Kylea L. Liese

University of Illinois Chicago

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Julienne N. Rutherford

University of Arizona

Mary Dawn Koenig

University of Illinois Chicago

Lisa Tussing‐Humphreys

University of Illinois Chicago

Karie Stewart

University of Chicago

Katherine Erbe

Massachusetts General Hospital

Crystal L. Patil

University of Michigan–Ann Arbor

Barbara L. McFarlin

University of Illinois Chicago

Mulubrhan F. Mogos

Vanderbilt University

Stacie Geller

University of Illinois Chicago

Yanqiao Li

University of Illinois Chicago

Cooperative Institutions

University of Illinois Chicago

University of Illinois Urbana-Champaign

Hudson Institute

John Wiley & Sons (United States)

Illinois College

Indiana University School of Medicine

Northwestern University

Indiana University – Purdue University Indianapolis

University of Illinois System

Illinois Department of Children and Family Services

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Obstetric experiences of young black mothers: An intersectional perspective

Social Science & Medicine (2022)

Nefertiti OjiNjideka Hemphill Natasha Crooks Wenqiong Zhang Fareeha Fitter Katherine Erbe

Thematic Analysis

Intersectionality

10.1016/j.socscimed.2022.115604

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Citations (24)

Birthing Inequality: Disparities in Maternal Health at Home and Abroad

The 87th Annual Meeting of the American Association of Physical Anthropologists, Austin, TX (2018)

Kylea L. Liese Crystal L. Patil

Source

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Citations (0)

Structural Violence and Stress Experiences of Young Pregnant Black People

Journal of Racial and Ethnic Health Disparities (2023)

Mary Dawn Koenig Natasha Crooks Tristesse Burton Yanqiao Li Nefertiti OjiNjideka Hemphill

Stressor

Thematic Analysis

10.1007/s40615-023-01661-y

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Citations (2)

Framework Development for an Immediate Postpartum Long-Acting Reversible Contraception Program

Journal of Doctoral Nursing Practice (2020)

Jessica Poulsen Kylea L. Liese

Long-Acting Reversible Contraception

Unintended Pregnancy

10.1891/2380-9418.jdnp-d-19-00032

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Estimating Maternal Mortality in Remote Rural Regions: an Application of the Sisterhood Method in Tajikistan

Central Asian Journal of Global Health (2019)

Kylea L. Liese Heather Pauls Sarah Robinson Crystal L. Patil

The sisterhood method of maternal mortality data collection and analysis provides a validated framework for estimating maternal mortality ratios in situations of limited infrastructure. The aim of this study is to assess sub-national maternal mortality in the Badakhshan region of Tajikistan using the sisterhood method as part of a larger ethnographic study on maternal risk.In 2006-2007, 1004 married women of reproductive age in Gorno-Badakhshan Autonomous Oblast, Tajikistan were surveyed using the sisterhood method. Respondents were asked eleven questions about the sex, age and survivorship of all children born to the respondent's mother.Using a national total fertility rate (TFR) estimate of 4.88, the maternal mortality ratio (MMR) in Tajik Badakhshan was 141 maternal deaths per 100,000 live births (95% CI 49-235). The lifetime risk of maternal death was 1 in 141 (95% CI 34-103).Given the inherent time-lag of the sisterhood method, precise estimates of maternal mortality are dependent on accurate TFRs, which may vary based upon regional experiences of demographic transitions. Socio-political instability and the dismantling of Soviet welfare programs and civil war following Tajikistan's independence from the Soviet Union in 1991 likely impacted TFR in Tajik Badakhshan. Socio-political trends influencing TFR in rural regions compared to urban, and the investigation of factors associated with maternal mortality, require additional investigation.

Maternal death

Total fertility rate

10.5195/cajgh.2019.341

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Citations (4)

7. Why Women Don’t Die in Childbirth: Maternal Survivorship in Badakhshan, Tajikistan

Rutgers University Press eBooks (2019)

Kylea L. Liese

10.36019/9780813549736-009

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Citations (0)

Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse

Anthropology and Medicine (2021)

Kylea L. Liese Robbie Davis‐Floyd Karie Stewart Melissa Cheyney

‘Medical iatrogenesis’ was first defined by Illich as injuries ‘done to patients by ineffective, unsafe, and erroneous treatments’. Following Lokumage’s original usage of the term, this paper explores ‘obstetric iatrogenesis’ along a spectrum ranging from unintentional harm (UH) to overt disrespect, violence, and abuse (DVA), employing the acronym ‘UHDVA’ for this spectrum. This paper draws attention to the systemic maltreatment rooted in the technocratic model of birth, which includes UH normalized forms of mistreatment that childbearers and providers may not recognize as abusive. Equally, this paper assesses how obstetric iatrogenesis disproportionately impacts Black, Indigenous, and People of Color (BIPOC), contributing to worse perinatal outcomes for BIPOC childbearers. Much of the work on ‘obstetric violence’ that documents the most detrimental end of the UHDVA spectrum has focused on low-to-middle income countries in Latin America and the Caribbean. Based on a dataset of 62 interviews and on our personal observations, this paper shows that significant UHDVA also occurs in the high-income U.S., provide concrete examples, and suggest humanistic solutions.

10.1080/13648470.2021.1938510

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Citations (40)

Calculators Estimating the Likelihood of Vaginal Birth After Cesarean: Uses and Perceptions

Journal of Midwifery & Women s Health (2020)

Patrick Thornton Kylea L. Liese Kirby Adlam Katherine Erbe Barbara L. McFarlin

A calculator estimating likelihood of vaginal birth after cesarean (VBAC) has been promoted by the Society for Maternal-Fetal Medicine, but little is known about how it is used and perceived in practice. Cutoffs for prohibiting labor after cesarean are discouraged by the calculator's developers, but such uses may be widespread. The purpose of this study was to determine how calculators predicting VBAC are used and perceived in midwifery practices.Certified nurse-midwives and certified midwives currently providing care for labor after cesarean were surveyed between January 17, 2019, and February 7, 2019. Quantitative and text data were collected regarding the uses and perceptions of calculators among midwives and their colleagues. We compared these findings with midwives' perceptions of their ability to accommodate patient wishes for labor after cesarean. We used descriptive content analysis to evaluate themes occurring in text responses.There were 1305 valid responses. A requirement to use calculator scores for patient counseling was reported by 527 (40.4%) of responding midwives. Over 1 in 5 midwives reported that scores were used to discourage or prohibit labor after cesarean. Almost half reported some or strong disagreement with physician colleagues regarding calculator use. Interprofessional agreement and disagreement centered on how scores are used to direct clinical care or restrict patient options. Calculator scores were used in more than twice as many midwives' practices to discourage rather than encourage labor after cesarean. Descriptive analysis of text revealed 4 themes regarding calculators: inconsistent use, information counseling, informed consent, and influence patient management or options.Calculators predicting likelihood of VBAC success are widely used in midwifery settings and are more often used to discourage than to encourage labor after cesarean. Midwives reported both directive and nondirective counseling based on calculator scores.

Calculator

Nurse-Midwives

Vaginal Birth

10.1111/jmwh.13141

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Citations (13)

Melanated Group Midwifery Care: Centering the Voices of the Black Birthing Community

Journal of Midwifery & Women s Health (2022)

Kylea L. Liese Karie Stewart Pam Pearson Saria Lofton Tayo Mbande

Abstract Access to safe and dignified pregnancy, childbirth, and postpartum experiences is a fundamental right for all pregnant and postpartum people. In the United States, systemic racism fuels distrust and disengagement in a health care system that continues to dehumanize the Black community. The respectful maternity care literature explains how these systemic, structural, and institutional failings produce maternal health disparities and expose a pattern whereby Black women receive less adequate maternity care. The implementation of trustworthy policies and practices is urgently needed because no single intervention has or will substantially reduce maternal disparities. The purpose of this article is to describe a multicomponent maternity care innovation, Melanated Group Midwifery Care (MGMC). MGMC was codesigned with community partners and is responsive to the needs and desires of Black women, making MGMC a culturally adapted and patient‐centered model. Racial concordance among care providers and patients, group prenatal care, perinatal nurse navigation, and 12 months of in‐home postpartum doula support are 4 evidence‐based interventions that are bundled in MGMC. We posit that a model that restructures maternity care to increase health system accountability and aligns with the needs and desires of Black pregnant and postpartum people will increase trust in the health care system and result in better clinical, physical, emotional, and social outcomes.

Distrust

Maternity care

10.1111/jmwh.13438

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Citations (20)

Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania

International Journal of Gynecology & Obstetrics (2020)

Kylea L. Liese Esnath Kapito Ellen Chirwa Li Liu Xiaohan Mei

Attendance

Prenatal Care

Receipt

10.1002/ijgo.13432

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Citations (8)