The Experience and Motivations of Midwives of Color in Minnesota: Nothing for Us Without Us

Journal of Midwifery & Women's Health
Jennifer AlmanzaRachel R Hardeman

Abstract

Racial disparities in birth outcomes originate with a confluence of factors including social determinants of health, toxic stress, structural racism, and barriers to engaging, high-quality perinatal care. Historically and currently, midwives are disproportionately white, and attention to the racial and ethnic diversity of midwives is an increasing focus in birth equity efforts. This qualitative study helps fill the gap in literature by assessing the perspectives and motivations of midwives of color. Building on concepts from critical race theory, semistructured interviews (30-90 minutes long) were used to elicit an authentic voice from midwives of color, who primarily identified as African American. Participants (N = 7) were midwives who were affiliated with an African American-owned birth center in north Minneapolis, Minnesota. Participants represented an estimated 58% of all midwives of color in the state of Minnesota. Emergent themes were identified using a grounded theory, inductive approach. Three rounds of coding were conducted, and key themes were identified and analyzed. Three primary themes emerged as motivations for midwives of color: 1) offering racially concordant care to the community, 2) racial justice as a primar...Continue Reading

References

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Aug 11, 2016·Journal of Midwifery & Women's Health·Katy Dawley, Linda V Walsh
Oct 14, 2016·Journal of Midwifery & Women's Health·Jeanne L AlhusenPhyllis Sharps
Nov 20, 2016·Journal of Midwifery & Women's Health·Rachel R Hardeman, Katy B Kozhimannil
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Citations

Aug 3, 2019·Journal of Midwifery & Women's Health·J'Mag KarbeahKaty B Kozhimannil
Mar 30, 2021·Policy, Politics & Nursing Practice·Katy B KozhimannilJ'Mag Karbeah

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