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The Cycle to Respectful Care: A Qualitative Approach to the Creation of an Actionable Framework to Address Maternal Outcome Disparities

Author

Listed:
  • Carmen L. Green

    (National Birth Equity Collaborative, New Orleans, LA 20026, USA
    Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94143, USA)

  • Susan L. Perez

    (National Birth Equity Collaborative, New Orleans, LA 20026, USA
    Department of Public Health, California State University, Sacramento, CA 95819, USA)

  • Ashlee Walker

    (National Birth Equity Collaborative, New Orleans, LA 20026, USA
    School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70118, USA)

  • Tracey Estriplet

    (National Birth Equity Collaborative, New Orleans, LA 20026, USA)

  • S. Michelle Ogunwole

    (Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA)

  • Tamika C. Auguste

    (MedStar Washington Hospital Center, Council on Patient Safety in Women’s Health Care, ACOG, Washington, DC 20010, USA)

  • Joia A. Crear-Perry

    (National Birth Equity Collaborative, New Orleans, LA 20026, USA)

Abstract

Despite persistent disparities in maternity care outcomes, there are limited resources to guide clinical practice and clinician behavior to dismantle biased practices and beliefs, structural and institutional racism, and the policies that perpetuate racism. Focus groups and interviews were held in communities in the United States identified as having higher density of Black births. Focus group and interview themes and codes illuminated Black birthing individual’s experience with labor and delivery in the hospital setting. Using an iterative process to refine and incorporate qualitative themes, we created a framework in close collaboration with birth equity stakeholders. This is an actionable, cyclical framework for training on anti-racist maternity care. The Cycle to Respectful Care acknowledges the development and perpetuation of biased healthcare delivery, while providing a solution for dismantling healthcare providers’ socialization that results in biased and discriminatory care. The Cycle to Respectful Care is an actionable tool to liberate patients, by way of their healthcare providers, from biased practices and beliefs, structural and institutional racism, and the policies that perpetuate racism.

Suggested Citation

  • Carmen L. Green & Susan L. Perez & Ashlee Walker & Tracey Estriplet & S. Michelle Ogunwole & Tamika C. Auguste & Joia A. Crear-Perry, 2021. "The Cycle to Respectful Care: A Qualitative Approach to the Creation of an Actionable Framework to Address Maternal Outcome Disparities," IJERPH, MDPI, vol. 18(9), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4933-:d:549404
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    References listed on IDEAS

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    1. Fridman, M. & Korst, L.M. & Chow, J. & Lawton, E. & Mitchell, C. & Gregory, K.D., 2014. "Trends in maternal morbidity before and during pregnancy in California," American Journal of Public Health, American Public Health Association, vol. 104(S1), pages 49-57.
    2. Jones, C.P., 2000. "Levels of racism: A theoretic framework and a gardener's tale," American Journal of Public Health, American Public Health Association, vol. 90(8), pages 1212-1215.
    3. McLemore, Monica R. & Altman, Molly R. & Cooper, Norlissa & Williams, Shanell & Rand, Larry & Franck, Linda, 2018. "Health care experiences of pregnant, birthing and postnatal women of color at risk for preterm birth," Social Science & Medicine, Elsevier, vol. 201(C), pages 127-135.
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    1. S. Michelle Ogunwole & Habibat A. Oguntade & Kelly M. Bower & Lisa A. Cooper & Wendy L. Bennett, 2023. "Health Experiences of African American Mothers, Wellness in the Postpartum Period and Beyond (HEAL): A Qualitative Study Applying a Critical Race Feminist Theoretical Framework," IJERPH, MDPI, vol. 20(13), pages 1-29, July.

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