ArticleJournal of racial and ethnic health disparities2024
Healthcare Experiences of Black Patients During and After Pregnancy: a Needs Assessment for Provider Training to Improve Quality of Care.
Article in Journal of racial and ethnic health disparities, 2024. 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.
- Measurement of Racial Microaggressions During Pregnancy and While Receiving Prenatal Care: a Validation Study of the Daily Life Experiences Scale Among Black Postpartum Women.Journal of racial and ethnic health disparities · 2025Article
- Correlates of Patient Trust in Doctors: Demographic Factors and Experiences of Medical Care Discrimination.Journal of general internal medicine · 2025Article
- The Influence of Mistrust, Communication, and Advocacy on Black Women's Pregnancy-Related Healthcare Decisions.Journal of racial and ethnic health disparities · 2025Article
- Explaining Racial and Ethnic Disparities in Hypertension and Diabetes during Pregnancy in the United States (2016-2022): A Decomposition Analysis.Journal of racial and ethnic health disparities · 2025Article
- Support Needs and Gaps for Black and African American Individuals With Fibromyalgia During Pregnancy.Journal of family & reproductive health · 2025Article
- Protocol for Evaluating Remote Patient Blood Pressure Monitoring Adapted to Black Women and Birthing Persons.International journal of environmental research and public health · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBlack patients are at a higher risk of experiencing less safe and lower quality care during pregnancy and childbirth, compared to their White counterparts. Behaviors that healthcare professionals engage in that can facilitate or hinder high-quality care for this population are underexplored. We sought to explore Black patients' experiences with healthcare professionals during and after pregnancy, as a needs assessment to inform the development of training for healthcare professionals.
methodsWe conducted semi-structured interviews of Black patients who were in their third trimester of pregnancy or within 18 months of giving birth. Questions focused on experiences with healthcare professionals during pregnancy-related healthcare, including quality of care and discrimination. Thematic analysis was conducted using a combined deductive-inductive approach. Findings were considered in the context of the Institute of Medicine's Six Domains of Quality (equitable, patient-centered, timely, safe, effective, efficient).
resultsWe interviewed 8 participants who received care from various clinics and institutions. Over half (62%) described experiencing discrimination or microaggressions during their pregnancy-related healthcare. Participants most commonly reflected upon experiences within the patient-centered care domain, regarding whether care was in alignment with their preferences, positive and negative interpersonal interactions, and varied experiences with patient education/shared decision-making.
conclusionsBlack patients commonly report experiencing discrimination from healthcare professionals during pregnancy-related healthcare. Reducing microaggressions and improving patient-centered care is a key focus for healthcare professionals who serve this group. Training needs include addressing implicit bias, educating on common microaggressions, improving communication, and promoting an inclusive workplace.
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