1 in 5 Mothers Report Mistreatment in Maternity Care_我的网站
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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.”
B | 杭州西部这座山水县城，缘何跑出发展加速度？答案或许藏在一个个鲜活的“AI+场景”之中：无人配送车深入社区，智能游艇启航富春江，AIGC走进影视片场……依托海量可落地的实景空间，桐庐探索差异化发展模式，将人工智能融入实体经济，探索出一条场景孕育产业、创新驱动发展的新路径，不断激活县域发展新质生产力。落子场景 小县城“人工智能+”的破局之道“十五五”开局之年，杭州锚定“全国人工智能创新发展第一城”目标。当算力、大模型成为各地竞相追逐的“标配”时，身处西部山水间的桐庐，没有盲目跟跑，而是另布一局——论科创资源、论顶尖人才，县域经济体无法与主城区拼投入。桐庐手握特色“棋子”：快递物流的庞大路网、富春江的百里航道、年接待千万人次的文旅流量——这些看得见、摸得着的“真实场景”，恰恰是AI从技术走向应用最稀缺的“试验田”。国家“十五五”规划建议中，明确提出“加大应用场景建设和开放力度”。前不久，杭州市印发《关于加快场景培育和开放推动新场景大规模应用的实施方案（2026—2027年）》。桐庐锚定了“人工智能+”发展赛道：不是造大模型，而是造“AI试验场”；不是拼算力，而是拼场景——打造人工智能场景引领发展示范地，形成“以场景找应用、以应用引项目、以项目聚产业、以产业创场景”的工作闭环。
C | 今年上半年，桐庐发布了《桐庐特色“人工智能+”行动方案》，亮出三张核心场景清单：无人智能装备产业“海陆空”全领域应用、新能源产业“光水锂氢”全路径布局、华策AIGC赋能“影文旅”全业态融合，细化为55个可落地、可开放的细分场景。桐庐县发改局相关负责人表示，这份清单，本质上是一份“需求侧机会”与“供给侧能力”的精准对接表——政府不做“包办式”招商，而是把产业和民生中真实的痛点、需求摆出来，让企业带着技术来“解题”。通过这场差异化布局，桐庐把场景变成产业入口，用市场的“真需求”倒逼技术的“真落地”。
D | 今年上半年，桐庐数字经济核心产业增加值完成51.2亿元，同比增长26.2%，增幅排名全市第二。在杭州的人工智能版图上，悄然画出了一道属于县域经济的上升曲线。快递之乡 长出AI场景第一块“试验田”采访车刚出高速口，一辆白色无人配送车映入眼帘——激光雷达无声旋转，感知着周遭车流与行人，它按预设路线稳稳驶向快递驿站。
E | 对路人而言，这只是物流链条里不起眼的一环；但在桐庐，这是人工智能找到的第一个“真实落脚点”。
F | 这里是“中国民营快递之乡”，快递上下游企业达401家，每天有三四十万件包裹在这座小城集散、中转、配送。
G | 密集的物流神经末梢——从干线运输到末端揽投，从仓储分拣到上门配送，每一个环节都藏着降本增效的迫切诉求。而这，恰是AI落地最肥沃的土壤。早在2023年，依托快递物流场景，桐庐城区133平方公里，被纳入杭州市智能网联车辆道路测试与应用先行试点区域。如今，在桐庐全域都可以感受到“试验田”里的多样化场景。
H | 新石器低速无人配送车，已在桐庐投放57台，覆盖快递、餐饮零售、养老公益等六大领域，年底将扩充至80台。这些造型圆润的小车每天穿行于社区与商户之间——许方桐板鸭、巧口砂锅等本土餐饮品牌的食材配送，象限科技、科德磁业等制造企业的跨车间物料转运，都已交由无人车承担。在干线物流端，中通快运已投放超400辆L3级自动驾驶重卡，实现区域分拨“双驾变单驾”。场景在升级，技术在迭代，整个快递产业链正从“人跑腿”向“数据跑路”悄然转变。更细微的变化还在发生。聚焦从驿站到楼栋、从楼栋到家门口，这快递“最后一米”，桐庐探索把智能快递柜、自动分拣设备等与机器狗协同起来——快递进入小区后，先由系统完成识别分拣，再由无人设备接力配送，机器狗甚至可以尝试爬楼，把包裹送得更近一步。目前，机器狗爬楼配送已完成测试。从重卡干线到社区末端，从路面到空中，桐庐的快递场景正向“海陆空”延伸。三条空中配送线路已开通，全省首个山区无人机助老送餐项目也在此落地。在桐庐，快递不再只是“送包裹”的古老行当，它正成为无人智能装备最大的“实战场”。富春山水 流出共富产业新河道驶出城乡物流路网，富春江水铺展眼前。
K | 这不仅是首航试水，更标志着桐庐无人智能装备产业“海陆空”全场景落地。依托富春江优质水域，桐庐在全国县域率先布局规模化智能游艇产业。在奥立安杭州桐庐母体工厂，记者看到即将出口澳大利亚的几十艘智能游艇正进行最后组装。
L | 今年9月，第一批无人艇将在富春江上试运行，市民游客线上预约即可“打船如同打车”。奥立安副总经理朱捷有感于“桐庐速度”与“桐庐温度”，他回忆今年1月，游艇厂还没有影子，但到了4月就完成了选址、建厂、投产，“我们打算在江上一个小岛上搞一个基地，每次去现场，几乎所有相关部门的负责人都在，现场碰头、分工，能拍板的现场就拍板。”桐庐通过多部门提前介入，实行“边建设、边预验、边整改”，避免企业反复跑腿；依托数字化模块，实现核心材料“一次上传、全域共享”；设置“红黄绿灯”预警倒逼限时办结，数据跑路代替企业跑腿。
M | 这些举措让企业有了安全感，也有了底气。对企业而言，桐庐的价值不止一处生产工厂。河道宽阔、风浪平稳，涨枯水期交替，水文条件丰富而温和——对船型机器人而言，这是一片天然的“反复试航、持续校准”的真实水域。对桐庐而言，山水由此有了新价值：它不仅是风景，更是AI产业不可或缺的“测试底座”。在AI与生态的双向赋能中，富春江中下游流出了共富产业新河道。
N | “最美县城” 滋养“AI+场景”热带雨林同样的逻辑，在岸上被演绎出另一种形态。
o | 桐庐东站旁，华策影视产教示范区灯火通明。
p | 棚内，剧组正在为一场年代戏布光调机；棚外，影视技工学校的学生在实训课堂里操作着AIGC工具，用提示词生成场景概念图。这是前不久桐庐发布的第三大AI场景——华策AIGC赋能“影文旅”全业态融合。示范区办公室主任陆一峰给记者算了笔账：150个实景棚、3万平方米，涵盖现代都市、质感年代、民国风情等全品类空间，一举解决剧组置景、转场痛点；全县还有1000余个实景文旅场景，可完成从年代、都市、乡村等多类型题材拍摄。7月以来，已有5个剧组进场。取景拍摄、人才培育、文旅体验在这里交织共生。
