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Review
. 2022 Jun 1;35(3):299-305.
doi: 10.1097/ACO.0000000000001143.

Perinatal quality collaboratives and birth equity

Affiliations
Review

Perinatal quality collaboratives and birth equity

Chawla LaToya Mason et al. Curr Opin Anaesthesiol. .

Abstract

Purpose of review: The purpose of this review is to discuss how state perinatal quality collaboratives are addressing birth equity to reduce disparities in maternal morbidity and mortality.

Recent finding: Perinatal quality collaboratives are adopting core practices to advance birth equity, reduce disparities and confront racism and bias in obstetric care including securing leadership commitments to equity, providing education on the causes of inequities and mitigation strategies, collecting accurate race/ethnicity data, addressing social determinants of health, and integrating patient and community knowledge, experiences, and narratives in the quality improvement work.

Summary: Inequities in maternal morbidity and mortality particularly affecting Black birthing people are driven by racism, inequities in the social determinants of health, and variations in care practices and quality. Perinatal quality collaboratives are an important resource for driving improvement changes to mitigate these factors and improve outcomes.

Video abstract: Mason CL, Collier CH, Penny SC. Perinatal Quality Collaboratives and Birth Equity. Produced by CLMB Productions for use in this publication. January 10, 2022, http://links.lww.com/COAN/A86.

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References

    1. National Birth Equity Collaborative Annual Report 2020–2021, p. 2. Available at: https://birthequity.org/2020-2021-annual-report/ [Accessed November 27, 2021].
    1. Crear-Perry J, Correa-de-Araujo R, Lewis Johnson T, et al. Social and structural determinants of health inequities in maternal health. J Womens Health 2021; 30:230–235.
    1. Petersen EE, Davis NL, Goodman D, et al. Racial/ethnic disparities in pregnancy-related deaths—United States, 2007–2016. Morb Mortal Wkly Rep 2019; 68:762.
    1. Wang E, Glazer KB, Howell EA, Janevic TM. Social determinants of pregnancy-related mortality and morbidity in the United States: a systematic teview. Obstet Gynecol 2020; 135:896–915.
    1. Bryant AS, Worjoloh A, Caughey AB, et al. Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants. Am J Obstet Gynecol 2010; 202:335–343.