{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:00:22Z","timestamp":1790056822182,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The electronic medical record (EMR) is a mainstay of medical documentation but can be limited in its representation of patient perspectives. Given significant disparities in quality of care and health outcomes for Black pregnant individuals, we sought to correlate patient\u2010provider perspectives in the care of Black pregnant individuals with diabetes and\/or hypertension to identify opportunities for quality improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a convergent mixed methods study, which correlated findings from in\u2010depth qualitative interviews exploring participants' pregnancy, delivery, and postpartum experiences with providers' medical documentation in the EMR through retrospective chart review. Participants self\u2010identified as Black (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20099), were on average 10.6\u2009weeks postpartum, and had confirmed diagnoses of diabetes and\/or hypertension during pregnancy or postpartum.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Through correlating interview responses with EMR documentation, we identified four themes: (1) Incomplete representation of positive and negative experiences in EMR documentation, (2) Concerns with acknowledgement of pain and pain management, (3) Perceived coercion and stereotyping with contraception counseling, and (4) Counseling around delivery planning: balancing autonomy and provider recommendations. While participants' described experiences were correlated to EMR documentation for some instances, we noted differences in patient and provider perspectives that impacted patients' perceived quality of care received.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>We highlight limitations of using EMR alone as a tool to assess the quality of care for Black pregnant patients and propose a novel informed care model that encourages providers to center patient voices, assess personal biases, and consider patients' historical, personal, and community contexts while counseling patients with high\u2010risk pregnancies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.70113","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:08:27Z","timestamp":1790053707000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Using the Electronic Medical Record to Correlate Patient\u2010Provider Perspectives in the Care of Black Individuals With High\u2010Risk Pregnancies"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9661-7096","authenticated-orcid":false,"given":"Siddhi","family":"Nadkarni","sequence":"first","affiliation":[{"name":"Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1697-390X","authenticated-orcid":false,"given":"Simileoluwa","family":"Falako","sequence":"additional","affiliation":[{"name":"Roy and Diana Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adwoa D.","family":"Antwi","sequence":"additional","affiliation":[{"name":"Yale School of Public Health  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3013-7169","authenticated-orcid":false,"given":"Katherine H.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology MaineHealth  Portland Maine USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8039-4892","authenticated-orcid":false,"given":"Oluwatosin O.","family":"Adeyemo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Centers for Disease Control and Prevention \u201cRacial and Ethnic Disparities Continue in Pregnancy\u2010Related Deaths \u201daccessed January 27 2023."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.05.007"},{"issue":"8","key":"e_1_2_11_4_1","first-page":"666","article-title":"Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care","volume":"94","author":"Nelson A.","year":"2002","journal-title":"Journal of the National Medical Association"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2016.10.002"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003561"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/xge0000600"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000349"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302381"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.11.591"},{"key":"e_1_2_11_11_1","volume-title":"Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory","author":"Strauss A. 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