Title |
Why Equitable Access to Vaginal Birth Requires Abolition of Race-Based Medicine.
|
---|---|
Published in |
The AMA Journal of Ethic, March 2022
|
DOI | 10.1001/amajethics.2022.233 |
Pubmed ID | |
Authors |
Nicholas Rubashkin |
Abstract |
In 2010, the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units (MFMU) Network developed a decision aid, the Vaginal Birth After Cesarean (VBAC) calculator, to help clinicians discern how one variable (race) might influence patients' success in delivering a baby vaginally following a prior birth by cesarean. The higher rate of cesarean deliveries among Black and Hispanic women in the United States has long demonstrated racial inequities in obstetrical care, however. Although the MFMU's new VBAC calculator no longer includes race or ethnicity, in response to calls for abolition of race-based medicine, this article argues that VBAC calculator use has never been race neutral. In fact, VBAC calculator use in the United States is laced with racism, compromises patients' autonomy, and undermines informed consent. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 10 | 59% |
Spain | 1 | 6% |
Germany | 1 | 6% |
Unknown | 5 | 29% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 13 | 76% |
Scientists | 2 | 12% |
Practitioners (doctors, other healthcare professionals) | 2 | 12% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 17 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 2 | 12% |
Unspecified | 1 | 6% |
Student > Bachelor | 1 | 6% |
Student > Ph. D. Student | 1 | 6% |
Professor | 1 | 6% |
Other | 2 | 12% |
Unknown | 9 | 53% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 2 | 12% |
Unspecified | 1 | 6% |
Psychology | 1 | 6% |
Social Sciences | 1 | 6% |
Medicine and Dentistry | 1 | 6% |
Other | 0 | 0% |
Unknown | 11 | 65% |