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Illustration of a Black mother with her newborn surrounded by a supportive community, healthcare professionals, and policymakers addressing the Black Maternal Health Crisis.
Resilient Mother at the Heart of Community Support Bridging the Black Maternal Health Crisis

Bridging the Gap: Addressing the Black Maternal Health Crisis

Uncovering systemic issues and pioneering effective interventions in combating the Black Maternal Health Crisis to foster a future of equitable maternal health care.

By Darius Spearman (africanelements)

About the author: Darius Spearman is a professor of Black Studies at San Diego City College, where he has been pursuing his love of teaching since 2007. He is the author of several books, including Between The Color Lines: A History of African Americans on the California Frontier Through 1890. You can visit Darius online at africanelements org_

Key Takeaways

Key TopicsSummary
Black Maternal Health CrisisHigh maternal mortality rates among Black women due to systemic and societal issues.
Obstetric RacismDiscrimination and racial biases in maternity care affecting Black women.
Doula Support for Pregnant WomenDoulas providing essential support to improve maternal health outcomes.
NIH Grant Maternal Health$4M NIH grant to fund interventions for Black maternal health.
Maternal Health DisparitiesDisparities in maternal healthcare access and quality experienced by Black women.


The Black Maternal Health Crisis is a glaring issue that significantly impacts Black women in the United States. This crisis highlights the Maternal Health Disparities that arise from systemic issues, including socio-economic factors and racial biases within the healthcare system. Delving into this topic unveils a dire need for immediate interventions to foster a safe and supportive environment for Black women during pregnancy and childbirth.

A myriad of factors contributes to the disheartening statistics surrounding Black maternal health. One of the critical elements is Obstetric Racism, which manifests in the form of discrimination, racial biases, and a lack of culturally competent care within maternity healthcare settings. Addressing these systemic issues is the cornerstone of any significant advancements towards bridging the existing gaps in maternal health care.

Historical Context

Historically, the healthcare system has exhibited a persistent pattern of racial biases, often detrimentally affecting the quality of care received by Black women. The deeply entrenched Obstetric Racism not only exacerbates the Black Maternal Health Crisis, but also fosters a detrimental environment where Black women often feel unheard, neglected, and discriminated against during one of the most vulnerable periods of their lives.

Race/EthnicityMaternal Mortality Rate per 100,000 live births
Table 1: Maternal Mortality Rates by Race (Source: CDC)

The Maternal Mortality Rate among Black women is alarmingly higher compared to their white counterparts. This disparity is not just a mere number; it’s a reflection of the systemic issues that have perpetuated over time. Understanding the historical context of these issues is crucial in devising effective Black Maternal Health Solutions that are holistic and sustainable.

The Role of Doulas in Addressing the Crisis

Doula Support for Pregnant Women has shown to be a potent tool in combating the existing disparities in maternal health. Doulas, through their continuous support, education, and advocacy, can significantly improve the birthing experience and outcomes for Black women.

A doula is a professional who provides emotional, physical, and educational support to individuals before, during, and after childbirth. While they don’t provide medical care, they offer a range of supportive services to ensure the mother and the family have a positive childbirth experience. Here are some of the roles and services typically provided by a doula:

Emotional Support:

  • Providing reassurance, encouragement, and a listening ear during pregnancy, labor, and postpartum.
  • Helping manage anxiety and fears related to childbirth and parenthood.

Physical Support:

  • Offering comfort measures such as massage, positioning suggestions, and breathing techniques during labor.
  • Assisting with movement and physical activity before and after childbirth.

Educational Support:

  • Providing information on pregnancy, labor, birth, breastfeeding, and newborn care.
  • Helping the mother and family understand medical procedures and make informed decisions.


  • Encouraging open communication between the mother and healthcare providers.
  • Supporting the mother’s decisions regarding her birth plan.

Postpartum Support:

  • Providing support for breastfeeding, infant care, and adjusting to new parenthood.
  • Offering resources and referrals for additional support if needed, such as counseling or lactation consulting.

Doulas can be invaluable assets during the childbirth process, offering a level of personalized care and support that complements the medical care provided by doctors and nurses. They help create a more comforting and empowering childbirth experience for mothers and their families.

In cities like Milwaukee, the potential of doula support is being recognized as a viable solution to ease the Black Maternal Health Crisis. Investing in doulas and making their services accessible to Black women is a step towards reducing the Preventable Maternal Deaths that occur due to lack of adequate support and healthcare negligence. This initiative aligns with broader Community Initiatives Maternal Health, aimed at creating a supportive ecosystem for Black mothers to thrive.

Tackling Obstetric Racism

Obstetric Racism is a pervasive issue that significantly contributes to the Black Maternal Health Crisis. It manifests in various forms including, but not limited to, racial biases, disrespectful treatment, and lack of culturally competent care. Addressing obstetric racism is not only about confronting individual prejudices but also about dismantling systemic barriers that perpetuate these harmful behaviors.

A significant step towards tackling obstetric racism is education. Maternal Health Education targeted towards healthcare providers can play a pivotal role in changing attitudes, improving patient-provider communication, and fostering a more inclusive healthcare environment. Moreover, policy changes enforcing equal treatment and advocating for patients’ rights are crucial to curbing obstetric racism and improving maternal health outcomes for Black women.

Investing in Solutions: NIH Grant

The National Institutes of Health (NIH) has recognized the urgency of addressing the Black Maternal Health Crisis by allocating a $4 million grant for Maternal Health Interventions. This grant aims to fund studies that seek to uncover the root causes of the disparities in maternal health and develop sustainable solutions.

The NIH Grant Maternal Health is a testament to the growing awareness and commitment to resolving the maternal health disparities faced by Black women. The grant will fund research exploring a range of interventions, from enhancing healthcare provider training to community-based support programs, all aimed at improving maternal health outcomes and reducing the Maternal Mortality Rate among Black women.

Personal Narratives: Dr. Perkins’ Story

In an article from, Aryana Jacobs shares her deeply personal experience with postpartum preeclampsia, a life-threatening condition that emerged after she gave birth. This narrative was shared through a 6-minute video created in collaboration with the National Heart, Lung, and Blood Institute (NHLBI) and the Association of Black Cardiologists (ABC). The video serves as a stark reminder of the maternal morbidity crisis that disproportionately affects Black women, as they experience maternal morbidity rates three to four times higher than white women when facing conditions like preeclampsia (

Preeclampsia is a serious health issue that can suddenly occur during pregnancy or the postpartum period, posing substantial risks to both the mother and the newborn. Aryana’s story is not just a recount of personal hardship, but a call to action urging collective awareness and change towards improving maternal care. The article encourages readers to learn more about preeclampsia and join efforts in amplifying the message for better maternal health care through resources provided by NHLBI and ABC’s “We Are The Faces Campaign” (

This narrative contributes significantly to the broader conversation surrounding the Black Maternal Health Crisis, emphasizing the urgent need for equitable healthcare provisions and community support to ensure the safety and well-being of Black mothers and their infants. Through Aryana’s story and others alike, the article aims to prompt action and foster a more compassionate world where no mother has to endure such dire circumstances during one of the most pivotal experiences of their lives (

Community Initiatives

Community-based initiatives play a crucial role in addressing the Black Maternal Health Crisis. These initiatives often arise from a profound understanding of the local context and the unique challenges faced by Black women in different communities. Community Initiatives Maternal Health projects aim to provide Black women pregnancy support, ensuring they have access to the resources, education, and healthcare services necessary for a healthy pregnancy and childbirth experience.

Moreover, community initiatives provide a platform for advocacy, education, and support, forming a crucial part of the broader strategy to address Maternal Health Disparities. By fostering a supportive community, these initiatives contribute significantly towards reducing the Maternal Mortality Rate among Black women, making a tangible impact at a grassroots level.

Policy Implications

Policy plays a significant role in addressing the Black Maternal Health Crisis. Effective Policy Recommendations Maternal Health strategies need to be developed and implemented at both the state and federal levels to ensure that Black women have equal access to quality maternal healthcare. These policies should address the Systemic Issues Maternal Health sector faces, including racial discrimination and lack of access to necessary healthcare services.

Moreover, policies advocating for the expansion of Doula Support for Pregnant Women and other community-based support systems can significantly improve maternal health outcomes. A policy framework that is inclusive, equitable, and grounded in evidence-based practices is essential for combating the Black Maternal Health Crisis and fostering a future of improved maternal healthcare for all.

Future Prospects

The path towards resolving the Black Maternal Health Crisis requires a multi-faceted approach encompassing education, community support, policy change, and continuous research. The NIH Grant Maternal Health and other similar funding initiatives are a step in the right direction, providing the necessary resources to explore and implement Maternal Health Interventions aimed at reducing disparities.

Furthermore, the growth of community initiatives and an increasing awareness of the crisis among the general public and policymakers alike provide a glimpse of hope. The collective effort from all stakeholders is essential to drive meaningful change and ensure that Black women receive the care and support they deserve throughout their pregnancy journey.


Addressing the Black Maternal Health Crisis is a collective responsibility that extends beyond the healthcare system. It requires a concerted effort from healthcare providers, policymakers, communities, and individuals. The stories, statistics, and initiatives discussed herein shed light on the dire need for action.

The road towards equitable maternal healthcare may be long and arduous, but with persistent effort, informed policies, and community support, a future where every woman has the opportunity for a safe and healthy pregnancy is within reach.