Vital Signs: Maternity Care Experiences - United States, April 2023

Area of Science:

• Public Health
• Maternal Health
• Healthcare Quality

Background:

• Maternal deaths have increased in the U.S. from 2018-2021, with notable racial disparities.
• Respectful maternity care is crucial for quality care, encompassing harm prevention, effective communication, and equitable treatment.
• Addressing mistreatment and discrimination in maternity care is vital for reducing pregnancy-related mortality.

Purpose of the Study:

• To examine experiences of mistreatment and discrimination during maternity care.
• To identify reasons why patients withhold questions or concerns from providers.
• To assess the prevalence of disrespectful care components among U.S. mothers.

Main Methods:

• Analysis of data from the PN View Moms survey (April 24-30, 2023).
• Inclusion of mothers with children under 18 years.
• Examination of mistreatment, discrimination, and communication barriers in maternity care.

Main Results:

• 20% of mothers reported mistreatment during maternity care.
• Higher rates of mistreatment (approx. 30%) and discrimination (approx. 40%) were reported by Black, Hispanic, and multiracial individuals.
• Nearly 45% of all respondents hesitated to communicate questions or concerns with providers.

Conclusions:

• One in five women experienced mistreatment in maternity care.
• Quality improvement initiatives, provider training, and community engagement are key strategies.
• Promoting respectful maternity care is essential for reducing maternal mortality and improving health equity.