Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women

In the US, Black women are at disproportionate risk for pregnancy-related morbidity and mortality (PRMM). Disparities in PRMM have been tied to elevated rates of obstetric cardiometabolic complications for Black women. Research seeking to elucidate the determinants of Black PRMM to date have focused...

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Main Authors: Betty Lin, Allison A. Appleton
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.853018/full
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author Betty Lin
Allison A. Appleton
author_facet Betty Lin
Allison A. Appleton
author_sort Betty Lin
collection DOAJ
description In the US, Black women are at disproportionate risk for pregnancy-related morbidity and mortality (PRMM). Disparities in PRMM have been tied to elevated rates of obstetric cardiometabolic complications for Black women. Research seeking to elucidate the determinants of Black PRMM to date have focused predominantly on risk factors occurring during pregnancy (e.g., health risk behaviors, quantity and quality of prenatal care, provider behaviors, and attitudes). Meanwhile, other research investigating the developmental origins of health and disease (DOHaD) model indicates that the origins of adult cardiometabolic health can be traced back to stress exposures occurring during the intrauterine and early life periods. Despite the relevancy of this work to Black PRMM, the DOHaD model has never been applied to investigate the determinants of Black PRMM. We argue that the DOHaD model represents a compelling theoretical framework from which to conceptualize factors that drive racial disparities PRMM. Research and intervention working from a developmental origins orientation may help address this urgent public health crisis of Black PRMM.
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spelling doaj.art-abdb363c8b1a4c83af40c7dc9fd5fe362022-12-22T02:29:31ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-06-011010.3389/fpubh.2022.853018853018Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. WomenBetty Lin0Allison A. Appleton1Department of Psychology, College of Arts and Sciences, University at Albany, State University of New York, Albany, NY, United StatesDepartment of Epidemiology and Biostatistics, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, United StatesIn the US, Black women are at disproportionate risk for pregnancy-related morbidity and mortality (PRMM). Disparities in PRMM have been tied to elevated rates of obstetric cardiometabolic complications for Black women. Research seeking to elucidate the determinants of Black PRMM to date have focused predominantly on risk factors occurring during pregnancy (e.g., health risk behaviors, quantity and quality of prenatal care, provider behaviors, and attitudes). Meanwhile, other research investigating the developmental origins of health and disease (DOHaD) model indicates that the origins of adult cardiometabolic health can be traced back to stress exposures occurring during the intrauterine and early life periods. Despite the relevancy of this work to Black PRMM, the DOHaD model has never been applied to investigate the determinants of Black PRMM. We argue that the DOHaD model represents a compelling theoretical framework from which to conceptualize factors that drive racial disparities PRMM. Research and intervention working from a developmental origins orientation may help address this urgent public health crisis of Black PRMM.https://www.frontiersin.org/articles/10.3389/fpubh.2022.853018/fullpregnancy-related morbidity and mortalityhealth disparitiesBlack womenwomen's healthraceintergenerational transmission
spellingShingle Betty Lin
Allison A. Appleton
Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
Frontiers in Public Health
pregnancy-related morbidity and mortality
health disparities
Black women
women's health
race
intergenerational transmission
title Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_full Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_fullStr Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_full_unstemmed Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_short Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women
title_sort developmental origins of pregnancy related morbidity and mortality in black u s women
topic pregnancy-related morbidity and mortality
health disparities
Black women
women's health
race
intergenerational transmission
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.853018/full
work_keys_str_mv AT bettylin developmentaloriginsofpregnancyrelatedmorbidityandmortalityinblackuswomen
AT allisonaappleton developmentaloriginsofpregnancyrelatedmorbidityandmortalityinblackuswomen