Challenges of Black Maternal Health, Not Being Valued or Understood
Having a child and starting a family is a monumental and happy occasion. Although, it is a happy time for most women, it can also be stressful for some expecting mothers. Ensuring she receives the best possible care for not only herself but also the baby is very important. Black women have faced challenges in this area.
The United States is still seeing a rise in maternal deaths among Black women. Challenges of Black maternal health are increasing due to the changes in laws. Ending of diversity, equity and inclusion programs, abortion bans in certain states, lack of respect, and in some cases racism in medical settings for expecting mothers of color has all contributed to this issue.
Oftentimes, concerns about pain in pregnant Black women are ignored and reduced to the premise that they are just seeking drug medication. Unfortunately, the stereotype that people of color have a high pain tolerance still exists. Women in the past, have and still do exercise their right to assert their choices, as it relates to the birth of their child by using alternate forms of birthing support. Midwives and doulas are options for those families who no longer have faith in the care they receive in medical facilities.
Midwife
What is a midwife and what do they do?
A midwife is a healthcare specialist who is trained in pregnancies, childbirth, newborn care and postpartum health. A midwife has medical training and can deliver babies. They can also prescribe medications. Although, they do not carry out any kind of surgery.
Having a midwife on your side can help in reducing the risk of preterm births. The need for cesarean sections can be lessened if a midwife is a part of your healthcare team. Other benefits include lowered use of anesthesia and rates of labor induction and augmentation.
Different Types of Midwives
- Certified Nurse Midwife-medically trained and licensed. Also, must obtain a Bacher’s degree. The scope of a CNM includes gynecologic exams in addition to the childbirth process.
- Certified Professional Midwife-medical training, including internships and education. Usually providing care in settings other than hospitals.
- Direct Entry Midwife- Provides care without having education in nursing first.
- Lay Midwife- no certification or licensure. Has experience with previous births and self-study.
Doula
What is a doula and what do they do?
A doula provides emotional and educational support. Also, a doula can help position the mother during childbirth to make the delivery more comfortable. A doula is similar to a midwife minus the medical training. However, doula’s do not deliver babies. Midwives do.
A doula can assist in overall maternal satisfaction. By providing emotional support and coaching, it makes the birthing experience less stressful. Doulas may also be called a labor assistant, birth assistant or a labor support specialist. The family can decide just how involved a doula’s role is in the decision-making about the birth.
Benefits of hiring a doula include:
- reduce in the need for a cesarean birth
- shorter labor times
- reduction in anxiety for the mother
- knowledge about the process of labor
- advocate for the family’s needs
Women of color can feel empowered in the type of care they receive by having a midwife or doula during this precious time of life. Most often, the pregnancy and postpartum outcome is a happier one. For those women who want to have their baby at the hospital, as opposed to a birthing center or at home, both midwives and doula’s can be used.
The battle is uphill with restoring hope and trust in receiving medical care for Black women. Hopefully, in the foreseeable future some initiatives will take place to educate and change the direction in a positive way to improve the disparities. During such a crucial, precious and fragile time in a women’s life. She wants to know and feel assured that she can find the comprehensive care and trust that her concerns will be heard and taken seriously.
Image by Bianca Van Dijk from Pixabay
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