Black mothers and birthing people share their hospital birthing experiences during COVID19.
Black birthing communities describe their expectations and needs for a SACRED hospital birth.
SACRED birth honors diverse and inclusive birthing pleasure, practices, partners, and parents.
SACRED birth amplifies Blackness in all forms & expressions and honors Black bodies & lives.
SACRED birth believes Black births are spiritual, transformative, emancipatory, and power-activating.
SACRED birth celebrates the tender kisses between Black babies and Black mothers.
SACRED birth honors the healing presence and touch of our elders, doulas, aunties, mothers, and grandmothers.
SACRED birth honors the strength and comfort between Black babies and their fathers, big brothers, uncles, and guardians.
SACRED birth supports and celebrates Black mothers and birthing people who body feed their Black babies.
SACRED Birth is Black Love.
SACRED Birth is Black Joy.
SACRED Birth is Black Hope.

SACRED Birth During COVID19

The SACRED Birth Study officially ended January 31, 2021.

The Psychometric Validation of the Patient Reported Experience Measure of OBstetric racism©, also known as the PREM-OB Scale™ Suite, was completed in April 2021.

The manuscript was accepted for publication on January 28, 2022 and will be made widely available on the internet to anyone with the URL without licensing and copyright restrictions via Open Access.  

Dr. Karen A. Scott, MD, MPH, FACOG, the owner and developer of the PREM-OB Scale™ Suite, is now living in Nashville, TN, (her birthplace) and leading her own Black woman-led quality improvement and implementation science, practice, and research firm called Birthing Cultural Rigor™, LLC.

To learn more about her new journey, work, reach, and impact, click here.


The SACRED Birth Study is designed to validate the first and only Patient Reported Experience Measure of OBstetric racism©, also known as the PREM-OB Scale™, developed in 2019 and owned by Dr. Karen A. Scott, MD, MPH, FACOG. The PREM-OB Scale™ examines obstetric racism, as defined for, by, and with Black mothers and Black birthing people, during hospitalization for labor, birth, and postpartum in six theorized patient identified quality of care domains:

Safety, Autonomy, Communication, Racism, Empathy, and Dignity = SACRED 

Study Overview


Research Topic

Testing a NEW survey that captures patient experiences of obstetric racism during hospital births in a COVID19 pandemic






$100 electronic gift card

What is the purpose of this study?

SACRED Birth in the time of COVID19 lifts up and amplifies the voices, lived experiences, wisdom, and humanity of Black mothers and birthing people, Black women-led community-based organizations (CBOs), and Black women scholars.  

The goal of this study is to test a new survey tool designed in 2019 and owned by Dr. Karen A. Scottt, MD, MPH, FACOG, the Patient Reported Experience Measure of OBstetric racism©, also known as the PREM-OB Scale™. The PREM-OB Scale™ is the first and only patient informed quality improvement (QI) measure developed in 2019 for, by, and with Black mothers and birthing people, in equitable and dignified partnerships with Black women-led community-based organizations.  The PREM-OB Scale™ allows for Black mothers and birthing people to share information about their unique patient experiences in hospital settings during labor, birth, and postpartum.  The information gained from the PREM-OB Scale™ will help hospitals, health plans, scientists, funders, and the public better understand how obstetric racism and other forms of neglect and mistreatment affect the ways that hospitals provide care, services, and support to Black mothers and birthing people during labor, birth, and postpartum.

Who can join?


You may be able to join if you...

  • identify as Black or African American
  • are 18 years of age or older
  • gave birth to a live newborn in 2020
  • gave birth in a hospital anywhere in the U.S., with a focus on California or Memphis, TN


You can't join if you...

  • are 17 years of age or younger
  • gave birth before 1/1/2020
  • had an out of hospital birth
  • can't read and speak English

Frequently asked questions

What will participants be asked to do?

  • Complete a one-time online survey that takes about 1 - 2 hours.

Will participants be paid? 

Participants will receive a $100 electronic gift card via email within 7-10 business days of completing the survey.

Online Referral & Enrollment Process: The study ended 1/31/2021.