University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Obstetrics and Gynecology


Dr. Nancy Reid


Introduction: Over the past few decades maternal mortality and maternal morbidity has increased. However, the increase has not been seen across all racial and ethnic groups. Non-Hispanic Black women are three times to four more likely to die from pregnancy related causes.

Social Determinants of Health: The mother’s health may rest on a variety of social and economic factors. Several observed determinants have been appropriate housing, social support, adequate health coverage, transportation, age at conception, and economic means.

Discussion: Approximately one half of maternal mortality cases are preventable however minority women continue to have poorer health outcomes and are more vulnerable to receiving poor quality healthcare. Recognizing factors such as prior health, socioeconomic status, continuity of care, and access to healthcare is important to help curate a multifactorial plan to reduce the mortality rate.

Conclusion: Investigation in the future should include access to healthcare, maternity and postpartum care, preconception healthcare, adequate facilities, and cultural and diversity education for clinicians to eliminate bias.


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