Beyond Silence and Inaction: Changing the Response to Experiences of Racism in the Health Care Workforce.

Abstract:

:The issue of race and ethnicity within obstetrics and gynecology has come to the forefront in the current social and political climate. Understanding the ill effects of racism within the clinical space requires an acknowledgment of both the ongoing problem and current limitations in the state of knowledge and praxis among clinicians, trainees, and educators alike. In this commentary, the issue of race and racism within obstetrics and gynecology is discussed through a case of discrimination experienced by an intern working in an urban, academic hospital. By attending to the different layers of hierarchy within medical education and care as well as the multitude of silences from potential allies, we demonstrate a critical need to understand racism and inequality in the clinical and educational space. We deconstruct the issue of race and racism by contextualizing it with ongoing discussions in the social sciences and public health as well as wider discussions of the relationship of race with professional training and employment in biomedical fields. Finally, we offer both action items and calls for future educational and practice-based solutions to affect change in the way obstetrics and gynecology is taught and practiced.

journal_name

Obstet Gynecol

authors

Premkumar A,Whetstone S,Jackson AV

doi

10.1097/AOG.0000000000002868

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

820-827

issue

4

eissn

0029-7844

issn

1873-233X

pii

00006250-201810000-00003

journal_volume

132

pub_type

社论
  • Gigantomastia complicating mirror syndrome in pregnancy.

    abstract:BACKGROUND:Gigantomastia is a rare and dangerous condition in pregnancy. Although improvement after delivery is likely, postpartum aggravation is possible. To date, various pharmacological approaches have been tried, with only marginal effectiveness. Surgical intervention is often necessary. CASE:A young woman present...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00061-9

    authors: Vidaeff AC,Ross PJ,Livingston CK,Parks DH

    更新日期:2003-05-01 00:00:00

  • Smoking and pregnancy: a comparison of Mexican-American and non-Hispanic white women.

    abstract:OBJECTIVE:To describe ethnic differences in tobacco use during pregnancy in a clinical population of Mexican-American and non-Hispanic white women. METHODS:Subjects were randomly selected from all patients attending a university-based obstetrics clinic in Tucson, Arizona. Of 555 subjects selected, 367 were interviewed...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Camilli AE,McElroy LF,Reed KL

    更新日期:1994-12-01 00:00:00

  • Increased erythrocyte adhesiveness and aggregation in peripheral venous blood of women with pregnancy-induced hypertension.

    abstract:OBJECTIVE:To study the state of erythrocyte adhesiveness/aggregation in the peripheral blood of women with pregnancy-induced hypertension as well as in matched controls using a simple slide test and image analysis. METHODS:We recruited 25 women with pregnancy-induced hypertension. Twenty-five age- and gestational age-...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01458-2

    authors: Gamzu R,Rotstein R,Fusman R,Zeltser D,Berliner AS,Kupferminc MJ

    更新日期:2001-08-01 00:00:00

  • Vaginal birth after cesarean delivery: an admission scoring system.

    abstract:OBJECTIVE:To develop a scoring system to predict the likelihood of vaginal birth in patients undergoing a trial of labor after previous cesarean delivery using factors known at the time of hospital admission. METHODS:Trial of labor was attempted in 5022 patients who were assigned randomly to score derivation and score...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/s0029-7844(97)00531-0

    authors: Flamm BL,Geiger AM

    更新日期:1997-12-01 00:00:00

  • Prevention of bone mineral loss in postmenopausal women by norethisterone.

    abstract::The effect of norethisterone on bone mineral metabolism was examined in 43 postmenopausal women. A significant decline in serum calcium, phosphate, and alkaline phosphatase in urinary calcium/creatinine ratio and in tubular maximum reabsorption of phosphate was demonstrated. There was no alteration in urinary hydroxyp...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Abdalla HI,Hart DM,Lindsay R,Leggate I,Hooke A

    更新日期:1985-12-01 00:00:00

  • Tuberculosis presenting as puerperal fever.

    abstract::Two cases of unusual postpartum fever in foreign nationals are presented. Prolonged work-up led to the diagnosis of pulmonary tuberculosis as a cause of postpartum fever that responded well to antituberculous drugs. The signs and symptoms illustrated by these cases should alert physicians to consider tuberculosis in t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Brar HS,Golde SH,Egan JE

    更新日期:1987-09-01 00:00:00

  • Histomorphometric changes in the skeleton of postmenopausal women with low bone mineral density treated with percutaneous estradiol implants.

    abstract:OBJECTIVE:To identify the effects of percutaneous estradiol (E2) implants on bone histology and bone mass of postmenopausal women with low bone mineral density. METHODS:Sixteen postmenopausal women with low bone mineral density were treated with 75-mg E2 implants. Each had iliac crest bone biopsies performed, followin...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Holland EF,Chow JW,Studd JW,Leather AT,Chambers TJ

    更新日期:1994-03-01 00:00:00

  • Clinical evaluation of a new herpes simplex virus ELISA: a rapid diagnostic test for herpes simplex virus.

    abstract::A new sensitive and rapid enzyme-linked immunosorbent assay (ELISA) test (Du Pont HERPCHEK) for the detection of herpes simplex virus (HSV) antigen was evaluated. A total of 563 clinical samples collected from patients attending obstetrics and gynecology and sexually transmitted disease clinics in two geographic locat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Baker DA,Gonik B,Milch PO,Berkowitz A,Lipson S,Verma U

    更新日期:1989-03-01 00:00:00

  • Outcome at 3 years of age in a population-based cohort of extremely preterm infants.

    abstract:OBJECTIVE:To assess health and neurodevelopmental outcome at 3 years of age in neonatal intensive care unit (NICU)-surviving children who were born at 26 or fewer weeks of gestation in a geographically defined region of Belgium from 1999 through 2000. METHODS:The study included a clinical examination and a standardize...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000284447.43442.55

    authors: De Groote I,Vanhaesebrouck P,Bruneel E,Dom L,Durein I,Hasaerts D,Laroche S,Oostra A,Ortibus E,Roeyers H,van Mol C,Extremely Preterm Infants in Belgium (EPIBEL) Study Group.

    更新日期:2007-10-01 00:00:00

  • Transvaginal endoscopic removal of eroded mesh after abdominal sacral colpopexy.

    abstract:BACKGROUND:Abdominal sacral colpopexy with permanent mesh has become the preferred abdominal technique for correcting posthysterectomy vaginal vault prolapse. Although rare, mesh erosion after sacral colpopexy is often challenging to manage. We report on 3 cases of mesh erosion after abdominal sacral colpopexy managed ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000123242.69217.93

    authors: Romero AA,Amundsen CL,Weidner AC,Webster GD

    更新日期:2004-05-01 00:00:00

  • Rubeola during pregnancy.

    abstract::We report three cases of rubeola during pregnancy complicated by pneumonia. All had bacterial superinfection of the lungs and a clinically mild hepatitis. One woman delivered at term and two underwent successful tocolysis, one of whom had an unexplained stillbirth 7 weeks later. Rubeola virus is not a teratogen, altho...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Stein SJ,Greenspoon JS

    更新日期:1991-11-01 00:00:00

  • Relaxin in human pregnancy serum measured with an homologous radioimmunoassay.

    abstract::This study reports serum levels of relaxin in normal and special-interest pregnancies using an homologous radioimmunoassay for human relaxin. The mean levels in uncomplicated antenatal patients were lower than those reported in studies using heterologous assays, but the trend in serum levels was similar. Serum levels ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Bell RJ,Eddie LW,Lester AR,Wood EC,Johnston PD,Niall HD

    更新日期:1987-04-01 00:00:00

  • What Is New in Validation and Simulation Training?: Best Articles From the Past Year.

    abstract::This month we focus on current research in validation and simulation training. Dr. Buek discusses four recent publications, which are concluded with a "bottom line" that is the take-home message. A complete reference for each can be found on on this page along with direct links to the abstracts. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003592

    authors: Buek J

    更新日期:2019-12-01 00:00:00

  • Neurodevelopmental Outcomes After Assisted Reproductive Technologies.

    abstract:OBJECTIVE:To compare children's cognitive, motor, and language development at 2 years of age after assisted reproductive technologies (ARTs) relative to natural conception. METHODS:The 3D-Study (2010-2012) is a prospective cohort study, which sought to improve the understanding among perinatal events, obstetric outcom...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001837

    authors: Balayla J,Sheehy O,Fraser WD,Séguin JR,Trasler J,Monnier P,MacLeod AA,Simard MN,Muckle G,Bérard A,3D-Study Research Group From the Integrated Research Network in Perinatology of Quebec and Eastern Ontario.

    更新日期:2017-02-01 00:00:00

  • Aggressive Angiomyxoma of the Vulva and Bladder.

    abstract:BACKGROUND:Aggressive angiomyxoma is a rare, locally infiltrative tumor, frequently occurring in female patients. Although wide local excision is considered standard therapy, radical surgery may be needed. CASE:A 49-year-old woman presented with an aggressive angiomyxoma involving the vulva and bladder. Given the horm...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000002254

    authors: Song M,Glasgow M,Murugan P,Rivard C

    更新日期:2017-10-01 00:00:00

  • Ophthalmic artery velocimetry in normotensive and preeclamptic women with or without photophobia.

    abstract:OBJECTIVE:To compare ophthalmic arterial velocimetry in normotensive and preeclamptic gravidas with and without photophobia. METHODS:Ophthalmic arteries were studied by color-flow Doppler ultrasonography in 118 normotensive pregnant women, 20 gravidas with preeclampsia and no visual symptoms, and 11 with preeclampsia,...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00294-x

    authors: Ohno Y,Kawai M,Wakahara Y,Kitagawa T,Kakihara M,Arii Y

    更新日期:1999-09-01 00:00:00

  • The prognostic value of antinuclear antibodies in women with recurrent pregnancy losses: a prospective controlled study.

    abstract::Because autoimmune diseases are suspected of causing some cases of recurrent pregnancy loss, we sought clinical and serologic evidence of such diseases in a group of 277 women with recurrent pregnancy loss. Using HEp-2 cells as targets for an indirect immunofluorescence test for antinuclear antibodies, we compared the...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Harger JH,Rabin BS,Marchese SG

    更新日期:1989-03-01 00:00:00

  • Severity of 2009 pandemic influenza A (H1N1) virus infection in pregnant women.

    abstract:OBJECTIVE:To examine 2009 H1N1 influenza illness severity and the effect of antiviral treatment on the severity of illness among pregnant women. METHODS:We abstracted medical records from hospitalized pregnant (n=62) and nonpregnant (n=74) women with laboratory-confirmed 2009 H1N1 influenza in New York City, May throu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181d57947

    authors: Creanga AA,Johnson TF,Graitcer SB,Hartman LK,Al-Samarrai T,Schwarz AG,Chu SY,Sackoff JE,Jamieson DJ,Fine AD,Shapiro-Mendoza CK,Jones LE,Uyeki TM,Balter S,Bish CL,Finelli L,Honein MA

    更新日期:2010-04-01 00:00:00

  • Anaphylactoid syndrome after intrauterine pressure catheter placement.

    abstract:BACKGROUND:Anaphylactoid syndrome of pregnancy is a rare and poorly understood complication of pregnancy. Intrauterine pressure catheter placement is a procedure routinely performed in labor and delivery that is traditionally associated with few complications. CASE:A pregnant woman at term experienced anaphylactoid sy...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181b5c8cc

    authors: Harbison L,Bell L

    更新日期:2010-02-01 00:00:00

  • Intimate Partner Sexual Assault: Traumatic Injuries, Psychological Symptoms, and Perceived Social Reactions.

    abstract:OBJECTIVE:To compare the consequences of sexual assault based on the relationship of the woman to her named assailant. METHODS:From January 2008 to March 2011, we conducted an observational and prospective study of females older than age 15 years who were examined at a sexual assault referral center. Data were collect...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001288

    authors: Seyller M,Denis C,Dang C,Boraud C,Lepresle A,Lefèvre T,Chariot P

    更新日期:2016-03-01 00:00:00

  • Labial adhesions presenting as urinary incontinence in postmenopausal women.

    abstract::Most discussion on labial adhesions is about the pediatric group. A case is presented of a postmenopausal woman whose main complaint was urinary incontinence. Etiology, symptoms, signs, and diagnosis are discussed. Guidelines for treatment and prevention are proposed. Because the number of postmenopausal women is stea...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198409001-00020

    authors: Chuong CJ,Hodgkinson CP

    更新日期:1984-09-01 00:00:00

  • Hysteroscopic treatment of the septate uterus.

    abstract::Twelve patients with symptomatic septate uteri underwent hysteroscopic division of the uterine septum, monitored by concomitant laparoscopy, over a six-year period. The preoperative reproductive performance included 42 pregnancies, with only three viable deliveries. Ten of the 12 patients conceived within one year aft...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198602000-00017

    authors: Valle RF,Sciarra JJ

    更新日期:1986-02-01 00:00:00

  • Use of GnRH agonist before hysterectomy: a cost simulation.

    abstract:OBJECTIVE:To evaluate the potential savings in cost of care derived from performing vaginal hysterectomies instead of abdominal hysterectomies in selected women with fibroid uteri equivalent in size to a 14-18 week gestation. METHODS:Women 35-46 years of age undergoing hysterectomy for fibroid uteri were selected to a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)00402-Y

    authors: Bradham DD,Stovall TG,Thompson CD

    更新日期:1995-03-01 00:00:00

  • Analysis of cryolesions in the uterine cervix: application techniques, extension, and failures.

    abstract::Although cryosurgery is regularly used for treatment of cervical intraepithelial neoplasia (CIN), there are few data concerning freeze technique and attendant extension of the cryolesion. This study evaluated how to create cryolesions extensive enough to eradicate the CIN lesion completely. The way the extension of th...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Boonstra H,Koudstaal J,Oosterhuis JW,Wymenga HA,Aalders JG,Janssens J

    更新日期:1990-02-01 00:00:00

  • Induction of labor in the nineties: conquering the unfavorable cervix.

    abstract:OBJECTIVE:To determine the efficacy, safety, and duration of induced labor using an integrative approach (prostaglandin, amniotomy, oxytocin) and to depict these findings graphically. METHODS:Five hundred ninety-seven pregnancies requiring induction of labor between October 1993 and May 1995 were analyzed prospectivel...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/S0029-7844(97)00259-7

    authors: Xenakis EM,Piper JM,Conway DL,Langer O

    更新日期:1997-08-01 00:00:00

  • Diagnosis of chlamydial infection in pregnant women using the Testpack Chlamydia diagnostic kit.

    abstract::We compared the performance of Testpack Chlamydia to tissue culture isolation for detection of endocervical chlamydia in an obstetric clinic population at high risk for infection. Among 227 evaluable patients, 30 tissue culture-confirmed chlamydial infections were found (13.2%). The sensitivity, specificity, and posit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Grossman JH 3rd,Rivlin ME,Morrison JC

    更新日期:1991-05-01 00:00:00

  • Rates of postpartum glucose testing after gestational diabetes mellitus.

    abstract:OBJECTIVE:To estimate rates of postpartum glucose tolerance testing in women diagnosed with gestational diabetes mellitus (GDM) and to assess factors associated with testing. METHODS:This was a retrospective cohort study of 344 women with GDM who received prenatal care in a maternal diabetes clinic during 2001-2004. R...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000245446.85868.73

    authors: Russell MA,Phipps MG,Olson CL,Welch HG,Carpenter MW

    更新日期:2006-12-01 00:00:00

  • A three-year prospective assessment of rectocele repair using porcine xenograft.

    abstract:OBJECTIVE:To prospectively evaluate clinical outcome of rectocele repair using xenograft 3 years after surgery. METHODS:Twenty-three patients who completed evaluation preoperatively and 1 year after surgery were assessed at a 3-year follow-up. Clinical examination was performed preoperatively, and at the 1- and 3-year...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000192547.58102.ab

    authors: Altman D,Zetterström J,Mellgren A,Gustafsson C,Anzén B,López A

    更新日期:2006-01-01 00:00:00

  • Pregnancy outcome after intra-abdominal bleeding due to placenta percreta at 14 weeks of gestation.

    abstract:BACKGROUND:With the rising rate of cesarean deliveries, the rate of placenta previa and placenta percreta will rise concomitantly resulting in a greater incidence of severe complications. CASE:This case report describes a pregnancy with a massive intra-abdominal bleeding due to placenta percreta at 14 weeks of gestati...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000254168.73160.21

    authors: Roeters AE,Oudijk MA,Heydanus R,Bruinse HW

    更新日期:2007-02-01 00:00:00

  • Genetic polymorphisms and spontaneous preterm birth.

    abstract:OBJECTIVE:To examine whether selected genetic polymorphisms in the infant are associated with spontaneous preterm birth (less than 37 weeks) among children with or without later-diagnosed cerebral palsy. METHODS:Exploratory case-control study investigating the relationship of gestational age at delivery to 31 single n...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000252712.62241.1a

    authors: Gibson CS,MacLennan AH,Dekker GA,Goldwater PN,Dambrosia JM,Munroe DJ,Tsang S,Stewart C,Nelson KB

    更新日期:2007-02-01 00:00:00