• Season 3: Race, Pregnancy & Why It Matters

  • Aug 20 2020
  • Length: 1 hr and 8 mins
  • Podcast

Season 3: Race, Pregnancy & Why It Matters

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  • Summary

  • Eve Ewing’s “Affirmation”Audre Lorde’s “A Woman Speaks”Alice Walker’s “The Nature of This Flower is to Bloom”PodcastsNATAL: A docuseries about having a baby while Black in the United StatesBirth Stories in ColorBiasMFM survey of providers in which 29% somewhat or strongly agree that bias affects how they care for patientsLimited impact of implicit bias trainingDoulasEmerald Doula group arranges feedback to providers with problematic behaviorsRebecca PolstonDemetra SerekiImpact on adverse pregnancy outcomes and breast or chestfeedingHistorical and ethnographic scholarshipDr. Deirdre Cooper Owens’ Medical Bondage: Race, Gender, and the Origins of American GynecologyDr. Khiara Bridges’ Reproducing Race: An Ethnography of Pregnancy as a Site of RacializationDr. Dorothy Roberts’ Killing the Black Body: Race, Reproduction, and the Meaning of LibertyDr. John Hoberman’s Black & BlueRace-based medicineWorld Health Organization’s recommendations on pelvimetryObstetrics & Gynecology article on pelvis MRIs and possible link to outcome disparitiesVBAC calculator criticismStatistical sources:CDC 2019 Vital Signs reportSevere Maternal MorbidityRace, ethnicity, and nativity differentials in pregnancy-related mortality in the United StatesWashington State 2019 maternal death reviewExploration of causalityFailure to rescue, including in postpartum hemorrhageImpact of delivery outside the hospitalPersonally-mediated racismExposure to low socioeconomic status while in uteroImpact of perceived discriminationReview of social determinants of health impact on prenatal care utilization and maternal outcomesCamara Jones’ articles on social determinants of equity, on not exploring the 'why' of disparitiesGeneral impact of structural racism on health disparitiesMedian wealth differentialsHealth impacts of mass incarcerationConsidering birth setting: systematic review 2018, systematic review 2019, UK guidelines by diagnosis for delivery locationSystemic interventionsCentering voices of colorSPEAK UP campaign from Institute for Perinatal Quality ImprovementAIM Patient Safety Bundles from the Council on Patient Safety in Women’s Health Care, including bundle targeting disparitiesMaternal Early Warning System from the Council on Patient Safety in Women’s Health CareSociety for Maternal Fetal Medicine’s Call to Action, education subcommittee's report, and AJOG's 5 year report cardEvidence for safety bundles, including CMQCC’s VTE toolkitCalifornia’s broad care collaborative to create change at scaleImportance and examples of maternal mortality review panel that recommend system interventionsImportance of simulation trainingUse of quality improvement metrics and approachesStrengthening the postpartum transition of care, creating a new postpartum paradigmRole for family medicine physiciansNeed for paid maternity leaveWorking together to get patients to the appropriate level of careAddressing anemia to reduce disparitiesPolicy statementsACOG’s Committee Opinion on disparitiesLetter from the AAFPMomnibus overview
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