cover of episode S23 E5: Tragic and Horrific

S23 E5: Tragic and Horrific

2025/3/13
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Something Was Wrong

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Markita
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Tiffany Reese
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Tiffany Reese: 我是播客主持人Tiffany Reese,本期节目关注美国孕产妇和婴儿死亡率的种族差异,以及由此引发的医疗保健系统问题。数据显示,美国孕产妇死亡率居高不下,黑人女性的死亡率是白人女性的三倍,这与医疗质量不平等、慢性疾病和社会因素有关。此外,婴儿死亡率也存在种族差异,黑人婴儿的死亡率最高。独立分娩中心在少数族裔社区中具有潜力,但面临资金不足等挑战。德克萨斯州许多孕妇依赖医疗补助,这限制了她们选择分娩中心的机会。我们需要更多努力来改善孕产妇健康,解决少数族裔社区的健康差距。 Markita: 我是一名注册护士,因为相信整体医学和自然分娩,选择了助产士和分娩中心。然而,在Origins分娩中心,我经历了长达48小时的艰难分娩,助产士的失误导致我的儿子出生后缺氧,最终不幸夭折。整个过程中,助产士没有及时发现并处理我的异常情况,例如宫缩减弱、羊水颜色异常等。她们的医疗记录也存在不一致之处,甚至试图修改记录。我的儿子本应健康出生,却因为医疗失误而失去了生命。我将我的经历公之于众,希望能够引起人们对医疗保健系统问题的关注,并防止类似悲剧再次发生。 Tiffany Reese: 本节目讨论了美国孕产妇和婴儿死亡率的种族差异,以及一个在Origins分娩中心发生的悲剧案例。数据显示,黑人女性的孕产妇死亡率远高于其他种族,婴儿死亡率也存在类似的种族差异。这些差异与医疗保健系统中的不平等和歧视有关。Markita分享了她悲痛的经历,她的儿子在Origins分娩中心出生后因医疗失误导致缺氧而死亡。这个案例突显了医疗保健系统中存在的严重问题,以及对少数族裔孕妇的健康差距。我们需要采取措施来改善医疗保健系统,确保所有孕妇都能获得高质量的医疗服务。

Deep Dive

Chapters
This chapter discusses the alarming disparities in maternal mortality rates in the US, particularly among Black women, and the role systemic racism plays in healthcare.
  • Black women are three times more likely to die from pregnancy-related causes than white women.
  • The CDC reported a maternal mortality rate of 50.3 deaths per 100,000 live births for Black women in 2023.
  • Systemic racism and clinician bias contribute to the health disparities faced by racial and ethnic minorities.

Shownotes Transcript

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

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

*Sources:

American College of Nurse Midwives

https://midwife.org/

American College of Obstetricians and Gynecologists (ACOG)

https://www.acog.org/

Birth Centers Offer Potential to Transform Maternity Care Through Community-Led Approaches that Focus on Families of Color

https://ccf.georgetown.edu/2024/08/19/birth-centers-offer-potential-to-transform-maternity-care-through-community-led-approaches-that-focus-on-families-of-color/

CDC, Maternal Mortality Rates in the United States, 2023

https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2023/maternal-mortality-rates-2023)

CDC, Working Together to Reduce Black Maternal Mortality

https://www.cdc.gov/womens-health/features/maternal-mortality.html

Center for Black Maternal Health and Reproductive Justice: https://blackmaternalhealth.tufts.edu/)

Comparative Analysis of Therapeutic Showers and Bathtubs for Pain Management and Labor Outcomes—A Retrospective Cohort Study

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

Fetal Heart Monitoring

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/fetal-heart-monitoring

Fundal Height

https://my.clevelandclinic.org/health/diagnostics/22294-fundal-height

Health Equity Among Black Women in the United States

https://pmc.ncbi.nlm.nih.gov/articles/PMC8020496/

Insights into the U.S. Maternal Mortality Crisis: An International Comparison

https://www.commonwealthfund.org/publications/issue-briefs/2024/jun/insights-us-maternal-mortality-crisis-international-comparison

March of Dimes

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

March of Dimes, Data: Heath Insurance/Income

https://www.marchofdimes.org/peristats/data?reg=99&top=11&stop=653&lev=1&slev=4&obj=1&sreg=48)

https://www.marchofdimes.org/peristats/data?reg=99&top=11&stop=154&lev=1&slev=4&obj=1&sreg=48)

Midwifery Education Accreditation Council (MEAC)

https://www.meacschools.org/

Monitoring Baby’s Heart Rate During Labor

https://familydoctor.org/monitoring-babys-heart-rate-labor/

Mucus Plug

https://my.clevelandclinic.org/health/symptoms/21606-mucus-plug)

Nasal Cannula

https://my.clevelandclinic.org/health/treatments/25187-nasal-cannula

National Midwifery Institute

https://www.nationalmidwiferyinstitute.com/midwifery

CDC, National Vital Statistics Reports

https://www.cdc.gov/nchs/data/nvsr/nvsr73/nvsr73-05.pdf

North American Registry of Midwives (NARM)

https://narm.org/

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

https://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef

Texas Department of Licensing and Regulation (TDLR)

https://www.tdlr.texas.gov/

Water breaking: Understand this sign of labor

https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/water-breaking/art-20044142)

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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