Defining Birth Equity in Kansas

Background: While some health outcomes improve in the United States, racial and ethnic disparities in pregnancy-related outcomes persist. In the United States and Kansas, Black women are three times more likely to die from a pregnancy-related complication than white women. Description: The Kansas Birth Equity Network (KBEN), is an initiative developed to address racial disparities in maternal and child health outcomes. We used a community-centered approach to collect stakeholder perceptions of birth equity and develop a case definition of birth equity. Methods: An open-ended online survey was designed to collect stakeholders’ definition of birth equity, their organization’s birth equity missions, and future aspirations of birth equity in Kansas. The survey was administered via REDCap and 35 members of KBEN were invited to participate. Common themes were identified, and a case definition was developed. Results: Guided by the health equity framework, three major themes were identified: elimination of birth disparities, reimagining systems of power, and assurance of optimal outcomes. A case definition of birth equity as “the assurance of equitable care through creating a system that eliminates health inequities and values parents and community stakeholders” was created and adopted. Conclusion: Guided by stakeholder perceptions of birth equity and the health equity framework, we achieved consensus that birth equity requires a focus on reimagining systems of power and centering the experiences of Black parents and families

Birthing While Black: The Maternal Health Experiences in Kansas

The state of maternal health and infant mortality in the United States is far worse than 33 developed countries (CDCP NCHS, 2018). Black mothers and infants die at twice the rate in comparison to mothers and infants of other races (CDC, 2020). Infant mortality is the death of a child before the age of one. The Sisters and Brothers for Healthy Infants Initiative focuses on education, community engagement, elevating the voices of Black mothers and fathers, and a community birthday party to celebrate Black infants first birthday. This signature event is known as Celebrate Day 366, a day to share information Black infant mortality, co-parenting, and fatherhood, conduct a community conversation on birth equity, and celebrate Black babies first birthday. This paper reflects the results from a panel discussion of community members and stakeholders in Kansas sharing their experiences with maternal and infant mortality. The Health Equity Framework four main components (systems of power, relationships and networks, individual factors, physiological pathways, that are integral to the inequities in maternal health and infant mortality was used to guide our research analysis (Peterson, et. al 2020). As a part of the qualitative content analysis, five themes emerged: 1) stress during pregnancy; 2) advocacy; 3) innovation of technology not equating to health equity; 4) realization of inferior care; and 5) racism and stereotypes. The themes reflected similar lived experiences amongst Black mothers, fathers, and physicians surrounding maternal health and infant mortality inequities. The results of the CD366 panel discussion highlight the importance of exploring how, if at all, Black mothers and fathers, are benefiting from the birthing experience