Racial disparities in intrapartum care experiences and birth hospital characteristics
Dados Bibliográficos
| ID | 4983619 |
|---|---|
| Autores | Fiona Weeks (0000-0002-4480-6706, University of Wisconsin–Madison), Rebecca Myerson (0000-0001-7567-936X, University of Wisconsin–Madison), Ronald Gangnon (0000-0003-2587-6714, University of Wisconsin–Madison), Jennifer Dykema (0000-0002-7707-9752, United States University), Christel Cornelius (Oneida Indian Nation), Candi Cornelius, Tiffany Green (0000-0001-9456-0938, University of Wisconsin–Madison) |
| Ano | 2025 |
| Volume | 367 |
| Páginas | 117720 |
| Data de publicação | 2025-02-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Social Science & Medicine (JOURNAL) |
| Identificadores do periódico | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Editora | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2025.117720 |
| PMID | 39889380 |
| OpenAlex | W4406596154 |
| Idioma | EN |
| Referências citadas | 43 |
Policymakers and researchers have posited intrapartum care as a potential mediator of racial inequities in perinatal outcomes. However, few studies have measured patient-centered quality of intrapartum care or explored differences by race. To address this gap, we developed a survey supplement using cognitive interviewing and administered it to a probability-based race-stratified random sample of people who recently gave birth in Wisconsin in 2020, including oversamples of non-Hispanic Black and Indigenous birthing people. We estimate overall and race-specific prevalences of intrapartum care experiences and use survey-weighted mixed effects ordinal and logistic regression to estimate differences in intrapartum care experiences by race/ethnicity and hospital characteristics. We find significant racial differences in the population prevalence of negative experiences of intrapartum care providers, including disrespect, lack of responsiveness, inclusion in decision-making about care, and pressure to use epidural analgesia. In unadjusted models, both non-Hispanic Indigenous (American Indian/Alaska Native) and non-Hispanic Black respondents had higher odds (than non-Hispanic White birthing people) of reporting several negative intrapartum experiences, including feeling disrespected by providers and experiencing a lower level of care team responsiveness. In adjusted models, Indigenous respondents had significantly higher odds of reporting that intrapartum care providers withheld information, showed disrespect, and were less responsive. Giving birth at a low birth-volume hospital was associated with higher odds of reporting greater participation in decision-making. CONCLUSION: While all birthing people are entitled to respectful and person-centered care, in practice, Indigenous and Black birthing persons are more likely than their white counterparts to endure negative intrapartum experiences including disrespect and lack of responsiveness to their needs. Equitable implementation of person-centered care principles will require concerted efforts to institutionalize practices that preserve patient dignity and autonomy
Environmental health · Obstetrics · Population · Prenatal care · Sociology · Demography · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine · Reproductive Health and Contraception
The Unequal Burden of Pain
Racial/Ethnic Disparities in Pregnancy-Related Deaths — United States, 2007–2016
Quality of care for pregnant women and newborns—the WHO vision
The Giving Voice to Mothers study
Racial and ethnic disparities in severe maternal morbidity prevalence and trends
Racial/ethnic disparities in obstetric outcomes and care
A Review of Conceptual Approaches and Empirical Evidence on Probability and Nonprobability Sample Survey Research
Physician Implicit Attitudes and Stereotypes About Race and Quality of Medical Care
Physicians and Implicit Bias
Implicit bias in healthcare professionals
“It’s Important to Work with People that Look Like Me”
Disparities in Self-Reported Postpartum Depression among Asian, Hawaiian, and Pacific Islander Women in Hawaii
Obstetric violence within students’ rite of passage
An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index
The Associations of Clinicians’ Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care
The Pregnancy Risk Assessment Monitoring System (PRAMS)
Patient-reported Communication Quality and Perceived Discrimination in Maternity Care
Just Because You Have Ears Doesn’t Mean You Can Hear”—Perception of Racial-Ethnic Discrimination During Childbirth
Research Synthesis
A decade of studying implicit racial/ethnic bias in healthcare providers using the implicit association test
Health care experiences of pregnant, birthing and postnatal women of color at risk for preterm birth
Cross-Cultural Cognitive Interviewing
Obstetric Racism
Obstetric Racism
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |