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Updated: Jun 3, 2025
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
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Promoting Maternal Health in the Postpartum Period to Advance Birth Equity
Ariella Levisohn1, Laurie Nsiah-Jefferson2, Colette Dieujuste3
1School of Medicine, Tufts University, Boston, MA 02111, USA.
Summary
Black birthing individuals often miss postpartum care. Factors like public insurance, lower education, and work barriers contributed to missed appointments, highlighting a need for improved support systems.
Area of Science:
- Public Health
- Maternal Health
- Health Disparities
Background:
- Black birthing people face significant disparities in postpartum follow-up care rates.
- Understanding the factors influencing postpartum visit attendance is crucial for improving maternal health outcomes.
Purpose of the Study:
- To examine factors associated with postpartum follow-up care among Black birthing people.
- To explore suggestions for enhancing the quality and experience of postpartum care.
Main Methods:
- A survey was administered to 121 Black birthing people in the Boston area who delivered within the past two years.
- The survey included the Jackson, Hogue, Phillips Contextualized Stress Measure (JHPCSM), the Power as Knowing Participation in Change Tool (PKPCT), and demographic questions.
Main Results:
- One-third of participants did not attend their postpartum appointment.
- Public insurance, less than a college degree, and working outside the home were linked to lower follow-up visit rates.
- Barriers included inability to take time off work, COVID-19 concerns, and lack of childcare.
Conclusions:
- Higher stress and perceived power were associated with attending postpartum visits.
- There is a critical need for enhanced institutional and policy support to improve postpartum care access for Black parents.
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