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Updated: Nov 7, 2025

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Launching the Reduction of Peripartum Racial/Ethnic Disparities Bundle: A Quality Improvement Project.

Lauren Anita Arrington1,2, Alison Hester Edie3, Catherine Angela Sewell2,4

  • 1Department of Midwifery and Women's Health, Frontier Nursing University, Hyden, Kentucky.

Journal of Midwifery & Women'S Health
|April 29, 2021
PubMed
Summary

Healthcare organizations can reduce racial and ethnic perinatal disparities through targeted interventions. A quality improvement project successfully increased staff engagement and readiness to address these disparities in clinical practice.

Keywords:
health disparitiesmidwifery professional issuesquality improvementracial inequityracismvulnerable populations

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Area of Science:

  • Health Services Research
  • Health Equity
  • Maternal Health

Background:

  • Racial and ethnic disparities in perinatal health persist, disproportionately affecting Black women in the U.S.
  • Addressing these disparities in clinical practice requires clear, actionable strategies.
  • Healthcare organizations have a responsibility to mitigate these inequities.

Purpose of the Study:

  • To implement and evaluate interventions aimed at reducing perinatal racial and ethnic disparities.
  • To increase staff awareness and engagement in addressing health disparities.
  • To collect and disseminate data on racial and ethnic disparities in perinatal care.

Main Methods:

  • Implementation of the Alliance for Innovation on Maternal Health (AIM) Reduction of Peripartum Racial/Ethnic Disparities Patient Safety Bundle.
  • Data review and sharing of perinatal care outcomes by race and ethnicity.
  • Staff engagement through workshops, educational modules, and a Health Equity Committee.

Main Results:

  • Identified disparities in cesarean birth rates, newborn mortality, and 30-day readmissions.
  • Achieved 65.9% staff participation in project activities.
  • Increased staff readiness to address health disparities and engagement in related activities (P < .01).

Conclusions:

  • Organizational-level interventions can effectively influence healthcare providers and staff to address perinatal racial and ethnic disparities.
  • Quality improvement projects are a viable approach to tackling health inequities.
  • Sustained efforts are crucial for long-term impact on maternal health outcomes.