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COVID-19 pandemic exacerbates racial and ethnic disparities in postnatal care

COVID-19 pandemic exacerbates racial and ethnic disparities in postnatal care

 



Disclosure: Mi has not reported disclosure of relevant financial information. See Surveys for disclosure of relevant financial information for all other authors.


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A retrospective cohort study found that black and Hispanic women recovered slower in care access than white women after a comprehensive loss of postpartum care due to the onset of the COVID-19 pandemic.

“Before the COVID-19 pandemic, racial disparities in postnatal care Results of maternal health Sustained ” Tianyue Mi, MS, PhD students and colleagues in the Department of Health Promotion, Education, and Behavior at the University of South Carolina at Columbia wrote: JAMA network open.. “… COVID-19 Pandemic access to postnatal care and its racial disparities have not been fully investigated to correct the disparities in access to postnatal care and related maternal health burdens. That is difficult. “


Data obtained from MiT et al.  JAMA network opened.  2022; doi: 10.1001 / jamanetworkopen.2022.16355.
Data obtained from MiT et al. JAMA Netw Open.. 2022; doi: 10.1001 / jamanetworkopen.2022.16355.

Cohort identification

Mi et al. Confirmed electronic health records of 45,588 women who gave birth at eight hospitals in the Boston metropolitan area between January 1, 2019 and November 30, 2021 to gain access to postnatal care. Decided.

Researchers have defined the timing of deliveries before the pandemic (January-December 2019), early pandemic (January-March 2020), or late pandemic (April 2020-November 2021). did. They also identified whether the patient participated in, canceled, or did not schedule postnatal care within 90 days of delivery.

Patients were predominantly Caucasian (62.6%), followed by Hispanics (15.2%), Asians (10.4%), Blacks (7.5%) and other races (2.8%). In all groups, an increasing number of patients were married between the ages of 25 and 34, became pregnant at maturity, gave birth vaginal, and had no clinical symptoms such as hypertension. Prevalence of severely pregnant women..

Attendance, cancellation, unscheduled fees

The overall postpartum care attendance rate was 75.2% before the pandemic, 41.7% in the early pandemic, and 60.9% in the late pandemic. Despite the delayed rebound of the pandemic, attendance remained low for all racial and ethnic groups during that period compared to pre-pandemic rates.

In relation to attendance, cancellation and non-schedule rates increased during the pre-pandemic and early pandemic periods, and decreased during the early and late pandemic periods. However, the cancellation rate was higher in the latter half of the pandemic than in the latter half of the pandemic.

Notably, pre-pandemic, early-pandemic, and late-pandemic cancellation rates were higher for blacks (9.1%, 21.5%, and 10%, respectively) and Hispanic women (7.4%, 19.5%, and 7.6%, respectively). With white women (3.2%, 16.6%, 3.7%, respectively).

Black (average marginal effect) in late pandemics [AME]1.1; 95% CI, 0.6-1.6) and Hispanic women (AME, 1.3; 95% CI, 0.9-1.6) were more likely not to schedule postnatal care than Caucasian women.

“Of all racial and ethnic groups, black women show the slowest decline in cancellation rates in late pandemics, and Hispanic women show slower adaptation to pandemics,” writes Mi and colleagues. .. “Understanding the barriers and facilitators of access to postnatal care for black and Hispanic women is necessary to promote equitable access to postnatal care for women who are most vulnerable to adverse consequences. “

Sources

1/ https://Google.com/

2/ https://www.healio.com/news/womens-health-ob-gyn/20220630/covid19-pandemic-exacerbates-racial-ethnic-disparities-in-postpartum-care

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