Gittens-Williams Lisa, Campbell Damali, Rego Erica
Rutgers New Jersey Medical School, Department of Obstetrics, Gynecology & Reproductive Health, Newark, NJ, USA.
J Commun Healthc. 2024 Dec;17(4):372-375. doi: 10.1080/17538068.2024.2423143. Epub 2024 Nov 4.
Black birthing people in the United States are disproportionately impacted by maternal mortality and more frequently report physical and verbal mistreatment during intrapartum care. Birth plans for prenatal and postpartum care promote autonomy and agency but have not been used as tools to address disparities in perinatal care.
We reviewed the literature on the use of birth plans and communication in the pregnancy care setting. We provide an expert analysis and a recommendation for a comprehensive birth plan that incorporates patient preferences and individualizes patient risks as a communication tool.
In this expert opinion we outline how an equity birth plan can address social determinants of health, promote respectful communication and prioritize attention to patient narratives. This instrument can be used to address systemic problems that result in health inequities on a community, provider and institutional level.
A birth plan with attention to equity serves as a new paradigm for care which can empower patients and reduce racial inequities in perinatal and postpartum outcomes.
美国黑人分娩者受孕产妇死亡率影响的比例过高，且在分娩期护理期间更频繁地报告遭受身体和言语虐待。产前和产后护理的分娩计划可促进自主性和能动性，但尚未被用作解决围产期护理差异的工具。
我们回顾了关于分娩计划的使用以及孕期护理中沟通的文献。我们提供了一项专家分析，并就一份纳入患者偏好并将患者风险个体化作为沟通工具的综合分娩计划提出了建议。
在本专家意见中，我们概述了公平分娩计划如何能够解决健康的社会决定因素、促进尊重性沟通并优先关注患者叙述。这一工具可用于解决在社区、提供者和机构层面导致健康不平等的系统性问题。
关注公平的分娩计划是一种新的护理模式，可增强患者权能并减少围产期和产后结果方面的种族不平等。
