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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United

Anuli Njoku1, Marian Evans1, Lillian Nimo-Sefah1

  • 1Department of Public Health, College of Health and Human Services, Southern Connecticut State University, 493 Fitch Street, New Haven, CT 06515, USA.

Healthcare (Basel, Switzerland)
|February 11, 2023
PubMed

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.

Keywords:
COVID-19black maternal mortalityhealth disparitiesintersectionalitymorbiditypregnancyrace/ethnicityracismsocial determinants of healthweathering framework

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