Cultivating Critical Love to Improve Black Maternal Health Outcomes

AMA J Ethics. 2024 Jan 1;26(1):E72-83. doi: 10.1001/amajethics.2024.72.

Abstract

Racism is responsible for the maldistribution of power in society and manifests as persistent disparities in maternal health among Black women in the United States. Testimonial injustice is an expression of prejudice that uses identity to undermine individuals' credibility as authoritative "knowers" of their own bodies, selves, and experiences. Among Black women, experiences of testimonial injustice in health care encounters are common and likely contribute to disparities in Black maternal health. To promote more equitable power distribution and prioritize testimonial justice in clinical encounters, this article proposes a conceptual framework for fostering critical-racial consciousness among health professions students and trainees. The goal is for critical-racial consciousness development and refinement to stimulate antiracist actions in medical decision making and, ultimately, lead to a more equitable health care system in which Black women can thrive.

MeSH terms

  • Clinical Decision-Making
  • Family
  • Female
  • Humans
  • Love*
  • Outcome Assessment, Health Care
  • Racism*