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Black and American Indian mothers more likely to give birth in lower-quality hospitals

A recent study published in JAMA Network Open reveals stark racial disparities in the quality of hospitals where Black and American Indian birthing individuals deliver. The research highlights that these groups are more likely to give birth in lower-quality hospitals compared to their White counterparts, underscoring systemic healthcare inequities.

The study analyzed maternal hospital records from California, Oregon, Michigan, South Carolina, and Pennsylvania, encompassing over 6.4 million birthing individuals. It found that Black and American Indian patients often delivered at hospitals with fewer resources and lower levels of obstetric care. This disparity is linked to higher rates of maternal mortality and severe maternal morbidity (SMM) among these populations.

Factors such as racism, stress, and socioeconomic status contribute to these inequities. The study’s authors emphasize that despite extensive research, there is still limited understanding of how racial and ethnic disparities extend to obstetric care quality. They call for more comprehensive approaches to address these issues, including improving access to high-quality hospitals for minority communities.

The findings highlight the urgent need for policy changes and targeted interventions to ensure that all birthing individuals receive equitable care. Addressing these disparities is crucial for reducing maternal mortality and morbidity rates and improving overall health outcomes for minority populations.

See: “Racial disparities based on delivery hospital quality reported” (March 24, 2025) 

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