A team that includes B.C. researchers has found that Black, Indigenous and people of colour are more likely to feel pressured into procedures by health providers during pregnancy and birth care.
The study, published in the journal Birth on Thursday, suggests that Black people in the U.S. are twice as likely as white people to be coerced into procedures during childbirth and postpartum.
“It's difficult to explain these differences that we see for racialized people without talking about racism.” Overall, nearly a third of participants reported feeling pressured into procedures, such as episiotomy, which involves making an incision to widen the opening of the vagina, using drugs to speed up labour or receiving an epidural.
Vedam and the research team found that white and Black participants declined care at similar rates, but practitioners were more likely to proceed with procedures that Black people had refused and respect the wishes of white respondents. Early findings from a parallel survey of 6,000 people across Canada suggest these problems exist in this country as well, said Vedam.
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