Consortium on Safe Labor

安全劳工联盟

• 批准号: 10684575
• 负责人: Katherine Grantz
• 金额: $ 9.04万
• 依托单位: EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10684575
• 关键词: Age; Caring; Cesarean section; Clinical; Data; Discipline of obstetrics; Healthcare; Hospitals; Maternal Mortality; Medical Education; National Institute of Child Health and Human Development; Observational Study; Population; Pregnancy; Pregnancy Outcome; Pregnant Women; Process; Research; Research Personnel; Sensory; System; Time; United States National Institutes of Health; Woman; adverse outcome; clinical development; disability; evidence base; high risk; reproductive; severe maternal morbidity; web site; women with disabilities

In the previous year, researchers investigated pregnancy outcomes in women with physical, intellectual, and sensory disability during pregnancy. Women with versus without disability were at higher risk of adverse outcomes including a broad range of severe maternal morbidity (SMM) and maternal mortality. Indications for cesarean delivery for women with disability were more likely for softer indications compared with true clinical indications for women without disability, supporting a possible overuse of cesarean delivery among women with disability. These findings support the systemic implementation of evidence-based obstetric practice and care processes shown to reduce SMM and maternal mortality. Furthermore, changes in the medical education system and other strategies are needed to help health care practitioners be more comfortable managing care for reproductive-age women with disabilities before and during pregnancy. (Gleason JL at al. JAMA Network Open, 2021) Collectively, this body of research continues to provide data useful for the ongoing development of clinical guidance regarding the management of contemporary pregnant women. The data is publicly available via the NICHD DASH website, https://dash.nichd.nih.gov/.

在上一年，研究人员调查了怀孕期间身体，智力和感觉障碍的妇女的怀孕结局。患有残疾人与无残障的妇女的不良后果风险更高，包括广泛的严重孕产妇发病率（SMM）和孕产妇死亡。与没有残疾的女性相比，对残疾妇女的剖腹产指示更可能是较柔和的适应症，从而支持了在残疾女性中可能过度使用剖宫产。这些发现支持了基于证据的产科实践和护理过程的系统实施，这些实践和护理过程降低了SMM和孕产妇死亡。此外，需要进行医学教育系统和其他策略的变化，以帮助卫生保健从业人员更舒适地管理怀孕前和怀孕期间的生殖年龄妇女的护理。 （2021年，Gleason JL，Al。JamaNetwork Open，2021年） 总的来说，这项研究继续提供有关持续开发有关当代孕妇管理的临床指南有用的数据。数据可通过NICHD DASH网站https://dash.nichd.nih.gov/公开获得。

项目成果

Risk of Adverse Maternal Outcomes in Pregnant Women With Disabilities.

• DOI: 10.1001/jamanetworkopen.2021.38414
• 发表时间: 2021-12-01
• 期刊: JAMA network open
• 影响因子: 13.8
• 作者: Gleason JL;Grewal J;Chen Z;Cernich AN;Grantz KL
• 通讯作者: Grantz KL

Obstetric and Neonatal Risks Among Obese Women Without Chronic Disease.

• DOI: 10.1097/aog.0000000000001465
• 发表时间: 2016-07
• 期刊: Obstetrics and gynecology
• 影响因子: 7.2
• 作者: Kim SS;Zhu Y;Grantz KL;Hinkle SN;Chen Z;Wallace ME;Smarr MM;Epps NM;Mendola P
• 通讯作者: Mendola P

Exposure to Ambient Air Pollution and Premature Rupture of Membranes.

• DOI: 10.1093/aje/kwv284
• 发表时间: 2016-06
• 期刊: American journal of epidemiology
• 影响因子: 5
• 作者: M. Wallace;Katherine L. Grantz;Danping Liu;Yeyi Zhu;S. S. Kim-S.;P. Mendola

Racial/ethnic differences in preterm perinatal outcomes.

• DOI: 10.1016/j.ajog.2016.11.1026
• 发表时间: 2017-03
• 期刊: American journal of obstetrics and gynecology
• 影响因子: 9.8
• 作者: Wallace ME;Mendola P;Kim SS;Epps N;Chen Z;Smarr M;Hinkle SN;Zhu Y;Grantz KL
• 通讯作者: Grantz KL

Air pollution exposure and preeclampsia among US women with and without asthma.

• DOI: 10.1016/j.envres.2016.04.004
• 发表时间: 2016-07
• 期刊: Environmental research
• 影响因子: 8.3
• 作者: Mendola P;Wallace M;Liu D;Robledo C;Mӓnnistӧ T;Grantz KL
• 通讯作者: Grantz KL