2025 Theses Doctoral

Black Obstetric Providers' Perspectives on the Maternal Mortality Crisis and their Approach to the Patient-Provider Relationship: A Qualitative Exploration

Snow, Olivia Rochelle

The present study explores the perspectives of Black obstetric providers on the maternal mortality crisis and its influence on patient-provider relationships. Grounded in Black feminist theory and analyzed with Interpretative Phenomenological Analysis (IPA), the present findings revealed that maternal mortality is a multifactorial crisis deeply rooted in systemic failures, institutional barriers, and interpersonal lapses in care. Participants consistently highlighted racism as a defining element of the crisis, describing it as a reality of disproportionate deaths of Black women within a healthcare system equipped with advanced resources. Additionally, the providers detailed the emotional toll of the maternal mortality crisis, expressing hypervigilance, fear, and exhaustion.

The participants also identified the importance of fostering the patient-provider connection through culturally responsive communication, shared identity, and empathy. The findings suggest that existing institutional efforts are effective, but insufficient. Participants advocated for enhanced practices in education, training, diversified medical staff, and increased investment in primary and preventative care. These recommendations emphasize the need for systemic reform to address maternal mortality disparities. This scholarship amplifies the voices of Black obstetric providers, offering crucial insights into the maternal mortality crisis and informing equitable healthcare practices.