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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.

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Dr. Melissa Franklin
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:

  1. The problem is not with Black people.
  2. It’s the system that is failing Black people.
  3. 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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Bo Tefu

Trump’s White House Pushes to Control California Wildfire Recovery

The executive order signed Jan. 27 by President Donald Trump directs federal agencies to explore regulations that could override California and municipal permitting rules for homes and other structures destroyed in the fires. Land-use and rebuilding permits have traditionally been handled by cities and counties, making the move an unprecedented federal intervention into disaster recovery.

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By Bo Tefu, California Black Media

The White House is moving to take control of wildfire recovery efforts in the Los Angeles County area, issuing an executive order that would shift rebuilding permit authority from state and local governments to the federal government following the January 2025 Palisades and Eaton fires.

The executive order signed Jan. 27 by President Donald Trump directs federal agencies to explore regulations that could override California and municipal permitting rules for homes and other structures destroyed in the fires. Land-use and rebuilding permits have traditionally been handled by cities and counties, making the move an unprecedented federal intervention into disaster recovery.

“I want to see if we can take over the city and state and just give the people their permits they want to build,” Trump told the media when signing the order.

The Palisades and Eaton fires destroyed about 16,000 homes, businesses, and other structures across Pacific Palisades, Altadena, and surrounding areas. According to local data, roughly 4,700 applications to rebuild have been submitted, with about 2,000 approved so far. Officials say the pace of rebuilding is consistent with recovery timelines from other major wildfires in California, where reconstruction often takes several years.

Gov. Gavin Newsom and Los Angeles Mayor Karen Bass quickly condemned the order, stating that it is unnecessary and legally questionable. Disaster recovery experts echoed those concerns, pointing to constitutional limits on federal authority over land-use decisions.

Trump’s order calls on the Federal Emergency Management Agency (FEMA) and the Small Business Administration to consider allowing builders to self-certify compliance with health and safety regulations to receive federal approval.

The dispute has become another flashpoint in the ongoing political battle between Trump and Newsom. The governor has requested $33 billion in federal disaster aid that has not yet been approved, while survivors continue to face challenges related to insurance payouts, high rebuilding costs, and legal disputes tied to the cause of the fires.

“Instead of finally sending to Congress the federal relief Los Angeles needs to rebuild from last year’s firestorms, Donald Trump continues to live in fantasy land,” Newsom wrote on X.

Bass said the White House could speed recovery by approving disaster aid and pushing insurers and lenders to support affected residents.

Trump’s order calls for draft regulations within 30 days and final rules within 90 days.

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Bo Tefu

Gov. Newsom, AG Bonta to Local Law Enforcement: You Have Authority to Investigate Federal Agents

The guidance, released by the California Department of Justice (DOJ), emphasizes that local and state police have concurrent jurisdiction in cases involving federal officers and are not required to defer to federal investigations. The bulletin follows recent federal officer-involved shooting deaths in Minnesota and California.

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By Bo Tefu, California Black Media

Gov. Gavin Newsom and California Attorney General Rob Bonta issued a bulletin Jan. 27 reminding state and local law enforcement agencies that they have the authority to investigate potential violations of state law committed by federal agents, even when federal authorities do not cooperate.

The guidance, released by the California Department of Justice (DOJ), emphasizes that local and state police have concurrent jurisdiction in cases involving federal officers and are not required to defer to federal investigations. The bulletin follows recent federal officer-involved shooting deaths in Minnesota and California.

The bulletin states that federal and state law enforcement have long worked together on investigations that can result in both federal and state charges, but recent actions by the federal government have raised concerns about obstruction and a lack of transparency. California officials say those developments require state and local agencies to be prepared to assert their legal authority.

“Especially when a fatal shooting occurs, no one should be allowed to rush in, seize evidence, and control the narrative before state and local law enforcement have lawful access,” said Newsom. “Transparency isn’t a talking point; it’s a legal and moral requirement.”

Bonta said federal agents do not have absolute immunity from state criminal prosecution and warned against claims suggesting otherwise.

“Let there be no question: State and local law enforcement in California have authority to investigate potential violations of state law, even when those violations are committed by federal agents,” said Bonta. “Federal courts have long recognized that federal agents do not have absolute immunity from state law prosecution.”

The bulletin advises agencies that states have primary authority to investigate and prosecute violations of state criminal law, including cases involving federal officers. It also notes that the California DOJ is available to assist local agencies and can seek court orders to preserve evidence or secure access to crime scenes if needed.

California officials pointed to a Minnesota case in which a Trump-appointed federal judge ordered the federal government not to destroy evidence amid allegations that federal authorities interfered with a state investigation into a fatal shooting involving a federal officer.

The move comes amid broader legal battles between California and the Trump administration over federal law enforcement practices. In recent months, Bonta has led or joined court filings challenging federal deployments and enforcement actions, while Newsom has opposed what state leaders describe as unlawful federal overreach.

The DOJ encouraged Californians to report alleged misconduct by federal agents through its online reporting portal, saying the state stands ready to investigate and, where warranted, pursue charges under the California Penal Code.

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Activism

Cracking Down on Human Trafficking, California DOJ Announces 120 Arrests

According to the California DOJ, 87 arrests were made for loitering, 25 for solicitation, and eight for pimping and pandering. Officials said the operation focused on reducing demand for commercial sexual exploitation while prioritizing a survivor-centered approach.

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By Bo Tefu, California Black Media

The California Department of Justice (DOJ) announced on Jan. 26 that 120 people were arrested during a coordinated, multi-county law enforcement operation aimed at disrupting human trafficking and connecting survivors with support services.

The arrests stem from Operation Stand On Demand, a six-day effort conducted from Jan. 19 through Jan. 24 across San Diego, Sacramento, Tulare, and Fresno counties. It involved more than a dozen state and local law enforcement agencies working together to target individuals involved in sex trafficking, including traffickers and buyers.

“This operation reflects an ongoing commitment by California law enforcement to target those who fuel trafficking and exploitation,” said Attorney General Rob Bonta.

According to the California DOJ, 87 arrests were made for loitering, 25 for solicitation, and eight for pimping and pandering. Officials said the operation focused on reducing demand for commercial sexual exploitation while prioritizing a survivor-centered approach.

“It’s a coordinated, multi-county law enforcement effort focused on disrupting sex trafficking, holding perpetrators accountable, and connecting survivors with support,” said Bonta.

San Diego County accounted for the majority of enforcement activity during the operation. District Attorney Summer Stephan said law enforcement agencies worked around the clock to identify and arrest individuals attempting to purchase sex.

“Our officers, in less than one week during this operation, took action, not words, by working around the clock and arresting and citing 105 people who thought that they were going to go out and buy a human being like they’re a hamburger or a slice of pizza,” Stephan said.

San Diego County Sheriff Kelly Martinez chimed in.

“Communities like Santee and San Marcos, which were part of this operation, face unique vulnerabilities tied to transportation routes, student populations, and employment opportunities,” she said.

Bonta said the arrests are part of broader statewide efforts to combat human trafficking. Since 2021, the Attorney General’s Office said its human trafficking task forces have led to more than 900 arrests and connected more than 1,000 survivors to services and resources.

“Human trafficking is a complex, devastating crime, but when we work together, we can make a real difference, and this operation is proof positive of that fact,” Bonta said.

California DOJ officials said similar operations will continue as part of the state’s ongoing strategy to combat human trafficking and protect vulnerable communities.

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