WMJ Vol 120 Supplement 1: Prenatal Racial Discrimination Associated With Dissatisfaction With Prenatal Care

ABSTRACT

Introduction: Maternal and infant racial and ethnic health disparities persist in Wisconsin. The Black infant mortality rate is 3 to 4 times that of White infants.

Objective: In this study, we used data from the Wisconsin Pregnancy Risk Assessment Monitoring System to examine women’s experiences with racism and accessing pre- and postnatal care.

Methods: Data from the 2016-2018 Pregnancy Risk Assessment Monitoring System—an ongoing state-administered surveillance system of new mothers—were used. The total number of non-White respondents was n = 2,571. The data are weighted both for nonsampling and for nonresponse. The prevalence of late entry to prenatal care, inadequate prenatal care, and no postpartum visit in the population of non-White women were calculated. Multivariable logistic regression was used to model the association between racial discrimination in the year prior to birth and perinatal care utilization and satisfaction.

Results: Less-than-adequate prenatal care was significantly associated with racial discrimination in bivariate analysis (OR 1.4; 95% CI, 1.02-1.8), but this relationship became marginally significant after adjusting for maternal sociodemographic characteristics (OR 1.3; 95% CI, 0.9-1.7). In contrast, prenatal experience of racial discrimination was associated with about 1.5 times the odds of not receiving a postpartum visit both before and after adjusting for maternal characteristics (OR 1.6; 95% CI, 1.1-2.3).

Conclusions: Completing the postpartum visit has the potential to save mothers’ lives; decreasing experiences of racial discrimination in health care settings may be one mechanism for decreasing maternal and infant mortality.

Intended Audience

The target audience for this journal-based activity is healthcare providers caring for the people and communities of Wisconsin and beyond.

Learning Objectives

As a result of this journal-based activity, the healthcare team will be able to:

  1. Explain the possible significance of the relationship between experiences of racial discrimination and engagement in pre- and postnatal care.
  2. Demonstrate the value of using PRAMS data to describe perinatal experiences for women in Wisconsin.
  3. Identify benefits of the postpartum visit to the long-term wellbeing of women.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC Contact Hours
  • 1.00 University of Wisconsin–Madison Continuing Education Hours
    • 1.00 Approved for AMA PRA Category 1 Credit™
Registration opens: 
05/03/2021
Course expires: 
05/02/2022
Cost:
$0.00
Part of: 
Wisconsin Medical Journal Volume 120
Rating: 
0

FACULTY DISCLOSURE

It is the policy of the University of Wisconsin–Madison Interprofessional Continuing Education Partnership (ICEP) to identify, mitigate and disclose all relevant financial relationships with ineligible companies* held by the  speakers/presenters, authors, planners, and other persons who may influence content of this accredited continuing education (CE).  In addition, speakers, presenters and authors must disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation.

For this accredited continuing education activity all relevant financial relationships have been mitigated and detailed disclosures are listed below.

Name of IndividualIndividual's Role in Activity

Name of Commercial Interest &
Nature of Relationship

Discussion of
Unlabeled/Unapproved
Uses of Drugs/Devices
in Presentation?

Terese Bailey, BSAccreditation SpecialistNo relevant relationships with ineligible companies to discloseNo
Jennifer Edgoose, MD, MPHReviewerNo relevant relationships with ineligible companies to discloseNo
Kate H. Gillespie, DNPAuthorNo relevant relationships with ineligible companies to discloseNo
Sheri P. Johnson, PhDReviewerNo relevant relationships with ineligible companies to discloseNo
David J. Pate, PhDReviewerNo relevant relationships with ineligible companies to discloseNo
Roberta Pawlak, PhD, RN, NEA-BCReviewerNo relevant relationships with ineligible companies to discloseNo
Sarina Schrager, MD, MSEditorNo relevant relationships with ineligible companies to discloseNo
Fiona Weeks, MSPHAuthorNo relevant relationships with ineligible companies to discloseNo

*Ineligible companies are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on, patients.

The ACCME does not consider providers of clinical services directly to patients to be commercial interests.

Discloser List CME Internal Report

Accreditation

Accreditation Statement

Jointly Accredited Provider LogoIn support of improving patient care, this activity has been planned and implemented by the University of Wisconsin–Madison ICEP and the Wisconsin Medical Journal.  The University of Wisconsin–Madison ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


Credit Designation Statements

American Medical Association (AMA)

The University of Wisconsin–Madison ICEP designates this journal-based CE activity for a maximum of 1.0 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Nurses Credentialing Center (ANCC)

The University of Wisconsin–Madison ICEP designates this journal-based CE activity for a maximum of 1.0 ANCC contact hour.  

Iowa Board of Nursing accepts ANCC contact hours for nursing continuing education requirements.

Continuing Education Units

The University of Wisconsin–Madison ICEP, as a member of the University Professional & Continuing Education Association (UPCEA), authorizes this program for 0.1 continuing education units (CEUs) or 1 hour.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC Contact Hours
  • 1.00 University of Wisconsin–Madison Continuing Education Hours
    • 1.00 Approved for AMA PRA Category 1 Credit™

Cost:
$0.00
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