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Updated: May 23, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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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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Patient-clinician communication amongst black perinatal people: a systematic review

Zoe T Duberstein1,2, Keisha Bell3,4, Ellen Poleshuck3,4

  • 1Psychology, University of Rochester, Rochester, NY, USA. zduberst@ur.rochester.edu.

Archives of Women'S Mental Health
|March 11, 2025
PubMed

Insights

Black patients report discrimination and exclusion in perinatal care due to poor communication. Addressing these issues in obstetric care is crucial for improving maternal and infant health outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Health Disparities Research
  • Health Communication

Background:

  • Black perinatal individuals experience disproportionately high rates of morbidity and mortality in the U.S.
  • Poor patient-clinician communication in obstetric care is a potential contributor to these disparities.
  • This review focuses on communication challenges faced by Black patients in perinatal healthcare.

Purpose of the Study:

  • To systematically review existing literature on patient-clinician communication among Black patients in perinatal healthcare settings.
  • To identify key themes and findings related to communication experiences.
  • To provide a foundation for improving perinatal care quality for Black individuals.

Main Methods:

  • A systematic literature search was conducted across PubMed, PsycINFO, and Web of Science.
  • Studies published between January 2006 and December 2024 were included.
  • PRISMA guidelines were followed for article selection and data synthesis.

Main Results:

  • A total of 29 studies (11 qualitative, 18 quantitative) met the inclusion criteria.
  • Black patients frequently reported experiences of discrimination.
  • Patients also reported being excluded from decision-making and feeling ignored by clinicians.

Conclusions:

  • Findings highlight significant communication barriers in perinatal care for Black patients.
  • Addressing these communication issues is essential for reducing Black maternal and infant morbidity and mortality.
  • The review suggests areas for intervention to improve communication quality and health outcomes.
Abstract

Keywords:
Black perinatal peopleCare qualityPatient-clinician communicationPerinatal periodRacial disparities

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