Adaptation of the Person-Centered Maternity Care Scale in the United States: Prioritizing the Experiences of Black Women and Birthing People

Factors associated with person‐centered care during pregnancy and birth for Black women and birthing people in California

“…A total of 312 participants were recruited between January and September 2020 as part of a validation study for the Person‐Centered Prenatal Care (PCPC) scale 15 and the Person‐Centered Maternity Care adapted for the U.S. context (PCMC‐US) scale 16 . Eligibility criteria included being less than 1 year postpartum, 15 years of age or older, and located in the state of California.…”

“…A few questions have a "not applicable" option. Both scales have been shown to have high validity and reliability, 15,16 with Cronbach's alphas of 0.94 and 0.95 for the PCPC and PCMC-US scales, respectively. Scores on both scales are generated by adding responses to the individual items after reverse coding negatively worded items and recoding not applicable options to the upper middle category such that all item responses range from 0 to 3; higher numbers indicate the desired behaviors.…”

“…There are several available measures to capture aspects of respectful, or person‐centered, reproductive health care, which is defined as “health care that is respectful of and responsive to individual [people] and their families' preferences, needs and values, and [ensures] that their values guide all clinical decisions.” 14 The Person‐Centered Prenatal Care (PCPC) scale and the Person‐Centered Maternity Care (PCMC‐US) scale were recently validated as measures to cumulatively assess the major domains of person‐centered care during prenatal care and birth, including communication and autonomy, dignity and respect, and supportive care 15,16 . These scales were designed specifically to capture the disparate experiences among people of color to help elucidate determinants and consequences of poor care quality and to measure the effectiveness of interventions to improve person‐centered care and reduce inequities in birth outcomes.…”

“…14 The Person-Centered Prenatal Care (PCPC) scale and the Person-Centered Maternity Care (PCMC-US) scale were recently validated as measures to cumulatively assess the major domains of person-centered care during prenatal care and birth, including communication and autonomy, dignity and respect, and supportive care. 15,16 These scales were designed specifically to capture the disparate experiences among people of color to help elucidate determinants and consequences of poor care quality and to measure the effectiveness of interventions to improve person-centered care and reduce inequities in birth outcomes. The purpose of this paper is to examine the factors associated with experiences of person-centered care among Black birthing people in California using the PCPC and PCMC-US scales.…”

America’s Racial Reckoning Within Perinatal Communication: A Rapid Review Using Sociotechnical Systems Theory to Compare Publications Before and After 2020

“…Themes that emerged during content analysis of the included articles include patient priorities of respect, trust, and dignity; patient autonomy and shared decision-making; cultural sensitivity and the provider’s awareness of their own implicit biases; individualized tailoring of messages or personal counseling on a topic; and, patient perception of the provider’s support for them and their baby. 9 , 21 - 25 …”