About: You Don't Have to Be Infected to Suffer: COVID-19 and Racial Disparities in Severe Maternal Morbidity and Mortality

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	You Don't Have to Be Infected to Suffer: COVID-19 and Racial Disparities in Severe Maternal Morbidity and Mortality
Creator	Minkoff, Howard
source	Medline; PMC
abstract	Both coronavirus disease 2019 (COVID-19) and maternal mortality disproportionately affect minorities. However, direct viral infection is not the only way that the former can affect the latter. Most adverse maternal events that end in hospitals have their genesis upstream in communities. Hospitals often represent a last opportunity to reverse a process that begins at a remove in space and time. The COVID-19 pandemic did not create these upstream injuries, but it has brought them to national attention, exacerbated them, and highlighted the need for health care providers to move out of the footprint of their institutions. The breach between community events that seed morbidity and hospitals that attempt rescues has grown in recent years, as the gap between rich and poor has grown and as maternity services in minority communities have closed. COVID-19 has become yet another barrier. For example, professional organizations have recommended a reduced number of prenatal visits, and the platforms hospitals use to substitute for some of these visits are not helpful to people who either lack the technology or the safe space in which to have confidential conversations with providers. Despite these challenges, there are opportunities for departments of obstetrics and gynecology. Community-based organizations including legal professionals, health-home coordinators, and advocacy groups, surround almost every hospital, and can be willing partners with interested departments. COVID-19 has made it clearer than ever that it is time to step out of the footprint of our institutions, and to recognize that the need to find upstream opportunities to prevent downstream tragedies. Key Points: COVID-19 will exacerbate disparities in perinatal outcomes. The virus, per se, is not the pandemic's biggest threat to the health of minority women. The solution to maternal mortality cannot be found within the walls of hospitals.
has issue date	2020-06-25(xsd:dateTime)
bibo:doi	10.1055/s-0040-1713852
bibo:pmid	32588404
has license	no-cc
sha1sum (hex)	8daaf5a2d2bead85c08e6efe545a4f2a06b3318f
schema:url	https://doi.org/10.1055/s-0040-1713852
resource representing a document's title	You Don't Have to Be Infected to Suffer: COVID-19 and Racial Disparities in Severe Maternal Morbidity and Mortality
has PubMed Central identifier	PMC7416188
has PubMed identifier	32588404
schema:publication	Am J Perinatol
resource representing a document's body	covid:8daaf5a2d2bead85c08e6efe545a4f2a06b3318f#body_text
is schema:about of	named entity 'Maternal' named entity 'structural racism' named entity 'etiology' named entity 'labor and delivery' named entity 'public transport' named entity 'deep venous thrombosis' named entity 'prenatal period' named entity 'stillbirth' named entity 'obesity' named entity 'social determinants of health' named entity 'COVID 19' named entity 'asthma' named entity 'public transportation' named entity 'viral pandemic' named entity 'gap between rich and poor' named entity 'COVID-19' named entity 'social determinants of health' named entity 'healthy food' named entity 'COVID-19' named entity 'sepsis' named entity 'COVID-19' named entity 'minority communities' named entity 'hemorrhage' named entity 'perinatal' named entity 'adverse events' named entity 'cardiac disease' named entity 'racially insensitive' named entity 'microaggressions' named entity 'implicit bias' named entity 'COVID-19 pandemic' named entity 'risk factors' named entity 'maternal deaths' named entity 'redlining' named entity 'food deserts' named entity 'morbidity' named entity 'status asthmaticus' named entity 'under-resourced' named entity 'William Osler' named entity 'risk factors' named entity 'Sherpas' named entity 'maternity services' named entity 'Racial Disparities' named entity 'COVID-19' named entity 'Residential segregation' named entity 'COVID 19' named entity 'premature birth' named entity 'COVID-19' named entity 'multidisciplinary' named entity 'noise pollution' named entity 'emergency departments' named entity 'homeless shelter' named entity 'infection' named entity 'asthma' named entity 'health care' named entity 'COVID-19' named entity 'maternal mortality' named entity 'diabetes' named entity 'low birthweight' named entity 'hypertension' named entity 'health care' named entity 'Maternal Morbidity and Mortality' named entity 'DON' named entity 'HAVE' named entity 'MORBIDITY AND MORTALITY' named entity 'You' named entity 'Suffer' named entity 'Mortality' named entity 'COVID-19' named entity 'MATERNAL MORBIDITY' named entity 'SEVERE' named entity 'DISPARITIES' named entity 'Infected' named entity 'Morbidity' named entity 'Racial' named entity 'COVID-19' named entity 'INFECTED' named entity 'SUFFER'
is part of of	Both coronavirus disease 2019 (COVID-19) and maternal mortality disproportionately affect minorities. However, direct viral infection is not the only way that the former can affect the latter. Most adverse maternal events that end in hospitals have their genesis upstream in communities. Hospitals often represent a last opportunity to reverse a process that begins at a remove in space and time. The COVID-19 pandemic did not create these upstream injuries, but it has brought them to national attention, exacerbated them, and highlighted the need for health care providers to move out of the footprint of their institutions. The breach between community events that seed morbidity and hospitals that attempt rescues has grown in recent years, as the gap between rich and poor has grown and as maternity services in minority communities have closed. COVID-19 has become yet another barrier. For example, professional organizations have recommended a reduced number of prenatal visits, and the platforms hospitals use to substitute for some of these visits are not helpful to people who either lack the technology or the safe space in which to have confidential conversations with providers. Despite these challenges, there are opportunities for departments of obstetrics and gynecology. Community-based organizations including legal professionals, health-home coordinators, and advocacy groups, surround almost every hospital, and can be willing partners with interested departments. COVID-19 has made it clearer than ever that it is time to step out of the footprint of our institutions, and to recognize that the need to find upstream opportunities to prevent downstream tragedies. Key Points: COVID-19 will exacerbate disparities in perinatal outcomes. The virus, per se, is not the pandemic's biggest threat to the health of minority women. The solution to maternal mortality cannot be found within the walls of hospitals. You Don't Have to Be Infected to Suffer: COVID-19 and Racial Disparities in Severe Maternal Morbidity and Mortality covid:8daaf5a2d2bead85c08e6efe545a4f2a06b3318f#body_text

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