When a woman gives birth by cesarean section, a nationally accepted standard typically helps decide whether she’ll need the same procedure next time; but within the University of Maryland Medical System, race and ethnicity will no longer be part of calculations used to determine that.
“This is important for all of the algorithms, practice guidelines and calculators that we’re examining, reexamining here,” said Dr. Joseph L. Wright, vice president and chief health equity officer for UMMS.
He said the Vaginal Birth After Cesarean (VBAC) calculator does not need to consider a woman’s skin color.
“There’s a long, sordid history here about a belief in the actual pelvic architecture of women of color, compared to what is known as a gynecoid pelvis, which is the standard against whi
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