Maternal Mortality: Understanding & Addressing Health Disparities in Women of Color

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Maternal mortality, the death of a mother during pregnancy, childbirth or within six weeks of delivery, is a significant public health issue. The United States has one of the highest maternal mortality ratios among developed countries, with approximately 17 mothers dying for every 100,000 live births, according to the Centers for Disease Control and Prevention (CDC). However, there are significant disparities in maternal health outcomes for women of color, particularly African American and Native American mothers, who are three and two times more likely to die from pregnancy-related complications, respectively, than white mothers.

Understanding these health disparities requires addressing underlying social determinants of health that contribute to poor health outcomes for women of color. These determinants include poverty, limited access to healthcare, discrimination, and systemic racism. Access to quality healthcare is particularly crucial in reducing maternal mortality rates, yet many women of color lack access to affordable and equitable healthcare services. Inadequate access to healthcare services often results in a lack of access to prenatal care, delays in receiving critical medical treatment, and less regular screenings and check-ups.

Furthermore, women of color disproportionately experience discrimination and bias in healthcare settings, which contributes to lower-quality care and poorer outcomes. For instance, African American women routinely experience dismissiveness and insensitivity from healthcare providers when reporting symptoms and concerns related to pregnancy-related complications, resulting in inadequate treatment.

To address these disparities, healthcare providers and policymakers must prioritize the development of targeted interventions to address specific racial and ethnic disparities in maternal health outcomes. Such initiatives should aim to reduce the impact of social determinants of health and systemic barriers to quality maternal care. One example of such an intervention is the implementation of implicit bias training for healthcare providers, which can help reduce the impact of provider bias and discrimination on maternal health outcomes.

Another intervention is to work towards expanding access to comprehensive healthcare services and social support programs, such as the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), that can provide adequate nutrition and services to women and their children. Finally, policies that address inequities in the workforce, including paid family leave, can also help to reduce maternal mortality rates by providing support to mothers during and after childbirth.

In conclusion, addressing maternal mortality disparities among women of color requires a comprehensive approach that addresses the social and racial determinants of health that affect maternal health outcomes. By working to remove systemic barriers and promoting equitable access to healthcare services, policymakers can help to improve maternal health outcomes for women of color and ensure that every mother has the opportunity to receive the care and support that she needs during pregnancy and childbirth.
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