Advancing Birth Equity

Addressing disparities in cesarean birth outcomes and promoting patient-centered care.

The Problem

The U.S. cesarean rate of 32% exceeds healthy levels. In California, C-sections are a contributing factor in 37% of severe maternal health issues, disproportionately affecting Black women. 

Why VBAC Matters

Most people who have a first C-section will later give birth via Elective Repeat Cesarean Delivery (ERCD), which can increase certain health risks. The NIH has identified increasing the Vaginal Birth After Cesarean (VBAC) rate as a public health priority. Safely increasing the VBAC rate in a patient-centered way could help reduce avoidable morbidity and mortality in childbirth. The VBAC rate in California persistently falls below the national average. 

Challenges in Equitable Access

Black and Latinx patients report more interest in VBAC than White patients, but they also face more barriers to accessing VBAC services. Tools like the VBAC calculator have historically discouraged Black and Latinx patients from attempting VBAC, reinforcing disparities in care.

Our Approach

We are committed to investigating how multi-level racism impacts care after a first C-section. Our work involves gathering data, engaging diverse stakeholders, and developing community-driven solutions to improve maternal health equity.

Building a Better Future

By addressing disparities in post-cesarean care, we aim to improve birth experiences, reduce negative postpartum outcomes, and ensure that all birthing people have access to safe, patient-centered options.