@article{ref1,
title="Clinicians' perspectives on racism and Black women's maternal health",
journal="Women's health reports (New Rochelle, N.Y.)",
year="2022",
author="Chambers, Brittany D. and Taylor, Brianne and Nelson, Tamara and Harrison, Jessica and Bell, Arielle and O'Leary, Allison and Arega, Helen A. and Hashemi, Sepehr and McKenzie-Sampson, Safyer and Scott, Karen A. and Raine-Bennett, Tina and Jackson, Andrea V. and Kuppermann, Miriam and McLemore, Monica R.",
volume="3",
number="1",
pages="476-482",
abstract="OBJECTIVE: The objective of this study was to explore clinician perceptions of how racism affects Black women's pregnancy experiences, perinatal care, and birth outcomes.   Materials and Methods: We conducted 25 semi-structured interviews with perinatal care clinicians practicing in the San Francisco Bay Area (January to March 2019) who serve racially diverse women. Participants were primarily recruited through &quot;Dear Perinatal Care Provider&quot; email correspondences sent through department listservs. Culturally concordant, qualitatively trained research assistants conducted all interviews in person. The interviews ranged from 30 to 60 minutes and were audio-recorded and professionally transcribed verbatim. We used the constant comparative method consistent with grounded theory to analyze data.   Results: Most participants were obstetrician/gynecologists (n = 11, 44%) or certified nurse midwives (n = 8, 32%), had worked in their current role for 1 to 5 years (n = 10, 40%), and identified as white (n = 16, 64%). Three themes emerged from the interviews: provision of inequitable care (e.g., I had a woman who had a massive complication during her labor course and felt like she wasn't being treated seriously); surveillance of Black women and families (e.g., A urine tox screen on the Black baby even though it was not indicated, and they didn't do it on the white baby when, in fact, it was indicated); and structural care issues (e.g., the history of medical racial experimentation).   Conclusion: Clinicians' views about how racism is currently operating and negatively impacting Black women's care experiences, health outcomes, and well-being in medical institutions will be used to develop a racial equity training for perinatal care clinicians in collaboration with Black women and clinicians.<p />",
language="en",
issn="2688-4844",
doi="10.1089/whr.2021.0148",
url="http://dx.doi.org/10.1089/whr.2021.0148"
}