On Diversity:
Contemporary Black
Midwives’
Perceptions of
Organizational
Diversity Initiatives
Midwives Alliance of North ...
Study’s Research Questions
•

How do black midwives understand their role, its
possibilities and challenges, in addressing...
Study Participants
• 23 Interviews
_ 13 Certified Nurse Midwives
– 5 Certified Professional Midwives
– 2 Certified Midwive...
Identified Themes
• Who is a Midwife?
– Effects of Medicalization &
Credentialism, especially the loss of the
community mi...
Identified Themes

• Overt & Systematic Racism is the
Major Explanatory Factor of the
High U.S. Black Maternal and
Infant ...
Identified Themes
• Beyond Birthing
– Need for Targeted Recruitment &
Retention Efforts for Midwives of
Color
– Need for C...
Identified Themes
• Experience of Alienation in Large
Professional Midwifery
Organizations, i.e. Midwives
Alliance of Nort...
What is Diversity?
The Trouble with Diversity
• “Diversity is performance art for
white people.”
• “I used to be a member of [X Large
Midwife...
The Trouble with Diversity
• Conflation of multiculturalism with
diversity
• Need for true representation of
women of colo...
The Trouble with Diversity
• Need for continued support of
student midwives of
color, specifically scholarship and
precept...
The Trouble with Diversity
• Need for continued collaboration
of major midwifery organizations
to model and create opportu...
Thank You!
Keisha L. Goode
Doctoral Candidate in Sociology
The Graduate Center,
City University of New York
kgoode@gc.cuny...
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On Diversity: Contemporary Black Midwives Perceptions of Organizational Diversity Initiatives

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Developed for Birthing Social Change: Midwives Alliance of North America Annual Conference 2013

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On Diversity: Contemporary Black Midwives Perceptions of Organizational Diversity Initiatives

  1. 1. On Diversity: Contemporary Black Midwives’ Perceptions of Organizational Diversity Initiatives Midwives Alliance of North America Conference October 25th, 2013
  2. 2. Study’s Research Questions • How do black midwives understand their role, its possibilities and challenges, in addressing the issues of the current health care crisis? • How do black midwives interpret the relatively low percentage of black midwives and black women’s underutilization of midwifery services in the United States? • How do black midwives interpret the relatively high black maternal and infant mortality rate in the United States? • How do black midwives interpret the increasing medicalization and credentialism of midwifery and its impact on their work? • What are the differences in black midwives experiences and perceptions by age cohort, state regulation and type of midwife, i.e. nurse, direct-entry, student?
  3. 3. Study Participants • 23 Interviews _ 13 Certified Nurse Midwives – 5 Certified Professional Midwives – 2 Certified Midwives – 3 Midwifery Education Program Representatives
  4. 4. Identified Themes • Who is a Midwife? – Effects of Medicalization & Credentialism, especially the loss of the community midwife – How does this impact the larger goal of providing excellent care to women and girls? • What is Midwifery? – Continued need for education and community outreach on midwifery, its history and it’s safety, particularly for women and teenage girls of color – Post Traumatic Slavery Syndrome
  5. 5. Identified Themes • Overt & Systematic Racism is the Major Explanatory Factor of the High U.S. Black Maternal and Infant Mortality Rates
  6. 6. Identified Themes • Beyond Birthing – Need for Targeted Recruitment & Retention Efforts for Midwives of Color – Need for Continued & Increased Presence in Local, State, National & International Health and Education Policy Initiatives
  7. 7. Identified Themes • Experience of Alienation in Large Professional Midwifery Organizations, i.e. Midwives Alliance of North America & the American College of NurseMidwives
  8. 8. What is Diversity?
  9. 9. The Trouble with Diversity • “Diversity is performance art for white people.” • “I used to be a member of [X Large Midwifery Organization] but I’m not anymore. It’s racist. They play lip service to diversity but there is no real financial commitment to it.” • “Don’t use racial disparities and talk of diversity [air quotes] in order to get more funding for your organization. That’s bullshit.”
  10. 10. The Trouble with Diversity • Conflation of multiculturalism with diversity • Need for true representation of women of color on Board of Directors and other governing/advising bodies • Need for full organizational support, specifically financial, for all women or color committee programming and initiatives
  11. 11. The Trouble with Diversity • Need for continued support of student midwives of color, specifically scholarship and preceptorship opportunities • Need for conference and other educational programming on issues and challenges unique and specific to women of color and babies
  12. 12. The Trouble with Diversity • Need for continued collaboration of major midwifery organizations to model and create opportunities for a more cohesive midwifery community
  13. 13. Thank You! Keisha L. Goode Doctoral Candidate in Sociology The Graduate Center, City University of New York kgoode@gc.cuny.edu 301.452.7728

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