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Evidence Library · Being heard

How you are likely to be treated is partly predictable

Mistreatment in maternity care is measured, and it is not rare.

This is not a matter of luck or personality. It has been surveyed.

In a 2023 national survey of 2,402 US mothers, 20.4% reported at least one form of mistreatment during maternity care. The most common single item was being ignored, or having a request for help refused or go unanswered, reported by 9.7%. Others reported being shouted at or scolded (6.7%), having their physical privacy violated (5.1%), or being threatened with treatment being withheld (4.6%).

GroupReported at least one form of mistreatment
All mothers surveyed20.4%
Black mothers30.0%
Hispanic mothers29.3%
White mothers17.8%
Asian mothers14.8%
Uninsured28.1%
Medicaid26.1%
Private insurance15.9%
Questions that predict how you will be treated
  • "If I disagree with a recommendation, what happens?"
  • "Who will be in the room, and can I ask someone to leave?"
  • "Will you ask before an examination every time, including in labor?"
  • "What is your practice's policy if I say no to something?"
How readily a clinician answers these tells you more than the answers themselves.
Where this comes from:
253. Mohamoud YA, Cassidy E, Fuchs E, Womack LS, Romero L, Kipling L, et al. Vital signs: maternity care experiences, United States, April 2023. MMWR Morb Mortal Wkly Rep. 2023;72(35):961-967.

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This page is educational. It supports the conversation with your own clinicians. It is not consent to any treatment, and it cannot assess you. If you are worried about a symptom now, see urgent warning signs.