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Updated: Jun 29, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Disparities in Mistreatment During Childbirth.

Chen Liu1, Kristen Underhill2, Janice J Aubey3

  • 1Department of Health Policy and Management, Columbia University Mailman School of Public Health, New York, New York.

JAMA Network Open
|April 4, 2024
PubMed
Summary
This summary is machine-generated.

Mistreatment during childbirth affects over 1 in 8 individuals in the US. Factors like insurance status and unplanned births are associated with these negative experiences, highlighting a need for improved maternity care.

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Area of Science:

  • Reproductive Health
  • Maternal Healthcare Quality
  • Health Disparities Research

Background:

  • Lack of respectful maternity care is linked to maternal health disparities.
  • Mistreatment during childbirth in the US is underdocumented.
  • Understanding prevalence and associated factors is crucial for improving care.

Purpose of the Study:

  • To estimate the prevalence of mistreatment during childbirth in a multistate sample.
  • To identify patient characteristics associated with mistreatment experiences.

Main Methods:

  • Cross-sectional study using 2020 Pregnancy Risk and Monitoring System data from 6 states and NYC.
  • Survey data collected 12-14 months postpartum from 4458 individuals.
  • Validated Mistreatment by Care Providers in Childbirth scale used to measure experiences.

Main Results:

  • Over 13% of individuals reported mistreatment during childbirth.
  • Most common mistreatment: being ignored or requests for help denied.
  • Associated factors include LGBTQ+ identification, Medicaid insurance, and unplanned cesarean births.

Conclusions:

  • Mistreatment during childbirth is a significant issue in the US.
  • Patient-centered, systemic interventions are needed to address negative childbirth experiences.
  • Further research should explore ambiguous associations with race, ethnicity, and socioeconomic factors.