Black women in America are three times more likely to die from pregnancy-related complications than white women — a statistic that persists across education and income levels. This isn't meant to scare you. It's meant to empower you.
While we can't single-handedly change a broken system, we can arm ourselves with knowledge, build our support teams, and advocate fiercely for our own care.
Understanding the Landscape
The maternal mortality crisis affecting Black women has gained mainstream attention thanks to stories shared by women like Serena Williams, Beyoncé, and Kira Johnson's family. But for every story that makes headlines, there are thousands more that don't.
The causes are complex and interconnected: implicit bias in healthcare, chronic stress from racism (known as weathering), delayed or dismissed symptoms, and lack of access to quality care. Studies show that Black women's pain is often undertreated, and our concerns are more likely to be minimized.
Building Your Care Team
Your provider should be a partner in your pregnancy — someone who listens, respects your concerns, and involves you in decision-making. If that's not the dynamic you have, it's okay to make a change.
Consider adding a doula. Research consistently shows doula support leads to better birth outcomes, including lower rates of C-sections and preterm birth. For Black women specifically, having a doula — especially a Black doula who understands our unique experiences — can be life-changing.
Know the Warning Signs
Many pregnancy complications are preventable or treatable when caught early. Seek immediate attention for:
✓ Severe or persistent headaches, or changes in vision
✓ Swelling in your face or hands
✓ Pain in your upper abdomen or difficulty breathing
✓ Heavy bleeding, or severe nausea/vomiting beyond the first trimester
✓ Decreased fetal movement, fever or chills, or pain with urination
If something feels wrong, say something — and keep saying it until you're heard.
Advocating for Yourself in Medical Settings
Bring Backup. Whether it's your partner, mother, sister, or doula, having someone who can advocate on your behalf is invaluable.
Document Everything. Keep records of symptoms and responses. If a provider dismisses a concern, ask them to document their reasoning in your medical record.
Use Direct Language. Instead of "I'm a little uncomfortable," try "I'm experiencing significant pain in my abdomen that started two hours ago."
Trust Your Instincts. You know your body better than anyone. If something doesn't feel right, keep pushing. Request a second opinion.
You Deserve Safe, Respectful Care
Pregnancy is a powerful, transformative experience. You deserve providers who honor that — who see you, hear you, and prioritize your wellbeing. Don't settle for less. Your voice matters. Your instincts matter. Your life matters. Never stop advocating for yourself.
