For all women in the United States, the maternal mortality rate is a problem—but for Black women, it’s an urgent and tragic crisis. Here’s what to know, and what you can do:
to increased bias toward Black patients. Plus, chronic stress from historical and contemporary racism and bias are thought to impact the health of Black women: “Weathering,” a concept introduced by Arline Geronimus, ScD, in 1992, refers to the deterioration of health and premature aging of Black people due to the stress and trauma of racism, which can lead to increased chronic disease and worse health outcomes.
How can we, as a society, actively reduce the Black maternal mortality rate? This crisis is complex and multifactorial, and solutions require innovative approaches across the patient, provider, institutional and policy levels. We must improve access to prenatal care, increase the quality of the healthcare provided, ensure access to insurance coverage, expand paid family leave and expand postpartum care.
The long history of racism in the US; bias in medical education, training and research; and unethical experimentation has created a deep mistrust of the healthcare system within communities of color. Cities, states and professional organizations have declared racism a public health issue and a cause of health disparities for people of color. These issues must be addressed in substantive ways, including mandatory implicit bias training and educating physicians to be culturally humble.
There is also a national shortage of doctors, particularly in maternal care. Along with Canada, the US has the
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