescue.
- MedicineObstetrics and gynecology
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Despite improvement over time, failure to rescue from severe maternal morbidity remains a major contributing factor to excess maternal mortality in racial and ethnic minority women.
Assessing Perinatal Insurance Coverage at Time of Death: A National Survey of Maternal Mortality Review Committees.
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Information on insurance status in the postpartum period is more difficult to ascertain and less often determined, and MMRCs primarily focus on identifying insurance status during pregnancy and at childbirth.
A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality
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Black mothers and infants fared the worst in terms of mortality rates, likely due to the accumulation of SDoH experienced as a result of structural racism across the life course.
Using the Ecological Systems Theory to Understand Black/White Disparities in Maternal Morbidity and Mortality in the United States
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Interventions are applied to identify interventions that would most likely reduce disparities in MMM by race, such as revising the educational curricula of health care professionals, enhancing utilization of alternate prenatal care providers, and reforming Medicaid policies.
Black-White disparities in maternal in-hospital mortality according to teaching and Black-serving hospital status.
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