Considerations for the Use of Race in Research in Obstetrics and Gynecology

Brown, Oluwateniola; Mou, Tsung; Tate, Mary; Miller, Edward; Debbink, Michelle

doi:10.1097/grf.0000000000000705

Cited by 3 publications

(2 citation statements)

References 57 publications

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“…Notions of racial and ethnic differences in pelvic anatomy and suitability for vaginal birth have historically racist antecedents 36. The most influential description of pelvic anatomic difference stems from the Caldwell-Moloy classification, which was proposed in 1933 and remains to this day in obstetric textbooks 37.…”

Section: Racism In Obstetrics and Gynecology—examplesmentioning

confidence: 99%

“…35 Notions of racial and ethnic differences in pelvic anatomy and suitability for vaginal birth have historically racist antecedents. 36 The most influential description of pelvic anatomic difference stems from the Caldwell-Moloy classification, which was proposed in 1933 and remains to this day in obstetric textbooks. 37 This typology reduced a large breadth of anatomic variation into 4 subtypes of pelvic shape that were infused with racialized notions of adequacy and normalcy.…”

Section: Racism In Obstetrics and Gynecology-examplesmentioning

confidence: 99%

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Race-based Versus Race-conscious Medicine in Obstetrics and Gynecology

O’Brien

Clare

2022

Clinical Obstetrics &Amp; Gynecology

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Race is a social and power construct whose meaning has shifted over time. Racist beliefs in medicine fostered the continuation of these notions. In this commentary, we review race-based medicine versus race-conscious medicine. Race-conscious medicine emphasizes racism as a key determinant of illness and health. Racism in obstetrics and gynecology has deep roots in its history. The use of race in clinical decisionmaking tools, such as those that predict successful vaginal birth after cesarean delivery, should be eliminated. Research that explores the complexities of health disparities and their effects on clinical outcomes are pivotal to race-conscious approaches in medicine.

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Section: Racism In Obstetrics and Gynecology—examplesmentioning

confidence: 99%

Section: Racism In Obstetrics and Gynecology-examplesmentioning

confidence: 99%

Race-based Versus Race-conscious Medicine in Obstetrics and Gynecology

O’Brien

Clare

2022

Clinical Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

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Surgical versus nonsurgical treatment selection patterns among Asian American patients with pelvic floor disorders: a matched cohort study

Lim,

Geynisman-Tan,

Dong

et al. 2023

Int Urogynecol J

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Disparities Research for Pelvic Floor Disorders: A Systematic Review and Critique of Literature

Mou,

Shinnick,

DeAndrade

et al. 2024

UROGC

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Importance Understanding the status of pelvic floor disorder (PFD) disparities research will allow the opportunity to advance future pelvic floor equity efforts. Objectives The aims of the study were to (1) characterize the landscape of PFD disparities literature using the 3 phases of disparities research framework, (2) describe the characteristics of PFD disparities studies, and (3) identify critical knowledge gaps. Study Design We performed a systematic review of peer-reviewed publications addressing disparities in PFDs among U.S. populations from PubMed, Embase, Scopus, or the Cochrane Database indexed between 1997 and 2022. Using the triphasic framework for advancing health disparities research by Kilbourne et al (Am J Public Health. 2006;96(12):2113–21), we categorized the included studies into the detecting phase (identifies and measures disparities in historically marginalized populations), understanding phase (establishes disparity determinants), or reducing phase (conducts interventions to alleviate inequities). All screening, coding, and quality reviews were independently performed by at least 2 authors. We used descriptive analysis and the χ2 test for comparisons. Results The initial search identified 10,178 studies, of which 123 were included. Of the included studies, 98 (79.7%), 22 (17.9%), and 3 (2.4%) studies were detecting, understanding, and reducing phase research, respectively. The most common disparity category investigated was race and ethnicity (104 studies), and one third of these studies attributed drivers of racial and ethnic differences to structural influences. Publications of detecting phase studies outpaced the growth of understanding and reducing phase research. Conclusions Most PFD disparities research focused on identifying historically marginalized populations with inadequate progression to understanding and reducing phases. We recommend progressing PFD disparities research beyond the detecting phase to advance health equity in PFD care.

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Considerations for the Use of Race in Research in Obstetrics and Gynecology

Cited by 3 publications

References 57 publications

Race-based Versus Race-conscious Medicine in Obstetrics and Gynecology

Race-based Versus Race-conscious Medicine in Obstetrics and Gynecology

Surgical versus nonsurgical treatment selection patterns among Asian American patients with pelvic floor disorders: a matched cohort study

Disparities Research for Pelvic Floor Disorders: A Systematic Review and Critique of Literature

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