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Nurs Clin North Am ; 54(2): 285-295, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31027667


Understanding Zika virus (ZIKV) transmission and the risk of birth defects associated with infection during the childbearing years is imperative. Current knowledge helps guide communication, prevention, and planning efforts between health care providers and female patients of childbearing age. Providers must follow updated data and implement ongoing rapid, sensitive, and specific screening and diagnostic testing for ZIKV. Surveillance of infants with known, in utero ZIKV exposure or infection must be maintained to gain a broader understanding of potential defects or injuries that are not immediately obvious at birth and in early infancy.

Anormalidades Congênitas/etiologia , Microcefalia/etiologia , Complicações na Gravidez/etiologia , Infecção por Zika virus/complicações , Infecção por Zika virus/fisiopatologia , Adulto , Feminino , Humanos , Lactente , Recém-Nascido , Gravidez
J Racial Ethn Health Disparities ; 6(4): 790-798, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30877505


Severe maternal morbidity (SMM) is 50 to 100 times more common than maternal death, and has increased disproportionately among ethnic/racial minority women in the United States. However, specific knowledge about how the types and timing of severe maternal morbidities deferentially affect ethnic/racial minority women is poorly understood. This study examines racial/ethnic disparities in severe maternal morbidity during antepartum (AP), intrapartum (IP), and postpartum (PP) hospital admissions in the United States (US) for 2002-2014. We identified AP, IP, and PP hospitalizations in the National Inpatient Sample. Distribution of sociodemographic, behavioral and hospital characteristics, insurance, comorbidities, and SMM occurrence was summarized using descriptive statistics. Through Joinpoint regression, temporal SMM trends of hospitalizations were examined and stratified by race. Multivariate logistic regression assessed the association between race and SMM. We found black women have the highest proportion of SMM across all pregnancy intervals with a 70% greater risk of SMM during AP after adjusting for all cofactors. In the PP period, Hispanic women's risk of SMM is 19% less when compared to white women. Racial/ethnic disparities in SMM vary in timing and SMM type. Systematic investigation is needed to understand risks to black women and the protective factors associated with Hispanic women in the PP. Addressing racial disparities in maternal morbidity and mortality requires national policies and initiatives tailored to black women that address the specific types and timings of life-threatening obstetric complications.

/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Complicações na Gravidez/etnologia , Adolescente , Adulto , Afro-Americanos/estatística & dados numéricos , Comorbidade , Estudos Transversais , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Modelos Logísticos , Pessoa de Meia-Idade , Gravidez , Características de Residência , Estudos Retrospectivos , Índice de Gravidade de Doença , Fatores Socioeconômicos , Estados Unidos/epidemiologia , Adulto Jovem