EBB 369 - What is Mistreatment in Childbirth? with Dr. Morgan Richardson Cayama from Team EBB
Digest
This podcast features Dr. Morgan Richardson Kayama, an expert in respectful maternity care. She shares her personal experience with a near-cesarean birth, which fueled her commitment to this field. Dr. Kayama defines respectful maternity care as person-centered, culturally-centered, and trauma-informed, emphasizing informed choice and bodily autonomy. The discussion covers the alarmingly high rates of mistreatment during childbirth in the U.S., including lack of autonomy, poor communication, and discrimination. Specific attention is given to maternity care in Florida and the unique needs of diverse communities. Dr. Kayama details her dissertation research interviewing Black birthing people in Florida, analyzing both positive and negative experiences. The podcast explores the link between disrespect and medical errors, suggesting a negative feedback loop. Finally, recommendations for improvement are offered, focusing on provider behavior, patient education, advocacy, and informed consent.
Outlines
Introduction and Dr. Kayama's Background
The podcast introduces Dr. Morgan Richardson Kayama and her expertise in respectful maternity care. Her journey into public health, influenced by a global health course and a focus on women's health, is highlighted.
Dr. Kayama's Birth Experience and its Impact
Dr. Kayama shares her personal hospital birth experience, including preterm labor and a near-cesarean. This experience solidified her commitment to researching respectful maternity care and informed her understanding of mistreatment.
Defining and Understanding Respectful Maternity Care
Dr. Kayama defines respectful maternity care, emphasizing person-centered, culturally-centered, and trauma-informed approaches. The importance of informed choice and bodily autonomy are stressed.
Mistreatment in Childbirth Care in the U.S.
The discussion delves into the prevalence of mistreatment during childbirth in the U.S., citing statistics and common forms of mistreatment, such as lack of autonomy, poor communication, and discrimination.
Maternity Care in Florida
Dr. Kayama discusses the unique aspects of maternity care in Florida, highlighting the state's diversity and the need for further research into specific communities.
Dr. Kayama's Dissertation Research
Dr. Kayama details her dissertation research, focusing on interviews with Black birthing people in Florida to understand their experiences and recommendations for respectful care. Both positive and negative experiences are analyzed.
The Disrespect-Medical Error Cycle
The conversation explores the potential link between disrespect in maternity care and medical errors, suggesting a negative feedback loop where lack of respect leads to increased errors.
Recommendations for Improving Maternity Care
The podcast concludes with recommendations for improving maternity care, focusing on provider behavior, patient education, and the importance of advocacy and informed consent.
Keywords
Respectful Maternity Care
Care prioritizing a birthing person's dignity, autonomy, and informed consent, free from mistreatment and harm. Includes person-centered, culturally-centered, and trauma-informed approaches.
Obstetric Violence
Acts of abuse or mistreatment during pregnancy, childbirth, or postpartum. Includes physical, verbal, or emotional abuse, and denial of autonomy.
Maternal Mistreatment
Encompasses disrespectful and abusive practices during pregnancy and childbirth, including lack of informed consent, coercion, and discrimination.
Bodily Autonomy
The right of individuals to make their own decisions about their bodies and healthcare, including during pregnancy and childbirth. Central to respectful maternity care.
Informed Consent
The process of ensuring a patient understands the risks and benefits of a medical procedure before agreeing to it. Essential for respectful maternity care.
Florida Maternity Care
The unique aspects of maternity care in Florida, highlighting the state's diversity and the need for further research into specific communities.
Black Birthing People
Experiences and recommendations for respectful care from interviews with Black birthing people in Florida.
Medical Errors in Childbirth
The potential link between disrespect in maternity care and increased medical errors.
Q&A
What is respectful maternity care, and why is it important?
Respectful maternity care prioritizes the birthing person's dignity, autonomy, and informed consent, free from mistreatment. It's crucial for positive birth experiences and equitable healthcare.
How common is mistreatment during childbirth in the U.S., and what are some common forms?
Studies show 20-25% of U.S. birthing people experience mistreatment. Common forms include lack of autonomy, poor communication, discrimination, and medical errors.
What recommendations emerged from Dr. Kayama's research for improving maternity care?
Recommendations include improved provider communication and bedside manner, respecting patient choice, providing comprehensive information, and advocating for birthing people's needs.
Show Notes
(08:17 ) From Dissertation to Delivery: Dr. Morgan's Birth Story
(15:57 ) Reflecting on the Power of Language and Provider Ultimatums
(19:40 ) What Mistreatment in Maternity Care Looks Like in the U.S.
(24:08 ) Florida's Unique Birth Landscape
(26:10 ) Researching the Lived Experiences of Black Birthing Women
(28:13 ) What Respectful Care Really Means to Patients
(35:29 ) Participant Recommendations for Healthcare Providers and Parents
(40:01 ) How a Single Birth Interaction Can Shape Lifelong Views on Healthcare
(42:00 ) Centering the Voices of Birthing People to Create Change
Table of contents
United States
