Significant racial disparities in health outcomes exist for pregnant and postpartum patients in Nebraska and across the U.S. Nationwide, maternal mortality rates have been climbing rapidly over the last 5 years, with Non- Hispanic Black mothers experiencing an excessively high burden of mortality. Nebraska is no exception to these alarming rates and inequities in the burden of excess deaths. More than 80% of pregnancy-related deaths are preventable. Furthermore, about 30% of Black, Hispanic, and multiracial women report being mistreated while receiving maternity care. A patient-centered approach can improve obstetric care for Women of Color.
Birth Equity (BE) Initiative Aim
By December 2025, more than 75% of NE birthing hospitals will be participating in the Birth Equity Initiative and more than 75% of participating hospitals will have all key strategies in place to address maternal disparities and promote birth equity between October 2023 and December 2025.
Developed with Intentionality
NPQIC began conceptualizing the Birth Equity Initiative in 2021. Community partners, clinical leaders, and patient voices have provided crucial input for key strategies and resource development. In Phase 1, the initiative will be implemented in the birthing facilities in Douglas and Lancaster Counties, which serve the largest proportion of Nebraska’s birthing people who identify as Black or people of color. NPQIC will then utilize early feedback to make any necessary updates and disseminate the initiative statewide in Phase 2.
Birth Equity Resources
ACOG Committee 736: Optimizing Postpartum Care (May, 2018)
Patient Education Maternal Urgent Warning Signs
Respectful and Equitable Care Resources
Improving Patient-Reported Race and Ethnicity Data Collection
American Hospital Association:
- Disparities Toolkit
Engaging Patients and Community in QI
- Birth Equity Kickoff 11/8/23