Birth Detroit, Detroit, Michigan (Mss Welch, Harmell, White, and Snow); Birth Center Equity, Boston, Massachusetts (Ms Welch); Michigan Public Health Institute, Lansing (Dr Canady); Public Health, Michigan State University, Lansing (Dr Canady); and School of Nursing, Women's and Gender Studies, Obstetrics and Gynecology, University of Michigan, Ann Arbor (Dr Kane Low).
J Perinat Neonatal Nurs. 2022;36(2):138-149. doi: 10.1097/JPN.0000000000000649.
While favorable outcomes of birth centers are documented, Black-led birth centers and maternal health models are rarely highlighted. Such disparities are manifestations of institutional racism. A nascent body of literature suggests that culturally affirming care provided by Black-led birth centers benefit all birthing people-regardless of race. Birth Detroit is one such maternal health model led by Black women that offers a justice response to inequitable care options in Black communities.
This article describes a departure from traditional White supremacist research models that privilege quantitative outcomes to the exclusion of iterative processes, lived experiences, and consciousness-raising. A community organizing approach to birth center development led by Black women and rooted in equity values of safety, love, trust, and justice is outlined.
Birth Detroit is a Black-led, community-informed model that includes integration of evidence-based approaches to improving health outcomes and that embraces community midwifery prenatal care and a strategic trajectory to open a birth center in the city of Detroit.
Birth Detroit demonstrates the operationalization of a Black feminist standpoint, lifts up the power of communities to lead in their own care, and offers a blueprint for action to improve inequities and maternal-infant health in Black communities.
尽管已有文献记录了分娩中心的良好结果，但很少有突出强调由黑人领导的分娩中心和产妇健康模式。这种差异是制度种族主义的表现。一些新的文献表明，由黑人领导的分娩中心提供的文化上认可的护理，有益于所有分娩的人，而不论其种族如何。底特律分娩中心（Birth Detroit）就是这样一个由黑人女性领导的产妇健康模式，为黑人社群中不平等的护理选择提供了公正的回应。
本文描述了一种偏离传统白人至上主义研究模式的方法，这种模式将定量结果置于迭代过程、生活经验和意识提升之上。本文概述了一种由黑人女性领导并根植于公平价值观（安全、爱、信任和正义）的社区组织方法，用于开发分娩中心。
底特律分娩中心是一个由黑人领导、社区知情的模式，包括整合循证方法来改善健康结果，并采用社区助产士产前护理和在底特律市开设分娩中心的战略轨迹。
底特律分娩中心展示了黑人女权主义立场的运作，彰显了社区在自身护理方面的领导力量，并为改善黑人社群中的不平等和母婴健康提供了行动蓝图。
