Obstetric Racism, Education, and Racial Concordance.

@article{MajorKincade2023ObstetricRE,
  title={Obstetric Racism, Education, and Racial Concordance.},
  author={Terri L Major-Kincade},
  journal={MCN. The American journal of maternal child nursing},
  year={2023},
  url={https://api.semanticscholar.org/CorpusID:266347858}
}
Histories of foundational fallacy, their impact on care and outcomes, and patient-driven indicators for improving pregnancy care experiences for women of color are explored through the lens of a Black physician and the collective reproductive health workforce.
View on PubMed
doi.org
3 Citations

3 Citations

Black Women's Mental Health Needs and Recommendations After Spontaneous Preterm Birth: A Qualitative Study.

Black women with sPTB endured prolonged mental health sequelae heightened by neglect, dismissiveness, and medical racism, and recommended implementing family-centred, transparent care models with cultural sensitivity, support groups, and specialised mental health providers as ways to improve postpartum mental health.

Prevalence of Hypertensive Disorders of Pregnancy and Gestational Diabetes Mellitus by Race and Ethnicity in Illinois, 2018 to 2020

Women of color were at increased odds for hypertensive disorders of pregnancy and gestational diabetes mellitus in Illinois, and more culturally congruent health equity practices, policies, and comprehensive care interventions must be adopted.

Peripartum Cardiomyopathy and Social Vulnerability: An Epidemiological Analysis of Mortality Outcomes

A greater burden of social vulnerability is associated with higher PPCM mortality on a national level and disparities exist across racial and geographic populations in the United States.

48 References

The Ethics of Perinatal Care for Black Women: Dismantling the Structural Racism in “Mother Blame” Narratives

The ethics of perinatal care for black women is described; how social determinants of health, health disparities, and health inequities affecting women contribute to poor outcomes among their children are discussed; and tools to dismantle structural racism specific to “mother blame” narratives are provided.

Identifying the Key Elements of Racially Concordant Care in a Freestanding Birth Center.

Providing racially concordant perinatal care to African American birthing individuals required clinicians to acknowledge and center the sociocultural realities and experiences of their patients, and four key themes emerged in this analysis.

Listening to Women: Recommendations from Women of Color to Improve Experiences in Pregnancy and Birth Care.

Recommendations included continuity of care, racial concordance with providers, supportive health care system structures to meet the needs of women of color, and implicit bias trainings and education to reduce judgment, stereotyping, and discrimination.

Obstetric Racism: The Racial Politics of Pregnancy, Labor, and Birthing

It is argued that birth workers including midwives and doulas, mediate obstetric racism and stratified reproductive outcomes and captures the particularities of Black women’s reproductive care during the pre- and post-natal period.

Moving Beyond Race-Based Medicine

The scars of racism in America have once again been laid bare by COVID-19, and it is estimated that the initiation of biennial screening mammography 10 years earlier in Black women could reduce mortality disparities by 57%, with acceptable tradeoffs.

Anti-Black Racism as a Chronic Condition.

This article highlights several ways in which medicine and clinical ethics, despite the former's emphasis on doing no harm and the latter's focus on nonmaleficence, fail to address or acknowledge some of the key ways inWhich physicians can-and do-harm patients of color.

Racial inequity in preterm delivery among college-educated women: The role of racism.

A racial inequity in PTD persists among college-educated women, mainly through its influence on known sociodemographic, pregnancy, and preconception risk factors for PTD and, in part, through unmeasured pathways.

The Effects of Race and Racial Concordance on Patient-Physician Communication: A Systematic Review of the Literature

The results of the present review highlight the importance of training physicians and patients to engage in higher quality communication with black and racially discordant patients by focusing on improving patient-centeredness, information-giving, partnership building, and patient engagement in communication processes.

Black women’s experiences with professional accompaniment at prenatal appointments

ABSTRACT U.S. public health statistics report dismal Black infant and maternal mortality rates. Prenatal care alone, while essential, does not reduce such disparities. Objectives: The purpose of the…

Increasing Racial and Ethnic Diversity in the Nursing Workforce

Significant increases in racial and ethnic diversity recruitment and hiring were achieved over the 3-year period and these strategies can be helpful for nurses and other health care leaders to advance health equity through the creation of a racially and ethnically diverse nursing workforce.