Psychometric validation of a patient-reported experience measure of obstetric racism© (The PREM-OB Scale™ suite).

Background: Perinatal quality improvement lacks valid tools to measure adverse hospital experiences disproportionately impacting Black mothers and birthing people. Measuring and mitigating harm requires using a framework that centers the lived experiences of Black birthing people in evaluating inequitable care, namely, obstetric racism. We sought to develop a valid patient-reported experience measure (PREM) of Obstetric Racism in hospital-based intrapartum care designed for, by, and with Black women as patient, community, and content experts.