cover of episode S23 E14: Black Maternal Health and Reproductive Justice with Dr. Ndidiamaka Amutah-Onukagha, PhD, Founder CBMHRJ

S23 E14: Black Maternal Health and Reproductive Justice with Dr. Ndidiamaka Amutah-Onukagha, PhD, Founder CBMHRJ

2025/5/22
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Dr. Ndidiamaka Amutah-Onukagha: 我个人的经历和专业知识都促使我关注并解决黑人孕产妇健康方面的不平等现象。美国的孕产妇健康正处于危机之中,尤其是对于黑人女性来说,情况更加严峻。尽管黑人女性的孕产妇死亡率有所下降,但种族差距仍然很大,而且大部分孕产妇死亡是可以预防的。结构性种族主义和对黑人女性的系统性忽视加剧了孕产妇健康危机。即使是受过高等教育或社会经济地位较高的黑人女性,在孕产妇健康方面仍然面临不平等。黑人婴儿的死亡率远高于白人婴儿,早产率也更高,这对他们的长期健康有影响。黑人女性更容易经历严重的孕产妇发病率,包括分娩期间和分娩后。大部分因出血导致的孕产妇死亡是可以预防的,先兆子痫等并发症也是如此。黑人女性由于社会经济障碍,更有可能推迟生育,这增加了与年龄相关的风险。孕产妇死亡是可以预防的,但我们未能满足所有孕妇的需求。这些数据突显了我国迫切需要进行系统性变革,包括政策改革、临床问责、扩大医疗补助、劳动力多元化以及社区护理模式。

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*Content warning: birth trauma, medical trauma, medical neglect, racism, death of an infant, infant loss, death, maternal loss, mature and stressful themes.

*Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources)    

Center for Black Maternal Health & Reproductive Justice:

https://blackmaternalhealth.tufts.edu/)

Center for Black Maternal Health & Reproductive Justice Instagram:

https://www.instagram.com/cbmhrj_tufts/)

Center for Black Maternal Health & Reproductive Justice Facebook:

https://www.facebook.com/CBMHRJTufts/)

Center for Black Maternal Health & Reproductive Justice LinkedIn:

https://www.linkedin.com/company/cbmhrjtufts/)

Sources: 

Addressing Transportation Barriers to Improve Healthcare Access in Arizona

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American College of Nurse Midwives

https://midwife.org/

American College of Obstetricians and Gynecologists (ACOG)

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Birth Centers in Massachusetts

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A Brief History of Midwifery in America

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Clinical outcomes improve when patient’s and surgeon’s ethnicity match, study shows

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The Controversial Birth of American Gynecology

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'Father Of Gynecology,' Who Experimented On Slaves, No Longer On Pedestal In NYC

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Governor Healey Signs Maternal Health Bill, Expanding Access to Midwifery, Birth Centers and Doulas in Massachusetts

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Governor Murphy Signs Bill Establishing Maternal and Infant Health Innovation Center

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Helping Mothers and Children Thrive: Rethinking CMS’s Transforming Maternal Health (TMaH) Model

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https://nmaahc.si.edu/explore/stories/historical-significance-doulas-and-midwives)

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Legislature Passes Comprehensive Maternal Health Bill

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Life Story: Anarcha, Betsy, and Lucy

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March of Dimes

https://www.marchofdimes.org/peristats/about-us)      

Maternity Care Desert

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Maternal deaths and mortality rates by state, 2018-2022

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https://www.ncsbn.org/)

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https://narm.org/)        

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https://www.cdc.gov/maternal-mortality/php/data-research/mmrc-2017-2019.html

Preterm Birth

https://www.cdc.gov/maternal-infant-health/preterm-birth/index.html#:~:text=Pretermbirthrates&text=In2022%2Cpretermbirthamong,orHispanicwomen(10.1%25))   

Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them

https://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-disparities-in-maternal-and-infant-health-current-status-and-efforts-to-address-them/)

The Racist History of Abortion and Midwifery Bans

https://www.aclu.org/news/racial-justice/the-racist-history-of-abortion-and-midwifery-bans

Reducing Disparities in Severe Maternal Morbidity and Mortality

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State investigating Dallas birth center and midwives, following multiple complaints from patients

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The State of Telehealth Before and After the COVID-19 Pandemic

https://pmc.ncbi.nlm.nih.gov/articles/PMC9035352/

Texas Department of Licensing and Regulation (TDLR)

https://www.tdlr.texas.gov/)     

U.S. maternal death rate increasing at an alarming rate

https://news.northwestern.edu/stories/2024/03/u-s-maternal-death-rate-increasing-at-an-alarming-rate/)

Which states have the highest maternal mortality rates?

https://usafacts.org/articles/which-states-have-the-highest-maternal-mortality-rates/)  

Why Equitable Access to Vaginal Birth Requires Abolition of Race-Based Medicine

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Zucker School of Medicine, Amos Grunebaum, MD

https://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications)  

*SWW S23 Theme Song & Artwork: 

Thank you so much to Emily Wolfe for covering Glad Rag’s original song, U Think U for us this season!

Hear more from Emily Wolfe:

On Spotify)

On Apple Music)

https://www.emilywolfemusic.com/)

instagram.com/emilywolfemusic)

Glad Rags: https://www.gladragsmusic.com/

The S23 cover art is by the Amazing Sara Stewart)

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