The US's maternal mortality and morbidity rates are strikingly high, especially among Black and Indigenous individuals. Documenting the birthing experiences and preferences of Black, Indigenous, and Latinx pregnant and parenting women and others who can become pregnant is critical to informing and shaping policy conversations around initiatives and programs designed to improve outcomes and mitigate maternal and infant health inequities. Our team conducted in-depth phone interviews with 19 women and focus groups with 26 women nationwide to understand their experiences and preferences for care throughout pregnancy, delivery, and postpartum. We focused our recruitment on Black, Latinx, and Native American/Indigenous pregnant and postpartum individuals. Important takeaways include ensuring that those who are pregnant/postpartum are provided with full, relevant information needed to make informed decisions and feel they have bodily autonomy. Participants shared frustration with the lack of pregnancy and delivery care options and feelings of coercion and powerlessness regarding decisions about their bodies during pregnancy. These findings reinforce the need to align the birthing preferences and lived experiences of women of color and other pregnant/postpartum individuals of color and center their voices in the policy conversation.
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