Epistemic Silences and Experiential Knowledge in Decisions After a First Cesarean
The case of a vaginal birth after cesarean calculator
Bibliographic Data
| ID | 2289175 |
|---|---|
| Authors | Nicholas Rubashkin (0000-0002-6955-0532, Department of Obstetrics, Gynecology, & Reproductive Sciences University of California at San Francisco San Francisco United States, corresponding author) |
| Year | 2023 |
| Volume | 37 |
| Issue | 4 |
| Pages | 341-353 |
| Publication date | 2023-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Medical Anthropology Quarterly (JOURNAL) |
| Journal identifiers | ISSN: 0745-5194 • E-ISSN: 1548-1387 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/maq.12784 |
| PMID | 37459454 |
| OpenAlex | W4384500147 |
| Language | EN |
| Citations received | 4 |
| References cited | 60 |
Evidence-based obstetrics can employ statistical models to justify greater use of cesareans, sometimes excluding experiential elements from informed decision making. Over the past decade, prenatal providers adopted a vaginal birth after cesarean (VBAC) calculator designed to support patients in making informed decisions about their births by estimating their probability for a VBAC. Among other factors, the calculator used race and ethnicity to make its estimate, assigning lower probabilities for a successful VBAC to Black and Hispanic patients. I analyze how a diverse group of women and their providers engaged with the VBAC calculator. Some providers used low calculator scores to remove a shared decision-making model by prescriptively counseling Black and Hispanic women who desired a VBAC into undergoing repeat cesareans. Consequently, women racialized by the calculator as Black or Hispanic used experiential knowledge to challenge the calculator's assessment of their supposed lesser ability to give birth vaginally
Calculator · Experiential learning · Mathematics education · Obstetrics · Pregnancy · Vaginal birth · Computer Science · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine · Psychology · Reproductive Health and Contraception
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Situational Analysis
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Breathing Race into the Machine
The Giving Voice to Mothers study
Arrests of and Forced Interventions on Pregnant Women in the United States, 1973–2005
Social and Structural Determinants of Health Inequities in Maternal Health
The Mistreatment of Women during Childbirth in Health Facilities Globally
Fearing the Black Body The Racial Origins of Fat Phobia
Risk, Reproduction, and Narratives of Experience
Reproducing Race
Evidence‐based medicine in practice
The things we believe
Racial and Ethnic Disparities in Cesarean Delivery and Indications Among Nulliparous, Term, Singleton, Vertex Women
The Rise of Black Feminist Intellectual Thought and Political Activism in Perinatal Quality Improvement
Challenging the Use of Race in the Vaginal Birth after Cesarean Section Calculator
Whose Values? Whose Risk? Exploring Decision Making About Trial of Labor After Cesarean
Tracking Epistemic Violence, Tracking Practices of Silencing
Intersecting Social Inequalities and Body Mass Index Trajectories from Adolescence to Early Adulthood
Beyond measurement
Racialized algorithms for kidney function
Health care experiences of pregnant, birthing and postnatal women of color at risk for preterm birth
Invisible wounds
Moving beyond disrespect and abuse
The Vanishing Mother
Knowledge, Practice, and Power
Interventive Care
Commodifying Indigeneity
Suffering Twice
Refusing cesarean sections to protect fertile futures
Understanding the routinised inclusion of race, socioeconomic status and sex in epidemiology
Obstetric Racism
| Unique citing works | 4 |
|---|---|
| Citations per year | 2 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |