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Racial Disparities in Diagnosis, Management, and Outcomes in Preeclampsia

  • Preeclampsia (VD Garovic, Section Editor)
  • Published:
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Abstract

Purpose of the Review

Racial disparities are prevalent in many aspects of obstetric care in the USA. Non-Hispanic black women have a higher prevalence of the diagnosis of hypertensive disorders of pregnancy in addition to associated morbidity and mortality. The purpose of this review is to review current data regarding racial disparities in the diagnosis and management of hypertensive disorders of pregnancy.

Recent Findings

Diagnosis of hypertensive disorders of pregnancy is more common among non-Hispanic black women even after adjustment for comorbidities. Furthermore, prevalence of severe morbidity among those with hypertensive disorders of pregnancy is increased in non-Hispanic black women, including cardiovascular events related. Proposed management solutions include quality improvement initiatives, telehealth, and strategies to reduce both structural racism and implicit bias.

Summary

Racial disparities exist in both diagnosis and management of hypertensive disorders of pregnancy; further innovative work is needed to reduce these disparities.

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Authors and Affiliations

  1. Division of Maternal Fetal Medicine/Department of Obstetrics and Gynecology, University of Chicago Medicine, 5841 S. Maryland Ave, MC 2050, Chicago, IL, 60637, USA

    Sunitha Suresh, Easha Patel, Kristin M. Nieman & Sarosh Rana

  2. Pritzker School of Medicine, University of Chicago, Chicago, IL, USA

    Courtney Amegashie

Authors
  1. Sunitha Suresh
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  2. Courtney Amegashie
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  3. Easha Patel
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  4. Kristin M. Nieman
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  5. Sarosh Rana
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Correspondence to Sarosh Rana.

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Conflict of Interest

Sunitha Suresh, Easha Patel, Kristin M. Nieman, and Courtney Amegashie declare they have no conflict of interest. Sarosh Rana reports serving as a consultant for Roche Diagnostics, and Beckman Coulter and has received research funding from Roche Diagnostics and Siemens for work related to angiogenic biomarkers, that is completely unrelated to this study.

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Suresh, S., Amegashie, C., Patel, E. et al. Racial Disparities in Diagnosis, Management, and Outcomes in Preeclampsia. Curr Hypertens Rep 24, 87–93 (2022). https://doi.org/10.1007/s11906-022-01172-x

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  • DOI: https://doi.org/10.1007/s11906-022-01172-x

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