Black birthing people in the U.S. face maternal mortality rates three times higher than non-Hispanic White counterparts, with hypertensive disorders of pregnancy (HDP) as a major contributor. This project aimed to address these disparities through co-creation with Black birthing people, doulas, midwives, and healthcare professionals, focusing on systemic gaps in postpartum care.
Patient Journey Mapping
We engaged Black birthing people in documenting their experiences across pregnancy, birth, and postpartum to uncover systemic barriers in managing hypertensive disorders of pregnancy (HDP). Through storytelling, creative exercises, and guided reflections, participants highlighted critical challenges, such as clinical dismissiveness, limited postpartum care, and gaps in mental health support, while also sharing examples of culturally affirming and compassionate care.
Insights from patient journey mapping sessions were synthesized into a cohesive journey map that illustrated shared experiences and barriers. Key insights included the profound impact of racially concordant care, the challenges of postpartum care drop-off, and the importance of proactive, holistic support for managing health.
Care Team Journey Mapping
Co-Creation Session
Doulas, midwives, and healthcare professionals reflected on the patient journey map to align their perspectives with patient experiences. They mapped their own roles, challenges, and touchpoints across the care continuum, identifying areas where structural barriers, misaligned workflows, and cultural gaps hindered equitable and holistic care delivery.
Informed by the Patient & Care Team experiences, a co-creation session brought together patients, doulas, and healthcare professionals to brainstorm and refine solutions. Using tools like generative exercises and prioritization frameworks, participants collaboratively developed actionable intervention concepts, such as integrated mom-and-baby visits, culturally responsive education programs, and streamlined care coordination models.
