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Pregnant in the United States in the COVID-19 pandemic: A collision of crises we cannot ignore
NO abstract intended, Introduction is listed here The COVID-19 pandemic and call for social justice is occurring when the United States, unlike its peer countries, has already experienced a steady 20-year rise in maternal morbidity and mortality with pregnant women today facing a 50 percent higher r...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
National Medical Association
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542420/ https://www.ncbi.nlm.nih.gov/pubmed/33883068 http://dx.doi.org/10.1016/j.jnma.2021.03.008 |
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author | Stratton, Pamela Gorodetsky, Elena Clayton, Janine |
author_facet | Stratton, Pamela Gorodetsky, Elena Clayton, Janine |
author_sort | Stratton, Pamela |
collection | PubMed |
description | NO abstract intended, Introduction is listed here The COVID-19 pandemic and call for social justice is occurring when the United States, unlike its peer countries, has already experienced a steady 20-year rise in maternal morbidity and mortality with pregnant women today facing a 50 percent higher risk of mortality than their mothers. 1 Most vulnerable are women of color, black and American Indian/Alaska Native women, who have experienced longstanding disparities in access to and quality of healthcare and may begin pregnancy with hypertension, diabetes, and obesity, complications known to be more common in women enduring segregation. 2–4 Initially, the race-related health disparities and resultant disproportionately higher rates of COVID-19 cases and mortality in indigenous communities and black, latinx, or other communities of color were mistakenly considered innate racial differences. More recently, these higher rates have been attributed to underlying social, structural, and environmental determinants of health including resource inequities, inadequate housing, and occupational and environmental hazards that result in greater exposure to and less protection from COVID-19. 5,6 Augmented by the added physiologic stress of pregnancy, these comorbidities and disparities compound the risk of pregnancy-associated cardiomyopathy, thromboembolism, and hemorrhage, often resulting in lasting physical and mental health consequences. |
format | Online Article Text |
id | pubmed-8542420 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | National Medical Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-85424202021-10-25 Pregnant in the United States in the COVID-19 pandemic: A collision of crises we cannot ignore Stratton, Pamela Gorodetsky, Elena Clayton, Janine J Natl Med Assoc Commentary NO abstract intended, Introduction is listed here The COVID-19 pandemic and call for social justice is occurring when the United States, unlike its peer countries, has already experienced a steady 20-year rise in maternal morbidity and mortality with pregnant women today facing a 50 percent higher risk of mortality than their mothers. 1 Most vulnerable are women of color, black and American Indian/Alaska Native women, who have experienced longstanding disparities in access to and quality of healthcare and may begin pregnancy with hypertension, diabetes, and obesity, complications known to be more common in women enduring segregation. 2–4 Initially, the race-related health disparities and resultant disproportionately higher rates of COVID-19 cases and mortality in indigenous communities and black, latinx, or other communities of color were mistakenly considered innate racial differences. More recently, these higher rates have been attributed to underlying social, structural, and environmental determinants of health including resource inequities, inadequate housing, and occupational and environmental hazards that result in greater exposure to and less protection from COVID-19. 5,6 Augmented by the added physiologic stress of pregnancy, these comorbidities and disparities compound the risk of pregnancy-associated cardiomyopathy, thromboembolism, and hemorrhage, often resulting in lasting physical and mental health consequences. National Medical Association 2021-10 2021-04-18 /pmc/articles/PMC8542420/ /pubmed/33883068 http://dx.doi.org/10.1016/j.jnma.2021.03.008 Text en Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Commentary Stratton, Pamela Gorodetsky, Elena Clayton, Janine Pregnant in the United States in the COVID-19 pandemic: A collision of crises we cannot ignore |
title | Pregnant in the United States in the COVID-19 pandemic: A collision of crises we cannot ignore |
title_full | Pregnant in the United States in the COVID-19 pandemic: A collision of crises we cannot ignore |
title_fullStr | Pregnant in the United States in the COVID-19 pandemic: A collision of crises we cannot ignore |
title_full_unstemmed | Pregnant in the United States in the COVID-19 pandemic: A collision of crises we cannot ignore |
title_short | Pregnant in the United States in the COVID-19 pandemic: A collision of crises we cannot ignore |
title_sort | pregnant in the united states in the covid-19 pandemic: a collision of crises we cannot ignore |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542420/ https://www.ncbi.nlm.nih.gov/pubmed/33883068 http://dx.doi.org/10.1016/j.jnma.2021.03.008 |
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