Factors associated with disparate outcomes among Black women undergoing in vitro fertilization

Ghidei, Luwam; Wiltshire, Ashley; Raker, Christina; Ayyar, Archana; Brayboy, Lynae M.

doi:10.1016/j.xfre.2021.12.002

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…Women of Color have higher rates of infertility, fibroids, and tubal factor, with lower success rates after in vitro fertilization, even when controlling for these factors. [66][67][68][69] They also have higher rates of cesarean delivery, poorer obstetrical and neonatal outcomes, and higher infant mortality. 68,70,71 Women of Color have higher rates of gynecologic cancers coupled with poorer prognoses 72 and even more severe experiences of perimenopausal symptoms.…”

Section: Disparate Outcomes: From Infertility To Maternal Mortalitymentioning

confidence: 99%

“…However, at the population level, there are stark reproductive inequities. Women of Color have higher rates of infertility, fibroids, and tubal factor, with lower success rates after in vitro fertilization, even when controlling for these factors 66–69 . They also have higher rates of cesarean delivery, poorer obstetrical and neonatal outcomes, and higher infant mortality 68,70,71 .…”

Section: Devaluing Women Of Color Leads To Disparate Treatment and Di...mentioning

confidence: 99%

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The impact of devaluing Women of Color: stress, reproduction, and justice

Mayne,

Ghidei

2024

Birth

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This commentary is in response to the Call for Papers put forth by the Critical Midwifery Studies Collective (June 2022). We argue that due to a long and ongoing history of gendered racism, Women of Color are devalued in U.S. society. Devaluing Women of Color leads maternal healthcare practitioners to miss and even dismiss distress in Women of Color. The result is systematic underdiagnosis, undertreatment, and the delivery of poorer care to Women of Color, which negatively affects reproductive outcomes generally and birth outcomes specifically. These compounding effects exacerbate distress in Women of Color leading to greater distress. Stress physiology is ancient and intricately interwoven with healthy pregnancy physiology, and this relationship is a highly conserved reproductive strategy. Thus, where there is disproportionate or excess stress (distress), unsurprisingly, there are disproportionate and excess rates of poorer reproductive outcomes. Stress physiology and reproductive physiology collide with social injustices (i.e., racism, discrimination, and anti‐Blackness), resulting in pernicious racialized maternal health disparities. Accordingly, the interplay between stress and reproduction is a key social justice issue and an important site for theoretical inquiry and birth equity efforts. Fortunately, both stress physiology and pregnancy physiology are highly plastic—responsive to the benefits of increased social support and respectful maternity care. Justice means valuing Women of Color and valuing their right to have a healthy, respected, and safe life.

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Section: Disparate Outcomes: From Infertility To Maternal Mortalitymentioning

confidence: 99%

Section: Devaluing Women Of Color Leads To Disparate Treatment and Di...mentioning

confidence: 99%

The impact of devaluing Women of Color: stress, reproduction, and justice

Mayne,

Ghidei

2024

Birth

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“…32 One contributing factor to the racial disparities in live-birth rates is the higher incidence of spontaneous abortions among Black women after ART treatments. 25,39 In a study of 1,457 women undergoing IVF in a military health system, there was a 51% increase in the spontaneous abortion rate in Black women. An analysis of an electronic health record database used by 140 IVF clinics also found that Black women had significantly more miscarriages than White women.…”

Section: Who Has a Live Birth?mentioning

confidence: 99%

Navigating Unequal Paths

Weiss,

Marsh

2023

Obstetrics &Amp; Gynecology

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Infertility is one of the most emotionally devastating conditions experienced during the reproductive window. Although not life-threatening, it significantly erodes quality of life for those with the diagnosis. Disturbingly, data demonstrate the existence of profound racial disparities that persist along the entire journey of infertility. Though most of the scientific literature emphasizes disparities in clinical outcomes after infertility treatment, it is important to recognize that these inequities are the downstream effect of a series of distinct challenges encountered by historically marginalized people on their path to parenthood. In this review, we explore the current state of knowledge concerning the inequities at each “step” in the path to overcome infertility challenges and propose solutions to create a future in which reproductive medicine is truly equitable, accessible, and supportive for everyone.

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