Your Part 2 of the Lit. Review (Review of the Literature)! (W. 8)
Please write part 2 of your literature review. (I know you have not written part 1 yet, don't worry!)
It is the part called Review of the Literature.
You will be essentially cutting and pasting your objective summaries under Level II and Level III headings (see page 13 of the Foundations Manual and the sample paper in this week's folder)
Put them in an order that makes sense given how you compare and contrast them using your who, when, where, why, how, and what excel homework sheet.
Use your transition compare and contrast words (similiar to…etc) !!! (this is also available in this week's folder) – when you use these words, please be sure to say somewhere HOW are they similar, etc. -
To make your literature review “flow”
• like • similar to • also • in the same way • at the same time
• unlike • in contrast • contrasted with • on the contrary • while…
compare contrastand
your articles
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RACIAL DISPARITIES IN HEALTH IN PREGNANT WOMEN |
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RACIAL DISPARITIES IN HEALTH IN PREGNANT WOMEN |
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Racial Disparities in Healthcare Among Pregnant Women in the United States
Tamifer Lewis
Public Health, Monroe College, King Graduate School
KG604-144: Graduate Research and Critical Analysis
Dr. Manya Bouteneff
December 4, 2022
Literature Review
Review of Literature
Adverse Pregnancy Outcome Factors
Darling et al. (2021) conducted a study between 2001 and 2018 to examine the efficiency of qualified interventions in preterm birth, small for gestational age, low birth weight, neonatal death, cesarean deliveries, maternal care satisfaction, and coast effectiveness programs. A systematic review was used to collect data from the United States, France, Spain, and the Netherlands. The studies consisted of mostly non- Caucasian women from low-income population ranging from 12 to 46 years of age and being between 20 to 32 weeks' gestation. Interventional programs were implemented into three categories: group prenatal care, augmented prenatal care, or a combination of both group and augmented prenatal care (Darling et al. 2021). The researchers found that certain interventions, such as prenatal care and augmented care, or a combination of both, may decrease adverse outcomes in small-for-gestational-age and preterm birth, and could aid in increasing maternal care satisfaction. Interventions that worked on enhancing coordination of care were found to result in providing more effective cost savings. The researchers also found disparities in the quality of access to care in the vulnerable population. There was insufficient evidence of suitable quality to confirm that the interventions were successful at enhancing clinical outcomes in prenatal care for at risk populations (Darling et al. 2021).
Similar observations were made in a study conducted by Nichols and Cohen (2020), between 2006 and 2018 to examine the methods used to improve the results of maternal mortality in California. The study was conducted using a scoping review to evaluate research on women and maternal health in the United States. The researchers used information from the US Maternal Fetal Medicine Network to measure the percentage of studies where pregnant women, women, and children were the main focus. The researchers also reviewed documentation on healthcare policies and practices from California’s public health department, healthcare foundation, and Maternal Quality Care Collaborative. Nichols and Cohen (2020) found that although the health of fetus and children could be adversely affected by the health of the mother, the majority of maternal programs in the United States places emphasis on the child. The researchers also found four areas of concern in women health experiences, both in pre and postnatal care. The problem areas entailed inadequate investment in women's health, inefficient quality of care and avoidable caesarean delivers, expanding disparities in minority women and women living in rural areas, and contradictory collection and distribution of data (Nichols and Cohen, 2020).
Approaches to Improving Pregnancy Outcomes
In contrast to the preceding studies, Zhang et al. (2013) conducted a study between 2005 and 2007 to calculate the excessive rate of unfavorable outcomes in pregnancy within racial and ethnic groups. The study also aimed to measure the possibility of Medicaid savings that are linked to paid maternal care claims resulting from the inequalities that contribute to unfavorable maternal outcomes. A cross-sectional study using Medicaid Analytic eXtract (MAX) data was used to gather pregnancy outcome information from inpatient hospitals from 14 states (Florida, Alabama, Arkansas, North Carolina, Georgia, Louisiana, Kentucky, Mississippi, Maryland, Missouri, Tennessee, South Carolina, Virginia, and Texas). The study consisted of a little over 2 million patients who were insured with Medicaid and had a delivery code of maternal delivery stay. Zhang et al. (2013) found that, with the exception of gestational diabetes, African American women showed the worst outcomes out of all unfavorable pregnancy outcomes. These disparities are postulated as being multi-factorial, having causes stemming from complicated experiences with racism, poverty, and complex healthcare interactions. It was also found that women covered under Medicaid health insurance were more likely to have consistency in care from prenatal care through delivery compared to their counterparts. However, due to participation in Medicaid programs being influenced by reimbursement rates, some providers may choose to stop accepting Medicaid patients because of reimbursement delays and low payment rates, which could contribute to negative birth outcomes (Zhang et al. 2013).
References
Centers for Disease Control and Prevention. (2019, September 6). Racial and ethnic disparities continue in pregnancy-related deaths. https://www.cdc.gov/media/releases/2019/p0905-racial-ethnic-disparities-pregnancy-deaths.html
Darling, E. K., Cody, K., Meara Tubman-Broeren, & Marquez, O. (2021). The effect of prenatal care delivery models targeting populations with low rates of PNC attendance: A systematic review. Journal of Health Care for the Poor and Underserved, 32(1), 119-136. https://www.proquest.com/scholarly-journals/effect-prenatal-care-delivery-models-targeting/docview/2507722229/se-2
Nichols, C. R., & Cohen, A. K. (2021). Preventing maternal mortality in the United States: Lessons from California and policy recommendations. Journal of Public Health Policy, 42(1), 127-144. https://doi.org/10.1057/s41271-020-00264-9
Rabin, R. C. (2019, May 8). Huge racial disparities persist in pregnancy-related deaths, and are growing. New York Times, A20(L). https://link.gale.com/apps/doc/A584694288/ITOF?u=nysl_me_moncol&sid=bookmark-ITOF&xid=b9422ff9
Zhang, S., Cardarelli, K., Shim, R., Ye, J., Booker, K. L., & Rust, G. (2013). Racial disparities in economic and clinical outcomes of pregnancy among Medicaid recipients. Maternal and Child Health Journal, 17(8), 1518+. https://link.gale.com/apps/doc/A344827866/PPNU?u=nysl_me_moncol&sid=bookmark-PPNU&xid=51747d52