California Black Media

COMMENTARY: Finding Joy and Justice for Childbearing Black Moms

Black mothers are more likely to die due to complications from pregnancy and childbirth than pregnant women of all other races. This is a shameful injustice plaguing the Black community, one that is over 400 years in the making.

Published

2 years ago

October 2, 2023

Oakland Post

Dr. Melissa Franklin

By Dr. Melissa Franklin, Special to California Black Media Partners

Black mothers are more likely to die due to complications from pregnancy and childbirth than pregnant women of all other races. This is a shameful injustice plaguing the Black community, one that is over 400 years in the making.

Black women are 1.6 times more likely to experience more maternal mental health conditions, including prenatal and postpartum anxiety and depression, than women of other races, according to the American Hospital Association Institute for Diversity and Health Equity.

These injustices are killing Black women who are well-resourced and educated like Olympian Tori Bowie, as well as those enduring economic hardship. It is also harming their babies. And although this crisis has attracted national attention, it remains unaddressed.

For Black women, like me, who have experienced premature childbirth, the trauma and guilt of not being able to bring our babies full term can be long-lasting. Those psychological scars exist along with the other physical and mental threats to our health and wellbeing.

Both of my children were born three months early, despite my best efforts. I had a steady job, decent income, post-graduate education, a good bill of health and a stable relationship. Yet, my health and life were threatened in both of their births. One would think that such an experience would place me in a unique category. However, as a Black woman, it does not.

In Los Angeles County, Black women die at three to four times the rate of other races due to pregnancy-related complications, and Black babies die at two to three times the rate of any other race before their first birthday. Black babies are born premature at greater rates than any other ethnic group, which can lead to long-term health and developmental challenges. The Black community is also shouldering a disproportionate amount of the mental burden of tragedy and loss when it comes to pregnancy and childbirth.

To solve this problem, we must acknowledge three truths:

The problem is not with Black people.
It’s the system that is failing Black people.
This problem is solvable, and Black people deserve to have joyous and healthy births.

The data coupled with our lived experiences and history as Black people tells us something is amiss. College educated Black women experience worse birth outcomes (i.e., death, premature birth, health complications for mother and child) than white women with high school diplomas. Black women who are non-smokers have worse birth outcomes than white women who smoke. The root problem is also not “teen pregnancy.”

Black teens have better birth outcomes than older Black individuals.

The root causes of the problem are complex. In short, stress kills.

The stress of generations of racial harm compounded by ongoing, exposure to racist treatment, prejudice and oppression, can be deadly. This stress is especially deadly when it is exacerbated by systems of care that disrespect and withhold quality care from Black people. The social contexts that imperil Black individuals to a greater extent than other races, such as homelessness, criminal justice injustice, education system injustice, and child welfare system injustice create a perfect storm for these root causes to grow.

There is hope for change. There are a number of initiatives underway to address the racism and stress that are at the root of the problem. These initiatives range from legislation such as the Federal Momnibus Act, California Senate Bill (SB) 65 (California Momnibus Act) and California SB 464 (Dignity in Pregnancy Act) to Statewide Initiatives such as the Perinatal Equity Initiative. In Los Angeles County, the Department of Public Health’s African American Infant and Maternal Mortality Initiative (AAIMM) brings together public agencies, community-based organizations, and advocates to raise awareness and transform how systems treat Black people.

But what can a Black woman/person do if they are pregnant or want to become pregnant one day? We can reclaim justice and joy by activating a village to address the stress. Until racism, racial microaggressions and poor treatment by the health care system are resolved, mental health support from multiple places is a powerful tool we can access.

This means building a village to provide social and emotional support, and as well as advocacy during your childbirth journey. Available resources include:

Black Infant Health Program — prenatal groups that bring together Black pregnant folks in a group setting. They offer support, resources, and a coach to help you through your journey.

Doulas — birth partners who provide emotional and physical support during pregnancy, childbirth, and the early postpartum period. Los Angeles County AAIMM Doula program provides doulas services by Black Doulas for Black families.

Group Prenatal — a small prenatal care group of pregnant women with similar due dates led by a clinician.

Home Visitation — assistance to expecting families on their journey through pregnancy and early parenting, delivered by a public health nurse or a parent coach.

Midwives, Maternity Homes and Birth Centers — Important sources of caring, quality support and advocacy.

While agencies and advocates are mounting efforts, we all have an important role. Even if you have no plans of becoming pregnant or parenting in the future, you can still make a difference when it comes to the mental health of childbearing moms.

If you know someone who is pregnant, connect them to a resource to assist them on their journeys. Be a friend and advocate. Take ACTION to show them they have a village —offer to cook/bring a meal, go with them to their appointments, provide a shoulder to lean on when they are exhausted.

While we work to make this world a less traumatizing place for Black people, we can also take steps to prevent the stress of that trauma from killing our mothers and our babies. We deserve to experience joy, abundance, and beautiful, healthy births. It is our birthright.

About the Author

Dr. Melissa Franklin is the Director of maternal, Child and Adolescent Health at the Los Angeles County Department of Public Health.

Related Video

Chelsea, an expectant mom, and Danica, her doula, discuss the delicate connection between mental health and maternal care. Watch the video.

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How Charles R. Drew University Navigated More Than $20 Million in Fed Cuts – Still Prioritizing Students and Community Health

Named after the pioneering physician Dr. Charles R. Drew, famous for his work in blood preservation, CDU’s mission is to cultivate “diverse health professional leaders dedicated to social justice and health equity for underserved populations through education, research, clinical service, and, above all, community engagement.”

Published

4 weeks ago

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Oakland Post

Photo Caption: The campus of Charles R. Drew University of Medicine and Science (CDU) in Los Angeles. CBM photo by Max Elramsisy.

Charlene Muhammad | California Black Media

Earlier this year, when the federal government slashed more than $20 million in grants to Charles R. Drew University of Medicine and Science (CDU), the leadership of California’s only historically Black medical school scrambled to stabilize its finances — while protecting its staff and students.

The school is widely recognized as a vital pipeline for Black doctors and other health professionals throughout California.

Dr. David Carlisle (center), President of Charles R. Drew University of Medicine and Science (CDU), with two of the university’s students. Photo Courtesy of Charles R. Drew University of Medicine and Science.

Dr. Jose Torres-Ruiz, CDU’s Executive Vice President for Academic Affairs and Provost, said the university—designated as a Historically Black Graduate Institution (HBGI)—was notified in early March 2025 that most of its major grants, including the Research Centers in Minority Institutions (RCMI) award, known at CDU as the “Accelerating Excellence in Translational Science” (AXIS Grant), would be terminated. Initially renewed, the grant was later revoked because its language did not align with the current federal administration’s priorities.

The AXIS Grant provides $4.5 million per year for five years through the National Institutes of Health’s National Institute on Minority Health and Health Disparities. CDU quickly reallocated other funds to protect its scientists, staff, and technicians, though some personnel losses were unavoidable.

“We didn’t want to fire them because these people have expertise that takes years to gain,” Torres-Ruiz said.

The grant is crucial, he added, funding research in cancer, diabetes, and metabolic diseases that affect the Willowbrook community in South Los Angeles, training the next generation of scientists, and supporting community outreach.

Programs at the school, including its youth and teen mentoring programs reach beyond the walls of the university, impacting the lives and quality of health care of people in the surrounding community, one of the most underserved areas in Los Angeles County.

Confronted with the harsh reality of funding cuts, the university’s leadership made an early, strategic choice to honor its foundational commitment and prioritize its students. Dr. Deborah Prothrow-Stith, dean of CDU’s College of Medicine, highlighted the school’s deliberate focus on admitting students from economically disadvantaged backgrounds — many of whom are Pell Grant recipients and graduates of public high schools.

“We are staying true to our mission, finding creative ways to prioritize what’s most important,” she said. “I’m optimistic because of our students—they are dedicated and committed to service.”

In addition, the $2 million-per-year John Lewis NIMHD Research Endowment Program, intended to strengthen CDU’s research infrastructure, was terminated with three years remaining after a February 2025 freeze on nearly all federal grants for public health, education, and infrastructure projects.

Following an appeal, CDU learned in June that the RCMI grant had been fully reinstated, along with all but eight smaller grants. The university’s next priority is restoring the John Lewis Endowment.

“We are working with NIH staff to adjust the language. Certain words like ‘diversity’ and ‘equity,’ which are core values of our institution, are now under scrutiny,” Torres-Ruiz explained.

CDU has also expanded funding sources by targeting foundations and private donors. “This may happen again. We cannot rely solely on federal agencies,” Torres-Ruiz said, emphasizing the importance of building relationships with politicians and private partners.

Prothrow Stith echoed Ruiz’s perspective on cultivating multiple funding sources. “Building bridges with private foundations helps, but it doesn’t erase the disruption,” she said.

Many students rely on federal loans, CDU leaders say. Those loans are now capped at $150,000. So, most medical students graduate with $300,000–$350,000 in debt when accounting for tuition and living expenses.

To lower the burden on students, CDU is exploring options to make education more affordable, including overlapping school years to reduce annual costs.

Students like Isaiah Hoffman and Bailey Moore epitomize CDU’s values.

Hoffman, an aspiring orthopedic surgeon from Inglewood, credits Drew for inspiring his career choice. Out of 12 medical school acceptances, he chose CDU to give back to his community and continue Drew’s legacy. Hoffman also founded H.O.M.I.E.S. Inc., a nonprofit pairing Black K–12 students with mentors to support academic and personal growth.

Moore, 23, from Southeast Washington, D.C., pursued CDU to address maternal health disparities she observed in her own community – an underserved area of the nation’s capital city. “CDU pours into you. It emphasizes service, and I hope for a world without health disparities,” she said. “Drew may be small, but Drew is mighty. It was created out of necessity to save lives and empower communities.”

CDU President and CEO Dr. David Carlisle acknowledged during the Aug. 28 “State of the University” that the institution faces ongoing challenges. Political threats and grant disruptions contributed to a sizable unrestricted budget deficit, despite achievements over the past year.

Successful appeals and alternative sources of funding, led by Vice Provost Dr. Ali Andallibi, have now restored all the monies previously lost in research funding, he said.

Carlisle expressed gratitude to L.A. Care Health Plan and Sutter Health for providing multimillion-dollar scholarships and highlighted that CDU would welcome approximately 1,050 incoming students—near its highest enrollment ever. “I’m deeply grateful for the resolve, diligence, and unwavering commitment of everyone here, even when the path is not easy,” he said.

At the gathering, Carlisle referred to the sounds of ambulances passing by with blaring sirens as- the “music of healthcare,” while students and the school’s leadership attending expressed resilience in their speeches and conversations. The activities of the day captured the institution’s focus on education, service and advancing health care across disadvantaged communities in California – and beyond.

Video Report: How Charles Drew Stayed Strong Amid Federal Funding Cuts