Putting the "M" back in maternal-fetal medicine: A 5-year report card on a collaborative effort to address maternal morbidity and mortality in the United States.

摘要: The Centers for Disease Control and Prevention have demonstrated continuous increased risk maternal mortality severe morbidity with racial disparities among non-Hispanic black women an important contributing factor. More than 50,000 experienced in 2014, a rate of 18.0 per 100,000, higher many other developed countries. In 2012, the first "Putting 'M' back Maternal-Fetal Medicine" session was held at Society Medicine's (SMFM) Annual Meeting. With realization that rising required action, "M MFM" meeting identified following urgent needs: (i) to enhance education training care maternal-fetal medicine (MFM) fellows; (ii) improve medical management pregnant across country; (iii) address critical research gaps medicine. Since meeting, broad collaborative effort has made number major steps forward, including proliferation review committees, advances research, increasing educational focus on care, development comprehensive clinical strategies reduce risk. Five years later, 2017 M MFM served as "report card" looking progress but also forward what needs be done over next 5 years, given too mothers still experience preventable harm adverse outcomes.