One-fifth of U.S. mothers say they have experienced mistreatment by their health care provider during their pregnancy and delivery care and 29% say they have faced discrimination, according to new research from the Centers for Disease Control and Prevention, with higher rates of such incidents reported among women of color.
Approximately 20% of more than 2,400 women surveyed in a CDC Vital Signs report released Tuesday said they experienced some form of physical neglect or verbal abuse during their maternal care. The report’s findings were based on a survey conducted from April 24 through April 30 by public relations firm Porter Novelli.
Higher rates of mistreatment were reported by mothers who identify with a racial and ethnic minority group, including 30% of Black women, 29% of Hispanic women and 27% of multiracial women during their pregnancy care, compared to 19% of white women and 15% of Asian mothers.
Nearly 30% of women who were uninsured and 26% of those covered by Medicaid reported mistreatment during their maternity care compared to 16% of women with private insurance, according to the analysis.
The most common forms of mistreatment reported by survey respondents included receiving no response to requests for help, being shouted at or scolded, having a lack of physical privacy, and being threatened with the withholding of treatment or being coerced into accepting unwanted treatment.
“This report provides evidence that many women are having experiences that are truly unacceptable,” said Dr. Wanda Barfield, director of the CDC’s Division of Reproductive Health in a call with reporters held Tuesday.
In addition, 29% of women surveyed said they experienced at least one form of discrimination during their pregnancy care, with 40% of Black women, 39% of multiracial women, and 37% of Hispanic women reporting such incidents, compared to 26% of white women and 23% of Asian women. The most common reasons for discrimination reported included issues concerning age, weight and income.
“We know mistreatment and discrimination can have a negative impact on the quality of maternity care,” said CDC Chief Medical Office Dr. Debra Houry during a call with reporters.
Houry told the story of Dr. Shalon Irving, an officer within the CDC’s Epidemic Intelligence Service who died in 2017 as a result of high blood pressure three weeks after giving birth.
“As a health care community, we have to do better in providing unbiased and respectful maternity care equally to all mothers,” Houry said.
The report’s findings come at the same time as rising rates of death associated with giving birth in the U.S. The maternal mortality rate increased 89% from 17.4 deaths per 100,000 live birth in 2018 to 32.9 per 100,000 in 2021, according to a March CDC report, with the total number of annual deaths nearly doubling from 658 to 1,205 during that period. And women of color are even worse off than the general population.The maternal mortality rate among Black women increased from 37.3 deaths per 100,000 live births in 2018 to 69.9 per 100,000 in 2021, while the rate among Hispanic women increased by more than two-fold during that same period to 28 deaths per 100,000 live births in 2021, surpassing the rate among white women for the first time.
Houry said health care providers can do more to improve maternity care quality by promoting greater cultural competency and diversity within their clinical workforce, as well as focusing on developing practices that result in all maternity patients receiving an equitable standard of care.
“We know that most pregnancy-related deaths are preventable – more than 80%,” Houry said. “Respectful maternity care can be defined as preventing harm and mistreatment, communicating effectively, and providing equitable and unbiased care.”
B |
记者22日获悉,由福建人民艺术剧院创作演出的话剧《田螺姑娘》,日前入选第十届全国优秀儿童戏剧展演。
C | 记者了解到,“田螺姑娘”出自《搜神后记·卷五》中“白水素女”的故事,该民间传说源自福州市闽侯县螺洲镇,是福州地区极具代表性的文化符号之一,在全国范围内具有广泛影响。
D | 福建人艺新编创作的话剧《田螺姑娘》,在承续勤劳善良、知恩图报等中华民族传统美德的同时,也积极探索儿童剧艺术形式的跨界融合和创新表达。
E | 一方面,该剧融入“宋元南戏”元素及国家级非遗高甲戏、省级非遗闽南皮影戏等传统技艺;另一方面,主创团队创新结合杂技、魔术等现代表演形式,打破艺术壁垒,赋予作品独特的视觉美感。作为福建省舞台艺术精品工程2024年度重点扶持剧目,该剧还打造了沉浸式观剧体验,带领大小观众走进“田螺姑娘”的神话世界,感受真善美的动人力量。 第十届全国优秀儿童戏剧展演由文旅部等主办,旨在贯彻落实未成年人思想道德建设工作座谈会精神和《戏剧振兴三年行动计划(2026—2028年)》要求,全面展示近年来全国儿童戏剧创作生产和人才培养成果,引导儿童戏剧创作方向,推动儿童戏剧艺术繁荣发展。
F | 本次展演计划于8月下旬至9月在江苏常熟举办,全国共13部优秀儿童戏剧作品参演,集中展现近年来全国儿童青少年题材话剧、戏曲、木偶剧、皮影戏等多元创作成果与人才培养成效。
G | (记者 郭斌)。
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