Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar 1;66(1):110-123.
doi: 10.1097/GRF.0000000000000761. Epub 2022 Dec 26.

Antibias Efforts in United States Maternity Care: A Scoping Review of the Publicly Funded Health Equity Intervention Pipeline

Affiliations

Antibias Efforts in United States Maternity Care: A Scoping Review of the Publicly Funded Health Equity Intervention Pipeline

Sarah B Garrett et al. Clin Obstet Gynecol. .

Abstract

Antibias training is increasingly identified as a strategy to reduce maternal health disparities. Evidence to guide this work is limited. We conducted a community-guided scoping review to characterize new antibias research. Four of 508 projects met our criteria: US-based, publicly funded, initiated from January 1, 2018 to June 30, 2022, and featuring an intervention to reduce bias or racism in maternal health care providers. Training was embedded in multicomponent interventions in 3 projects, limiting its evaluation as a stand-alone intervention. Major public funders have sponsored few projects to advance antibias training research in maternal health. More support is needed to develop a rigorous and scalable evidence base.

PubMed Disclaimer

Conflict of interest statement

Declaration of Interest

No authors have conflicts of interest to declare. In the spirit of full transparency, we report that two of the coauthors (Chambers, Simon) are principal investigators of projects that appear in the scoping review. We have taken multiple steps to minimize bias in our review and to ensure the description of their studies are similar in length and tone to the other described studies.

Figures

Figure 1.
Figure 1.. Flow diagram of grant-funded project selection & review
Note. Figure is adapted from PRISMA. For intermediary steps in the review where independent coders did not experience full agreement, we present the mean and range of projects identified by the two coders.

References

    1. Crear-Perry JA, Green CL, Cruz K. Respectful Maternity Care: Shifting Medical Education And Practice Toward An Anti-Racist Framework. Health Aff Forefr. Published online 2021. doi:10.1377/forefront.20210413.303812 - DOI
    1. Hamm RF, Kumar NR, Riegel M, Hapuarachchy B, Wheeler SM, Howell EA. Addressing Disparities in Care on Labor and Delivery. Curr Obstet Gynecol Rep. 2022;11(3):143–151. doi:10.1007/s13669-022-00338-3 - DOI
    1. Artiga S, Pham O, Orgera K, Ranji U. Racial Disparities in Maternal and Infant Health: An Overview. Kaiser Family Foundation; 2020. https://www.kff.org/report-section/racial-disparities-in-maternal-and-in...
    1. Crear-Perry J, Correa-de-Araujo R, Lewis Johnson T, McLemore MR, Neilson E, Wallace M. Social and Structural Determinants of Health Inequities in Maternal Health. J Womens Health 2002. 2021;30(2):230–235. doi:10.1089/jwh.2020.8882 - DOI - PMC - PubMed
    1. Green TL, Zapata JY, Brown HW, Hagiwara N. Rethinking Bias to Achieve Maternal Health Equity: Changing Organizations, Not Just Individuals. Obstet Gynecol. 2021;137(5):935–940. doi:10.1097/AOG.0000000000004363 - DOI - PMC - PubMed

Publication types