Addressing the National Crisis Facing Black and Latina Women, Birthing People, and Infants: The Maternal and Child Health Equity Summit.

To address the national crisis of maternal and infant health disparities, especially outcomes experienced by Black and Latina women and birthing people, The New York Academy of Medicine, the Icahn School of Medicine at Mount Sinai, the Blavatnik Family Women's Health Research Institute, and the University of Pennsylvania Health System and Perelman School of Medicine hosted the Maternal and Child Health Equity Summit. The primary purpose of the summit was to disseminate findings to a national audience of two National Institutes of Health-funded mixed-methods studies that investigated the contribution of hospital quality to disparities in maternal and infant Health in New York City (R01MD007651 and R01HD078565). In addition, the summit showcased factors in maternal and infant health inequity from leading diverse experts in both fields and identified outstanding challenges to reducing maternal and infant morbidity and mortality disparities and strategies to address them. Summit presenters and participants identified five primary areas of focus in proposed clinical actions and approaches for maternal and neonatal health care based on discussions during the summit: 1) quality and standardization of care; 2) adjustment of care strategy based on patient-reported experience; 3) health care professional and institutional accountability to patients; 4) commitment to building trust; and 5) anti-racism practices in education, training, and hiring. Recommendations from this conference should inform hospital care and public policy changes and frame a national agenda to address perinatal health disparities for Black, Indigenous, and other women and birthing people of color.

[1]  S. Sofaer,et al.  Distinguishing High-Performing From Low-Performing Hospitals for Severe Maternal Morbidity , 2022, Obstetrics and gynecology.

[2]  E. Howell,et al.  Intertwined disparities: Applying the maternal-infant dyad lens to advance perinatal health equity. , 2021, Seminars in perinatology.

[3]  Ethan Y. Brovman,et al.  A Dashboard for Tracking Mortality After Cardiac Surgery Using a National Administrative Database , 2021, Cardiology research.

[4]  K. Scott,et al.  Black Women’s Perspectives on Structural Racism across the Reproductive Lifespan: A Conceptual Framework for Measurement Development , 2021, Maternal and Child Health Journal.

[5]  Lisa M. Boyd,et al.  Considerations for Building Sustainable Community Health Worker Programs to Improve Maternal Health , 2020, Journal of primary care & community health.

[6]  P. Hebert,et al.  Race and Ethnicity, Medical Insurance, and Within-Hospital Severe Maternal Morbidity Disparities. , 2020, Obstetrics and gynecology.

[7]  L. Burke,et al.  Ecological momentary assessment of stress, racism and other forms of discrimination during pregnancy using smartphone technology. , 2020, Paediatric and perinatal epidemiology.

[8]  L. Bullinger The Effect of Paid Family Leave on Infant and Parental Health in the United States. , 2019, Journal of health economics.

[9]  Julia C Phillippi,et al.  Midwifery presence in United States medical centers and labor care and birth outcomes among low-risk nulliparous women: A Consortium on Safe Labor study. , 2018, Birth.

[10]  P. Hebert,et al.  Differences in Morbidity and Mortality Rates in Black, White, and Hispanic Very Preterm Infants Among New York City Hospitals , 2018, JAMA pediatrics.

[11]  Imam M. Xierali,et al.  The Racial and Ethnic Composition and Distribution of Primary Care Physicians , 2018, Journal of health care for the poor and underserved.

[12]  Zoe Darwin,et al.  Health behaviour and pregnancy: a time for change , 2018, Journal of reproductive and infant psychology.

[13]  P. Hebert,et al.  Severe Maternal Morbidity Among Hispanic Women in New York City: Investigation of Health Disparities. , 2017, Obstetrics and gynecology.

[14]  G. Gee,et al.  Racism as a Determinant of Health: A Systematic Review and Meta-Analysis , 2015, PloS one.

[15]  Paul L Hebert,et al.  Black-white differences in severe maternal morbidity and site of care. , 2016, American journal of obstetrics and gynecology.