Pregnancy and Postpartum Challenges During COVID-19 for African-African Women.

Nola A Holness, Latisha Barfield, Vicki L Burns, M Kathleen Clark, Yolanda M Powell-Young
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Abstract

The purpose of this article is to discern and examine causative factors that are likely to influence the higher consequences of health disparities experienced by pregnant and postpartum African-American women with COVID-19. Although understudied, pregnancy in the presence of COVID-19 increases the risk for illness severity. Data suggest that pregnant women with COVID-19 are more likely to be hospitalized, to be admitted to the intensive care unit, and to require life support. Similarly, COVID-19 poses significant challenges to maternal and obstetric care during the postpartum recovery period. African- American women bear a disproportionately higher morbidity and mortality burden for diseases such as diabetes, obesity, and hypertension. Pre-existing chronic health conditions may place pregnant and postpartum women at a higher risk for developing severe health consequences from COVID-19 before, during, and after delivery. In addition, social determinants of health are hypothesized to modulate the deleterious impact of COVID-19 among pregnant and postpartum African-American women.

非洲-非洲妇女在2019冠状病毒病期间面临的怀孕和产后挑战。
本文的目的是识别和检查可能影响怀孕和产后感染COVID-19的非裔美国妇女健康差异的较高后果的致病因素。尽管研究不足,但在COVID-19存在的情况下怀孕会增加疾病严重程度的风险。数据显示,感染COVID-19的孕妇更有可能住院、住进重症监护病房,并需要生命支持。同样,2019冠状病毒病对产后恢复期的孕产妇和产科护理构成重大挑战。非裔美国妇女在糖尿病、肥胖和高血压等疾病的发病率和死亡率方面承受着不成比例的高负担。先前存在的慢性健康状况可能使孕妇和产后妇女在分娩前、分娩中和分娩后出现COVID-19严重健康后果的风险更高。此外,健康的社会决定因素被假设为调节COVID-19对怀孕和产后非洲裔美国妇女的有害影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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