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Medical Racism: Tackling

Implicit Bias in Maternal Care


Kaelyn Carter
kcarter3@umd.edu
Global Public Health Scholars Program
Public Health Science
Introduction
Fieldwork Site
In maternal care, there seems to be dire problem.
41.7% (per 100,000 live births) of black women are
• CPSP359S (Research)
dying during maternity/labor. This is the highest race
• FMSC110S, SPHL260, CPGH classes (prior
of women with maternal morbidity.
Of these deaths, most of the causes are issues knowledge)
• UMD Counseling Center (interviews)
that could have been prevented (i.e., hemorrhage,
infection/sepsis). This raises the question of why is
this happening and why is the black women the
prime victim of this?
With this becoming an issue amongst celebrities
Public Health Implication
as well (i.e., Serena Williams), the most reasonable
cause seems to be implicit bias in the medical field. • Implicit bias in maternal care stems from racist
past
Picture of UMD’s Counseling Center. It is within the Shoemaker Building. • Marion J. Sims
• Idea of “pain”
Study Design Future Solutions to Explore • Invasive research of the black body

• Research • Difficult to determine due to racial history


• Socio-economic model • Black women’s attitude towards physicians
• Expert’s work with implicit bias
• Organization level to target Physicians’ bias
• The past of medical advancements in
• Medical school curriculum, Workplace • Implicit bias is hard to distinguish among others
gynecology
• Black women’s perspective on doctors and yourself
• Unconsciously thinking and acting
• Extremely dangerous for physicians

Public Policy
• Federal and state non-
discriminatory laws

Community
• Built environment
• Cultural norms/values

Organizational
• College
• Medical School
• Workplace

Interpersonal
• Family showing bias
• Friends
• Environment of
upbringing

Individual
• attitudes or beliefs that
support bias
• History of showing bias
Figure 1. Socio-economic model.
Figure 2. Graph showing the discrepancy in maternal care.

Acknowledgments References
Bair, Barbara, and Susan E Cayleff. 1993. Wings of Gauze : Women of Color and the Experience of Health and Illness. Detroit: Wayne State University
A special thank you to Dr. Marring, Reva, Gislaine, Haley, and the Press.
“Pregnancy Mortality Surveillance System,” November 25, 2020. https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-
whole GPH Program!! surveillance-system.htm. 
Sims, J. Marion, H Marion-Sims, and Joseph Meredith Toner Collection. The Story of My Life. New York, D. Appleton and company, 1884. Web..
https://lccn.loc.gov/13017881.
Washington, Harriet A. 2006. Medical Apartheid : The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present.
I also wanted to thank Professor Eubanks for helping me along my 1st ed. New York: Doubleday.
White, Augustus A, and David Chanoff. 2011. Seeing Patients : Unconscious Bias in Health Care. Cambridge, Massachusetts: Harvard University Press.
journey with this research!! https://umaryland.on.worldcat.org/search?databaseList=&queryString=seeing+unconscious&umdlib=#/oclc/726742563

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