The goal of this study was to synthesize the data on the racial differences in the incidence of cardiovascular maternal morbidity and death. To determine if there were any differences in the risk of cardiovascular maternal morbidity between black and white women, researchers searched MEDLINE, EMBASE, and CINAHL for observational studies published before July 31, 2021. Acute myocardial infarction, peripartum cardiomyopathy, and postpartum stroke were all examples of the severe cardiovascular maternal morbidity that resulted. They gathered all the pertinent data, including both the adjusted and unadjusted effect estimates. The odds ratios and 95% CI for Black women compared to White women show the estimated pooled connection between race and severe cardiovascular maternal morbidity using random-effects models. A total of 18 papers were included in the review since they fulfilled all the requirements for a meta-analysis. A total of 7,656,876 Black women and 26,412,600 White women participated in research across the United States. The risk of severe cardiovascular maternal morbidity was higher among Black women than White women (adjusted odds ratio, 1.90; 95% CI, 1.54-2.33). Risks of acute myocardial infarction, peripartum cardiomyopathy, and stroke were all higher for black women than they were for white women (adjusted odds ratios of 1.38, 1.14-1.68, 1.71, and 1.51-1.94, respectively). Acute myocardial infarction, peripartum cardiomyopathy, and stroke all have a much higher prevalence in Black women than White women. The disparity between Black and White women in the prevalence of negative cardiovascular outcomes during pregnancy should be addressed urgently.
Source: sciencedirect.com/science/article/abs/pii/S0002870322001624
