#NNPA BlackPress

The National Disgrace of Maternal Mortality

NNPA NEWSWIRE — “The United States bears the worrying distinction as “deadliest nation” in the industrialized or “developed world” to be pregnant,” said Dr. Michele Bratcher Goodwin in testimony before the Senate Judiciary Committee in June 2023. “Nationwide, as noted by Justice Breyer, “childbirth is 14 times more likely than abortion to result in death.”
The post The National Disgrace of Maternal Mortality first appeared on BlackPressUSA.

Published

2 years ago

May 31, 2023

Oakland Post

By Barrington M. Salmon | NNPA Newswire

The National Center for Health Statistics released data several months ago showing that maternal deaths in the United States spiraled to the highest rate in almost nearly 60 years, data showed, worsening a health trend that has cemented America as one of the most dangerous industrialized countries for a woman to give birth.

“The United States bears the worrying distinction as “deadliest nation” in the industrialized or “developed world” to be pregnant,” said Dr. Michele Bratcher Goodwin in testimony before the Senate Judiciary Committee in June 2023. “Nationwide, as noted by Justice Breyer, “childbirth is 14 times more likely than abortion to result in death.” As reported by Nina Martin and Renee Montagne, “[m]ore American women are dying of pregnancy-related complications than any other developed country.” In fact, “[o]nly in the U.S. has the rate of women who die been rising.”

In fact, said Bratcher, an author, advocate and Abraham Pinanski, Visiting Professor of Law at Harvard Law School, “a review of data collected by the United States Central Intelligence Agency provides evidence that it is safer to be pregnant and give birth in Iran, Tajikistan, and Bahrain than in the United States … In Mississippi, a woman is 118 times more likely to die by carrying a pregnancy to term than by having an abortion. According to the Mississippi Maternal Mortality Report, Black women accounted for “nearly 80% of pregnancy-related cardiac deaths” in that state.”

For Black women, the dangers they face while pregnant are dire. According to the Centers for Disease Control and Prevention, in 2021, the maternal mortality rates for Black women were significantly higher than the rates for White and Hispanic women. Stats show that Black women are three times more likely to die from pregnancy-related complications than white women in America.

Suzanne Wertman, state government affairs consultant with the American College of Nurse Midwives, said she’s not at all surprised at the troubling increase in the rate and numbers but said there’s one aspect that really leaves her aghast.

“What surprises me is that there’s not enough political will and that this is not at a tipping point,” said Wertman, a vocal advocate for midwifery, reproductive health and a woman’s right to control her bodily autonomy. “The conversation still centers around older mothers and obesity. They always focus on the woman and not the system. What’s interesting to me as a midwife is that the mainstream media talks to physicians, not midwives.”

Any attempt to substantially reduce maternal mortality generally, and Black maternal mortality in particular, has to confront and shatter the scourges of structural and institutional racism and sexism, Wertman said.

“We need to have universal pregnancy care,” said Wertman. “We need serious investment in maternal health, universal care and more midwives. What we have is ‘too little too late’ and ‘two much too soon.’”

Wertman – who has more than 20 years’ experience providing midwifery care to a range of people in public, private and non-profit spaces – said COVID-19 hurdled everyone into crisis mode and added another layer of stress on an already stressful situation for organized medicine and organizations, hospitals and health groups. Other experts and observers note that COVID-19 exposed the structural inequities in the healthcare industry and other segments of the American economy.

Dr. Kevin Scott Smith, Department Chair of Obstetrics and Gynecology at the Alameda Health System, is engaged in the same battle Wertzman is from a different angle and place. He, like Wertzman, sees racism and race-based health disparities as key factors driving the Black maternal mortality crisis in the United States.

“It’s a bigger challenge than just COVID. COVID is a variable, and racism is a variable to COVID. There are some interrelated links between both,” said Smith. “What I will tell you is I am spending most of my time fighting obstetric racism. I am hopeful that these efforts will have some impacts. Rather than expecting outcomes, I am concerned about data.”

“Obstetric racism represents the cause for the racial disparities in Black maternal health. It has been declared by most medical bodies. It’s not one race driving these racial disparities. It’s more systemic for sure.”

Smith said he believes that if you remove all of the previously attributable causes for Black maternal mortality such as access to care, lack of education and poverty … you’re left with one root cause and that’s racism.

It’s tragic, it’s tragic,” said Smith, sighing deeply.

Often, when people look at numbers, it’s easy to forget that each data point represents a woman, flesh and blood, a human being. Kendra Davenport Cotton is the face behind those numbers, a woman and mother who but for the grace of God would have become a statistic.

“I’m talking as a person who has had scares,” said Cotton, chief executive officer for the New Georgia Project and New Georgia Project Action Fund. “I have children who are 21, 18 and 15. When they were younger, I had a pregnancy that was not viable. I went to my OB-GYN’s office and literally almost hemorrhaged to death. I started bleeding. It looked like a murder occurred.

Cotton said her doctor told her he couldn’t do a D&C.

“I was in Durham, North Carolina. I’m educated with an advanced degree. I had a blighted ovum. I was at eight weeks when I found out,” said Cotton, who said her children were 7, 4 and a year old when she experienced this health crisis. “I ended up having a medical abortion and a D&C. I wouldn’t have been able to do that under current circumstances. If I was in rural area, I’d be dead.”

Cotton said when the US Supreme Court overturned Roe v. Wade last June, Georgia’s Republican lawmakers quickly reinstated the Peach State’s six-week abortion ban.

“Most women don’t even know they’re pregnant at six weeks. The 6-week ban has calcified things and is causing all types of health problems,” she said. “Women in similar circumstances now would have to go before a board which would convene to ensure appropriate safeguards for hospitals and doctors.”

“Women would be sent home with non-viable pregnancies.”

Cotton said priority choices, underfunding and disinvestment by Georgia’s elected officials are crippling women’s effort to have access to reproductive care.

“There’s underfunding here in Georgia. There are lots of rural hospital closures which are negatively affecting Black maternity health,” said Cotton, who served as the campaign manager for Teresa Tomlinson in her US Senate race and was founding executive director of Rep GA Institute, Inc. “It’s happening in places where schisms of haves and have-nots is particularly acute.”

Cotton said some people have to drive 70 to 100 miles to get to an OB-GYN. She said Georgia has been hit hard, citing the fact that Georgia government officials implemented Medicare after decade.

“This is top neglect of the governor and the legislature. Show me your budget, I’ll show you priorities,” she said. “Black women are underpaid and they’re living in areas under-represented and the government underfunds the basis infrastructure.”

These actions have been deeply challenging and perplexing for those people public officials purport to represent.

“We’re in a conundrum right now because public policy in Southern states is hard. There are systemic forces in place designed to oppress people in the margins,” said Cotton.

She said less than half of Georgia’s 159 counties has an OB-GYN, one of Atlanta’s two trauma hospitals have closed and grassroots organizations were not notified. She said residents and activists have been fighting back by taking to the streets but acknowledged that it’s been an uphill battle.

“You can treat healthcare like we treat retail. Throwing up urgent care will not do much. You’re playing with people’s lives,” Cotton said. “(What they’re doing) may be deliberate but regular folks and poor folks will and are suffering.”

Smith, who stood up a care modeling program called Beloved Births Black Centering, said in his role as chairman of midwifery, he doesn’t rely on magic.

“Actual measurements are moved to that end,” he said. “This particular model capitalizes on the centering of the prenatal care model, pre-birth weight, group prenatal care for and by Black people. We have Black midwives, doulas, caseworkers and Black physical fitness trainers. We provide wraparound care – a gold package of Black love.”

Smith serves on the advisory board of the African American Well Project, an organization led by Dr. Mike LeNoir whose goal is to create health equity in America’s healthcare ecosystem. He said he and his team were able to kick off Beloved Blacks Birthing Center during the COVID-19 global pandemic. He describes the program as a safety net providing care to Black, brown and other women.

“We’re seeing evidence of the program’s success. It is evidence-based care. It potentially could be the opt-out model while we address obstetric racism,” he said.

Wertzman said there are several solutions to this crisis.

“Policymakers understand that so many issues we face could be solved by investing in reproductive justice,” she said. “Women should be allowed to have babies if they want to.”

She said government officials, policymakers and others should also invest in midwifery by removing regulatory restrictions and other disincentives such as midwives being paid less for the same services.

“They need to reimburse equity – equal pay for equal work. It’s crazy how little is spent on births. Preventative consequences could be changed ensuring that people get care when and how they need it,” she said.

Wertzman said some other solutions are creating free-standing birth centers that offer pre-natal and natal care; integrating midwives more fully into the healthcare system to ensure a higher level of care; redistributing funds; and spending more money on those on the frontlines.”

The post The National Disgrace of Maternal Mortality first appeared on BlackPressUSA.

Oakland Post

Posts by Oakland Post

Up Next

Black History Told in Bronze

Don't Miss

Remembering Tina: The Legendary “Queen of Rock ‘n Roll” Passes Away at 83

Oakland Post

Click to comment

#NNPA BlackPress

Supreme Court Decision Confirms Convicted Felon Will Assume Presidency

NNPA NEWSWIRE — In a 5-4 ruling, the court stated that Trump’s concerns could “be addressed in the ordinary course on appeal” and emphasized that the burden of sentencing was “relatively insubstantial” given that Trump will not face prison time. Chief Justice John Roberts and Justice Amy Coney Barrett joined the court’s three liberal justices in the majority, with four conservative justices dissenting.

Published

5 days ago

January 10, 2025

Stacy M. Brown

By Stacy M. Brown, NNPA Newswire Senior National Correspondent
@StacyBrownMedia

The Supreme Court on Thursday rejected President-elect Donald Trump’s emergency request to block criminal proceedings in his New York hush money case, ensuring that a sentencing hearing will proceed as scheduled on Friday. The decision makes it official that, on January 20, for the first time in its history, the United States will inaugurate a convicted felon as its president.

In a 5-4 ruling, the court stated that Trump’s concerns could “be addressed in the ordinary course on appeal” and emphasized that the burden of sentencing was “relatively insubstantial” given that Trump will not face prison time. Chief Justice John Roberts and Justice Amy Coney Barrett joined the court’s three liberal justices in the majority, with four conservative justices dissenting.

Trump was convicted in May for falsifying business records related to a $130,000 payment to adult film star Stormy Daniels before the 2016 election. Manhattan District Attorney Alvin Bragg argued that the Supreme Court lacked jurisdiction to intervene in a state criminal case, particularly before all appeals in state courts were exhausted.

Trump’s legal team claimed the sentencing process would interfere with his transition to power and argued that evidence introduced during the trial included official actions protected under the Supreme Court’s prior ruling granting former presidents immunity for official conduct. Merchan, the New York judge who presided over the trial, ruled in December that the evidence presented was unrelated to Trump’s duties as president.

Prosecutors dismissed Trump’s objections, stating that the sentencing would take less than an hour and could be attended virtually. They said the public interest in proceeding to sentencing outweighed the President-elect’s claims of undue burden.

Justice Samuel Alito, one of the four dissenting justices, confirmed speaking to Trump by phone on Wednesday. Alito insisted the conversation did not involve the case, though the call drew criticism given his previous refusals to recuse himself from politically sensitive matters.

The sentencing hearing is set for Friday at 9:30 a.m. in Manhattan. As the nation moves closer to an unprecedented inauguration, questions about the implications of a convicted felon assuming the presidency remain.

“No one is above the law,” Bragg said.

Stacy M. Brown

Posts by Stacy M. Brown

#NNPA BlackPress

How Head Start Installs Confidence for Two Generations

NNPA NEWSWIRE — Head Start is a changemaker for all communities. Child by child, family by family, the seeds that are sowed continue to blossom as they stretch higher and higher toward the sunshine.

Published

1 week ago

January 6, 2025

Oakland Post

By Olivia Harvey

The founders of Head Start have always viewed parents as critical partners in their work to educate young children. They also understood that this partnership meant parents should help decide which services would most benefit their families and those in the community. As a result, Head Start created a formal leadership and policymaking role for parents and community members called the Policy Council.

Thank you to Head Start parent, Policy Council member, and alumna Olivia Harvey for recently sharing her story.

A few years ago my daughter Maliya was six years old and had just started kindergarten, after graduating from the Children First Head Start program in Sarasota County, Florida. It was hard to believe we’d reached this major milestone, but with all the love, care, and guidance she received from her incredible teachers, I’m confident that she will continue to blossom and thrive. Children First and the Head Start program have always been close to my heart, and the hearts of my family. My husband Malik is also a proud Head Start graduate along with some members of his family. He’s a wonderful support system and understands our shared mission of raising the healthiest, happiest family possible. Our lives are centered around family, and in addition to Maliya, we also have two other children, our sons Jeremiah and King. When we had our kids, we knew we didn’t have to look far to find quality, affordable childcare with amazing teachers we could trust. With the challenges we were facing, we knew we could turn to Children First’s Head Start program to help us find our path to success.

My family has been involved with Children First since Jeremiah was a toddler. Our family advocate, Ernestine, was there for Maliya and our entire family every step of the way. I know that even when my daughter is in high school, Ernestine will be there in a heartbeat if we ever need anything. The teachers care so deeply about the kids, and they never forget their faces. One day, Maliya came home with a photo taken by her teacher, Miss LaTonda. It was a baby picture of me because Miss LaTonda had been my teacher as well. I couldn’t believe she had kept it for all these years! It was such a special memory to share with my daughter, and it’s moments like this that let me know we will always be a part of the Children First family. Through Head Start, I also found a lot of support personally and as a parent. Due to the pandemic, I had reduced hours and was forced to seek other employment. During this time, I needed something that would allow me to feel professional and help me keep my skills up while at the same time offering me the flexibility to be a mom.

Luckily, Children First was offering a Job Skills Training Course as part of the agency’s Family Strengthening services. The class was perfect because it provided a sense of accountability and belonging. I learned about identifying and overcoming obstacles related to employment, and there was a special focus on resume writing, interviews, and ‘acing’ the first 90 days at a new job, which has benefited me! After a mock interview with my vocational family advocate Laura and her colleagues, I felt so confident with the skills that I had learned, and I decided to reach a higher goal in the workforce. I was offered a position at Sarasota School of the Arts & Sciences, where I have been working as a paraprofessional. While working full-time, I’ve also had the opportunity to go back to school to earn my bachelor’s degree to become a history or math teacher. My ambitions have led me to be a working professional, a full-time mom, and now, a student, but I’m not stopping there. In the future, I would like to earn my master’s degree and work as an administrator, with one of my ultimate goals being to run for the school board.

Because of Children First, Head Start, and my vocational coach, Laura, it feels like a whole new world of possibilities has opened. While I was unexpectedly unemployed but fighting to stay engaged, I was supported every step of the way. Laura and the team at Children First continue to guide me and my family on our journey to success. Although we still face unique challenges, I feel grateful and am so proud of how far we’ve come. Because Malik and I were able to grow and thrive in a healthy environment at the earliest stages of our lives, the lives of our children have been transformed for the better. Right now, some parents, families, and caregivers are struggling financially and socially. They need lower childcare prices, full workday hours with childcare coverage, and free transportation to and from daycare.

Head Start is a changemaker for all communities. Child by child, family by family, the seeds that are sowed continue to blossom as they stretch higher and higher toward the sunshine. Their promise is simple: every child, regardless of circumstances at birth, can reach their full potential. As I look to the future — from my youngest child thriving, to earning my teaching degree, to raising my beautiful children alongside my husband and beyond that, I know that thanks to Head Start, there is nothing to fear.

Oakland Post

Posts by Oakland Post

#NNPA BlackPress

Cold Weather Safety for Children

NNPA NEWSWIRE — Keep babies’ cribs free of stuffed animals and blankets. A firm mattress covered with a tight-fitting crib sheet is all that an infant needs to sleep safely.

Published

2 weeks ago

December 30, 2024

Oakland Post

By The Head Start Early Childhood Learning and Knowledge Center

Children are more vulnerable than adults to the effects of cold weather. The Head Start Early Childhood Learning and Knowledge Center developed these tips to help families and staff keep children safe, healthy, and warm in the winter.

Bundle up!

Children are at greater risk for frostbite than adults. The best way to prevent frostbite is to make sure children dress warmly and don’t spend too much time outside in extreme weather.
Dress children in layers of warm clothing. If the top layer gets wet, they will still have a dry layer underneath.
Tuck scarves inside coats and jackets to prevent them from becoming strangulation hazards.
Car seats and winter coats don’t mix. Bulky coats can compress in a crash and create a loose car seat harness. Instead, lay the jacket or a blanket over the children once you’ve safely strapped them into their car seat.

Keeping Healthy Outdoors

There’s no set amount of time for children to play outside safely when the weather is cold. Use your best judgment. When the cold becomes unpleasant, it’s time to go inside.
If you are unsure if weather conditions are safe for outdoor play, check the Child Care Weather Watch Chart.
- Have children come indoors periodically to prevent hypothermia or frostbite. A temperature of 0 degrees Fahrenheit and a wind speed of 15 mph creates a wind chill temperature of -19 F. Under these conditions, frostbite can occur in just 30 minutes.
- Frostnip is an early warning sign of frostbite. The skin may feel numb or tingly or appear red (on lighter skin).
- To prevent frostbite, check that mittens and socks are dry and warm. Frostbite occurs mostly on fingers, toes, ears, noses, and cheeks. The affected area becomes very cold, firm, and, depending on the color of the skin, turns white, yellowish-gray, or gray.
- Even though it’s cold outside, it’s important to use sunscreen and stay hydrated. Children are more likely than adults to become dehydrated.

Staying Safe Indoors and in Vehicles

Keep anything that can burn at least three feet away from heating equipment, including furnaces, fireplaces, wood stoves, and portable space heaters.
Set up a 3-foot “kid-free zone” around open fires and space heaters.
Remember to turn portable heaters off when leaving the room.
Test smoke alarms at least once a month.
Vent all fuel-burning equipment to the outside to avoid carbon monoxide (CO) poisoning.
Install and maintain CO alarms. Keep alarms at least 15 feet away from fuel-burning appliances.
If you need to warm up your vehicle, remove it from the garage as soon as you start it to avoid the risk of CO poisoning. Don’t leave a vehicle running inside a garage.
If vehicles are parked outside, check to make sure the tailpipe is not blocked with snow, which can also cause problems with CO.

Sleeping Safely in Any Season

Keep babies’ cribs free of stuffed animals and blankets. A firm mattress covered with a tight-fitting crib sheet is all that an infant needs to sleep safely.
If you are worried about keeping babies warm, dress them in a wearable blanket, also known as a sleep sack.

Infection Control

Cold weather does not cause colds or flu. However, viruses that cause a cold and the flu are more common in the winter when children spend more time indoors.
Keeping everyone’s hands clean is one of the most important ways to avoid getting sick and spreading germs to others. Wash hands with soap and clean running water and rub them together for at least 20 seconds.
Teach children to cough or sneeze into their upper sleeve or elbow, not their hands. Adults should model this behavior.
Review program policies on handwashing; cleaning, sanitizing, and disinfecting; and excluding children and caregivers who are sick.
The U.S. Centers for Disease Control and Prevention and the American Academy of Pediatrics recommend that all children 6 months and older receive the seasonal flu vaccine every year. All early care and education program staff should also get vaccinated for the flu.