Evidence map›Paper›PMID 36997972›Full record

ArticleBMC public health2023

Maternal health equity in Georgia: a Delphi consensus approach to definition and research priorities.

Natalie D Hernandez, Angela D Aina, L Joy Baker, Sarah C Blake, Alexis B Dunn Amore, Cheryl G Franklin, Zsakeba T Henderson, Michael R Kramer, Fleda Mask Jackson, Elizabeth Mosley and 2 more

Abstract readConsensus Statement
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Natalie D HernandezCenter for Maternal Health Equity, Department of Community Health and Preventive Medicine, Morehouse School of Medicine, 30310, Atlanta, GA, USA. nhernandez@msm.edu.
Angela D AinaBlack Mamas Matter Alliance, Atlanta, GA, USA.
L Joy BakerWellstar West Georgia Medical Center, LaGrange, GA, USA.
Sarah C BlakeDepartment of Health Policy & Management, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Alexis B Dunn AmoreNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Cheryl G FranklinDepartment of Obstetrics and Gynecology, Morehouse School of Medicine, Atlanta, GA, USA.
Zsakeba T HendersonMarch of Dimes, Arlington, VA, USA.
Michael R KramerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Fleda Mask JacksonMAJAICA, LLC, Atlanta, GA, USA.
Elizabeth MosleyGeorgia State University School of Public Health, Atlanta, GA, USA.
Lauren NunallyGeorgia Perinatal Quality Collaborative, Duluth, GA, USA.
Shirley SylvesterJohnson & Johnson, Women's Health, Office of the Chief Medical Officer, New Brunswick, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy-related mortality in the United States is the greatest among all high-income countries, and Georgia has one of the highest maternal mortality rates-almost twice the national rate. Furthermore, inequities exist in rates of pregnancy-related deaths. In Georgia, non-Hispanic Black women are nearly 3 times more likely to die from pregnancy-related complications than non-Hispanic White women. Unlike health equity, a clear definition of maternal health equity is lacking, overall and in Georgia specifically, but is needed to reach consensus and align stakeholders for action. Therefore, we used a modified Delphi method to define maternal health equity in Georgia and to determine research priorities based on gaps in understanding of maternal health in Georgia.

methodsThirteen expert members of the Georgia Maternal Health Research for Action Steering Committee (GMHRA-SC) participated in an iterative, consensus-driven, modified Delphi study comprised of 3 rounds of anonymous surveys. In round 1 (web-based survey), experts generated open-ended concepts of maternal health equity and listed research priorities. In rounds 2 (web-based meeting) and 3 (web-based survey), the definition and research priorities suggested during round 1 were categorized into concepts for ranking based on relevance, importance, and feasibility. Final concepts were subjected to a conventional content analysis to identify general themes.

resultsThe consensus definition of maternal health equity created after undergoing the Delphi method is: maternal health equity is the ultimate goal and ongoing process of ensuring optimal perinatal experiences and outcomes for everyone as the result of practices and policies free of interpersonal or structural bias that tackle current and historical injustices, including social, structural, and political determinants of health impacting the perinatal period and life course. This definition highlights addressing the current and historical injustices manifested in the social determinants of health, and the structural and political structures that impact the perinatal experience.

conclusionThe maternal health equity definition and identified research priorities will guide the GMHRA-SC and the broader maternal health community for research, practice, and advocacy in Georgia.

Indexed as

Health EquityPregnancy ComplicationsDelphi TechniqueFemaleGeorgiaHumansMaternal HealthPregnancyResearchDefinitionDelphiDisparitiesEquityGeorgiaMaternal healthMaternal mortalityPerinatalPregnancySocial determinants of health

Identifiers

PMID36997972
PMCPMC10061967

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.