For example, maternal mortality rates in the United States are two to three times higher for Black and Indigenous women than for White women. There are similar disparities between the maternal mortality rates of Black and Asian women and the maternal mortality rates of white women in the UK.
Researchers searched for appropriate studies on racism and preterm birth (before 37 weeks), low birth weight, and pregnancy-related high blood pressure. They analyzed data published through January 2022, in eight electronic databases to explore patterns of racial disparities in pregnancy outcomes.
The final analysis included findings from 24 studies overall, with an average of 39 to 9,470 people for each study. The majority of (20) studies were conducted in the US.
Study participants came from diverse racial and ethnic backgrounds, including Black or African-American, Hispanic, non-Hispanic white, Mori, Pacific Islander , Asian, Aboriginal, Romanian, German and Turkish native.
The researchers realized that many of the studies included in the meta-analysis were of low quality. In addition, the majority come from the United States. Very few racial or ethnic groups that are socially marginalized, other than African Americans, are represented in them. Therefore, they may not be more widely applicable to other racial and cultural groups.
The researchers said, “Our findings are consistent with existing evidence that considers racism to be an important risk factor for adverse pregnancy outcomes. This factor shapes these outcomes. other social determinants of health such as employment, poverty, education and housing More directly related to health, racial discrimination can affect the availability of services and resources, such as referrals to specialty care, access to health insurance and public access to health services.”
The researchers highlight several strategies, including the need for better training of doctors, to address how racism affects health outcomes.
This can be accomplished by universally eliminating well-documented examples of racial bias that continue to perpetuate health inequities, they said. based on race to measure kidney function, and inadequate teaching around individual biases and social causes of health inequalities.”