Maternal Mortality in the United States: Trends and Opportunities for Prevention.

IF 15.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Siwen Wang, Kathryn M Rexrode, Andrea A Florio, Janet W Rich-Edwards, Jorge E Chavarro
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引用次数: 8

Abstract

Maternal mortality is unusually high in the United States compared to other wealthy nations and is characterized by major disparities in race/ethnicity, geography, and socioeconomic factors. Similar to other developed nations, the United States has seen a shift in the underlying causes of pregnancy-related death, with a relative increase in mortality resulting from diseases of the cardiovascular system and preexisting medical conditions. Improved continuity of care aimed at identifying reproductive-age women with preexisting conditions that may heighten the risk of maternal death, preconception management of risk factors for major adverse pregnancy outcomes, and primary care visits within the first year after delivery may offer opportunities to address gaps in medical care contributing to the unacceptable rates of maternal mortality in the United States.

美国孕产妇死亡率:趋势和预防机会。
与其他富裕国家相比,美国的孕产妇死亡率异常高,其特点是种族/民族、地理和社会经济因素存在重大差异。与其他发达国家类似,美国怀孕相关死亡的潜在原因发生了变化,心血管系统疾病和先前存在的疾病导致的死亡率相对增加。改善护理的连续性,以确定育龄妇女先前存在可能增加产妇死亡风险的疾病,对主要不良妊娠结果的风险因素进行孕前管理,以及在分娩后一年内进行初级保健检查,这些措施可能提供机会,解决导致美国产妇死亡率高得令人无法接受的医疗保健差距问题。
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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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