VOICES: Everyone can contribute to changing healthcare outcomes for Black mothers

Ryan C. Ivory, MSW, LISW-S is a licensed clincal social worker and visiting assistant professor at Miami University’s Department of Family Science & Social Work. (CONTRIBUTED)

Ryan C. Ivory, MSW, LISW-S is a licensed clincal social worker and visiting assistant professor at Miami University’s Department of Family Science & Social Work. (CONTRIBUTED)

As I stated in my 2021 TEDxDayton talk “Being Black is a Pre-Existing Health Condition,” the crisis of Black maternal health is a critical issue of concern in our region and across the United States. As a community, we cannot afford to ignore the stark realities that many Black women face while pregnant and during childbirth.

Birthing people experience higher rates of life-threatening conditions like preeclampsia, postpartum hemorrhage, and blood clots, as well as increased incidence of other pregnancy-related complications like preterm birth and low birth weight. This crisis is one where Black women, when compared to non-Hispanic white women, have a maternal mortality rate that is two to three times higher. This is an alarming disparity, and the statistics show that this is only one indicator of the many systemic failures. Shockingly, over 80% of pregnancy-related deaths in the U.S. preventable.

Recognizing urgent maternal warning signs, providing timely treatment, and delivering respectful, quality care can significantly reduce maternal mortality.

The systemic failures are centered around implicit bias, access to care, and structural racism. How do we begin to address these systemic failures? A few ways to do so encompass implicit bias training (racial bias) that is mandatory for healthcare providers, which will aid in equitable care delivery being a standard, versus a coincidence.

Secondly, an expansion of the perinatal workforce that includes more healthcare professionals of color, which can help bridge gaps in access to care and provide a reduction in bias, and third, applying for grants funded through The Black Maternal Health Momnibus Act, that will address disparities and promote culturally sensitive care.

Policy recommendations include expanding postpartum Medicaid benefits. Advocates call for extending postpartum Medicaid benefits to a full year (instead of the current 60 days required by federal law) to ensure access to adequate care during the critical postpartum period. States that have expanded postpartum Medicaid benefits have seen lower rates of maternal death, particularly for Black women.

Community-based organizations also play a crucial role in advocating for better care and resources for Black moms.

Addressing maternal health disparities requires collaboration from policymakers, hospitals, practices, and a new generation of medical trainees.

Everyone can contribute to change by encouraging pregnant individuals to seek timely care, recognizing urgent warning signs, and by advocating for policy changes that prioritize maternal healthcare.

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