Physicians who understand these six foundational factors can positively influence the future of Black maternal health.
Despite news that maternal mortality in the United States might be lower than previously reported, Black pregnant patients still die at a rate three times higher than White pregnant patients, according to a study in American Journal of Obstetrics and Gynecology.
Most of these deaths (80% according to the Centers for Disease Control) are preventable and rooted in factors that physicians can influence. This means that physicians have a growing opportunity to turn the tide of these trends, especially with the assistance of technology built for these challenges.
1. Individual and cultural preferences shape the patient’s experience
Many Black patients are highly aware of the disparities in their health outcomes and the history of systemic discrimination in healthcare. Physicians working with Black maternity patients should understand how a patient’s desire for improved outcomes may influence individual care decisions. One such example is the inclusion of doulas and/or midwives in the patient’s care team.
Doulas and midwives provide physical and emotional support, education, and advocacy during pregnancy and childbirth. They can amplify the patient’s voice within the medical system and provide information to the patient in a culturally sensitive manner. Benefits include improved communication and strengthening of the patient-provider relationship. Healthcare systems that understand the unique needs of their populations and provide access to enhanced care teams to meet those needs will be poised to improve outcomes and reduce care disparities.