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The National Disgrace of Maternal Mortality

NNPA NEWSWIRE — “The United States bears the worrying distinction as “deadliest nation” in the industrialized or “developed world” to be pregnant,” said Dr. Michele Bratcher Goodwin in testimony before the Senate Judiciary Committee in June 2023. “Nationwide, as noted by Justice Breyer, “childbirth is 14 times more likely than abortion to result in death.”
The post The National Disgrace of Maternal Mortality first appeared on BlackPressUSA.

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By Barrington M. Salmon | NNPA Newswire

The National Center for Health Statistics released data several months ago showing that maternal deaths in the United States spiraled to the highest rate in almost nearly 60 years, data showed, worsening a health trend that has cemented America as one of the most dangerous industrialized countries for a woman to give birth.

“The United States bears the worrying distinction as “deadliest nation” in the industrialized or “developed world” to be pregnant,” said Dr. Michele Bratcher Goodwin in testimony before the Senate Judiciary Committee in June 2023. “Nationwide, as noted by Justice Breyer, “childbirth is 14 times more likely than abortion to result in death.” As reported by Nina Martin and Renee Montagne, “[m]ore American women are dying of pregnancy-related complications than any other developed country.” In fact, “[o]nly in the U.S. has the rate of women who die been rising.”

In fact, said Bratcher, an author, advocate and Abraham Pinanski, Visiting Professor of Law at Harvard Law School, “a review of data collected by the United States Central Intelligence Agency provides evidence that it is safer to be pregnant and give birth in Iran, Tajikistan, and Bahrain than in the United States … In Mississippi, a woman is 118 times more likely to die by carrying a pregnancy to term than by having an abortion. According to the Mississippi Maternal Mortality Report, Black women accounted for “nearly 80% of pregnancy-related cardiac deaths” in that state.”

For Black women, the dangers they face while pregnant are dire. According to the Centers for Disease Control and Prevention, in 2021, the maternal mortality rates for Black women were significantly higher than the rates for White and Hispanic women. Stats show that Black women are three times more likely to die from pregnancy-related complications than white women in America.

Suzanne Wertman, state government affairs consultant with the American College of Nurse Midwives, said she’s not at all surprised at the troubling increase in the rate and numbers but said there’s one aspect that really leaves her aghast.

“What surprises me is that there’s not enough political will and that this is not at a tipping point,” said Wertman, a vocal advocate for midwifery, reproductive health and a woman’s right to control her bodily autonomy. “The conversation still centers around older mothers and obesity. They always focus on the woman and not the system. What’s interesting to me as a midwife is that the mainstream media talks to physicians, not midwives.”

Any attempt to substantially reduce maternal mortality generally, and Black maternal mortality in particular, has to confront and shatter the scourges of structural and institutional racism and sexism, Wertman said.

“We need to have universal pregnancy care,” said Wertman. “We need serious investment in maternal health, universal care and more midwives. What we have is ‘too little too late’ and ‘two much too soon.’”

Wertman – who has more than 20 years’ experience providing midwifery care to a range of people in public, private and non-profit spaces – said COVID-19 hurdled everyone into crisis mode and added another layer of stress on an already stressful situation for organized medicine and organizations, hospitals and health groups. Other experts and observers note that COVID-19 exposed the structural inequities in the healthcare industry and other segments of the American economy.

Dr. Kevin Scott Smith, Department Chair of Obstetrics and Gynecology at the Alameda Health System, is engaged in the same battle Wertzman is from a different angle and place. He, like Wertzman, sees racism and race-based health disparities as key factors driving the Black maternal mortality crisis in the United States.

“It’s a bigger challenge than just COVID. COVID is a variable, and racism is a variable to COVID. There are some interrelated links between both,” said Smith. “What I will tell you is I am spending most of my time fighting obstetric racism. I am hopeful that these efforts will have some impacts. Rather than expecting outcomes, I am concerned about data.”

“Obstetric racism represents the cause for the racial disparities in Black maternal health. It has been declared by most medical bodies. It’s not one race driving these racial disparities. It’s more systemic for sure.”

Smith said he believes that if you remove all of the previously attributable causes for Black maternal mortality such as access to care, lack of education and poverty … you’re left with one root cause and that’s racism.

It’s tragic, it’s tragic,” said Smith, sighing deeply.

Often, when people look at numbers, it’s easy to forget that each data point represents a woman, flesh and blood, a human being. Kendra Davenport Cotton is the face behind those numbers, a woman and mother who but for the grace of God would have become a statistic.

“I’m talking as a person who has had scares,” said Cotton, chief executive officer for the New Georgia Project and New Georgia Project Action Fund. “I have children who are 21, 18 and 15. When they were younger, I had a pregnancy that was not viable. I went to my OB-GYN’s office and literally almost hemorrhaged to death. I started bleeding. It looked like a murder occurred.

Cotton said her doctor told her he couldn’t do a D&C.

“I was in Durham, North Carolina. I’m educated with an advanced degree. I had a blighted ovum. I was at eight weeks when I found out,” said Cotton, who said her children were 7, 4 and a year old when she experienced this health crisis. “I ended up having a medical abortion and a D&C. I wouldn’t have been able to do that under current circumstances. If I was in rural area, I’d be dead.”

Cotton said when the US Supreme Court overturned Roe v. Wade last June, Georgia’s Republican lawmakers quickly reinstated the Peach State’s six-week abortion ban.

“Most women don’t even know they’re pregnant at six weeks. The 6-week ban has calcified things and is causing all types of health problems,” she said. “Women in similar circumstances now would have to go before a board which would convene to ensure appropriate safeguards for hospitals and doctors.”

“Women would be sent home with non-viable pregnancies.”

Cotton said priority choices, underfunding and disinvestment by Georgia’s elected officials are crippling women’s effort to have access to reproductive care.

“There’s underfunding here in Georgia. There are lots of rural hospital closures which are negatively affecting Black maternity health,” said Cotton, who served as the campaign manager for Teresa Tomlinson in her US Senate race and was founding executive director of Rep GA Institute, Inc. “It’s happening in places where schisms of haves and have-nots is particularly acute.”

Cotton said some people have to drive 70 to 100 miles to get to an OB-GYN. She said Georgia has been hit hard, citing the fact that Georgia government officials implemented Medicare after decade.

“This is top neglect of the governor and the legislature. Show me your budget, I’ll show you priorities,” she said. “Black women are underpaid and they’re living in areas under-represented and the government underfunds the basis infrastructure.”

These actions have been deeply challenging and perplexing for those people public officials purport to represent.

“We’re in a conundrum right now because public policy in Southern states is hard. There are systemic forces in place designed to oppress people in the margins,” said Cotton.

She said less than half of Georgia’s 159 counties has an OB-GYN, one of Atlanta’s two trauma hospitals have closed and grassroots organizations were not notified. She said residents and activists have been fighting back by taking to the streets but acknowledged that it’s been an uphill battle.

“You can treat healthcare like we treat retail. Throwing up urgent care will not do much. You’re playing with people’s lives,” Cotton said. “(What they’re doing) may be deliberate but regular folks and poor folks will and are suffering.”

Smith, who stood up a care modeling program called Beloved Births Black Centering, said in his role as chairman of midwifery, he doesn’t rely on magic.

“Actual measurements are moved to that end,” he said. “This particular model capitalizes on the centering of the prenatal care model, pre-birth weight, group prenatal care for and by Black people. We have Black midwives, doulas, caseworkers and Black physical fitness trainers. We provide wraparound care – a gold package of Black love.”

Smith serves on the advisory board of the African American Well Project, an organization led by Dr. Mike LeNoir whose goal is to create health equity in America’s healthcare ecosystem. He said he and his team were able to kick off Beloved Blacks Birthing Center during the COVID-19 global pandemic. He describes the program as a safety net providing care to Black, brown and other women.

“We’re seeing evidence of the program’s success. It is evidence-based care. It potentially could be the opt-out model while we address obstetric racism,” he said.

Wertzman said there are several solutions to this crisis.

“Policymakers understand that so many issues we face could be solved by investing in reproductive justice,” she said. “Women should be allowed to have babies if they want to.”

She said government officials, policymakers and others should also invest in midwifery by removing regulatory restrictions and other disincentives such as midwives being paid less for the same services.

“They need to reimburse equity – equal pay for equal work. It’s crazy how little is spent on births. Preventative consequences could be changed ensuring that people get care when and how they need it,” she said.

Wertzman said some other solutions are creating free-standing birth centers that offer pre-natal and natal care; integrating midwives more fully into the healthcare system to ensure a higher level of care; redistributing funds; and spending more money on those on the frontlines.”

The post The National Disgrace of Maternal Mortality first appeared on BlackPressUSA.

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COMMENTARY: The National Protest Must Be Accompanied with Our Votes

Just as Trump is gathering election data like having the FBI take all the election data in Georgia from the 2020 election, so must we organize in preparation for the coming primary season to have the right people on ballots in each Republican district, so that we can regain control of the House of Representatives and by doing so, restore the separation of powers and balance that our democracy is being deprived of.

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Dr. John E. Warren Publisher, San Diego Voice & Viewpoint
Dr. John E. Warren, Publisher San Diego Voice & Viewpoint Newspaper. File photo..

By  Dr. John E. Warren, Publisher San Diego Voice & Viewpoint Newspaper

As thousands of Americans march every week in cities across this great nation, it must be remembered that the protest without the vote is of no concern to Donald Trump and his administration.

In every city, there is a personal connection to the U.S. Congress. In too many cases, the member of Congress representing the people of that city and the congressional district in which it sits, is a Republican. It is the Republicans who are giving silent support to the destructive actions of those persons like the U.S. Attorney General, the Director of Homeland Security, and the National Intelligence Director, who are carrying out the revenge campaign of the President rather than upholding the oath of office each of them took “to Defend The Constitution of the United States.”

Just as Trump is gathering election data like having the FBI take all the election data in Georgia from the 2020 election, so must we organize in preparation for the coming primary season to have the right people on ballots in each Republican district, so that we can regain control of the House of Representatives and by doing so, restore the separation of powers and balance that our democracy is being deprived of.

In California, the primary comes in June 2026. The congressional races must be a priority just as much as the local election of people has been so important in keeping ICE from acquiring facilities to build more prisons around the country.

“We the People” are winning this battle, even though it might not look like it. Each of us must get involved now, right where we are.

In this Black History month, it is important to remember that all we have accomplished in this nation has been “in spite of” and not “because of.” Frederick Douglas said, “Power concedes nothing without a struggle.”

Today, the struggle is to maintain our very institutions and history. Our strength in this struggle rests in our “collectiveness.” Our newspapers and journalists are at the greatest risk. We must not personally add to the attack by ignoring those who have been our very foundation, our Black press.

Are you spending your dollars this Black History Month with those who salute and honor contributions by supporting those who tell our stories? Remember that silence is the same as consent and support for the opposition. Where do you stand and where will your dollars go?

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Why Black Parents Should Consider Montessori

BLACKPRESSUSA NEWSWIRE — I have found that there are some educational approaches that consistently provide a safer, more enriching, and more affirmative environment for Black children. The Montessori method, developed by Italian physician Maria Montessori and introduced to the U.S. in the early 20th century, is one such approach.

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By Laura Turner-Essel, PhD

As a mother of four children, I’ve done A LOT of school shopping. I don’t mean the autumn ritual of purchasing school supplies. I mean shopping for schools – pouring over promotional materials, combing through websites, asking friends and community members for referrals to their favorite schools, attending open houses and orientations, comparing curriculums and educational philosophies, meeting teachers and principals, and students who all claim that their school is the best.

But keep in mind – I’m not just a mom of four children. I’m a mom of four Black children, and I’m also a psychologist who is very interested in protecting my little ones from the traumatic experience that school can too often become.

For Black children in the United States, school can sometimes feel more like a prison than an educational institution. Research shows that Black students experience school as more hostile and demoralizing than other students do, that they are disciplined more frequently and more harshly for typical childhood offenses (such as running in the halls or chewing gum in class), that they are often labeled as deviant or viewed as deficient more quickly than other children, that teachers have lower academic expectations of Black students (which, in turn, lowers those students’ expectations of themselves), and that Black parents feel less respected and less engaged by their children’s teachers and school administrators. Perhaps these are some of the underlying reasons that Black students tend to underperform in most schools across the country.

The truth is that schools are more than academic institutions. They are places where children go to gain a sense of who they are, how they relate to others, and where they fit into the world. The best schools are places that answer these questions positively – ‘you are a valuable human being, you are a person who will grow up to contribute great things to your community, and you belong here, with us, exploring the world and learning how to use your gifts.’ Unfortunately, Black children looking for answers to these universal questions of childhood will often hit a brick wall once they walk into the classroom. If the curriculum does not reflect their cultural experiences, the teachers don’t appear to value them, and they spend most of their time being shamed into compliance rather than guided towards their highest potential, well…what can we really expect? How are they supposed to master basic academic skills if their spirits have been crushed?

Here’s the good news. In my years of school shopping, and in the research of Black education specialists such as Jawanza Kunjufu and Amos Wilson, I have found that there are some educational approaches that consistently provide a safer, more enriching, and more affirmative environment for Black children. The Montessori method, developed by Italian physician Maria Montessori and introduced to the U.S. in the early 20th century, is one such approach.

The key feature of Montessori schooling is that children decide (for the most part) what they want to do each day. Led by their own interests and skill levels, children in a Montessori classroom move around freely and work independently or with others on tasks of their own

choosing. The classroom is intentionally stocked with materials tailored to the developmental needs of children, including the need to learn through different senses (sight, touch/texture, movement, etc.). The teacher in a Montessori classroom is less like a boss and more like a caring guide who works with each child individually, demonstrating various activities and then giving them space to try it on their own. The idea is that over time, students learn to master even the toughest tasks and concepts, and they feel an intense sense of pride and accomplishment because they did it by themselves, without pressure or pushing.

I think that this aspect of the Montessori method is good for all kids. Do you remember the feeling of having your creativity or motivation crushed by being told exactly what to do, when to do it, how to do it, and why? The truth is that when presented with a new challenge and then given space, children actually accomplish a lot! They are born with a natural desire to learn. It is that spirit of curiosity, sense of wonder, and excitement to explore that Montessori helps to keep alive in a child. But that’s not the only reason that I think Black parents need to consider Montessori.

Fostering a love of learning is great. But more importantly, I think that Montessori students excel at learning to love. It begins with Montessori’s acknowledgement that all children are precious because childhood is a precious time. In many school systems, Black children are treated like miniature adults (at best) or miniature criminals (at worst), and are subjected to stressful situations that no kids are equipped to handle – expectations to be still and silent for long periods, competitive and high-stakes testing, and punitive classroom discipline. It’s easy to get the sense that rather than being prepared for college or careers, our children are being prepared to fail. Couple this with the aforementioned bias against Black children that seems to run rampant within the U.S. school system, and you end up with children who feel burned out and bitter about school by the time they hit 3rd grade.

In my experience, Montessori does a better job of protecting the space that is childhood – and all the joy of discovery and learning that should come along with that. Without the requirement that students “sit down and shut up,” behavioral issues in Montessori classrooms tend to be non-existent (or at least, the Montessori method doesn’t harp on them; children are gently redirected rather than shamed in front of the class). Montessori students don’t learn for the sake of tests; they demonstrate what they’ve learned by sharing with their teacher or classmates how they solve real-world problems using the skills they’ve gained through reading, math, or science activities. And by allowing children a choice of what to focus on throughout the day, Montessori teachers demonstrate that they honor and trust children’s natural intelligence. The individualized, careful attention they provide indicates to children that they are each seen, heard, and valued for who they are, and who they might become. Now that’s love (and good education).

As a parent, I’ve come to realize that many schools offer high-quality academics. Montessori is no different. Students in Montessori schools gain exposure to advanced concepts and the materials to work with these concepts hands-on. Across the nation, Montessori schools emphasize early literacy development, an especially important indicator of life success for young Black boys and men. Montessori students are provided with the opportunity to be

successful every day, and the chance to develop a sense of competence and self-worth based on completing tasks at their own pace.

But I have also learned that the important questions to ask when school shopping are often not about academics at all. I now ask, ‘Will my children be treated kindly? Will they be listened to? Protected from bias and bullying? Will they feel safe? Will this precious time in their lives be honored as a space for growth, development, awe, and excitement? Will they get to see people like them included in the curriculum? Will they be seen as valuable even if they don’t always ‘measure up’ to other kids on a task? Will they get extra support if they need it? Will the school include me in major decisions? Will the school leaders help to make sure that my children reach their fullest potential? Will the teacher care about my children almost as much as I do?’

Consistently, it’s been the Montessori schools that have answered with a loud, resounding ‘Yes!’ That is why my children ended up in Montessori schools, and I couldn’t be happier with that decision. If you’re a parent like me, shopping for schools with the same questions in mind, I’d urge you to consider Montessori education as a viable option for your precious little ones. Today more than ever, getting it right for our children is priceless.

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LIVE from the NMA Convention Raheem DeVaughn Says The Time Is Now: Let’s End HIV in Our Communities #2

Set against the backdrop of the NMA conference, Executive Officers from the National Medical Association, Grammy Award Winning Artist and Advocate Raheem DeVaughn, and Gilead Sciences experts, are holding today an important conversation on HIV prevention and health equity. Black women continue to be disproportionately impacted by HIV despite advances in prevention options. Today’s event […]

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Set against the backdrop of the NMA conference, Executive Officers from the National Medical Association, Grammy Award Winning Artist and Advocate Raheem DeVaughn, and Gilead Sciences experts, are holding today an important conversation on HIV prevention and health equity.

Black women continue to be disproportionately impacted by HIV despite advances in prevention options. Today’s event is designed to uplift voices, explore barriers to access, and increase awareness and key updates about PrEP, a proven prevention method that remains underutilized among Black women. This timely gathering will feature voices from across health, media, and advocacy as we break stigma and center equity in HIV prevention.

Additional stats and information to know:

Black women continue to be disproportionately affected by HIV, with Black women representing more than 50% of new HIV diagnoses among women in the U.S. in 2022, despite comprising just 13% of women in the U.S.

Women made up only 8% of PrEP users despite representing 19% of all new HIV diagnoses in 2022.

● Gilead Sciences is increasing awareness and addressing stigma by encouraging regular HIV testing and having judgment-free conversations with your healthcare provider about prevention options, including oral PrEP and long-acting injectable PrEP options.

● PrEP is an HIV prevention medication that has been available since 2012.

● Only 1 in 3 people in the U.S. who could benefit from PrEP were prescribed a form of PrEP in 2022.

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