Preparation, Experience of Discrimination, and Birth Experience Among Women Birthing in Ohio.

Childbirth preparedness is related to maternal health outcomes, especially those occurring in the early postpartum period. Women birthing in Ohio were recruited for a longitudinal cohort study to identify predictors of childbirth preparedness, examine associations between childbirth preparedness and experiences of discrimination, and determine effects of preparedness on satisfaction with birth. Childbirth preparedness, especially related to the patient-provider relationship, was associated with maternal race, insurance type, and experiences of discrimination. It was associated with overall satisfaction, autonomy in decision-making, and perceived respect. By understanding the relationships among childbirth preparedness, experiences of discrimination, and satisfaction with birth, interventions can be developed to decrease maternal morbidity and increase health equity.