Rose Archer

Within the United States, reproductive health inequities unfold in health care interactions, but they are mediated through a hidden digital economy of clinical notes that work to (de)legitimize a patient’s narrative. By bridging Black speculative thought and medical sociology, this project destabilizes fixed assessments of health care interactions to trace how racial logics in obstetric care are (re)framed and codified into a living digital archive. Intervening in scholarship that applies natural language processing (NLP) with narrative medicine, this mixed-methods project examines the unstructured texts of clinical notes and qualitative interviews with Black mothers to expose the (re)imagined, multidimensional obstetric grammars that either impede or amplify reproductive justice.