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A pivotal paradigm shift: group care challenges racial bias in maternity care

Published:April 08, 2021DOI:https://doi.org/10.1016/j.ajog.2021.04.214
      We applaud the authors’ recognition of the potential power of group prenatal care to overcome well-documented and unacceptable disparities in maternal health outcomes.
      • Carter E.B.
      • EleVATE Women Collaborative
      • Mazzoni S.E.
      A paradigm shift to address racial inequities in perinatal healthcare.
      We should not be surprised to find that the power to achieve such momentous change lies not in new technology or pharmacology but in elevating the strength of the provider-patient relationship to foster healing in communities.
      • Gareau S.
      • Lòpez-De Fede A.
      • Loudermilk B.L.
      • et al.
      Group prenatal care results in Medicaid savings with better outcomes: a propensity score analysis of CenteringPregnancy participation in South Carolina.
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      References

        • Carter E.B.
        • EleVATE Women Collaborative
        • Mazzoni S.E.
        A paradigm shift to address racial inequities in perinatal healthcare.
        Am J Obstet Gynecol. 2021; 224: 359-361
        • Gareau S.
        • Lòpez-De Fede A.
        • Loudermilk B.L.
        • et al.
        Group prenatal care results in Medicaid savings with better outcomes: a propensity score analysis of CenteringPregnancy participation in South Carolina.
        Matern Child Health J. 2016; 20: 1384-1393
        • Centering Healthcare Institute
        Advancing maternal child health through evidence-based practice. Research and resources on the centering model.
        (Available at:)
        • Hardeman R.R.
        • Karbeah J.
        • Kozhimannil K.B.
        Applying a critical race lens to relationship-centered care in pregnancy and childbirth: an antidote to structural racism.
        Birth. 2020; 47: 3-7

      Linked Article

      • A paradigm shift to address racial inequities in perinatal healthcare
        American Journal of Obstetrics & GynecologyVol. 225Issue 1
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          We appreciate the authors’ phenomenal contribution to the genesis and growth of the CenteringPregnancy movement and their comments. We agree and take this argument one step further. Group prenatal care interventions may be an ideal vehicle through which to train obstetrical clinicians in providing excellent patient-centered care. However, group prenatal care alone will not fundamentally affect systemic change without intentionally developing antiracist systems and policies and implementing trauma-informed principles to shift the culture of healthcare and improve patient outcomes.
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      • Understanding the relationship between operative time and venous thromboembolism after benign hysterectomy
        American Journal of Obstetrics & GynecologyVol. 225Issue 1
        • Preview
          We would like to thank Dr Ince for his interest in our manuscript and his comments regarding our study.1 His letter highlights the importance of analyzing the data with consideration of both the quality and source of the data. We sincerely appreciate the opportunity to critically review our manuscript as a result and hope that the published work addresses the concerns raised.
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