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Disparities in high risk prenatal care adherence along racial and ethnic lines

The term “high-risk pregnancy” describes a pregnancy at increased risk for complications due to various maternal or fetal medical, surgical, and/or anatomic issues. In order to best protect the pregnant patient and the fetus, frequent prenatal visits and monitoring are often recommended. Unfortunate...

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Autores principales: Stegman, Molly M., Lucarelli-Baldwin, Elizabeth, Ural, Serdar H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10407102/
https://www.ncbi.nlm.nih.gov/pubmed/37560034
http://dx.doi.org/10.3389/fgwh.2023.1151362
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author Stegman, Molly M.
Lucarelli-Baldwin, Elizabeth
Ural, Serdar H.
author_facet Stegman, Molly M.
Lucarelli-Baldwin, Elizabeth
Ural, Serdar H.
author_sort Stegman, Molly M.
collection PubMed
description The term “high-risk pregnancy” describes a pregnancy at increased risk for complications due to various maternal or fetal medical, surgical, and/or anatomic issues. In order to best protect the pregnant patient and the fetus, frequent prenatal visits and monitoring are often recommended. Unfortunately, some patients are unable to attend these appointments for various reasons. Moreover, it has been documented that patients from ethnically and racially diverse backgrounds are more likely to miss medical appointments than are Caucasian patients. For instance, a case-control study retrospectively identified the race/ethnicity of patients who no-showed for mammography visits in 2018. Women who no-showed were more likely to be African American than patients who kept their appointments, with an odds ratio of 2.64 (4). Several other studies from several other primary care and specialty disciplines have shown similar results. However, the current research on high-risk obstetric no-shows has focused primarily on why patients miss their appointments rather than which patients are missing appointments. This is an area of opportunity for further research. Given disparities in health outcomes among underrepresented racial/ethnic groups and the importance of prenatal care, especially in high-risk populations, targeted attempts to increase patient participation in prenatal care may improve maternal and infant morbidity/mortality in these populations.
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spelling pubmed-104071022023-08-09 Disparities in high risk prenatal care adherence along racial and ethnic lines Stegman, Molly M. Lucarelli-Baldwin, Elizabeth Ural, Serdar H. Front Glob Womens Health Global Women's Health The term “high-risk pregnancy” describes a pregnancy at increased risk for complications due to various maternal or fetal medical, surgical, and/or anatomic issues. In order to best protect the pregnant patient and the fetus, frequent prenatal visits and monitoring are often recommended. Unfortunately, some patients are unable to attend these appointments for various reasons. Moreover, it has been documented that patients from ethnically and racially diverse backgrounds are more likely to miss medical appointments than are Caucasian patients. For instance, a case-control study retrospectively identified the race/ethnicity of patients who no-showed for mammography visits in 2018. Women who no-showed were more likely to be African American than patients who kept their appointments, with an odds ratio of 2.64 (4). Several other studies from several other primary care and specialty disciplines have shown similar results. However, the current research on high-risk obstetric no-shows has focused primarily on why patients miss their appointments rather than which patients are missing appointments. This is an area of opportunity for further research. Given disparities in health outcomes among underrepresented racial/ethnic groups and the importance of prenatal care, especially in high-risk populations, targeted attempts to increase patient participation in prenatal care may improve maternal and infant morbidity/mortality in these populations. Frontiers Media S.A. 2023-07-25 /pmc/articles/PMC10407102/ /pubmed/37560034 http://dx.doi.org/10.3389/fgwh.2023.1151362 Text en © 2023 Stegman, Lucarelli-Baldwin and Ural. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Global Women's Health
Stegman, Molly M.
Lucarelli-Baldwin, Elizabeth
Ural, Serdar H.
Disparities in high risk prenatal care adherence along racial and ethnic lines
title Disparities in high risk prenatal care adherence along racial and ethnic lines
title_full Disparities in high risk prenatal care adherence along racial and ethnic lines
title_fullStr Disparities in high risk prenatal care adherence along racial and ethnic lines
title_full_unstemmed Disparities in high risk prenatal care adherence along racial and ethnic lines
title_short Disparities in high risk prenatal care adherence along racial and ethnic lines
title_sort disparities in high risk prenatal care adherence along racial and ethnic lines
topic Global Women's Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10407102/
https://www.ncbi.nlm.nih.gov/pubmed/37560034
http://dx.doi.org/10.3389/fgwh.2023.1151362
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