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Black women hit hardest as maternal death rates soar in US

  

Category:  Health, Science & Technology

Via:  hallux  •  8 months ago  •  23 comments

By:   AL JAZEERA AND NEWS AGENCIES

Black women hit hardest as maternal death rates soar in US
US maternal mortality rate findings should be ‘call to action’, researcher says, as deaths more than double in 20 years.

S E E D E D   C O N T E N T


The number of women who died within a year after pregnancy more than doubled between 1999 and 2019 in the United States, a new study has found, with the highest number of deaths recorded among Black women.

The study, published on Monday in the Journal of the American Medical Association, looked at maternal deaths between 1999 and 2019 — but not   the COVID-19 pandemic spike   — for every US state and five racial and ethnic groups.

There were an estimated 1,210 maternal deaths in 2019, compared with 505 in 1999, the researchers found.

Overall, the number of deaths per 100,000 live births rose from 12.7 to 32.2 in that 20-year span, while the number of deaths among Black women increased from 26.7 to 55.4. The greatest jump over time was seen among American Indian and Alaska Native women, however – from 14 deaths per 100,000 live births in 1999 to 49.2 in 2009.

Dr Allison Bryant, one of the study’s authors and a senior medical director for health equity at Mass General Brigham in Boston, said the findings should be a “call to action”.

“It’s a call to action to all of us to   understand the root causes   — to understand that some of it is about healthcare and access to healthcare, but a lot of it is about structural racism and the policies and procedures and things that we have in place that may keep people from being healthy,” Bryant said.

Among wealthy nations, the US has the highest rate of maternal mortality, which is defined as a death during pregnancy or up to a year afterwards. Common causes include excessive bleeding, infection, heart disease, suicide and drug overdose.

Rates among Black women have long been the worst in the country, and the problem affects people of all socioeconomic backgrounds. For example, US Olympic   champion sprinter Tori Bowie , 32, died from complications of childbirth in May.

Last year, the White House released a plan to address what it called the “maternal health crisis”.

It pledged to increase access to maternal health services, collect more data on maternal health risks, and address gaps in the US perinatal workforce, particularly in underserved areas.

“Each year, thousands of women experience unexpected outcomes of labor and delivery that result in significant short- or long-term consequences to their health such as heart issues, the need for blood transfusions, eclampsia, and blood infections,” the White House said ( PDF ).

“Systemic barriers, together with a failure to recognize, respect and listen to patients of color, has meant that Black and American Indian/Alaska Native (AI/AN) women, regardless of income or education, experience a greater share of these grave outcomes, as do rural women.”

According to the study released Monday, southern US states had high maternal mortality across all race and ethnicity groups, but especially for Black individuals, while Midwest and Great Plains states had the highest rates for American Indian and Alaskan Native women.

Between 1999 and 2019, the number of deaths per 100,000 live births rose from 9.6 to 20.9 among Asian, Native Hawaiian and other Pacific Islander women; from 9.6 to 19.1 among Hispanic women, and from 9.4 to 26.3 among white women, the researchers said.

“I hate to say it, but I was not surprised by the findings,” Dr Karen Joynt Maddox, a health services and policy researcher at Washington University School of Medicine in St Louis, who wasn’t involved in the study, told The Associated Press news agency.

“It’s certainly alarming, and just more evidence we have got to figure out what’s going on and try to find ways to do something about this.”


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Hallux
Masters Principal
1  seeder  Hallux    8 months ago

Is this the price one pays for the "best healthcare" in the world?

 
 
 
Drinker of the Wry
Junior Expert
1.1  Drinker of the Wry  replied to  Hallux @1    8 months ago

Best depends on the metrics selected, who's quote?

 
 
 
Hallux
Masters Principal
1.1.1  seeder  Hallux  replied to  Drinker of the Wry @1.1    8 months ago
who's quote?

After 10 years on sites such is this too many to name but most come from the "we're No. 1" patriots group.

 
 
 
cjcold
Professor Quiet
1.1.2  cjcold  replied to  Drinker of the Wry @1.1    8 months ago

All quality-of-life metrics are worse in Southern red states.

The mindless chanting of USA! USA! USA! doesn't change any facts.

Blue states contain 54% of the population and produce 59% of GDP.

Red states have 46% of the population and produce 40% of the GDP.

Students in blue states score significantly higher than students in red states.

Conservatism is a bankrupt mindset and worldview.

 
 
 
GregTx
PhD Guide
1.1.3  GregTx  replied to  cjcold @1.1.2    8 months ago

Keep telling yourself that..... well that, and there's no such thing as an econut.

 
 
 
Drinker of the Wry
Junior Expert
1.1.4  Drinker of the Wry  replied to  cjcold @1.1.2    8 months ago
The mindless chanting of USA! USA! USA! doesn't change any facts.

Do you mean Americans that attend the Olympics?

 
 
 
Greg Jones
Professor Guide
1.2  Greg Jones  replied to  Hallux @1    8 months ago

“Systemic barriers, together with a failure to recognize, respect and listen to patients of color, has meant that Black and American Indian/Alaska Native (AI/AN) women, regardless of income or education, experience a greater share of these grave outcomes, as do rural women.”

What are those systemic barriers?  Is that comment just a conjecture, or can it be supported by facts? It implies that these are stupid and unable to communicate with their doctors.

 
 
 
Hallux
Masters Principal
1.2.1  seeder  Hallux  replied to  Greg Jones @1.2    8 months ago

Or it implies that some doctors think their patients are too stupid to communicate with.

 
 
 
GregTx
PhD Guide
1.2.2  GregTx  replied to  Hallux @1.2.1    8 months ago

Or perhaps it implies they're legacy med students that are too stupid to communicate with their patients?....

 
 
 
sandy-2021492
Professor Expert
1.2.3  sandy-2021492  replied to  Greg Jones @1.2    8 months ago

Washington echoed the point, noting, “It's no accident that, in 2016, the University of Virginia found that half of all medical students thought that African Americans don't feel pain the way whites do ... making a case that African Americans were not fully human.” “We talk about history, but I always want to remind people: It’s not history. It's not dead,” she added. “It's happening right now—partly because we have not appropriately addressed what happened in the past.”

These medical students would be practicing physicians now.

The report showed — in exacting detail and with mountains of evidence — that people of color were less likely to receive the medical care and procedures they needed even when controlling for factors like insurance status. It showed that Black and Hispanic patients tended to receive lower-quality care for a number of diseases, including cancer, heart disease, HIV/AIDS, and diabetes, and that disparities were found even when clinical factors like comorbidities, age, and severity of disease were taken into account. The disparities were found across a range of clinical settings, including public, private, and teaching hospitals, and were tied to worse outcomes for patients.

The report in question was written in 2003.

“Research suggests that healthcare providers’ diagnostic and treatment decisions, as well as their feelings about patients, are influenced by patients’ race or ethnicity,” the report said. The authors also cited the lack of physicians of color and language translation services, a dearth of medical facilities in some low-income neighborhoods, and a shift to managed care in government-run health programs as examples of systemic racism.

My sister is a travel PA, currently assigned to a gastroenterology practice in Farmington, NM.  Once you leave town limits, you're on reservation land.  She has the occasional patient who can only speak Navajo.  One of her greatest frustrations the last time she was assigned to the same hospital was the great disparity in care provided to IHS patients, who were frequently referred to her practice when their problems were worse than an IHS clinic could handle.  There were frequently delays in care during Covid because the IHS did not provide rapid Covid tests for patients who had to test before undergoing procedures.  Non-IHS patients received rapid tests, and therefore more timely care. 

 
 
 
Texan1211
Professor Principal
2  Texan1211    8 months ago

Would have been useful info had the article detailed the causes of death in these women instead of just generalities.

Why are women of ALL races experiencing this?

 
 
 
Kavika
Professor Principal
2.1  Kavika   replied to  Texan1211 @2    8 months ago
Why are women of ALL races experiencing this?

According to the article, yes.

 
 
 
Texan1211
Professor Principal
2.1.1  Texan1211  replied to  Kavika @2.1    8 months ago
According to the article, yes.

Yes, I am aware.

I wondered what the cause of deaths were by category to see if there are any similarities among races.

What is America doing so differently compared to the rest of the world besides having high drug-use rates and horrible diets?

 
 
 
Drinker of the Wry
Junior Expert
3  Drinker of the Wry    8 months ago

Seems like quotation marks are inappropriate.

 
 
 
Hallux
Masters Principal
3.1  seeder  Hallux  replied to  Drinker of the Wry @3    8 months ago

Same could be said about some remarks.

 
 
 
Drinker of the Wry
Junior Expert
3.1.1  Drinker of the Wry  replied to  Hallux @3.1    8 months ago

Without knowing what ones you mean, I can't disagree.

 
 
 
Sean Treacy
Professor Principal
4  Sean Treacy    8 months ago

You tellen me healthcare can't stop suicide or drug use? 

Probably should just start euthanizing unfit mothers to get the numbers up, eh? 

 
 
 
Kavika
Professor Principal
5  Kavika     8 months ago
Among wealthy nations, the US has the highest rate of maternal mortality, which is defined as a death during pregnancy or up to a year afterwards. Common causes include excessive bleeding, infection, heart disease, suicide and drug overdose.

That is certainly a statistic that the US should not be number one in. Being an exceptional and rich country we should have a much better grip and result on this. 

 
 
 
Greg Jones
Professor Guide
5.1  Greg Jones  replied to  Kavika @5    8 months ago

What do you suggest for solutions?

 
 
 
Kavika
Professor Principal
5.1.1  Kavika   replied to  Greg Jones @5.1    8 months ago

Since I'm not an MD the first thing I would start with is better accessibility to healthcare for women, in fact for all Americans. 

Do you have any thoughts? 

 
 
 
Right Down the Center
Junior Guide
5.1.2  Right Down the Center  replied to  Kavika @5.1.1    8 months ago

Maybe find out why it is happening and address the root cause instead of blanket statements about Healthcare for all that is years and years away. And I don't mean send our vp to find out or some lame ass committee that likes to hear themselves talk and solve nothing.

 
 
 
Kavika
Professor Principal
5.1.3  Kavika   replied to  Right Down the Center @5.1.2    8 months ago

Actually, there are a number of articles/reports on just this lack of adequate care here are a few.

 
 
 
Texan1211
Professor Principal
6  Texan1211    8 months ago

Wasn't Obamacare supposed to be the cure-all?

 
 

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