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Why is Black Maternal Mortality So High in America? Understanding the Crisis and Solutions

Why is Black Maternal Mortality So High in America?_black womens health and wellness_pink proverb

A Crisis That Demands Attention: Why is Black Maternal Mortality So High in America?

Surprising Comparison with US Healthcare and other countries

In the United States, Black women are nearly three times more likely to die from pregnancy-related complications than white women. And as a Black Mother, I had to dive deeper into this issue and figure out what we can do to protect ourselves and children. This alarming statistic persists regardless of education or income level, revealing deep-rooted systemic issues in healthcare and society. And, I recently saw U.S Senator Cory Booker bring attention to it on social media, and I we need to talk about it. But, Why is Black Maternal Mortality So High in America, and what can be done to address it?

Here is what I have found as the causes behind this crisis and the actionable steps needed to create meaningful change.

Black Women’s Health on TikTok

Why is Black Maternal Mortality So High in America?
@advocating_for_you

Black Maternal Mortality rates are unfortunately high here in the U.S. Statistics state that a black woman is three times more likely to die during childbirth then a white woman. Duet with @nurse_saina . S/o to her for the excellent tips & keeping us educated ❤️ Here are some ways to help better the outcomes: 1. Advocate for yourself 2. Educate yourself through research & reputable sources 3. If you feel something is wrong, say something 4. Switch doctors if you arent getting answers or feel dismissed 5. Hire a doula #blackgirltiktok #blackmomsoftiktok #momsoftiktok #moms #pregnancy

♬ Healing – Soft boy
@joelbervell

I’m counting down my top 11 videos. For number 6, let’s talk about Black infant mortality levels: In the United States, Black newborns are three times as likely to die as White newborns during childbirth. However, a research study from the University of Minnesota School of Public Health found that when Black physicians (mainly pediatricians and family practitioners) were also Black, mortality rate was cut in half. This same association was not found between White patients and White doctors. Researchers say this is an association, not a cause and effect, and more studies must be done to understand what effect (if at all) a doctor’s race has on infant mortality. #racialbiasinmedicine #healthcare #joelbervell #medicine #doctor #healthequity #series #publichealth #racialjustice #infantmortality #racialconcordance

♬ original sound – joelbervell
@karentangmd

“If we just take out all the deaths, no one’s dying!” #blackmaternalmortality

♬ original sound – KarenTangMD

The Root Causes of High Black Maternal Mortality Rates

1. Systemic Racism in Healthcare

Black women often face implicit bias in healthcare settings, where their symptoms and concerns are dismissed or underestimated. Studies show that healthcare providers are less likely to believe Black patients’ pain levels, leading to delayed treatment and inadequate care.

Example:
A Black woman experiencing severe pain during labor may be told it’s “normal,” only to discover later that critical complications were overlooked.

2. Socioeconomic Disparities

Access to quality maternal care is not equal across communities. Black women are more likely to live in areas with limited healthcare facilities and face challenges like inadequate insurance coverage.

Key Challenges Include:

  • Long travel distances to high-quality hospitals.
  • Difficulty affording consistent prenatal and postpartum care.

3. Chronic Stress and the Impact of “Weathering”

The chronic stress caused by racism, discrimination, and socioeconomic challenges has a physical toll on the body, a phenomenon known as “weathering.” For Black women, this chronic stress can lead to complications like preterm births and low birth weights.

Impact on Pregnancy:

  • Chronic stress elevates cortisol levels, which disrupt hormonal balance and impacts fetal development.

4. Higher Rates of Preexisting Health Conditions

Black women are disproportionately affected by chronic illnesses like hypertension, diabetes, and obesity, which increase risks during pregnancy. These conditions are often undiagnosed or poorly managed due to barriers in accessing preventive care.

Example:
A Black woman with undiagnosed hypertension may face severe complications like preeclampsia during pregnancy.

5. Disparities in Emergency and Postpartum Care

In emergencies, Black women often experience delays in receiving critical interventions like cesarean sections. Additionally, postpartum care—a crucial time to address complications like infections or high blood pressure—is often insufficient for Black mothers. I experienced all the above while giving birth to my son, and beyond on my endometriosis journey.

Why This Matters:
Many maternal deaths occur in the postpartum period, highlighting the importance of comprehensive follow-up care.

Statistics That Highlight the Crisis

  • Black women are 3 times more likely to die from pregnancy-related complications than white women.
  • Even Black women with a college education are at higher risk of severe outcomes than white women without a high school diploma.

Solutions to Address the Crisis

1. Combatting Racism in Healthcare

Healthcare providers must undergo mandatory training on implicit bias and cultural sensitivity to improve patient care and communication.

2. Expanding Community-Based Care

Models that incorporate doulas and midwives have been shown to improve maternal outcomes. These professionals advocate for mothers and provide culturally competent care.

Example Initiative:
Programs like Black Mamas Matter Alliance focus on empowering Black women and addressing systemic inequities in maternal health.

3. Policy Changes for Equitable Care

Advocating for policies that extend Medicaid coverage for postpartum care, fund maternal health initiatives, and address social determinants of health is critical.

4. Empowering Black Women

Educational campaigns can help Black women recognize signs of complications, advocate for themselves, and access resources like community support groups.

5. Increasing Representation in Medicine

Encouraging more Black professionals to enter healthcare creates a more inclusive system where patients feel seen, heard, and understood.

What You Can Do

  1. Support Advocacy Groups:
    Organizations like Black Mamas Matter Alliance and the National Birth Equity Collaborative work tirelessly to improve Black maternal health.
  2. Raise Awareness:
    Share information about the Black maternal mortality crisis to spark conversations and drive change.
  3. Advocate for Policy Change:
    Contact local representatives to support legislation aimed at improving maternal care for Black women.

Changing the Narrative for Why is Black Maternal Mortality So High in America

The Black maternal mortality crisis in America is a call for systemic change, compassion, and accountability. By addressing implicit bias, expanding access to care, and empowering Black women, we can create a healthcare system that values every life equally.

Let’s continue the conversation and work toward a future where every mother receives the care and respect she deserves. Share your thoughts or experiences by tagging @kylacanzater on Instagram—I’d love to hear from you!

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Hi Healthy Fam!

Living healthy my way is my thing, and Pink Proverb is my place for health and wellness. Focusing on being proactive about health, and living and creating a self-care lifestyle that allows me to be my best self!

I am taking you a long for the ride, and I hope it inspires you to do the same.

I am a Stage IV Endometriosis mom, working hard to stay pain-free. This is my sacred place of inspiration, journaling the things that have helped me along the way.

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