Breaking down barriers: How diversity in clinicians can reduce premature birth rates

November is Prematurity Awareness Month, and it’s an important time to recognize the staggering preterm birth rates in the United States and around the world.

By breaking down barriers and increasing diversity in health care, we can make real progress in reducing preterm birth rates.

Benefits of diversity in health care for pregnant women

Diversity in clinicians can help bridge the gaps between health care providers and communities, reduce bias in care and provide more individualized and appropriate care for mothers and babies before and after birth.

"When clinicians come from different backgrounds, they bring a range of perspectives, experiences and cultural understanding that can greatly improve the care provided," says Joseph M. Gobern, MD, MBA, FACOG, an obstetrician/gynecologist and chair of OB/GYN at Main Line Health.

Non-Hispanic blacks/African Americans have 2.4 times the infant mortality rate as non-Hispanic whites.

Having a diverse group of health care providers ensures that women from all backgrounds and ethnicities receive the best possible care. With diverse clinicians, pregnant women can feel more supported, understood and empowered to make informed decisions about their health and the health of their babies.

Challenges in achieving diversity in health care

Creating diversity in health care is not without its challenges. One major obstacle is the lack of representation and opportunities for underrepresented communities in health care professions. Structural barriers, such as limited access to education and bias in the hiring process, contribute to this problem.

"Additionally, unconscious bias within health care organizations can perpetuate the lack of diversity. Overcoming these challenges requires a commitment to addressing systemic inequities, promoting equal opportunities and fostering a culture of inclusivity within health care settings," says Dr. Gobern.

By actively working towards increasing diversity, health care organizations can help create a more equitable and inclusive health care system that benefits all patients, including pregnant women.

How to advocate for yourself during pregnancy

Pregnancy can be a challenging and overwhelming time, but it's important to remember that you have a voice and the right to advocate for yourself. Here are some ways to advocate for yourself during pregnancy:

1. Educate yourself: Take the time to learn about pregnancy, childbirth and your rights as a patient. This knowledge will empower you to ask questions, make informed decisions and voice any concerns you may have.
2. Communicate with your health care provider: Build a strong relationship with your health care provider that is based in open communication. Ask questions, share your concerns and discuss any symptoms or changes you're experiencing. Your health care provider is there to support you, so don't hesitate to speak up.
3. Seek a second opinion: If you're unsure about a diagnosis or treatment plan, don't hesitate to seek a second opinion. Your health and the health of your baby are paramount, so it's essential to have confidence in your medical care.
4. Establish a support system: Surround yourself with a supportive network of family, friends and health care professionals who will listen to your concerns and provide guidance. Their support can be invaluable throughout your pregnancy journey.
5. Take care of your mental health: Pregnancy can be emotionally taxing, so prioritize your mental well-being. Seek counseling or support groups if needed, practice self-care and reach out for help if you're struggling.

"Remember, advocating for yourself during pregnancy is not only about your well-being but also about the well-being of your baby," says Dr. Gobern. "So never hesitate to speak up, ask question or be an active participant in your health care."

Resources for additional support

If you're an expecting mother and need additional support during your pregnancy, there are various resources available to you. From online communities to local support groups, these resources can provide you with the guidance and reassurance you may need.

Online forums and social media groups dedicated to pregnancy and motherhood can connect you with other women who may be experiencing similar challenges. Local hospitals and birthing centers often offer support groups or classes for expectant mothers, where you can meet other moms-to-be and learn from health care professionals.

Additionally, reaching out to your health care provider for recommendations or referrals to counseling services or support groups can be a great way to find the help you need. Remember, you don't have to navigate your pregnancy journey alone – there are resources out there to support and empower you every step of the way.

Next steps:

Make an appointment with an OB/GYN provider
Learn more about Obstetrics / Gynecology and Maternity Care at Main Line Health
Coping following a preterm birth