1 in 5 Mothers Report Mistreatment in Maternity Care_我的网站
A | 清晨，小布河畔的游步道上，几位老人正悠闲散步；红色旧址前，研学团队的学生认真聆听革命故事；产业路上，满载小布特产的货车驶向高速……2022年，中央专项彩票公益金支持欠发达革命老区乡村振兴示范区项目落户宁都县小布镇，5000万元资金精准投向这片红色热土。
B | 三年过去，这座曾因偏远而沉寂的苏区小镇，不仅守护了红色文化根脉，还壮大了特色产业，更改善了人居环境，在乡村振兴的大道上焕发出蓬勃生机。守护红色文化根脉，涵养苏区精神家园小布镇是中共苏区中央局、中华苏维埃中央革命军事委员会诞生地，毛泽东、朱德等老一辈革命家曾在此战斗，全镇保留着多处重要革命遗址。
One-fifth of U.S. mothers say they have experienced mistreatment by their health care provider during their pregnancy and delivery care and 29% say they have faced discrimination, according to new research from the Centers for Disease Control and Prevention, with higher rates of such incidents reported among women of color.
Approximately 20% of more than 2,400 women surveyed in a CDC Vital Signs report released Tuesday said they experienced some form of physical neglect or verbal abuse during their maternal care. The report’s findings were based on a survey conducted from April 24 through April 30 by public relations firm Porter Novelli.
Higher rates of mistreatment were reported by mothers who identify with a racial and ethnic minority group, including 30% of Black women, 29% of Hispanic women and 27% of multiracial women during their pregnancy care, compared to 19% of white women and 15% of Asian mothers.
Nearly 30% of women who were uninsured and 26% of those covered by Medicaid reported mistreatment during their maternity care compared to 16% of women with private insurance, according to the analysis.
The most common forms of mistreatment reported by survey respondents included receiving no response to requests for help, being shouted at or scolded, having a lack of physical privacy, and being threatened with the withholding of treatment or being coerced into accepting unwanted treatment.
“This report provides evidence that many women are having experiences that are truly unacceptable,” said Dr. Wanda Barfield, director of the CDC’s Division of Reproductive Health in a call with reporters held Tuesday.
In addition, 29% of women surveyed said they experienced at least one form of discrimination during their pregnancy care, with 40% of Black women, 39% of multiracial women, and 37% of Hispanic women reporting such incidents, compared to 26% of white women and 23% of Asian women. The most common reasons for discrimination reported included issues concerning age, weight and income.
“We know mistreatment and discrimination can have a negative impact on the quality of maternity care,” said CDC Chief Medical Office Dr. Debra Houry during a call with reporters.
Houry told the story of Dr. Shalon Irving, an officer within the CDC’s Epidemic Intelligence Service who died in 2017 as a result of high blood pressure three weeks after giving birth.
“As a health care community, we have to do better in providing unbiased and respectful maternity care equally to all mothers,” Houry said.
The report’s findings come at the same time as rising rates of death associated with giving birth in the U.S. The maternal mortality rate increased 89% from 17.4 deaths per 100,000 live birth in 2018 to 32.9 per 100,000 in 2021, according to a March CDC report, with the total number of annual deaths nearly doubling from 658 to 1,205 during that period. And women of color are even worse off than the general population.The maternal mortality rate among Black women increased from 37.3 deaths per 100,000 live births in 2018 to 69.9 per 100,000 in 2021, while the rate among Hispanic women increased by more than two-fold during that same period to 28 deaths per 100,000 live births in 2021, surpassing the rate among white women for the first time.
Houry said health care providers can do more to improve maternity care quality by promoting greater cultural competency and diversity within their clinical workforce, as well as focusing on developing practices that result in all maternity patients receiving an equitable standard of care.
“We know that most pregnancy-related deaths are preventable – more than 80%,” Houry said. “Respectful maternity care can be defined as preventing harm and mistreatment, communicating effectively, and providing equitable and unbiased care.”
C | 他说，自己从小听着革命故事长大，旧址修好了，来的人多了，他就想着把红色历史讲给更多人听，顺便卖点小布蜂蜜、小布岩茶等土特产，生意好的时候一个月能赚上千元，日子比以前强多了。红色文化的保护和活化，守住的不只是建筑本身，更留住了这片土地的精气神，让小布镇的乡村振兴有了根脉、有了灵魂。
D | 壮大特色农业产业，铺就富民增收道路小布镇四面环山，茶叶、油茶是传统产业，但过去路不好走，产品运输困难。
E | 在470万元中央专项彩票公益金的助力下，这里修建了茶产业基地道路和上村至油牡丹基地道路，打通了农产品出山的“最后一公里”。上村至油牡丹基地负责人曾老板感慨：“修了这条路以后，上高速很快，产品外运、进货都很方便，这是真正地为人民造福。
F | ”路通之后，产业布局随之展开。当地投入470万元彩票公益金，撬动农投资金1000万元，建成同心农业园300亩大棚果蔬采摘基地。
G | 山东人董老板承包了15亩辣椒，平时要请村民帮忙摘辣椒，每人每天还有80元收入，越来越多的群众在家门口找到了增收门路。改善百姓居住环境，擦亮民生幸福底色环境是百姓幸福感的直接体现。小布镇从群众最关心的身边事入手，投入500万元中央专项彩票公益金建设横照水生态河堤2.2公里，两岸同步修建健身游步道3公里，既根治了水患，又为村民提供了散步休闲的好去处。村民张先生表示：“河堤修好以后，大家可以在这条游步道上散步，日子舒坦多了。”小布镇还投入420万元中央专项彩票公益金将水西桥至红军总后方医院的村道拓宽为生态旅游公路，投入390万元中央专项彩票公益金修建环村道路，群众出行不再受困于狭窄颠簸的旧路。400万元中央专项彩票公益金被小布镇用于整治凌乱管线，告别空中“蜘蛛网”。
H | 330万元中央专项彩票公益金被小布镇用于引进智慧景区及智能化管理平台，将大数据技术应用到治安、交通、消防、防溺水等领域，老百姓的安全感实实在在提升了。环境之变，变的不只是“面子”，更是群众生活的底气。晴天一身灰、雨天一身泥的日子过去了，茶余饭后有去处、安全有保障，普通人的日子在细节里一天天变好。
I | 一条出山的路、一座安全的河堤、一处能散步的游步道、一份家门口的工作。这些点点滴滴的改变，汇聚成老区人民实实在在的获得感、幸福感、安全感。中央专项彩票公益金在小布镇化作一砖一瓦、一路一景，在红土地上结出沉甸甸的果实，也为更多欠发达革命老区探索乡村振兴路径提供了有益借鉴。
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