Evidence map›Paper›PMID 37849421›Full record

ArticleBirth (Berkeley, Calif.)2024

The intersection of traumatic childbirth and obstetric racism: A qualitative study.

Amelia Dmowska, Priya Fielding-Singh, Jodi Halpern, Ndola Prata

Open access · hybridAbstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  10. Health Equity and Perinatal Mental Health.Current psychiatry reports · 2024
    Review
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

4 authors at 3 institutions in 1 country.

Amelia DmowskaUniversity of California Berkeley and University of California San Francisco Joint Medical Program, Berkeley, California, USA.ORCID 0000-0002-7592-7543
Priya Fielding-SinghUniversity of Utah, Salt Lake City, Utah, USA.ORCID 0000-0001-7458-2937
Jodi HalpernUniversity of California Berkeley and University of California San Francisco Joint Medical Program, Berkeley, California, USA.
Ndola PrataChild and Adolescent Health, University of California Berkeley School of Public Health, Berkeley, California, USA.
University of California, San Francisco · USBerkeley Public Health Division · USUniversity of Utah · US

Funding

CARDIOVASCULAR DISEASE PREVENTION TRAINING PROGRAMT32HL007034 · NHLBI · STANFORD UNIVERSITY · PI GARDNER, CHRISTOPHER D · 1985 to 2020
$8.7M
NHLBI NIH HHS T32 HL007034
6 · The paper itself

Abstract

backgroundTraumatic childbirth experiences are common in the United States - affecting a third to a fourth of mothers - with significant negative impacts on maternal health. Yet most research on traumatic childbirth focuses on white mothers' experiences. Drawing on a racially and ethnically diverse sample of mothers who experienced traumatic childbirth, this exploratory qualitative study examined Black, Latina, and Asian mothers' traumatic birth experiences and the role of obstetric racism in shaping these experiences.

methodsIn-depth, semi-structured interviews were conducted in 2019-2020 with 30 mothers who identified as women of color (37% Black, 40% Latina, and 23% Asian) who gave birth in the US and self-identified as having experienced a traumatic childbirth. Data were analyzed using qualitative content analysis.

resultsMothers reported obstetric racism as core to their traumatic birth experiences. This racism manifested through practitioners' use of gendered and racialized stereotypes, denying and delegitimizing mothers' needs. Mothers shared key consequences of the obstetric racism they experienced, including postpartum anxiety and depression, increased medical mistrust, and decreased desire for future children.

conclusionsMothers' reports suggest that obstetric racism played a role in their traumatic birth experiences. Particularly, practitioners' deployment of gendered and racialized stereotypes influenced mothers' treatment during birth. These findings point to opportunities to address obstetric racism during childbirth and improve patients' experiences through enhancing their agency and empowerment. The findings, in addition, highlight the need for increased practitioner training in anti-racist practice and cultural humility.

Indexed as

ParturitionRacismChildDelivery, ObstetricFemaleHumansMothersPregnancyQualitative ResearchTrustUnited Statesmaternal healthobstetric racismobstetric violencequalitative researchtraumatic childbirth

Identifiers

PMID37849421
PMCPMC10922554
OpenAlexW4387728461

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.