Abstract
Background: Perinatal quality improvement lacks valid tools to measure adverse hospital experiences disproportionately impacting Black mothers and birthing people. Measuring and mitigating harm requires using a framework that centers the lived experiences of Black birthing people in evaluating inequitable care, namely, obstetric racism. We sought to develop a valid patient-reported experience measure (PREM) of Obstetric Racism© in hospital-based intrapartum care designed for, by, and with Black women as patient, community, and content experts.
Original language | English (US) |
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Pages (from-to) | 514-525 |
Number of pages | 12 |
Journal | Birth |
Volume | 49 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2022 |
Funding
Financial support for this study was provided by the California Health Care Foundation, the Tara Health Foundation, the Grove Foundation, Dwight and Dr Taya Scott, EdD. Funders had no input or influence on data collection, study design or interpretation, reporting, or decision to submit for publication The authors would like to thank the Black women reproductive health, rights, and justice experts that participated in the modified Delphi process; California Black Women's Health Project who hosted our town hall meeting and supported community referrals, and Catherine Xu for her contribution to this study. The authors additionally thank Black mothers and birthing people who participated in the focus groups, cognitive interviews, and survey testing and gave birth in hospital settings during the 2020 pandemic. Financial support for this study was provided by the California Health Care Foundation, the Tara Health Foundation, the Grove Foundation, Dwight and Dr Taya Scott, EdD. Funders had no input or influence on data collection, study design or interpretation, reporting, or decision to submit for publication
Keywords
- black mothers
- obstetric racism
- psychometrics
- quality improvement
ASJC Scopus subject areas
- Obstetrics and Gynecology