Abstract：
Maternal morbidity and mortality disproportionately affect Black birthing people. Multiple factors contribute to these disparities, including variations in quality health care, structural racism, and implicit bias. Interactions between Black patients and perinatal clinicians could further affect perinatal care use and subsequent perinatal outcomes. This integrative review aims to synthesize quantitative and qualitative literature published in peer-reviewed journals in English within the past 10 years that address patient-clinician interactions during the perinatal period for Black birthing people in the United States. A systematic search of CINAHL, PubMed, PsycINFO, MEDLINE, and Embase recovered 24 articles that met the eligibility criteria for inclusion in this review. The following themes emerged from synthesizing Black patients\' interactions with perinatal clinicians: Care Quality, Communication, Power Dynamic, and Established Relationships. Mutual respect, effective communication, and shared decision-making may be key modifiable factors to address through clinician education to improve perinatal care for many Black persons.
摘要：
产妇发病率和死亡率不成比例地影响黑人分娩者。多种因素导致了这些差异，包括质量医疗保健的变化，结构性种族主义,和内隐偏见。Black患者与围产期临床医生之间的相互作用可能会进一步影响围产期护理的使用和随后的围产期结局。这篇综合综述旨在综合过去10年中在英语同行评审期刊上发表的定量和定性文献，这些文献解决了美国黑人分娩者围产期患者与临床医生的互动。CINAHL的系统搜索，PubMed,PsycINFO,MEDLINE,Embase回收了24篇符合纳入本审查资格标准的文章.综合黑人患者与围产期临床医生的互动，出现了以下主题：护理质量，Communication,电源动态,建立关系。相互尊重,有效沟通,和共同决策可能是关键的可改变因素，通过临床医生教育来解决，以改善许多黑人的围产期护理。
