1 in 5 Mothers Report Mistreatment in Maternity Care_我的网站
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One-fifth of U.S. mothers say they have experienced mistreatment by their health care provider during their pregnancy and delivery care and 29% say they have faced discrimination, according to new research from the Centers for Disease Control and Prevention, with higher rates of such incidents reported among women of color.
Approximately 20% of more than 2,400 women surveyed in a CDC Vital Signs report released Tuesday said they experienced some form of physical neglect or verbal abuse during their maternal care. The report’s findings were based on a survey conducted from April 24 through April 30 by public relations firm Porter Novelli.
Higher rates of mistreatment were reported by mothers who identify with a racial and ethnic minority group, including 30% of Black women, 29% of Hispanic women and 27% of multiracial women during their pregnancy care, compared to 19% of white women and 15% of Asian mothers.
Nearly 30% of women who were uninsured and 26% of those covered by Medicaid reported mistreatment during their maternity care compared to 16% of women with private insurance, according to the analysis.
The most common forms of mistreatment reported by survey respondents included receiving no response to requests for help, being shouted at or scolded, having a lack of physical privacy, and being threatened with the withholding of treatment or being coerced into accepting unwanted treatment.
“This report provides evidence that many women are having experiences that are truly unacceptable,” said Dr. Wanda Barfield, director of the CDC’s Division of Reproductive Health in a call with reporters held Tuesday.
In addition, 29% of women surveyed said they experienced at least one form of discrimination during their pregnancy care, with 40% of Black women, 39% of multiracial women, and 37% of Hispanic women reporting such incidents, compared to 26% of white women and 23% of Asian women. The most common reasons for discrimination reported included issues concerning age, weight and income.
“We know mistreatment and discrimination can have a negative impact on the quality of maternity care,” said CDC Chief Medical Office Dr. Debra Houry during a call with reporters.
Houry told the story of Dr. Shalon Irving, an officer within the CDC’s Epidemic Intelligence Service who died in 2017 as a result of high blood pressure three weeks after giving birth.
“As a health care community, we have to do better in providing unbiased and respectful maternity care equally to all mothers,” Houry said.
The report’s findings come at the same time as rising rates of death associated with giving birth in the U.S. The maternal mortality rate increased 89% from 17.4 deaths per 100,000 live birth in 2018 to 32.9 per 100,000 in 2021, according to a March CDC report, with the total number of annual deaths nearly doubling from 658 to 1,205 during that period. And women of color are even worse off than the general population.The maternal mortality rate among Black women increased from 37.3 deaths per 100,000 live births in 2018 to 69.9 per 100,000 in 2021, while the rate among Hispanic women increased by more than two-fold during that same period to 28 deaths per 100,000 live births in 2021, surpassing the rate among white women for the first time.
Houry said health care providers can do more to improve maternity care quality by promoting greater cultural competency and diversity within their clinical workforce, as well as focusing on developing practices that result in all maternity patients receiving an equitable standard of care.
“We know that most pregnancy-related deaths are preventable – more than 80%,” Houry said. “Respectful maternity care can be defined as preventing harm and mistreatment, communicating effectively, and providing equitable and unbiased care.”
B | Lee的媒体和广播事务组合由司法部长Paul Goldsmith接替。
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新任媒体部长Goldsmith表示已准备好迎接挑战。
他在接受1News采访时说,“过去十年来,人们获取新闻和信息的方式发生了巨大变化,这导致新闻行业处于不断变化的状态。传统的方式面临着切实的压力,因此人们正在非常努力地创新,尝试并继续做媒体所做的重要事情。”
Goldsmith表示,他会先听取关键人物的意见,但他准备迅速采取行动。
“我首先会和很多业内人士交谈,仔细倾听他们的观点,我对他们的许多担忧有了一些了解, 尤其是在尽最大努力在传统媒体和我们拥有的在线平台之间创造公平的竞争环境方面,所以这确实存在一些挑战。我会倾听,并且会迅速采取行动。”
当被问及他是否已经在考虑采取什么行动时,Goldsmith说他已经意识到这些问题,花时间和人们商议是很重要的,但他也意识到形势的紧迫性。
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“我们拥有强大而充满活力的媒体,这是我们民主的重要组成部分,我们可以继续向新西兰人和世界讲述我们的故事。