The maternal mortality crisis in the United States is disproportionately affecting Black women, and the statistics are alarming. In 2021, Black women faced a maternal mortality rate of 69.9 deaths per 100,000 live births, compared to 26.6 deaths for white women. This means Black women are more than 2.6 times as likely to die from pregnancy-related complications as their white counterparts. This gap remains consistent across socioeconomic levels, illustrating that systemic issues—not individual choices—are at the heart of this disparity.

As a Black mom, your voice, health, and experience matter. Organizations across the country are working tirelessly to address this crisis and provide Black mothers with the support, advocacy, and resources they need for safer and better births. Understanding the factors contributing to this disparity and how to advocate for yourself can make a significant difference.

Why Are Black Maternal Mortality Rates So High?

1. Implicit Bias and Racism: The healthcare system is not immune to racial bias. Implicit biases can lead to delays in diagnosis and treatment, mismanagement of care, and even a lack of trust between patients and providers. Many Black women report not being believed when they voice concerns about their symptoms, contributing to poor health outcomes during pregnancy and childbirth.
2. Stress and Trauma: The lifelong stress caused by systemic racism and discrimination—often referred to as weathering—can physically wear down the body, increasing risks during pregnancy. The chronic stress and trauma that many Black women face can contribute to premature births and pregnancy-related health issues.

What Are Organizations Doing to Help?

Organizations across the country are taking bold steps to advocate for Black mothers. These efforts include improving access to care, addressing implicit bias, and raising awareness about the unique challenges faced by Black women in pregnancy and childbirth. Here are a few key organizations:

1. Mamatoto Village 
   Mamatoto Village is a D.C.-based nonprofit committed to improving Black maternal health outcomes and supporting Black women throughout their perinatal and postpartum journeys. Mamatoto offers a variety of services, including perinatal home visiting, community doula care, childbirth education, lactation support, perinatal mental health services, and workforce development for future and current maternal health professionals.
   Website: https://www.mamatotovillage.org
2. Black Mamas Matter Alliance (BMMA)
   BMMA is a national coalition advocating for Black maternal health, rights, and justice. They work to raise awareness, push for policy changes, and support community-driven solutions to address the maternal health crisis. By centering Black women and their experiences, BMMA ensures that Black mothers are seen, heard, and supported throughout their pregnancies.
   Website: https://blackmamasmatter.org
3. The Shades of Blue Project
   This Texas-based organization focuses on improving maternal mental health for Black women before, during, and after childbirth. They provide counseling, support groups, and resources, recognizing the importance of mental health in the overall well-being of mothers.
   Website: https://shadesofblueproject.org
4. Every Mother Counts
   Founded by Christy Turlington Burns, this organization works globally to make pregnancy and childbirth safe for every mother, everywhere. They focus on improving access to quality maternity care, advocating for policy changes, and ensuring that mothers have the resources they need to thrive.
   Website: https://everymothercounts.org

What Can Black Moms Do?

You can proactively advocate for yourself and ensure a safer, healthier pregnancy. Here are some ways to advocate for better birth outcomes:

1. Know Your Rights and Be Your Own Advocate
   Educate yourself about your rights during pregnancy and childbirth. Understand the warning signs of complications and don’t hesitate to ask questions or seek second opinions. Trust your instincts—if something feels wrong, speak up.
2. Choose a Supportive Healthcare Team
   Surround yourself with healthcare providers who listen to your concerns and support your birth plan. Consider hiring a doula or midwife, especially those trained to advocate for Black mothers. Research has shown that doulas can reduce the risk of C-sections and improve overall birth outcomes.
3. Support Organizations Fighting for Change
   Donate to or volunteer with organizations like BMMA, NBEC, or The Shades of Blue Project. These groups are working to improve care for Black mothers through research, policy change, and direct support. By supporting these organizations, you’re helping to ensure that future generations of Black women receive the care they deserve.
4. Encourage Mental Health Care
   Maternal mental health is often overlooked, but it’s critical to a healthy pregnancy and postpartum recovery. Don’t be afraid to seek counseling or join a support group. Addressing stress and trauma can have a positive impact on both you and your baby’s health.

The Black maternal mortality crisis is a public health emergency that demands attention. By supporting organizations that fight for birth equity and advocating for yourself, you can play a critical role in closing the gap. Black mothers deserve safe, respectful, and compassionate care during pregnancy and childbirth, and together, we can make that a reality.

For more information, visit the Black Mamas Matter Alliance and consider supporting their work to bring equity and justice to maternal health.