Reduction of Peripartum Racial and Ethnic Disparities: A Conceptual Framework and Maternal Safety Consensus Bundle

Elizabeth A. Howell; Haywood Brown; Jessica Brumley; Allison S. Bryant; Aaron B. Caughey; Andria M. Cornell; Jacqueline H. Grant; Kimberly D. Gregory; Susan M. Gullo; Katy B. Kozhimannil; Jill M. Mhyre; Paloma Toledo; Robyn D'Oria; Martha Ngoh; William A. Grobman

doi:10.1111/jmwh.12756

Reduction of Peripartum Racial and Ethnic Disparities: A Conceptual Framework and Maternal Safety Consensus Bundle

Elizabeth A. Howell, Haywood Brown, Jessica Brumley, Allison S. Bryant, Aaron B. Caughey, Andria M. Cornell, Jacqueline H. Grant, Kimberly D. Gregory, Susan M. Gullo, Katy B. Kozhimannil, Jill M. Mhyre, Paloma Toledo, Robyn D'Oria, Martha Ngoh, William A. Grobman

Health Policy and Management

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

Abstract

Racial and ethnic disparities exist in both perinatal outcomes and health care quality. For example, black women are 3 to 4 times more likely to die from pregnancy-related causes and have more than a 2-fold greater risk of severe maternal morbidity than white women. In an effort to achieve health equity in maternal morbidity and mortality, a multidisciplinary workgroup of the National Partnership for Maternal Safety, within the Council on Patient Safety in Women's Health Care, developed a concept article for the bundle on reduction of peripartum disparities. We aimed to provide health care providers and health systems with insight into racial and ethnic disparities in maternal outcomes, the etiologies that are modifiable within a health care system, and resources that can be used to address these etiologies and achieve the desired end of safe and equitable health care for all childbearing women.

Original language	English (US)
Pages (from-to)	366-376
Number of pages	11
Journal	Journal of Midwifery and Women's Health
Volume	63
Issue number	3
DOIs	https://doi.org/10.1111/jmwh.12756
State	Published - May 1 2018

Bibliographical note

Funding Information:
In an effort to achieve health equity in maternal morbidity and mortality, a workgroup of the National Partnership for Maternal Safety, within the Council on Patient Safety in Women’s Health Care, developed this concept article as background material for the Reduction of Peripartum Racial and Ethnic Disparities Patient Safety Bundle (http://safehealth careforeverywoman.org/patient-safety-bundles/reduction-of-peripartum-racialethnic-disparities/), the use of which is designed to reduce racial and ethnic disparities in perinatal outcomes. This effort represents contributions by all the major women’s health professional organizations and was developed by representatives from the American College of Obstetricians and Gynecologists; the Association of Women’s Health, Obstetric and Neonatal Nurses; the Society for Maternal-Fetal Medicine; the American College of Nurse-Midwives; the Society for Obstetric Anesthesia and Perinatology; the American Academy of Family Physicians; the Association of Maternal & Child Health Programs; and the University of Michigan School of Public Health.

Publisher Copyright:
© 2018 by the American College of Obstetricians and Gynecologists

Keywords

American College of Nurse-Midwives
antepartum care
health disparities

Publisher link

10.1111/jmwh.12756

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Howell, E. A., Brown, H., Brumley, J., Bryant, A. S., Caughey, A. B., Cornell, A. M., Grant, J. H., Gregory, K. D., Gullo, S. M., Kozhimannil, K. B., Mhyre, J. M., Toledo, P., D'Oria, R., Ngoh, M., & Grobman, W. A. (2018). Reduction of Peripartum Racial and Ethnic Disparities: A Conceptual Framework and Maternal Safety Consensus Bundle. Journal of Midwifery and Women's Health, 63(3), 366-376. https://doi.org/10.1111/jmwh.12756

Howell, EA, Brown, H, Brumley, J, Bryant, AS, Caughey, AB, Cornell, AM, Grant, JH, Gregory, KD, Gullo, SM, Kozhimannil, KB, Mhyre, JM, Toledo, P, D'Oria, R, Ngoh, M & Grobman, WA 2018, 'Reduction of Peripartum Racial and Ethnic Disparities: A Conceptual Framework and Maternal Safety Consensus Bundle', Journal of Midwifery and Women's Health, vol. 63, no. 3, pp. 366-376. https://doi.org/10.1111/jmwh.12756

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abstract = "Racial and ethnic disparities exist in both perinatal outcomes and health care quality. For example, black women are 3 to 4 times more likely to die from pregnancy-related causes and have more than a 2-fold greater risk of severe maternal morbidity than white women. In an effort to achieve health equity in maternal morbidity and mortality, a multidisciplinary workgroup of the National Partnership for Maternal Safety, within the Council on Patient Safety in Women's Health Care, developed a concept article for the bundle on reduction of peripartum disparities. We aimed to provide health care providers and health systems with insight into racial and ethnic disparities in maternal outcomes, the etiologies that are modifiable within a health care system, and resources that can be used to address these etiologies and achieve the desired end of safe and equitable health care for all childbearing women.",

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note = "Funding Information: In an effort to achieve health equity in maternal morbidity and mortality, a workgroup of the National Partnership for Maternal Safety, within the Council on Patient Safety in Women{\textquoteright}s Health Care, developed this concept article as background material for the Reduction of Peripartum Racial and Ethnic Disparities Patient Safety Bundle (http://safehealth careforeverywoman.org/patient-safety-bundles/reduction-of-peripartum-racialethnic-disparities/), the use of which is designed to reduce racial and ethnic disparities in perinatal outcomes. This effort represents contributions by all the major women{\textquoteright}s health professional organizations and was developed by representatives from the American College of Obstetricians and Gynecologists; the Association of Women{\textquoteright}s Health, Obstetric and Neonatal Nurses; the Society for Maternal-Fetal Medicine; the American College of Nurse-Midwives; the Society for Obstetric Anesthesia and Perinatology; the American Academy of Family Physicians; the Association of Maternal & Child Health Programs; and the University of Michigan School of Public Health. Publisher Copyright: {\textcopyright} 2018 by the American College of Obstetricians and Gynecologists",

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AU - Bryant, Allison S.

AU - Caughey, Aaron B.

AU - Cornell, Andria M.

AU - Grant, Jacqueline H.

AU - Gregory, Kimberly D.

AU - Gullo, Susan M.

AU - Kozhimannil, Katy B.

AU - Mhyre, Jill M.

AU - Toledo, Paloma

AU - D'Oria, Robyn

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Reduction of Peripartum Racial and Ethnic Disparities: A Conceptual Framework and Maternal Safety Consensus Bundle

Abstract

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Keywords

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