Boston Medical Center (BMC) is dedicated to improving how we care for our patients. We especially want to improve care for Black pregnant, birthing, and postpartum patients, who we know are more likely to be ignored, dismissed, abused, and mistreated during childbirth in hospital settings. We invite Black or African-American patients who had pregnancy-related care or gave birth at BMC to join a program that will help us name, measure, and monitor the primary cause of poor quality care and experiences: obstetric racism. We know that pregnancy, childbirth, and postpartum are very important milestones in your life, and we appreciate you sharing your truth with us.

Your input will help us make sure that we are providing the best care possible to anyone who received pregnancy, labor, and postpartum care at BMC.

What is the program?

BMC has partnered with two organizations – Birthing Cultural Rigor™, LLC (BCR) and the Resilient Sisterhood Project (RSP) – to understand how obstetric racism affects hospital care during pregnancy, labor, birth, and immediate postpartum.

The “Diagnosing and Dismantling Obstetric Racism During Hospital Birth at Boston Medical Center” program uses your feedback to look at how well or how poorly BMC’s health team has cared for you, your baby, your partner, your family, and other important members of your support team. The program lasts for 15 months. We will use this information to identify our strengths and weaknesses and improve the care we provide to Black or African-American people who receive pregnancy, labor, and postpartum care at BMC. We are doing this through the BMC Equity in Pregnancy Initiative.

How do I participate in the program?

There are several different ways to participate in our program:

If you gave birth at BMC anytime on or after January 1, 2020 and want to give us feedback about your hospital labor, birth, and postpartum experience:

We invite you to take The Patient Reported Experience Measure of Obstetric Racism© (also called The PREM-OB Scale™ Suite).

It includes an online screening, a 5-minute phone verification, and an online survey. The survey will take up to 1 hour. To start, please fill out the online screening. If you have any questions, please email info@birthingculturalrigor.org. In order to complete the survey, all of the following must apply to you:

  • You are 18 years old or older.
  • You identify as Black or African American.
  • You gave birth to a live newborn at Boston Medical Center anytime on or after January 1, 2020
  • You speak, read, and write English.
  • You have a working phone number and email address.
  • You have access to the internet.

If you identify as Black or African-American and went to BMC for any pregnancy-related care on or after January 1, 2020 and feel that racism, sexism, or both affected the care that BMC provided to you:

We invite you take part in an interview to tell us more about your experience.

First, we will ask you to fill out a one-time online screening survey, which takes less than 10 minutes. If your answers match our program goals, then you will then be asked to schedule an interview with the BCR team. The interview takes 30-60 minutes. During the interview, we ask about your feelings and thoughts about obstetric racism and how it shapes the care provided by Boston Medical Center. Please email info@birthingculturalrigor.org to ask to take part in the interview.

If you are someone who provided love and support to and/or listened to the story of a Black or African-American woman or person who went to Boston Medical Center for any pregnancy-related issue any time after January 1, 2020 and feel racism, sexism, or both affected the care that BMC provided to them:

We invite you to tell us more about the experiences of Black pregnant women and gender expansive people who received care at BMC. First, we will ask you to fill out a one-time online screening survey, which takes less than 10 minutes. If your answers match our program goals, then you will then be asked to schedule an interview with the BCR team. The interview takes 30-60 minutes. During the interview, we ask about your feelings and thoughts about obstetric racism and how it shapes the care provided by Boston Medical Center. Please email info@birthingculturalrigor.org to ask to take part in the interview.

We are looking to hear from partners, parents, siblings, friends, grandparents, aunties, doulas, and lactation educators. We also invite other people who you may have shared your story with, including members of your church congregation, hair dresser, barber, daycare center, community group members, local businesses, etc.

If you are a part of BMC hospital personnel, support staff, chaplain, clerk, nurse, midwife, physician, or administrator, aged 18 years or older, who has supported Black or African-American pregnant people at Boston Medical Center anytime on or after January 1, 2020 and feel racism, sexism, or both affected the care that BMC provided to your patients:

We invite you to tell us more about the experiences of Black pregnant women and gender expansive people who received care at BMC. First, we will ask you to fill out a one-time online screening survey, which takes less than 10 minutes. If your answers match our program goals, then you will then be asked to schedule an interview with the BCR team. The interview takes 30-60 minutes. During the interview, we ask about your feelings and thoughts about obstetric racism and how it shapes the care provided by Boston Medical Center. Please email info@birthingculturalrigor.org to ask to take part in the interview.

If you know someone who might be interested in the program:

Please see above for who is eligible for various program activities.

If you are a hospital provider or a community artist/activist/advocate and would like to refer a patient or client who gave birth at BMC for the PREM-OB Scale™ Suite, we invite you to please fill out the screening form as a hospital provider or community representative. You can also share the referral link with your patient or client if they prefer to self-refer: https://redcap.link/BMCandRSP.

If you think someone in your network who gave birth at BMC and might be interested in the PREM-OB Scale™ Suite, we invite you to share the link to the screening form: https://redcap.link/BMCandRSP.

If you know someone in your network who feels that racism, sexism, or both affected their pregnancy care at BMC or the care of their client, please ask them to email BCR (info@birthingculturalrigor.org) for more information about sharing their experiences in an interview with the BCR team.

Frequently Asked Questions

What will BMC do with the information I provide?

The Birthing Cultural Rigor™, LLC team will gather and store all information from online surveys, interviews, or focus group. They will interpret all information and then share the results with BMC without connecting your information to your identity. BMC is committed to using the feedback to improve how we provide care during pregnancy, labor, birth, and immediate postpartum. We will host public meetings in 2023 to share what we have learned. If you are interested in attending these meetings, or would like to receive updates on the program, please submit your information here.

How will being part of the program affect my care at BMC?

For our patients, it is completely your choice whether you want to take part in this program. You can also stop the program at any time. Deciding to participate or not participate in the program will not change the way we care for you at BMC. Your responses to this program may help us improve future care for pregnant, laboring and postpartum people at BMC.

How will being part of the program affect my employment at BMC or my partnership with BMC?

For hospital staff, your employment at BMC will not change based on whether or not you decide to participate in the program, or if you decide to stop being part of the program later.

For community leaders, your role or relationship at BMC will stay exactly the same whether or not you decide to participate in the program, or if you decide to stop being part of the program later.

Can I participate in more than one program activity?

Yes! If you gave birth to a live newborn at Boston Medical Center on or after January 1, 2020 AND feel that racism, sexism, or both affected the care that BMC provided to you, you can both complete the survey and an interview.

Is there compensation (payment) for being part of this program?

After you complete all the steps of the program, you will get a gift card from Birthing Cultural Rigor, LLC within 14 business days (excluding Saturdays, Sundays, and holidays). The last date to complete all steps and receive a gift card is September 30, 2022.

It will not cost you anything to be part of the program.

Who developed The Patient Reported Experience Measure of Obstetric Racism© (also called The PREM-OB Scale™ Suite) and the Diagnosing and Dismantling Obstetric Racism During Hospital Birth at Boston Medical Center Program?

The PREM-OB Scale™ Suite and the Diagnosing and Dismantling Obstetric Racism During Hospital Birth at Boston Medical Center Program were developed by Dr. Karen A. Scott, MD, MPH, FACOG (she/her), Dr. Scott is the Chief Black Feminist Physician Scientist, Founding CEO, and Owner of Birthing Cultural Rigor, LLC, with more than 25 years of advocating for the dignity and sanctity of Black women and girls. She is an improvement and implementation scientist, activist, teacher, and mentor grounded in a Black feminist-reproductive justice praxis with formal training and experience as community-based OBGYN physician and applied epidemiologist. This past August 2021, Dr. Karen A. Scott, MD, MPH, FACOG left a very brief two-year stint in academia and 20 years of medical practice as a "recovering, dissident, and disruptive" community trained and practicing OBGYN to establish a Black woman owned and operated quality improvement (QI) and implementation science (ImpSci), practice, and research firm, Birthing Cultural Rigor™️, LLC (BCR). You can learn more about Dr. Scott on the BCR website.

Who can I talk to if I have more questions about the program?

Please email info@birthingculturalrigor.org with questions about the program.

We will host public meetings in 2023 to share what we have learned. If you are interested in attending these meetings, or would like to receive updates on the program, please submit your information here.

Our Team

Boston Medical Center

Tejumola Adegoke, MD, MPH

Assistant Professor of Obstetrics & Gynecology

Tejumola Adegoke, MD, MPH

Giavanna Gaskin, MBA

Program Manager, Equity in Pregnancy

Giavanna Gaskin

Thea James, MD

Assistant Professor of Emergency Medicine and Vice President of Mission, Executive Director of the Health Equity Accelerator

Thea James, MD

Elena Mendez-Escobar, PhD, MBA

Executive Director of Strategy and the Health Equity Accelerator

Resilient Sisterhood Project

Lilly Marcelin

Founder and Executive Director, Resilient Sisterhood Project

Lilly Marcelin

Aleyana Momplaisir

Program Coordinator, Resilient Sisterhood Project

Aleyana Momplaisir