['You think, like, you're neutral but you're not'Racial and ethnic bias in pain management in Dutch maternity care].

Q4 Medicine

Nederlands tijdschrift voor geneeskunde Pub Date : 2026-07-29

Evelien Overtoom, Bahareh Goodarzi, Syllona Kanu, Alana Helberg-Proctor, Ank de Jonge, Kitty Bloemenkamp

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引用次数: 0

Abstract

Objective: To investigate the role of racial/ethnic bias in the assessment, management and treatment of pain among maternal and newborn care professionals in the Netherlands.

Design: Mixed methods study.

Method: Quantitative: retrospective assessment of a prospective cohort of uterine ruptures in the Netherlands (NethOSS, 2016-2018) examining associations between race/ethnicity categories and language barrier, and the response time to pain and maternal/perinatal outcomes. Qualitative: thematic analysis of semi-structured interviews with professionals about racial and ethnic bias in pain assessment, management and treatment.

Results: Caesarean section was significantly more frequently performed >180 minutes after the first pain complaint in the non-Western category compared to the Western category (8/15 (53.3%)) vs (1/12 (8.3%))) (OR 12.57, 95% CI 1.28- 123.48). Professionals expressed implicit racial and ethnic bias and stereotypes about pain experience and expression, while mostly perceiving their own practice as unbiased.

Conclusion: Racial thinking and notions of ethnic differences in pain assessment, management, and treatment were largely unrecognized.

本刊更多论文

“你以为你是中立的，但你不是”荷兰产科护理中疼痛管理的种族和民族偏见。

目的：探讨种族/民族偏见在荷兰孕产妇和新生儿护理专业人员疼痛评估、管理和治疗中的作用。设计：混合方法研究。方法：定量：回顾性评估荷兰子宫破裂的前瞻性队列（NethOSS, 2016-2018），研究种族/民族类别与语言障碍、疼痛反应时间和孕产妇/围产期结局之间的关系。定性：对专业人员关于疼痛评估、管理和治疗中种族和民族偏见的半结构化访谈进行专题分析。结果：与西方手术组相比，非西方手术组在首次疼痛后180分钟进行剖腹产的频率明显更高(8/15 (53.3%)vs (1/12 (8.3%)) （OR 12.57, 95% CI 1.28- 123.48）。专业人士在疼痛体验和表达方面表现出隐性的种族和民族偏见和刻板印象，而大多数人认为自己的实践是公正的。结论：在疼痛评估、管理和治疗方面，种族思维和种族观念差异在很大程度上未被认识到。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nederlands tijdschrift voor geneeskunde Medicine-Medicine (all)

CiteScore

0.30

自引率

0.00%

发文量

302

期刊介绍： Het NTVG staat bekend als hét wetenschappelijke algemene medische tijdschrift. De lange historie en de degelijkheid maken het tijdschrift tot een bolwerk van medische wetenschap in druk. Ook door de goede leesbaarheid draagt het tijdschrift bij aan de voortdurende dialoog over de geneeskunde.