Racial and ethnic differences in access to and outcomes of elective induction of labor in low-risk pregnancies: a scoping review,Archives of Gynecology and Obstetrics

当前位置： X-MOL 学术 › Arch. Gynecol. Obstet. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Racial and ethnic differences in access to and outcomes of elective induction of labor in low-risk pregnancies: a scoping review
Archives of Gynecology and Obstetrics ( IF 2.1 ) Pub Date : 2024-09-17 , DOI: 10.1007/s00404-024-07735-4
Siddhi Mathur _{1,

2} , Alisha V Olsthoorn _{2,

3}

Affiliation

Purpose

Elective induction of labor (IOL) has been increasingly performed since growing data suggesting its safety and potential improved maternal and neonatal outcomes. Recommendations of elective IOL for patients from racial or ethnic minority backgrounds given the data showing increased risk of stillbirth for some populations has been met with criticism. This scoping review aims to determine if there are racial disparities in access to elective IOL and maternal and neonatal outcomes.

Methods

A review of the literature on IOL that appeared in English journals was performed using MEDLINE and EMBASE. The search strategy included the combination of key terms “induction of labour” and “race” or “ethnicity” in titles, abstracts, or keywords.

Results

A total of 8 studies were identified and included. The articles were heterogenous in the race or ethnicity distinctions they used for analysis. Three out of 4 studies that analyzed the rate of elective IOL by race found that White patients were more likely to receive the intervention. Three out of 4 studies that analyzed outcomes of IOL found no difference, while one study found Black patients benefit most from IOL at 38 weeks compared to other races that had the lowest risk of complications with IOL at 39 weeks.

Conclusion

Racial and ethnic disparities exist with White patients being most likely to access this intervention. The majority of data points to similar outcomes, suggesting no increased harm to elective IOL for a particular group. However, the optimal timing of elective IOL given disproportionate stillbirth risk remains to be elucidated.

中文翻译：

低风险妊娠中选择性引产的机会和结果方面的种族和民族差异：范围界定审查

目的

越来越多的数据表明选择性引产（IOL）的安全性和潜在改善孕产妇和新生儿结局的可能性，因此越来越多地进行。鉴于数据显示某些人群死产风险增加，对来自种族或族裔背景的患者的选择性人工晶体植入的建议遭到了批评。本次范围审查旨在确定在获得选择性人工晶体植入以及孕产妇和新生儿结局方面是否存在种族差异。

方法

使用 MEDLINE 和 EMBASE 对英文期刊中出现的 IOL 文献进行了综述。搜索策略包括标题、摘要或关键词中关键词“引产”和“种族”或“民族”的组合。

结果

总共确定并纳入了 8 项研究。这些文章在用于分析的种族或民族差异方面存在差异。四分之三的研究按种族分析了选择性人工晶体植入率，发现白人患者更有可能接受干预。四分之三的分析 IOL 结果的研究发现没有差异，而一项研究发现，与其他种族在 39 周时 IOL 并发症风险最低的种族相比，黑人患者在 38 周时从 IOL 中获益最多。