ernal morbidity and mortality in all income settings globally. Themes associated with worse maternal mortality rate (MMR), challenges health care workers face, public health priority areas, and initiatives to help countries achieve the United Nations Sustainable Development Goal targets for MMR are discussed. MMRs are higher in low- and middle-income countries (LMICs) compared to high-income countries (HICs). Cesarean delivery rates are rising most rapidly in LMICs, warranting urgent maternal health care workforce planning efforts in these settings. Globally racial, ethnic, and geographical disparities in maternal mortality continue to be evident in global health care settings. In the United States, the MMR is rising. The evolving changes in abortion legislation in the United States may further negatively impact maternal morbidity and mortality. The need to implement American Society of Anesthesiologists–recommended obstetric anesthesia quality metrics to facilitate benchmarking and to improve patient experience and outcomes is discussed as well as the need for professional society guidance on minimum staffing levels in American labor and delivery units....

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2023 年 Gerard W. Ostheimer 讲座。孕产妇死亡率和发病率的当代叙述性回顾：改善围产期结局的机会


全球所有收入环境中的发病率和死亡率。讨论了与更糟糕的孕产妇死亡率 （MMR） 相关的主题、医护人员面临的挑战、公共卫生优先领域以及帮助各国实现联合国可持续发展目标 MMR 目标的举措。与高收入国家 （HIC） 相比，低收入和中等收入国家 （LMIC） 的 MMR 更高。中低收入国家剖宫产率上升最快，因此在这些地区需要紧急开展孕产妇保健劳动力规划工作。在全球医疗保健环境中，孕产妇死亡率的全球种族、民族和地理差异仍然很明显。在美国，MMR 正在上升。美国堕胎立法的不断发展可能会进一步对孕产妇发病率和死亡率产生负面影响。讨论了实施美国麻醉医师协会推荐的产科麻醉质量指标以促进基准测试并改善患者体验和结果的必要性，以及需要专业协会指导美国分娩单位的最低人员配备水平。