A5084803200- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Maternal Mental Health During Pregnancy and Postpartum
- Emergency and Acute Care Studies
- Pregnancy and preeclampsia studies
- Healthcare Policy and Management
- Gestational Diabetes Research and Management
- Child and Adolescent Health
- Global Maternal and Child Health
- Neonatal Respiratory Health Research
- Migration, Health and Trauma
- COVID-19 Impact on Reproduction
- Breastfeeding Practices and Influences
- Infant Development and Preterm Care
- Health disparities and outcomes
- Birth, Development, and Health
- Ovarian cancer diagnosis and treatment
- Food Security and Health in Diverse Populations
- Grief, Bereavement, and Mental Health
- Racial and Ethnic Identity Research
- Endometrial and Cervical Cancer Treatments
- Ethics in Clinical Research
- Child and Adolescent Psychosocial and Emotional Development
- Cardiovascular Issues in Pregnancy
- Patient Satisfaction in Healthcare
University of Pennsylvania
2020-2025
University of Pennsylvania Health System
2023-2025
Maxwell Institute for Mathematical Sciences
2024
Heriot-Watt University
2024
Icahn School of Medicine at Mount Sinai
2014-2023
New York University
2006-2022
Baruch College
2022
Inserm
2015-2022
Université Paris Cité
2015-2022
Centre de Recherche Épidémiologie et Statistique
2022
Significant racial and ethnic disparities in maternal morbidity mortality exist the United States. Black women are 3 to 4 times more likely die a pregnancy-related death as compared with white women. Growing research indicates that quality of health care, from preconception through postpartum may be critical lever for improving outcomes minority This article reviews severe morbidities mortality, underlying drivers these disparities, potential levers reduce their occurrence.
Objectives. To better understand racial and ethnic disparities in US maternal mortality. Methods. We analyzed 2016–2017 vital statistics mortality data with cause-of-death literals (actual words written on the death certificate) added. created a subset of confirmed deaths that had pregnancy mentions literals. Primary cause was identified recoded using examined both overall by primary cause. Results. The rate for non-Hispanic Black women 3.55 times White women. Leading causes were eclampsia...
Preterm birth has previously been associated with increased risks of hypertension and diabetes, but not ischemic heart disease (IHD), in adulthood. The reasons for this lack association IHD despite associations its risk factors have elusive, may be methodologic issues, such as survivor bias, prior studies.To determine whether preterm is an adulthood a large population-based cohort.This national, cohort study included all 2 141 709 persons who were born singleton live births Sweden during...
In Brief OBJECTIVE: To explore racial differences in reporting of early postpartum depressive symptoms. whether experience (such as mother's health status and social context) might account for reported METHODS: This was a telephone survey 655 white, African-American, Hispanic mothers between 2 6 weeks postpartum. Mothers on demographic factors, physical symptoms, daily function, infant behaviors, support, skills managing household, access, trust the medical system. We explored report...
Abstract Background One in nine US infants is born before 37 weeks' gestation, incurring medical costs 10 times higher than full‐term infants. three by cesarean; cesarean births cost twice as much vaginal births. We compared rates of preterm and birth among Medicaid recipients with prenatal access to doula care (nonmedical maternal support) similar women regionally. used data on this association mathematically model the potential cost‐effectiveness coverage services. Methods Data came from...
Substantial quality improvements in neonatal care have occurred over the past decade yet racial and ethnic disparities morbidity mortality remain. It is uncertain whether disparate patterns of by race ethnicity contribute to outcomes.To examine differences rates among non-Hispanic black (black), Hispanic, white (white) very preterm infants determine these are explained site delivery.Population-based retrospective cohort study 7177 nonanomalous born between 24 31 completed gestational weeks...
Definitions of racial and ethnic disparities fall along a continuum from differences with little connotation being unjust to those that result overt discrimination. Where this one decides difference becomes disparity is subjective, but the magnitude injustice generally proportional how much control person perceived have over cause in health. The degree which sees environmental factors social context as shaping choices has important implications for measurement ultimately directing efforts...
Racial and ethnic disparities exist in both perinatal outcomes health care quality. For example, black women are three to four times more likely die from pregnancy-related causes have than a twofold greater risk of severe maternal morbidity white women. In an effort achieve equity mortality, multidisciplinary workgroup the National Partnership for Maternal Safety, within Council on Patient Safety Women's Health Care, developed concept article bundle reduction peripartum disparities. We aimed...
Severe morbidity in very preterm infants is associated with profound clinical implications on development and life-course health. However, studies of racial/ethnic disparities severe neonatal morbidities are scant suggest that these modest or null, which may be an underestimation resulting from the analytic approach used.To estimate differences among infants.This population-based retrospective cohort study was conducted New York City, York, using linked birth certificate, mortality data,...
<h3>Importance</h3> Administration-to-birth intervals of antenatal corticosteroids (ANS) vary. The significance this variation is unclear. Specifically, to our knowledge, the shortest effective administration-to-birth interval unknown. <h3>Objective</h3> To explore associations between ANS and survival morbidity among very preterm infants. <h3>Design, Setting, Participants</h3> Effective Perinatal Intensive Care in Europe (EPICE) study, a population-based prospective cohort gathered data...
OBJECTIVE: To examine within-hospital racial and ethnic disparities in severe maternal morbidity rates determine whether they are associated with differences types of medical insurance. METHODS: We conducted a population-based, cross-sectional study using linked 2010–2014 New York City discharge birth certificate data sets (N=591,455 deliveries) to black–white, Latina–white, Medicaid–commercially insured morbidity. used logistic regression produce risk-adjusted for patients commercial...
In an effort to improve the quality of care, several obstetric-specific measures are now monitored and publicly reported. The extent which these associated with maternal neonatal morbidity is not known.To examine whether 2 Joint Commission obstetric indicators morbidity.Population-based observational study using linked New York City discharge birth certificate data sets from 2010. All delivery hospitalizations were identified perinatal calculated (elective, nonmedically indicated deliveries...
OBJECTIVE: To investigate differences in severe maternal morbidity between Hispanic mothers and three major subgroups compared with non-Hispanic white the extent to which delivery hospitals may contribute excess among mothers. METHODS: We conducted a population-based cross-sectional study using linked 2011–2013 New York City discharge birth certificate data sets (n=353,773). Rates of were calculated published algorithm based on diagnosis procedure codes. Mixed-effects logistic regression...
Recent national and state legislation has called attention to stark racial/ethnic disparities in maternal mortality severe morbidity (SMM), the latter of which is defined as having a life-threatening condition or life-saving procedure during childbirth. Using linked New York City birth hospitalization data for 2012–14, we examined whether racial economic spatial polarization associated with SMM rates, delivery hospital partially explains association. Women ZIP codes highest concentration...