Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United States

Black women in the United States (U.S.) disproportionately experience adverse pregnancy outcomes, including maternal mortality, compared to women of other racial and ethnic groups. Historical legacies of institutionalized racism and bias in medicine compound this problem. The disproportionate impact...

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Main Authors: Anuli Njoku, Marian Evans, Lillian Nimo-Sefah, Jonell Bailey
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/3/438
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author Anuli Njoku
Marian Evans
Lillian Nimo-Sefah
Jonell Bailey
author_facet Anuli Njoku
Marian Evans
Lillian Nimo-Sefah
Jonell Bailey
author_sort Anuli Njoku
collection DOAJ
description Black women in the United States (U.S.) disproportionately experience adverse pregnancy outcomes, including maternal mortality, compared to women of other racial and ethnic groups. Historical legacies of institutionalized racism and bias in medicine compound this problem. The disproportionate impact of COVID-19 on communities of color may further worsen existing racial disparities in maternal morbidity and mortality. This paper discusses structural and social determinants of racial disparities with a focus on the Black maternal mortality crisis in the United States. We explore how structural racism contributes to a greater risk of adverse obstetric outcomes among Black women in the U.S. We also propose public health, healthcare systems, and community-engaged approaches to decrease racial disparities in maternal morbidity and mortality.
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spelling doaj.art-3bbeecb77f5c4feebc04120b17b116642023-11-16T16:45:23ZengMDPI AGHealthcare2227-90322023-02-0111343810.3390/healthcare11030438Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United StatesAnuli Njoku0Marian Evans1Lillian Nimo-Sefah2Jonell Bailey3Department of Public Health, College of Health and Human Services, Southern Connecticut State University, 493 Fitch Street, New Haven, CT 06515, USADepartment of Public Health, College of Health and Human Services, Southern Connecticut State University, 493 Fitch Street, New Haven, CT 06515, USADepartment of Public Health, College of Health and Human Services, Southern Connecticut State University, 493 Fitch Street, New Haven, CT 06515, USADepartment of Public Health, College of Health and Human Services, Southern Connecticut State University, 493 Fitch Street, New Haven, CT 06515, USABlack women in the United States (U.S.) disproportionately experience adverse pregnancy outcomes, including maternal mortality, compared to women of other racial and ethnic groups. Historical legacies of institutionalized racism and bias in medicine compound this problem. The disproportionate impact of COVID-19 on communities of color may further worsen existing racial disparities in maternal morbidity and mortality. This paper discusses structural and social determinants of racial disparities with a focus on the Black maternal mortality crisis in the United States. We explore how structural racism contributes to a greater risk of adverse obstetric outcomes among Black women in the U.S. We also propose public health, healthcare systems, and community-engaged approaches to decrease racial disparities in maternal morbidity and mortality.https://www.mdpi.com/2227-9032/11/3/438black maternal mortalitymorbiditysocial determinants of healthweathering frameworkhealth disparitiesrace/ethnicity
spellingShingle Anuli Njoku
Marian Evans
Lillian Nimo-Sefah
Jonell Bailey
Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United States
Healthcare
black maternal mortality
morbidity
social determinants of health
weathering framework
health disparities
race/ethnicity
title Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United States
title_full Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United States
title_fullStr Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United States
title_full_unstemmed Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United States
title_short Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United States
title_sort listen to the whispers before they become screams addressing black maternal morbidity and mortality in the united states
topic black maternal mortality
morbidity
social determinants of health
weathering framework
health disparities
race/ethnicity
url https://www.mdpi.com/2227-9032/11/3/438
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