A Quantitative Analysis of the Race-Correction Factor and Vaginal Birth After Cesarean Eligibility

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dc.contributor.advisorBarron, Lauren
dc.contributor.authorMartingano, Isabella
dc.contributor.departmentHealth Science Studies.en_US
dc.contributor.otherBaylor University.en_US
dc.contributor.otherEmilie Cunningham, Phd, MPHen_US
dc.contributor.schoolsHonors College - Honors Programen_US
dc.date.accessioned2022-05-20T18:31:03Z
dc.date.available2022-05-20T18:31:03Z
dc.date.copyright2022
dc.date.issued2022-05-20
dc.description.abstractIn 2007, the Maternal Fetal Medicine Units Network created a calculator that provided an early estimate of the success a woman would have if she chose to attempt a vaginal birth after cesarean delivery (VBAC). Race was one of six demographic variables used in the algorithm. Women who identified as either Hispanic or African American received a score seven points lower than Caucasian women, thereby making minority women on average less likely to be recommended for a VBAC. The use of a race-correction factor is a problematic practice that has received pushback from physicians across the country due to the concern that it may propagate race-based medicine and exacerbate health disparities. The aim of this thesis was to assess how many women at a federally qualified health center were negatively affected by the race factor during a one-year period. From April 2020 to April 2021, the participating hospital had a VBAC rate of 1.90%. The authors found that without the use of race adjustment, this number could have been as high as 3.03%. To continue paving the way for an equitable healthcare system, the tools and algorithms used to treat patients must be critically analyzed and assessed.en_US
dc.identifier.urihttps://hdl.handle.net/2104/11854
dc.language.isoen_USen_US
dc.rightsBaylor University projects are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. Contact libraryquestions@baylor.edu for inquiries about permission.en_US
dc.rights.accessrightsWorldwide accessen_US
dc.subjectRace-correction factor.en_US
dc.subjectVBAC.en_US
dc.subjectMedical disparities.en_US
dc.titleA Quantitative Analysis of the Race-Correction Factor and Vaginal Birth After Cesarean Eligibilityen_US
dc.typeThesisen_US

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