A recent study reveals a concerning connection between gendered racial microaggressions experienced during obstetric care and elevated postpartum blood pressure among Asian, Black, and Hispanic women. Researchers from Columbia University and the University of Pennsylvania found that women who reported at least one microaggression during care showed modestly higher systolic blood pressures in the days and weeks following childbirth.
The study, published in Hypertension, involved 373 participants from four hospitals in Philadelphia and New York City. Those who experienced microaggressions, such as feeling disrespected or being accused of anger when speaking assertively, had systolic blood pressures up to 2.19 mm Hg higher than their peers who did not report such experiences.
Dr. Teresa Janevic, the study’s lead author, emphasized the importance of these findings: “Our research provides further evidence that healthcare professionals and policies should focus more intensely on improving maternal healthcare equity.” The impact was even more pronounced when combined with living in neighborhoods affected by structural racism, resulting in systolic blood pressure increases of up to 7.55 mm Hg.
Dr. Lisa Levine, a co-author of the study, highlighted the long-term implications: “The magnitude of these types of physiologic changes may become cumulative over time and lead to the inequities we see in many health outcomes.” This research underscores the need for extended postpartum monitoring and interventions, particularly for women from minority communities.
The study suggests that the effects of microaggressions on blood pressure may strengthen over time, pointing to an opportunity for closer monitoring during the later postpartum period. As healthcare providers grapple with persistent disparities in maternal health outcomes, this research offers valuable insights into the subtle yet significant impact of interpersonal racism on women’s health after childbirth.
See: “Racism and Postpartum Blood Pressure in a Multiethnic Prospective Cohort” (January 9, 2025)
