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SMFM Special Report: Putting the "M" back in MFM: Reducing racial and ethnic disparities in maternal morbidity and mortality: A call to action.

Abstract

Racial and ethnic disparities in maternal morbidity and mortality rates are an important public health problem in the United States. Because racial and ethnic minorities are expected to comprise more than one-half of the US population by 2050, this issue needs to be addressed urgently. Research suggests that the drivers of health disparities occur at 3 levels: patient, provider, and system. Although we have recognized this issue and identified elements that contribute to it, knowledge must be converted into action to address it. In addition, despite available funding and databases, research directed towards understanding and reducing these disparities is lacking. This document summarizes findings of a workshop convened at the 2016 Society for Maternal-Fetal Medicine's 36th Annual Pregnancy meeting in Atlanta, GA, to review and make recommendations about immediate actions in clinical care and research that will serve to reduce racial and ethnic disparities in maternal morbidity and mortality rates in the United States.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

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    Columbia University Irving Medical Center, New York, NY. Electronic address: jj2814@cumc.columbia.edu.

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    Washington University in St. Louis, St Louis, MO.

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    Columbia University Irving Medical Center, New York, NY.

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    Columbia University Irving Medical Center, New York, NY.

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    Washington University in St. Louis, St Louis, MO.

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    University of South Florida Morsani College of Medicine, Tampa FL.

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    University of Pennsylvania, Philadelphia, PA.

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    Oregon Health & Science University, Portland, OR.

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    Northwestern University, Evanston, IL.

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    Columbia University Irving Medical Center, New York, NY.

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    Mount Sinai Health System, New York, NY.

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    University of Texas Medical Branch, Galveston, TX.

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    University of Alabama at Birmingham, Birmingham, AL.

    Massachusetts General Hospital, Boston, MA.

    Source

    MeSH

    Clinical Competence
    Continental Population Groups
    Ethnic Groups
    Family Planning Services
    Female
    Health Services Research
    Healthcare Disparities
    Humans
    Maternal Health Services
    Maternal Mortality
    Minority Groups
    Obstetrics
    Pregnancy
    Pregnancy Complications
    Quality Improvement
    Research Support as Topic
    United States

    Pub Type(s)

    Consensus Development Conference
    Journal Article

    Language

    eng

    PubMed ID

    29183819

    Citation

    TY - JOUR T1 - SMFM Special Report: Putting the "M" back in MFM: Reducing racial and ethnic disparities in maternal morbidity and mortality: A call to action. AU - Jain,Joses A, AU - Temming,Lorene A, AU - D'Alton,Mary E, AU - Gyamfi-Bannerman,Cynthia, AU - Tuuli,Methodius, AU - Louis,Judette M, AU - Srinivas,Sindhu K, AU - Caughey,Aaron B, AU - Grobman,William A, AU - Hehir,Mark, AU - Howell,Elizabeth, AU - Saade,George R, AU - Tita,Alan T N, AU - Riley,Laura E, Y1 - 2017/11/26/ PY - 2017/11/20/received PY - 2017/11/20/accepted PY - 2017/12/1/pubmed PY - 2018/7/17/medline PY - 2017/11/30/entrez KW - SMFM KW - barrier KW - care KW - research gap SP - B9 EP - B17 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 218 IS - 2 N2 - Racial and ethnic disparities in maternal morbidity and mortality rates are an important public health problem in the United States. Because racial and ethnic minorities are expected to comprise more than one-half of the US population by 2050, this issue needs to be addressed urgently. Research suggests that the drivers of health disparities occur at 3 levels: patient, provider, and system. Although we have recognized this issue and identified elements that contribute to it, knowledge must be converted into action to address it. In addition, despite available funding and databases, research directed towards understanding and reducing these disparities is lacking. This document summarizes findings of a workshop convened at the 2016 Society for Maternal-Fetal Medicine's 36th Annual Pregnancy meeting in Atlanta, GA, to review and make recommendations about immediate actions in clinical care and research that will serve to reduce racial and ethnic disparities in maternal morbidity and mortality rates in the United States. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/29183819/SMFM_Special_Report:_Reducing_Racial_and_Ethnic_Disparities_in_Maternal_Morbidity_and_Mortality:_A_Call_to_Action. L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(17)32374-8 ER -