Season 3: Race, Pregnancy & Why It Matters




Greyscale show

Summary: Poems Eve Ewing’s “Affirmation” Audre Lorde’s “A Woman Speaks” Alice Walker’s “The Nature of This Flower is to Bloom” Podcasts NATAL: A docuseries about having a baby while Black in the United States Birth Stories in Color Bias MFM survey of providers in which 29% somewhat or strongly agree that bias affects how they care for patients Limited impact of implicit bias training Doulas Emerald Doula group arranges feedback to providers with problematic behaviors Rebecca Polston Demetra Sereki Impact on adverse pregnancy outcomes and breast or chestfeeding Historical and ethnographic scholarship Dr. Deirdre Cooper Owens’ Medical Bondage: Race, Gender, and the Origins of American Gynecology Dr. Khiara Bridges’ Reproducing Race: An Ethnography of Pregnancy as a Site of Racialization Dr. Dorothy Roberts’ Killing the Black Body: Race, Reproduction, and the Meaning of Liberty Dr. John Hoberman’s Black & Blue Race-based medicine World Health Organization’s recommendations on pelvimetry Obstetrics & Gynecology article on pelvis MRIs and possible link to outcome disparities VBAC calculator criticism Statistical sources: CDC 2019 Vital Signs report Severe Maternal Morbidity Race, ethnicity, and nativity differentials in pregnancy-related mortality in the United States Washington State 2019 maternal death review Exploration of causality Failure to rescue, including in postpartum hemorrhage Impact of delivery outside the hospital Personally-mediated racism Exposure to low socioeconomic status while in utero Impact of perceived discrimation Review of social determinants of health impact on prenatal care utilization and maternal outcomes Camara Jones’ articles on social determinants of equity, on not exploring the 'why' of disparities General impact of structural racism on health disparities Median wealth differentials Health impacts of mass incarceration Considering birth setting: systematic review 2018, systematic review 2019, UK guidelines by diagnosis for delivery location Systemic interventions Centering voices of color SPEAK UP campaign from Institute for Perinatal Quality Improvement AIM Patient Safety Bundles from the Council on Patient Safety in Women’s Health Care, including bundle targeting disparities Maternal Early Warning System from the Council on Patient Safety in Women’s Health Care Society for Maternal Fetal Medicine’s Call to Action, education subcommittee's report, and AJOG's 5 year report card Evidence for safety bundles, including CMQCC’s VTE toolkit California’s broad care collaborative to create change at scale Importance and examples of maternal mortality review panel that recommend system interventions Importance of simulation training Use of quality improvement metrics and approaches Strengthening the postpartum transition of care, creating a new postpartum paradigm Role for family medicine physicians Need for paid maternity leave Working together to get patients to the appropriate level of care Addressing anemia to reduce disparities Policy statements ACOG’s Committee Opinion on disparities Letter from the AAFP Momnibus overview