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Maternal Health Learning and Innovation Center

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The Cycle to Respectful Care: A Qualitative Approach to the Creation of an Actionable Framework to Address Maternal Outcome Disparities

By Ashlee Walker, Carmen L. Green, Joia A. Crear-Perry, S. Michelle Ogunwole, Susan L. Perez, Tamika C. Auguste, Tracey Estriplet
Added: January 21, 2022
LearnPartner Content

Abstract

Despite persistent disparities in maternity care outcomes, there are limited resources to guide clinical practice and clinician behavior to dismantle biased practices and beliefs, structural and institutional racism, and the policies that perpetuate racism. Focus groups and interviews were held in communities in the United States identified as having higher density of Black births. Focus group and interview themes and codes illuminated Black birthing individual’s experience with labor and delivery in the hospital setting. Using an iterative process to refine and incorporate qualitative themes, we created a framework in close collaboration with birth equity stakeholders. This is an actionable, cyclical framework for training on anti-racist maternity care. The Cycle to Respectful Care acknowledges the development and perpetuation of biased healthcare delivery, while providing a solution for dismantling healthcare providers’ socialization that results in biased and discriminatory care. The Cycle to Respectful Care is an actionable tool to liberate patients, by way of their healthcare providers, from biased practices and beliefs, structural and institutional racism, and the policies that perpetuate racism.

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Written by:
Kelli Sheppard
Published on:
January 21, 2022

Resource Information

Author: Ashlee Walker, Carmen L. Green, Joia A. Crear-Perry, S. Michelle Ogunwole, Susan L. Perez, Tamika C. Auguste, Tracey Estriplet
Audience: Clinical
Type: Report
Category: Equity
Dimension: Learn
Topics: Black Maternal Health, Equity, Health Disparities, Maternal Care, Racial Disparities, Respectful Care
MHLIC is committed to providing reliable, accurate resources that will increase the user’s knowledge and/or ability to improve the state of maternal health in the United States. Some of the resources may be primarily informational and others may be oriented more towards capacity-building to implement a program or action. Many will be a blend of the two. Read our full terms and disclaimer here.

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U7CMC33636 State Maternal Health Innovation Support and Implementation Program Cooperative Agreement. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.
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