Black Lives Matter in Birth
Because Black women are 3 to 5 times more likely to experience a pregnancy-related death than white women...
​
Because Black women are incarcerated at nearly 3 times the rate of white women, and many give birth behind bars...
​
Because one in four Black girls will be sexually abused before the age of 18, and these girls grow up to have their own babies and have to face that trauma again...
​
Because Black women are paid 61 cents for every dollar paid to their white male counterparts...
​
...we stand with #BlackLivesMatter.
​
...we stand against obstetric coercion and obstetric violence in all forms.
...we stand against a medical industry that victimizes Black Americans.
...we stand for racial equity in employment, healthcare, and all aspects of life.
Action Items
For almost two decades, medical literature has documented the appalling health disparities for Black, Indigenous, People of Color (BIPOC) during the childbearing year. Legislators and healthcare providers alike are aware of the seriousness of this crisis, and yet shockingly little has been done to change the healthcare landscape that perpetuates these poor outcomes.
There is no excuse for ignorance or inaction! It is well past time to support and uplift the voices of our BIPOC community members. We call on all of our clients and supporters to take an active roll in helping to promote racial equity in birth and in all aspects of life.
​
Make a donation:
​
-
Ancient Song Doula Services - https://www.ancientsongdoulaservices.com
-
Birthmark Doulas - https://www.birthmarkdoulas.com/
-
Black Mamas Matter Alliance - https://blackmamasmatter.org/
-
Black Women Birthing Justice - https://www.blackwomenbirthingjustice.org/
-
Jamaa Birth Village - https://jamaabirthvillage.org/
-
Mamatoto Village, Inc. - https://www.mamatotovillage.org/
-
The National Association to Advance Black Birth (NAABB) - https://thenaabb.org/
-
National Birth Equity Collaborative - https://birthequity.org/
-
Reaching Our Sisters Everywhere (ROSE) - http://www.breastfeedingrose.org/
-
Sister Song - https://www.sistersong.net/
-
Southern Birth Justice Network - https://southernbirthjustice.org/
-
Urban Baby Beginnings - http://urbanbabybeginnings.org/
-
Uzazi Village - http://www.uzazivillage.org/
​
​
Actively engage in anti-racism:
​
For those new to anti-racist work, one of the first resources we suggest is this compilation of anti-racism resources. From “I don’t see color” to “It’s not my fault I’m white” to “How can I be white and anti-racist?” it’s organized by the stage of your journey. Where do you fall on this list? Thank you for learning with us.
​
​
Contact your governor or mayor:
​
-
Maryland:
-
Governor Larry Hogan: 410-974-3901 ​
-
Annapolis Mayor Gavin Buckley: 410-263-7997, mayorbuckley@annapolis.gov
-
Baltimore Mayor Bernard C. "Jack" Young: 410-396-4900
-
Rockville Mayor Bridget Newton: 240-314-8291, bnewton@rockvillemd.gov
-
-
DC:
-
Mayor Muriel Bowser: 202-727-2643, muriel.bowser@dc.gov
-
-
Virginia:
-
Governor Ralph Northam: ​804-786-2211
-
Alexandria Mayor Justin M. Wilson: 703-746-4311
-
​
Write a letter or statement:
​
-
Demand better oversight in the medical institution! Demand maternal health task forces! Demand and end to racial and ethnic inequities! We have previously shared our July 2019 letter, and letters from our colleagues [here] [here] and [suppressed], speaking out against inequities at a local area hospital. If you are willing to share a birth story and/or statement emphasizing why equity in birth must be protected, you can email info@family-ways.com and we will help you navigate where to direct your correspondence.
​
Racial Disparities in Maternal Healthcare
​
A gentle sampling of research on this subject:
​
-
Altman, M.R.; Oseguera, T.; McLemore, M.R.; Kantrowitz-Gordon, I.; Franck, L.S.; Lyndon, A. “Information and power: Women of color’s experiences interacting with health care providers in pregnancy and birth.” Social Science & Medicine 238 (2019). https://doi.org/10.1016/j.socscimed.2019.112491
-
Belluz, Julia. “We finally have a new US maternal mortality estimate. It’s still terrible.” Vox (January 30, 2020). https://www.vox.com/2020/1/30/21113782/pregnancy-deaths-us-maternal-mortality-rate
-
Bishop, Jean. Lynne Jacob, ed. “Childbirth at a Crossroads in Southeastern Pennsylvania.” The Maternity Care Coalition (2006). https://maternitycarecoalition.org/wp-content/uploads/2018/10/MCC_Childbirth-at-a-Crossroads.pdf
-
Bryant, A.S.; Worjoloh, A.; Caughey, A.B.; Washington, A.E. (2010). Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants. American Journal of Obstetrics and Gynecology 202(4):335-343. http://dx.doi.org/10.1016/j.ajog.2009.10.864
-
Center for Reproductive Rights. “Reproductive Justice: Racial and Gender Discrimination in U.S. Health Care: A Shadow Report for the UN Committee on the Elimination of Racial Discrimination.” (2014): 1-40. https://www.reproductiverights.org/sites/crr.civicactions.net/files/documents/CERD_Shadow_US_6.30.14_Web.pdf
-
Chiu, A. "Beyoncé, Serena Williams open up about potentially fatal childbirths, a problem especially for black mothers."The Washington Post. (August 7, 2018). https://www.washingtonpost.com/news/morning-mix/wp/2018/08/07/beyonce-serena-williams-open-up-about-potentially-fatal-childbirths-a-problem-especially-for-black-mothers/
-
Cooper Owens, D. Medical Bondage: Race, Gender, and the Origins of American Gynecology. Athens, GA: University of Georgia Press, 2018.
-
Declercq, Eugene R. and Neel Shah. "Maternal deaths represent the canary in the coal mine for women’s health." (August 22, 2018). BirthBytheNumbers.org.
-
Declercq, Eugene R., Carol Sakala, Maureen P. Corry, Sandra Applebaum, and Ariel Herrlich. Listening to Mothers SM III. New York: Childbirth Connection, May 2013. http://transform.childbirthconnection.org/wp-content/uploads/2013/06/LTM-III_Pregnancy-and-Birth.pdf
-
Dominguez, T.P. "Race, racism, and racial disparities in adverse birth outcomes." Clinical Obstetrics and Gynecology (2008) 51(2):360-370. http://dx.doi.org/10.1097/GRF.0b013e31816f28de
-
Feldman, Nina and Aneri Pattani. “Black Mothers Get Less Treatment for Their Postpartum Depression.” National Public Radio (NPR). November 29, 2019. https://www.npr.org/sections/health-shots/2019/11/29/760231688/black-mothers-get-less-treatment-for-their-postpartum-depression
-
Geronimus, Arline T. “The weathering hypothesis and the health of African-American women and infants: evidence and speculations.” Ethnicity & Disease (Summer 1992), 2(3):207-21.
-
Giurgescu, C.; Zenk, S.N.; Dancy, B.L.; Park, C.G.; Dieber, W.; Block, R. "Relationships among neighborhood environment, racial discrimination, psychological distress, and preterm birth in African American women." Journal of Obstetric, Gynecologic, & Neonatal Nursing, 2012. 41(6):E51-61. http://dx.doi.org/10.1111/j.1552-6909.2012.01409.x
-
Howell, Elizabeth A., Natalia Egorova, Amy Balbierz, Jennifer Zeitlin, and Paul L. Hebert. “Black-white differences in severe maternal morbidity and site of care.” American Journal of Obstetrics & Gynecology, 214, no 1 (2013): 122.e1 - 122.e7. Presented at Academy Health Annual Research Meeting, Baltimore, MD, June 25, 2013. https://doi.org/10.1016/j.ajog.2015.08.019
-
Lorch, S.A.; Enlow, E. "The role of social determinants in explaining racial/ethnic disparities in perinatal outcomes." Pediatric Research, 2016. 79(1-2):141-147. http://dx.doi.org/10.1038/pr.2015.199
-
Lu, M.C.; Halfon, N. "Racial and ethnic disparities in birth outcomes: a life-course perspective." Maternal and Child Health Journal, 2003. 7(1):13-30.
-
Malat, J.; Jacquez, F.; Slavich, G.M. "Measuring lifetime stress exposure and protective factors in life course research on racial inequality and birth outcomes." Stress. 2017. 20(4):379-385. http://dx.doi.org/10.1080/10253890.2017.1341871
-
March of Dimes. “Racial and Ethnic Disparities in Birth Outcomes.” 2015. https://www.marchofdimes.org/materials/March-of-Dimes-Racial-and-Ethnic-Disparities_feb-27-2015.pdf
-
Nuru-Jeter, A.; Dominguez, T.P.; Hammond, W.P.; et al. “'It’s the skin you’re in': African-American women talk about their experiences of racism. An exploratory study to develop measures of racism for birth outcome studies." Maternal and Child Health Journal. 2009. 13(1): 29-39. http://dx.doi.org/10.1007/s10995-008-0357-x
-
“The prevention and elimination of disrespect and abuse during facility-based childbirth.” Geneva: World Health Organization (WHO), 2014.
-
Somerstein, Rachel. “Rates of maternal mistreatment in the US are high across the board — especially for women of color.” Boston Globe. September 13, 2019. https://www.bostonglobe.com/ideas/2019/09/13/rates-maternal-mistreatment-are-high-across-board-especially-for-women-color/6DOGFDTLgyLcn8wRKVsfjP/story.html
-
Stallings, E. "This Is How the American Healthcare System Is Failing Black Women: Racial bias in medical care is real—and it put these women’s lives at risk." Oprah Magazine. (August 1, 2018). Retrieved from https://www.oprahmag.com/life/health/a23100351/racial-bias-in-healthcare-black-women/
-
Taylor, J.; Novoa, C.; Hamm, K.; Phadke, S. "Eliminating Racial Disparities in Maternal and Infant Mortality: A Comprehensive Policy Blueprint." Center for American Progress. (May 2, 2019). Retrieved https://www.americanprogress.org/issues/women/reports/2019/05/02/469186/eliminating-racial-disparities-maternal-infant-mortality/
-
Vedam, S., Stoll, K., Taiwo, T. K., Rubashkin, N., Cheyney, M., Strauss, N., et al. & the GVtM-US Steering Council. "The Giving Voice to Mothers study: Inequity and mistreatment during pregnancy and childbirth in the United States." Reproductive Health, June 11, 2019. 1-18. http://dx.doi.org/10.1186/s12978-019-0729-2
-
Wint, K.; Elias, T.I.; Mendez, G.; Mendez, D.D.; Gary-Webb, T.L. “Experiences of Community Doulas Working with Low-Income, African American Mothers.” Health Equity 3, no. 1. (April 8, 2019). https://doi.org/10.1089/heq.2018.0045