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Navy medical remedy amenities may enhance entry to emergency obstetric care in underserved areas

In the USA, maternal mortality charges stay increased than in comparable international locations and racial disparities persist. Whereas many international locations have skilled enhancements in maternal mortality charges, U.S. charges elevated to an estimated 16.9 pregnancy-associated deaths per 100,000 reside births between 2006 and 2016 and presently has the next maternal mortality ratio than greater than 50 different international locations.

Longer journey instances to entry obstetric care are related to worse outcomes for moms and infants, and solely about 61.6 % of the U.S. inhabitants has well timed emergency entry (inside half-hour) to obstetric care. A brand new examine led by investigators at Brigham and Ladies’s Hospital evaluates a possible resolution that would enhance entry: partnering with navy medical remedy amenities (MTF), which may present high-quality obstetric care, together with emergency cesarean supply. The researchers recognized 17 amenities with capability to supply care in underserved areas, significantly in rural communities.

“Providing emergency cesarean sections in underserved areas has the potential to not solely enhance take care of pregnant sufferers in want of emergency entry, however it additionally has the potential to deal with inequities and help navy readiness,” mentioned senior writer Molly Jarman, PhD, MPH, of the Brigham’s Heart for Surgical procedure and Public Well being (CSPH). “We now have well being care assets that want extra sufferers, and we have now sufferers in want of well being care. Whereas the maps of want and capability don’t overlap completely, after they do, we have now a chance to open the door.”

This could possibly be a win-win for navy MTFs and civilians. There’s a lot to realize for each side by lowering disparities, bettering maternal care, and offering coaching and expertise for navy well being care professionals.”

Tarsicio Uribe-Leitz, MD, corresponding writer, MPH and CSPH

Uribe-Leitz, Jarman and colleagues studied entry to obstetric care throughout the U.S. They checked out areas that have been inside a 30-minute journey time of a medical facility able to offering emergency c-section care. The group recognized 3 MTFs that have been the one facility inside a 30-minute drive and 14 further MTFs that would enhance entry to care.

“Improved entry to emergency obstetric care may save lives,” mentioned Jarman. “We see this work as bringing collectively an answer for 2 separate points -; lowering preventable maternal mortality within the rural U.S., and the continued coverage discussions on ‘proper sizing’ the U.S. navy well being system.”


Journal reference:

Uribe-Leitz, T., et al. (2022) Geospatial Evaluation of Entry to Emergency Cesarean Supply for Navy and Civilian Populations within the US. JAMA Community Open.



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