Addressing Racial Disparities in the Hypertensive Disorders in Pregnancy: A Plan for Action from the Preeclampsia Foundation's Racial Disparities Task Force.

Autor: Graves CR; Tennessee Maternal Fetal Medicine, University of Tennessee Health Science Center, 201 23rd Ave., Nashville, TN, 37203, USA. cgraves@tnmfm.com., Firoz T; Department of Medicine, Yale New Haven Health- Bridgeport Hospital, Bridgeport, CT, USA., Smith SN; Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA., Hernandez N; Center for Maternal Health Equity, Community Health and Preventative Medicine, Morehouse School of Medicine, Atlanta, GA, USA., Haley S; InnerLight Holistic Doula & Perinatal Consulting, Comparative Women's Studies, Spelman College, Decatur, GA, USA., Smith K; Preeclampsia Foundation, Melbourne, FL, USA., D'Oria R; Preeclampsia Foundation, Melbourne, FL, USA., Celi AC; Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.; Division of Women's Health, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 Aug 26. Date of Electronic Publication: 2024 Aug 26.
DOI: 10.1007/s40615-024-02126-6
Abstrakt: Hypertensive disorders of pregnancy (HDP) are among the leading causes of maternal mortality in the United States, with Black women and birthing people disproportionately having higher HDP-related deaths and morbidity. In 2020, the Preeclampsia Foundation formed a national Racial Disparities Task Force (RDTF) to identify key recommendations to address issues of racial disparities related to HDP. Recommendations are centered around the Foundation's three pillars: Community, Healthcare Practice, and Research. Healthcare practices include adequate treatment of chronic hypertension in Black women and birthing people, re-branding low-dose aspirin to prenatal aspirin to facilitate uptake, and innovative models of care that especially focus on postpartum follow-up. A research agenda that examines the influence of social and structural determinants of health (ssDOH) on HDP care, access, and outcomes is essential to addressing disparities. One specific area that requires attention is the development of metrics to evaluate the quality of obstetrical care as it relates to racial disparities in Black women and birthing people with HDP. The recommendations generated by the Preeclampsia Foundation's RDTF highlight the strategic priorities and are a call to action that requires listening to the voices and experiences of Black women and birthing people, engaging their communities, and multi-sectoral collaboration to improve healthcare practices and drive needed research.
(© 2024. The Author(s).)
Databáze: MEDLINE
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