ArticleJournal of midwifery & women's health2021
Being Known: A Grounded Theory Study of the Meaning of Quality Maternity Care to People of Color in Boston.
Article in Journal of midwifery & women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Venture-Backed Maternal Health Startups and the Maternal Health Crisis.JAMA health forum · 2026Article
- Preparation, Experience of Discrimination, and Birth Experience Among Women Birthing in Ohio.The Journal of perinatal education · 2025Article
- Racism against healthcare users in inpatient care: a scoping review.International journal for equity in health · 2024Article
- Disruptions in Sexual and Reproductive Health Care Service Delivery for Immigrants During COVID-19.Women's health reports (New Rochelle, N.Y.) · 2023Article
- Assessing Perception of Prenatal Care Quality Among Black Women in the United States.Journal of midwifery & women's health · 2022Article
- Prenatal and Postpartum Care Experiences Among Black Birthing People in the United States: An Integrative Review.Journal of midwifery & women's healthReview
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Authors and funding
5 authors.
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Abstract
introductionExperiences of people of color with maternity care are understudied but understanding them is important to improving quality and reducing racial disparities in birth outcomes in the United States. This qualitative study explored experiences with maternity care among people of color to describe the meaning of quality maternity care to the cohort and, ultimately, to inform the design of a freestanding birth center in Boston.
methodsUsing a grounded theory design and elements of community-based participatory research, community activists developing Boston's first freestanding birth center and academics collaborated on this study. Semistructured interviews and focus groups with purposefully sampled people of color were conducted and analyzed using a constant comparative method. Interviewees described their maternity care experiences, ideas about perfect maternity care, and how a freestanding birth center might meet their needs. Open coding, axial coding, and selective coding were used to develop a local theory of what quality care means.
resultsA total of 23 people of color participated in semistructured interviews and focus groups. A core phenomenon arose from the narratives: being known (ie, being seen or heard, or being treated as individuals) during maternity care was an important element of quality care. Contextual factors, including interpersonal and structural racism, power differentials between perinatal care providers and patients, and the bureaucratic nature of hospital-based maternity care, facilitated negative experiences. People of color did extra work to prevent and mitigate negative experiences, which left them feeling traumatized, regretful, or sad about maternity care. This extra work came in many forms, including cognitive work such as worrying about racism and behavioral changes such as dressing differently to get health care needs met. DISCUSSION: Being known characterizes quality maternity care among people of color in our sample. Maternity care settings can provide personalized care that helps clients feel known without requiring them to do extra work to achieve this experience.
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