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

3 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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The Ladies of Delta Sigma Theta Hold Day of Advocacy at the Capitol in Sacramento

A member of the “Divine Nine,” Delta Sigma Theta Sorority, Inc., was founded on Jan. 13, 1913, at Howard University in Washington, D.C. The organization was established by 22 women who sought to shift the group’s focus from social activities to public service, academic excellence, and social activism.

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Oakland Post

Sen. Laura Richardson (D-San Pedro) presents a Senate resolution to the Delta Theta Sigma Sorority Farwest Region at the State Capitol on May 4. Photo courtesy of the Senate Rules Committee.

By Antonio Ray Harvey, California Black Media

On May 4, members of the Farwest Region of Delta Sigma Theta Sorority, Inc., convened at the California State Capitol for the organization’s 23rd annual Delta Days in Sacramento.

The two-day advocacy event brings together chapters from across California to engage directly in the legislative process, connect with lawmakers, and advocate for policies impacting Black communities.

Members of the sorority were honored on the Senate floor by Sen. Laura Richardson (D-San Pedro), who is also a member of Delta Sigma Theta.

Richardson welcomed the Farwest Region during the presentation of a Senate resolution recognizing outgoing Regional Director Kimberly Usher for her leadership and service.

“In addition to the Far West Region, we are led by a fearless leader, regional director Kimberly Usher. She has now served her full term of what’s allowed,” Richardson said. “We are going to be having our regional conference, but we wanted to give it to her here, officially recognizing her service.”

The resolution was co-authored by Richardson and fellow members of the California Legislative Black Caucus (CLBC) and Delta Sigma Theta, Sen. Akilah Weber Pierson (D-San Diego) and Assemblymember Rhodesia Ransom (D-Stockton).

Usher has served in the leadership role since 2022.

“We are founded on sisterhood that is deeply rooted in scholarship, service, and social action,” said Weber Pierson, a member of the Gamma Alpha chapter of Delta Sigma Theta Sorority.

“Today, we continue a legacy of empowering communities and upholding the high cultural, intellectual, and moral standards established by our founders over a century ago,” she added.

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Activism

Rep. Kamlager-Dove Introduces Bill to Protect Women in Custody After Reports Detailing Miscarriages and Neglect

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

Published

1 day ago

May 17, 2026

Oakland Post

iStock

By Bo Tefu, California Black Media

Congresswoman Sydney Kamlager-Dove (D-CA-37) on May 7, reintroduced updated legislation aimed at strengthening protections and healthcare standards for pregnant and postpartum women held in federal custody, including in immigration detention facilities.

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

The legislation builds on a bipartisan version previously passed by the House during the 117th Congress. The updated bill includes new standards for healthcare access, mental health and substance use treatment, high-risk pregnancy care, family unity protections and increased federal oversight.

“Proper pregnancy care is a human right, regardless of your immigration or incarceration status,” Kamlager-Dove said in a statement. “It’s unacceptable that there are virtually no legal safeguards for pregnant women in federal custody.”

The bill would also limit the use of restraints and restrictive housing for pregnant women, improve data collection on maternal health in custody and require additional staff training and enforcement measures.

Supporters of the measure said the legislation is intended to address long-standing concerns about maternal healthcare and safety in detention settings, particularly for Black women and low-income women who are disproportionately impacted by incarceration and health disparities.

“Pregnant women in custody should never be subjected to dangerous and inhumane treatment that threatens their health, dignity, or the well-being of their babies,” said Patrice Willoughby, chief of policy and legislative affairs for the NAACP and a longtime public policy and government affairs strategist, in a statement.

A 2021 report estimated there are about 58,000 admissions of pregnant women into U.S. jails and prisons each year. Kamlager’s statement also cited a recent investigation by NBC News and Bloomberg Law that identified allegations of severe mistreatment or medical neglect involving at least 54 pregnant women or families in county jails between 2017 and 2024.

Federal policy under the Department of Homeland Security restricts the detention of pregnant, postpartum and nursing immigrants except in extreme cases. However, the agency reported that ICE deported 363 pregnant, postpartum or nursing women between January 2025 and February 2026, including 16 recorded miscarriages during that period.

The bill is cosponsored by several House Democrats and backed by organizations including the NAACP and the Vera Institute of Justice.

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Bay Area

Q&A with Steven Bradford: Why He Wants Your Vote for California Insurance Commissioner

Known for his work on issues ranging from energy and public safety to economic development, Bradford has also engaged with insurance policy during his time in the Legislature, serving on the Senate Insurance Committee.

Published

1 day ago

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Oakland Post

Hon. Steve Bradford, candidate for California Insurance Commissioner.

By Edward Henderson, California Black Media

As California confronts rising insurance costs, market instability, and growing concerns about access and equity, the race for the state’s top insurance regulator is drawing increased attention.

Among the candidates is Steven Bradford, a veteran public servant with more than two decades of experience in government, including eight years in the State Senate and five years in the State Assembly.

Now, he is making his case to voters for why his background and perspective best position him for the role of California’s next insurance commissioner.

California Black Media (CBM) spoke with Bradford about his campaign experiences, key issues he plans to solve if elected, and his vision for the insurance commissioner role.

For readers who may not be familiar, what does the Insurance Commissioner do, and how would you use that role to address issues impacting communities in California?

The Insurance Commissioner is both a regulator and an administrator. The office oversees the entire insurance market—approving companies to operate, licensing agents and brokers, and reviewing rate increases or decreases.

This role is about oversight and action. The commissioner should be a watchdog, not a bystander, especially in a state like California, which has the third-largest insurance market in the world.

Last year, you shifted your campaign from running for lieutenant governor to the race for insurance commissioner. What spurred that decision?

Insurance impacts every part of people’s lives. You can’t buy a home without it—that contributes to the housing crisis. You can’t legally drive without it—that affects people’s ability to work. And businesses can’t operate without it.

For years, insurance has disproportionately impacted low-income communities and people of color. While everyone is feeling the strain now, those communities have long been hit hardest. That’s why it’s critical that insurance is not just available, but affordable.

What sets you apart from the other candidates in this race?

My record: 26 years of public service. I’ve shown up, stood up, and spoke up for Californians.

A recent Supreme Court decision impacting the Voting Rights Act has raised concerns about representation. What message do you have for voters in California regarding the importance of their vote?

It’s alarming. If people think this doesn’t affect them, they’re mistaken. There’s a real effort to roll back decades of progress and silence voters.

Your vote is your most powerful tool, and we have to use it—every election.

What are you hearing from voters as you campaign across the state?

Affordability and transparency.

People are struggling with rising costs, and many don’t fully understand what their insurance policies cover.

We saw that clearly in places like Altadena and the Palisades—people had insurance but were underinsured. They didn’t realize their coverage wouldn’t meet the cost to rebuild. That’s unacceptable.

We must acknowledge the inequities in the system. The FAIR Plan has roots in discrimination, and today we still see disparities based on ZIP code and income. We need a more competitive and equitable market where consumers have choices.