Department of
Obstetrics and Gynecology

UNIVERSITY OF WISCONSIN
SCHOOL OF MEDICINE AND PUBLIC HEALTH
Protrait

Tiffany Green, PhD
Assistant Professor
Reproductive and Population Health




Administrative Assistant

Education

Postdoctoral Fellow Health Disparities Research Scholars Program, Department of Obstetrics and Gynecology, UW-Madison, Madison, WI
Ph.D. Economics, University of North Carolina, Chapel Hill, NC
Postdoctoral Fellow Robert Wood Johnson Health and Society Scholars Program, Department of Population Health Sciences, UW-Madison, Madison, WI
B.A. Economics, Florida A&M University, Tallahassee, FL

Tiffany Green - Research and Teaching Interests

Health Economics, Development Economics, Population Health, Health Disparities, Maternal and Child Health, Immigrant Health


Green discusses paid parental leave in WI State Journal

UW Ob-Gyn Assistant Professor Tiffany Green, PhD, discusses paid parental leave policies in a new article in the Wisconsin State Journal.

In “‘Paying their fair share’: Madison companies embrace paid parental leave, but experts say more is needed”, Green expands on some of the supports needed to make a difference for families:

“The work of governments and employers needs to go beyond offering and mandating paid leave and into building a better social safety net, said Tiffany Green, UW- Madison associate professor in the departments of Population Health Sciences and Obstetrics and Gynecology, adding that affordable child care options and access to adequate health care for parents should be factored into that mix, among other things.”

Read the whole article here.


In the News: Green discusses post-Roe issues

Assistant Professor Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, spoke with many media outlets about the implications of the U.S. Supreme Court’s decision overturning Roe v. Wade: 

Wisconsin health providers navigate a new world without abortion rights – Wisconsin Examiner

In an article about new initiatives to expand contraceptive access in Wisconsin, Green emphasized the need to include reproductive equity and autonomy in all plans:

“Even before Roe fell, “we didn’t have a society where Wisconsinites could fully exercise their reproductive autonomy,” said Green. While that is even worse now, “perhaps we can build something better — not reproducing the same mistakes as we all try to get through this.”” 

Experts say Roe v. Wade overturn will disproportionately affect communities of color – WKOW

In this interview, Green shares some of Wisconsin’s current, concerning disparities in infant and maternal mortality, and how abortion restrictions will affect communities differently:

“"We know that it's going to disproportionately affect the people already affected," Green said. "Black pregnant people, and likely indigenous pregnant people."

Green says even before the overturn of Roe, these communities experienced widespread disparities in health care.”

WATCH: Where does abortion ruling leave women in Wisconsin?  Channel 3000

In this interview, Green answers questions about how the Dobbs decision ripples out to health care access, how abortion restrictions will disproportionately affect people of color and people with lower incomes, the gradual restrictions that led to the Supreme Court overturning Roe v. Wade, and more.


Green, Cutler, Jacques discuss Wisconsin’s post-Roe future with Wisconsin Watch

Three UW Ob-Gyn faculty joined Wisconsin Watch in an audio interview on July 18 to discuss the current landscape of reproductive health care in Wisconsin after the United States Supreme Court decision that overturned Roe v. Wade. Wisconsin Watch hosted the conversation on Twitter, which you can listen to here

Assistant Professor Abby Cutler, MD, of the Division of Academic Specialists in Ob-Gyn, shared trends in questions coming from patients since the Dobbs decision, including concerns about being able to access necessary care and criminalization of abortion care.

Assistant Professor Tiffany Green, PhD, of the Division of Reproductive and Population Health discussed the income and economic inequities deepened by Roe’s overturn.  

Assistant Professor Laura Jacques, MD, of the Division of Academic Specialists in Ob-Gyn, answered questions about the effects of the Dobbs decision on counseling patients; stress and uncertainty added by Wisconsin legal restrictions to abortion; and impact on medical education in Wisconsin.

Listen to the whole conversation here.


Green discusses disparities to come from abortion restriction on Here and Now

On June 10, 2022, UW Ob-Gyn assistant professor Tiffany Green, PhD, of the Division of Reproductive and Population Health, spoke with Here and Now on Wisconsin Public Television about economic and racial disparities likely to increase after Roe v. Wade is overturned:

“…the effects of abortion or limiting access have been very well established and as we said, they can lead to adverse financial outcomes. They can lead to poor pregnancy-related outcomes. Those outcomes are exacerbated among Black and/or indigenous people so there have been studies that show that laws that limit access to abortion can increase levels of pre-term births, death from congenital abnormalities among Black infants of Black women. So this isn’t — that’s not debatable. The science is always evolving and growing but the fact that we have a very robust body of evidence that shows there are negative implications to restricting abortion is not really debatable.”

Watch the whole interview here!


Green discusses COVID disparities with Wisconsin Examiner

Tiffany Green, PhD, assistant professor in the UW Ob-Gyn Division of Reproductive and Population Health, spoke with the Wisconsin Examiner in an article about inequities in COVID-19 safety precautions.

In “COVID surges as masks decline, hurting the most vulnerable”, Green talked about areas of employment, including service, industrial, and childcare, where workers are more vulnerable to COVID exposure and may have fewer safeguards:

““We call them essential but we treat them as expendable,” says Tiffany Green, a health economist and professor at the University of Wisconsin School of Medicine and Public Health. “They’re less likely to be covered by benefits like health insurance.””

Read the whole article here.


Green discusses economic burden of abortion ban in The New Yorker

Since the May 2 leak of a draft U.S. Supreme Court memo that suggests the court’s intention to overturn Roe v. Wade later this summer, we have seen an abundance of reporting on what that decision could mean for people across the country. In a new article in The New Yorker, UW Ob-Gyn Assistant Professor Tiffany Green, PhD, of the Division of Reproductive and Population Health, shared insight on the economic impacts of an abortion ban.

In “The Devastating Economic Impacts of an Abortion Ban”, Green outlines the way the economic burdens of restricted abortion access will disproportionately affect people who are already marginalized, including women of color:

““Whether you believe abortion is a moral thing or not, the evidence is the evidence,” Green told me. “And the overwhelming thrust of the evidence is that this is going to negatively impact women and other pregnant people’s economic prospects, their mental health, their physical health, and ultimately their lives. The end of Roe v. Wade is likely going to have devastating fallout.””

Read the whole article here.


ConnectRx launches in Madison clinics

At a press conference on April 14, the Dane County Health Council and the Foundation for Black Women’s Wellness announced the launch of ConnectRx in Madison clinics using Epic. ConnectRx is a care coordination tool within the electronic health record that will help providers working with Black pregnant patients navigate supportive resources for patients that are available in the community.

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, spoke at the press conference. As co-chair of the Black Maternal & Child Health Alliance of Dane County, Green has been actively involved in bringing ConnectRx to Madison health systems.

Watch the whole press conference here. Dr. Green’s remarks begin at 37:09.

Several news outlets covered the press conference – learn more about ConnectRx and what it could mean for Black pregnant people in Dane County:

Community health partners launch ConnectRx Wisconsin, a care coordination system centered on Black women – Madison365

The Foundation for Black Women's Wellness announces new system supporting Black pregnant people - WKOW

New ConnectRx Wisconsin system aims to address Black infant mortality rate disparities – Channel 3000

Madison clinics using Epic Systems tool to steer pregnant Black women to resources – Wisconsin State Journal

Dane County Health Council and partners launch ConnectRx Wisconsin – Foundation for Black Women’s Wellness


Green discusses policy failures around COVID-19 with Wisconsin Examiner

A recent article from Wisconsin Examiner recapped a report that found the United States’ poorest counties experienced mortality from COVID-19 at nearly twice the rate of the nation’s wealthiest counties. Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, was interviewed for the article.

In “Report ties COVID-19 deaths to poverty, systemic policy failures”, Green added insight on systemic inequalities that affected outcomes in our state:

“Early in the Wisconsin pandemic, outbreaks occurred in the meatpacking industry in Brown County. “And because of the way our occupational system is structured, they were disproportionately likely to be Hispanic immigrants,” Green says. “And they were working under conditions that were not properly regulated, that were not safe, when it comes to trying to prevent COVID.” 

For people with lower incomes, “They’re more likely to work in these industries that are not protected,” she adds. “And so it’s not surprising that these are the folks that would be disproportionately affected.””

Read the whole article here.


Green shares insight on postpartum depression disparities in Essence

A recent article in Essence profiled the founders of an app to support Black mothers with postpartum depression and anxiety. In the article, Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, discussed how provider bias and communication issues may lead to underdiagnosis of postpartum depression for Black women:

““…the evidence strongly suggests that implicit bias (i.e., prejudice) is linked to patient-provider communication, which would be particularly important in diagnosing conditions such as depression. I think that specifically investigating the extent to which these factors matter in the context of postpartum (and prenatal) depression is critical.””

Read the whole article here!


Green published in Journal of Women’s Health

A new publication co-authored by Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, examines connections between experiences of racial discrimination and postpartum depression.

Are Experiences of Racial Discrimination Associated with Postpartum Depressive Symptoms? A Multistate Analysis of Pregnancy Risk Assessment Monitoring System Data”, published in the Journal of Women’s Health, is a secondary analysis of data from PRAMS postnatal surveys collected between 2012 and 2015. Green and co-authors found:

“Being upset by racial discrimination was associated with nearly three times higher odds of PPDS. Among women of color with at least some college education, the higher odds of PPDS associated with racial discrimination were greater than threefold, and for women with less than a high school education were less than twofold.”

Read the whole study here!


Green receives Wisconsin Partnership Program New Investigator grant

Huge congratulations to Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health! Green recently earned a Wisconsin Partnership Program New Investigator grant for the project “Evaluating the Impacts of Wisconsin’s Birth Cost Recovery Policy on the Health and Wellbeing of Low-Income Black Birthing Parents: A Community-Centered Approach”.

In Wisconsin, a law allows the state to collect Medicaid birth costs from unmarried fathers (learn more about this policy from the State Bar of Wisconsin). Green’s project aims to better understand the effects of this policy on Wisconsin parents: 

“This project, led by Tiffany Green, PhD, assistant professor in the departments of Population Health Sciences and Obstetrics and Gynecology, will work to better understand how BCR and other similar social policies impact inequities in health outcomes among low-income Black birthing people in the state of Wisconsin. Dr. Green and a team of interdisciplinary experts in the fields of economics, population health, pediatrics, social work, clinical/social psychology and community engagement will create an evaluation framework for BCR as a way of measuring the impact of this policy and collect evidence that can be useful in informing future policies and improving health outcomes statewide.”

Incredible work, Dr. Green! Learn more about Dr. Green’s impactful project here.


Green discusses perinatal care coordination issues with Wisconsin Public Radio

In January 2022, the Milwaukee Journal Sentinel published an investigation into prenatal care coordination companies in the Milwaukee area (note: article available to MJS subscribers only). On February 3, Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, joined The Morning Show on Wisconsin Public Radio to discuss the investigation, and what prenatal care coordination should look like.

In the interview, Green talked about areas where care coordination could improve health outcomes and discussed a UW Health program (ConnectRx) she is involved with that aims to integrate social determinants of health with health care.

Read the article of Dr. Green’s interview here, and listen to the whole Morning Show segment about prenatal care coordination in Wisconsin here.


Green publishes Perspective piece in New England Journal of Medicine

How can economic principles help inform public health policy and address racial health disparities? Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health answers that question in a Perspective article in the New England Journal of Medicine.

Trade-offs and Policy Options — Using Insights from Economics to Inform Public Health Policy” highlights the ways economics as a discipline can guide public health measures, using a case from the current SARS-CoV-2 pandemic as an example:

“…economics is the study of trade-offs that individuals, institutions, or countries face when making decisions under resource and time constraints. Although public health practitioners and researchers understandably focus primarily on improving health, economists view health as but one, albeit an important, component of what people may value. This insight is a key aspect of economics’ utility for informing public health policy.”

Green also appeared on the NEJM Podcast to discuss the article. You can read the whole article here and listen to her podcast interview here!


Green discusses Momnibus Act and wealth inequality with In These Times

A new article published by In These Times examines how the federal Black Maternal Health Momnibus Act, a package of legislation aimed at closing Black maternal health disparities, could improve lives in Wisconsin.

In “The Momnibus Act Protects Wisconsin’s Black Babies from a Premature Death”, UW Ob-Gyn Assistant Professor Tiffany Green, PhD, of the Division of Reproductive and Population Health, discusses the importance of focusing on social determinants of health as a way to make change:

“Tiffany Green, an assistant professor of population health sciences and professor of obstetrics and gynecology at UW-Madison, says wealth disparities are also an important factor. In addition to quality healthcare access, ​“if you’re worried about being unhoused, if you’re worried about being unemployed, it’s harder to carry a pregnancy to term.””

Read the whole article here!


Green’s course “Race in American Obstetrics and Gynecology” approved for medical school curriculum

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, will teach a new course to students in the UW School of Medicine and Public Health. “Race in American Obstetrics and Gynecology” will mainly be offered to M3s.

Green’s innovative course sounds incredible:

“Opportunity for medical students to survey the history of race in American obstetrics and gynecology. Gain understanding of how race and theories of racial difference informed the development of the field and justified the treatment of Black, indigenous and immigrant patients. Understand the vital contributions of Black enslaved women, other women of color, and Irish immigrants to obstetrics and gynecology. Make connections between racialized historical practices and contemporary norms in reproductive healthcare.”

Congratulations, Dr. Green, and thank you for making sure medical students in the UW SMPH spend some time with this important topic.


Green discusses ethics of deprioritizing care for unvaccinated patients with Wisconsin Examiner; Wisconsin Public Radio

As the Delta variant caused COVID-19 cases to surge across the country last summer, the ensuing rise in hospitalizations and deaths stretched the healthcare system in many states beyond capacity. In Texas, a physician group discussed the ethics of deprioritizing the unvaccinated.  

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, discussed the importance of taking a broader view in the commentary piece “Punishing the Unvaccinated is the Wrong Medicine for COVID-19”, published in the Wisconsin Examiner:

“Triaging unvaccinated patients does nothing to address the underlying social conditions that have allowed such wide swaths of the US population to remain unvaccinated in the first place…” and “is almost certain to disproportionately affect the most vulnerable Americans”. 

“We need to look beyond vaccination as simply a personal choice and focus on and address the social systems that put thousands of people at risk of being unvaccinated.” 

Read the whole article here, and listen to Green’s interview on Wisconsin Public Radio’s Central Time here.


Green presents to Duke Center for Child and Family Policy

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, presented to the Duke University Center for Child and Family Policy on October 28, 2021, as part of the center’s Early Childhood Initiative series. Green’s presentation “Income Gains, Pregnancy-Related Health, and Birth Outcomes: Evidence from the Marcellus Shale Economic Boom” was summarized in an article on the center’s website.

The article outlines the methods Green and her research team used to compare health outcomes across income levels in parts of Pennsylvania:

“Using state tax records, Dr. Green and her team were able to estimate the incomes of individuals living in core areas above the Marcellus Shale before and after the economic boom. Using vital statistics birth records, the team was also able to identify health outcomes like rates of smoking, preconception weight, occurrences of preterm birth, and low birth weights. They noted similar starting points for Pennsylvanians living above core and noncore areas.”

Read the whole summary here!


Green discusses health care disparities with Brava Magazine

Wisconsin has some of the starkest disparities in health outcomes between Black and white moms and babies. In an article in Brava MagazineTiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, joined other community leaders who are working to understand and address health disparities in Madison and Dane County.

In “Tackling Health Care Disparities”, Green described some of the ways bias can affect health outcomes:

One example, Green says, are medical algorithms that track how women have previously given birth. If a Black and/or Hispanic woman had a C-section for their first birth, then the algorithm might automatically suggest that a vaginal delivery will be unsuccessful and will recommend C-sections in the future. “There’s no biological or genetic reason why that should be the case.”

Green points out that although race (Black) and ethnicity (Hispanic) are sociocultural rather than biological or genetic constructs, they are included in the calculator used to assess a patient’s probability of successful vaginal birth after cesarean (VBAC). Because there is greater risk for complications and death for both mother and baby with C-sections versus vaginal births, women of color are unnecessarily put in harm’s way, she adds.”

Other experts who provide insight in the article include Foundation for Black Women’s Wellness President Lisa Peyton-Caire and Harambee Village Doulas Founder and CEO Tia Murray. Read the whole article here!


Green discusses reimagining health care with PBS Wisconsin

During Black Maternal Health Week in April, UW Ob-Gyn Assistant Professor Tiffany Green, PhD discussed maternal health disparities in Wisconsin, and how to change them, with PBS Wisconsin. In addition to her appointment in the UW Ob-Gyn Division of Reproductive and Population Health, Green is part of the UW-Madison Department of Population Health Sciences faculty.

In the article, Green (and other interviewed experts, including Jasmine Zapata, MD, of the UW SMPH Department of Pediatrics) talked about ways to reimagine health care and incorporate additional expertise to affect change:

Researchers like Zapata and Green are emphasizing social scientists need to understand the issue in a way that highlights people’s experiences in their own words.

“We need the voices of folks in the community and we need to center them,” said Green. “And this is not just about a justice issue, it’s a scientific robustness and rigor issue. We need to understand the data that we’re seeing. We need to understand the context in which it was collected and we can’t do that without the voices of the people in the community that are being affected.””

Read the whole article here.


Green, Brown offer commentary on maternal health equity in Obstetrics and Gynecology

In this must-read commentary in Obstetrics and GynecologyTiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health and Heidi Brown, MD, of the Division of Female Pelvic Medicine and Reconstructive Surgery suggest new approaches to eliminating Black maternal health disparities in the U.S.

Rethinking Bias to Achieve Maternal Health Equity: Changing Organizations, Not Just Individuals” discusses the limitations of current interventions like implicit bias training in effectively addressing maternal health disparities. The authors outline other factors that significantly affect Black maternal health outcomes, including stereotyping in medical education, explicit racism built into clinical algorithms, and marginalization of Black physicians.

In the article, Green, Brown and co-authors also discuss potential solutions, including medical education reforms, changes in care practice, accountability through public policy, and physician pipeline support:

Holistic medical school admissions policies that consider applicants' backgrounds and experiences with discrimination and poverty have improved racial diversity. Medical school and residency program admissions committees should also weigh applicants' understanding of how racism (not race) leads to health disparities, and the importance of listening to and centering the communities physicians serve. Importantly, these practices may lead to not just an increase in Black students and residents, but more racially and socioeconomically diverse trainees who approach medicine with humility, empathy, and health equity as core values.”

Read the whole article here.


Green discusses Black maternal health outcomes on WPR

On April 14, 2021, during Black Maternal Health Week, Tiffany Green, PhD joined The Morning Show on Wisconsin Public Radio to discuss Black maternal health outcomes. Green is an assistant professor in the UW Departments of Ob-Gyn and Population Health Sciences.

During the interview, Green discussed the broader, systemic inequalities that drive disparities in Black maternal and infant health outcomes:

“Wisconsin has long had high Black infant mortality rates, and we also have high levels of inequality, high levels of Black male incarceration, relatively high levels of unemployment among Black Wisconsinites, the list goes on and on. Those things are necessary for having healthy pregnancies and healthy births and healthy Wisconsinites in general. So when we have these levels of inequality, we have these levels of structural discrimination, it’s not surprising in that sense that we have these problems.”

Green also emphasized the importance of focusing on systemic issues in medical training and medical practice, being realistic about the utility of implicit bias training, and addressing wealth inequality and discrimination in medical care for Black moms and children.

Listen to the whole interview here.


Green reframes vaccine disparities with WKOW

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, continues to add important context to conversations around inequities exposed by COVID-19.

According to the Wisconsin Department of Health Services, just over 28% of white Wisconsinites have received at least one dose of a COVID-19 vaccine, but that’s only true for 11.5% of Black Wisconsinites. In a recent interview on WKOW in Madison, Green explained that the current disparity in COVID vaccination rates in Wisconsin has less to do with vaccine hesitancy than it does with access and availability:

"The disparities that existed before COVID are just being highlighted and heightened in the face of COVID," she said. "It's really important that we move away from this idea that vaccine hesitancy as the primary driver of disparities in vaccine uptake. ... What are the structural barriers to vaccines that make it difficult for some groups to get vaccinated?"

 Check out the whole story from WKOW here!


Green joins WKOW’s Capital City Sunday to reflect on pandemic anniversary

One year after Wisconsin’s first pandemic-related emergency order, Tiffany Green, PhD joined Capital City Sunday on WKOW in Madison to talk about lasting lessons from this pandemic that could carry forward to future public health crises.

On Sunday, March 14, 2021, Green discussed the ways the pandemic highlighted structural inequities in the U.S., and what she hopes will be long-term changes in public health.

"I think a lot of people saw how this virus had been politicized and thought 'well it's happening to other people but not me' but even though we're seeing disparities across populations, infectious diseases don't discriminate," Green said.

Green said she hoped future mitigation efforts will particularly focus on workers whose jobs put them in crowded conditions and typically draw employees from already-marginalized communities.”

Watch Dr. Green’s segment on Capital City Sunday here!


Green to appear on CDE Demography Seminar March 9

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, will offer comment on the UW-Madison Center for Demography and Ecology’s Demography Seminar on Tuesday, March 9 at 12:15pm. Green will respond to the presentation “Covering Undocumented Immigrants: The Effect of a Large-Scale Prenatal Care Intervention” by Associate Professor Laura Wherry, PhD, of New York University.

Join the Zoom meeting here at 12:15pm on Tuesday, March 9!


Green joins Badger Talks to discuss vaccine equity

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, joined Veronica Rueckert of UW-Madison Communications on a recent Badger Talks to discuss inequities in COVID-19 vaccine distribution in Wisconsin.

In the interview, Green outlined disparities in COVID incidence and severity in Wisconsin, and a mismatch in who has access to the COVID vaccine thus far:

“Unfortunately, we’re seeing the same disparities in the distribution of the vaccine as we’re seeing with COVID-related morbidity and mortality,” Green says. In Wisconsin, Hispanic Americans are more likely to be diagnosed with COVID, Black Wisconsinites are more likely to be hospitalized with COVID, and Native Americans are more likely to die from COVID relative to their white counterparts. Yet when we look at who’s getting the vaccine, a greater share of white Wisconsinites are getting the vaccine relative to other groups.”

Watch the whole interview here!


Green discusses Black Maternal Health Momnibus on WPR

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, appeared on the Wisconsin Public Radio program Central Time to discuss the federal Black Maternal Health Momnibus legislation, along with Wisconsin Congresswoman Gwen Moore.

In the interview, Green talked about Wisconsin’s maternal mortality and preterm birth inequities, and speculation about what causes the gaps in our state:

Green said that although the cause of most preterm births isn’t certain, there’s a strong suspicion it’s related to stress.

"You can't have a healthy and uncomplicated pregnancy if you're worried about housing," she said. "Those things matter when it comes to stress … by eliminating the worry about these very basic needs, that might go a long way towards helping to get us to the right path."”

Listen to the whole interview here, and read WPR’s summary article for important context on the legislation.


Green discusses federal Momnibus legislation on WORT, Wisconsin Public Radio

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, joined WORT Community Radio in Madison to offer insight on the Black Maternal Health Momnibus Act of 2021, including the Perinatal Workforce Act introduced by Wisconsin Senator Tammy Baldwin and Congresswoman Gwen Moore.

In the interview, Green offers additional perspective on the Perinatal Workforce Act, including crucial points about workforce retention, how maternal health care deserts can affect health outcomes, and ways civil rights laws could be leveraged to protect Black patients from discrimination. Listen to the whole interview on WORT here.

Green is also scheduled to appear on Wisconsin Public Radio’s Central Time at 3pm on Friday, February 12 to discuss the legislation. You can find her interview here!


UW Ob-Gyn brings research, developments to 2021 SMFM Conference

Faculty, residents, fellows, researchers and more brought numerous posters and presentations to the virtual 2021 Society for Maternal-Fetal Medicine Annual Meeting at the end of January! Learn more about the wealth of research shared by our colleagues at the conference:

PRESENTATION:

Racial disparities in post-operative pain experience and treatment following cesarean birth

John Poehlmann; Tiffany Green, Katie Antony, Amy Godecker

POSTERS:

Trouble with the curve: Is an ultrasound growth curve needed to predict SGA infants?

Bradley Bosse; Jacquelyn Adams, Melissa Meyer, John Poehlmann, Janine Rhoades, Igor Iruretagoyena

Obtaining accurate blood pressures: A quality improvement initiative to increase obstetric nursing knowledge and confidence

Matt Wagar; Jacquelyn Adams, Amy Godecker, Katie Antony

Prediction of vaginal delivery utilizing intrapartum transperineal ultrasound

Stephanie Peace; Melissa Meyer, Jacquelyn Adams, Katie Antony; Luther Gaston

Comparing 32-week vs 36-week growth ultrasound for prediction of LGA infants in obese gravidae

John Poehlmann; Jacquelyn Adams, Melissa Meyer, Jenna Racine, Janine Rhoades, Igor Iruretagoyena

Impact of a Standardized Post-Cesarean Analgesia Regimen on Postpartum Opioid Use

Melissa Meyer; Katie Antony

The impact of pre-existing maternal anxiety on pain and opioid use following cesarean birth

John Poehlmann; Amy Godecker, Katie Antony

Blood pressure pattern of women with hypertensive disorders of pregnancy is highly affected by obesity

Narmin Mukhtarova (MFM research intern); Kara Hoppe co-authored

Postpartum blood pressure of Black women is significantly higher compared to non-Black women

Narmin Mukhtarova (MFM research intern); Kara Hoppe co-authored

Did institutional changes and patient behaviors surrounding COVID-19 affect perinatal outcomes?

Jenna Racine; Igor Iruretagoyena, Kara Hoppe

Distance matters. The effect of distance to the hospital on estimated blood loss.

Kara Hoppe; Alexa Lowry

Blood pressure pattern pre-pregnancy through 42-day postpartum of women with preeclampsia, gestational, and chronic hypertension

Narmin Mukhtarova (MFM research intern); Kara Hoppe


Green included on list of 1,000 inspiring Black scientists

Congratulations to Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health! Green was included in a list of “1,000 inspiring Black scientists in America”, published by Cell Press.

Green, who has a joint appointment with the UW-Madison Department of Population Health Sciences, made the list as part of the Rising Stars category. With her focus on maternal health, health equity, community-engaged research, and an awesome postdoctoral training opportunity on the way, there’s a lot to celebrate about Dr. Green.


Green gives McMaster University Labelle Lecture

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, delivered the McMaster University Centre for Health Economics and Policy Analysis Labelle Lecture on November 11, 2020!

In the lecture “Saving Black Women and Babies: Leveraging Data and Community Engagement to Achieve Health Equity”, Green provided an overview of maternal and child health disparities in the U.S., and the role of reproductive health care in these disparities. She used birth census data to evaluate impacts of health policy on birth outcomes, and how economics and health services research has ignored the racialization of those policies. Green also discussed the effects of social determinants of health on birth outcomes, and how this work led her to community-engaged research and projects like the Black Maternal & Child Health Alliance of Dane County.

Watch Green’s whole lecture here, and learn more about the Labelle Lecture here. Incredible work, Dr. Green!


Women’s Healthcast: Green discusses economic policy and health

Economic policy has a significant effect on our individual health. And policies are not always equitable.

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, joined the Women's Healthcast to discuss ways systems and structures affect health: how health and economic security are cyclically linked, how COVID-19 has highlighted many structural inequities in our country, and important work she is doing in Dane County to improve Black maternal and infant health.

Listen to “Understanding the Economics of Health” now.

Did you know the Women’s Healthcast is available on all your favorite podcast platforms? Whether you like to listen on Apple PodcastsSpotifyStitcherPodbean, or anywhere else, you can find us! (Just search Women’s Healthcast, and while you’re at it, may as well subscribe!)


Green writes about health disparities and election platforms in Medical News Today

Health care and reproductive health are important issues for many voters heading into the 2020 presidential election. In Medical News TodayTiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, evaluates policy platforms in terms of how they might affect maternal and infant health disparities.

What will the US election mean for Black-white disparities in maternal and child health?” reviews policy platforms around the Affordable Care Act, hospital-level reforms, family planning care, and racial bias in health care:

“The upcoming U.S. elections are some of the most consequential in recent memory, and healthcare policies that will impact the health of Black females and infants are on the ballot.

Understanding how policy agendas advanced by the Trump-Pence and Biden-Harris administrations might widen or narrow Black-white gaps in maternal and child health is imperative.”

Read the whole article here!


Green co-chairs Black Maternal and Child Health Alliance of Dane County

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health and UW-Madison Department of Population Health Sciences, was recently announced as co-chair of the Black Maternal and Child Health Alliance of Dane County. Congratulations, Dr. Green!

The group will focus on improving rates of low birth weight and infant mortality for Black babies in Dane County, as well as addressing reproductive and maternal health issues:

The Black Maternal and Child Health Alliance is comprised of Black women serving in important roles in health care, our community, and as decision-makers and knowledge experts. Our highest priority is to ensure that the health and well-being of Black mothers remains front and center,” Green and [co-chair Alia] Stevenson said in a statement.

Read more about the Black Maternal and Child Health Alliance in the Wisconsin State Journal, and Madison365. We look forward to this group’s important work under Dr. Green’s leadership!


Green publishes op-ed on implicit bias trainings in Scientific American

Tiffany Green, PhD, of the UW Ob-Gyn Division of Reproductive and Population Health, co-authored an editorial in Scientific American on the difference between intent and impact of implicit bias training.

In The Problem with Implicit Bias Training”, Green argues that, though implicit bias training is often a go-to option for organizations working to address racism, we lack the evidence that these programs actually affect lasting change. (And in fact, there is evidence to suggest that bias training, when not done well, can actually be harmful).

So, what should we do? The first thing is to realize that racism is not just an individual problem requiring an individual intervention, but a structural and organizational problem that will require a lot of work to change. It’s much easier for organizations to offer an implicit bias training than to take a long, hard look and overhaul the way they operate. The reality is, even if we could reliably reduce individual-level bias, various forms of institutional racism embedded in health care (and other organizations) would likely make these improvements hard to maintain.

Read the whole, brilliant article here. Our thanks to Dr. Green!