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Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women

In the US, Black women are at disproportionate risk for pregnancy-related morbidity and mortality (PRMM). Disparities in PRMM have been tied to elevated rates of obstetric cardiometabolic complications for Black women. Research seeking to elucidate the determinants of Black PRMM to date have focused...

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Detalles Bibliográficos
Autores principales: Lin, Betty, Appleton, Allison A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234444/
https://www.ncbi.nlm.nih.gov/pubmed/35769781
http://dx.doi.org/10.3389/fpubh.2022.853018
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author Lin, Betty
Appleton, Allison A.
author_facet Lin, Betty
Appleton, Allison A.
author_sort Lin, Betty
collection PubMed
description In the US, Black women are at disproportionate risk for pregnancy-related morbidity and mortality (PRMM). Disparities in PRMM have been tied to elevated rates of obstetric cardiometabolic complications for Black women. Research seeking to elucidate the determinants of Black PRMM to date have focused predominantly on risk factors occurring during pregnancy (e.g., health risk behaviors, quantity and quality of prenatal care, provider behaviors, and attitudes). Meanwhile, other research investigating the developmental origins of health and disease (DOHaD) model indicates that the origins of adult cardiometabolic health can be traced back to stress exposures occurring during the intrauterine and early life periods. Despite the relevancy of this work to Black PRMM, the DOHaD model has never been applied to investigate the determinants of Black PRMM. We argue that the DOHaD model represents a compelling theoretical framework from which to conceptualize factors that drive racial disparities PRMM. Research and intervention working from a developmental origins orientation may help address this urgent public health crisis of Black PRMM.
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spelling pubmed-92344442022-06-28 Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women Lin, Betty Appleton, Allison A. Front Public Health Public Health In the US, Black women are at disproportionate risk for pregnancy-related morbidity and mortality (PRMM). Disparities in PRMM have been tied to elevated rates of obstetric cardiometabolic complications for Black women. Research seeking to elucidate the determinants of Black PRMM to date have focused predominantly on risk factors occurring during pregnancy (e.g., health risk behaviors, quantity and quality of prenatal care, provider behaviors, and attitudes). Meanwhile, other research investigating the developmental origins of health and disease (DOHaD) model indicates that the origins of adult cardiometabolic health can be traced back to stress exposures occurring during the intrauterine and early life periods. Despite the relevancy of this work to Black PRMM, the DOHaD model has never been applied to investigate the determinants of Black PRMM. We argue that the DOHaD model represents a compelling theoretical framework from which to conceptualize factors that drive racial disparities PRMM. Research and intervention working from a developmental origins orientation may help address this urgent public health crisis of Black PRMM. Frontiers Media S.A. 2022-06-13 /pmc/articles/PMC9234444/ /pubmed/35769781 http://dx.doi.org/10.3389/fpubh.2022.853018 Text en Copyright © 2022 Lin and Appleton. 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). 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 Public Health
Lin, Betty
Appleton, Allison A.
Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_full Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_fullStr Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_full_unstemmed Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_short Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_sort developmental origins of pregnancy-related morbidity and mortality in black u.s. women
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234444/
https://www.ncbi.nlm.nih.gov/pubmed/35769781
http://dx.doi.org/10.3389/fpubh.2022.853018
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