Women represent the foundation of a family’s overall health. Research shows that investing in women’s health results in a healthier population, leading to healthier future generations with significant social and economic benefits. So, why is women’s health so neglected in this country? This is even more significant for minority women, especially when it comes to pregnancy and childbirth. The US maternal mortality rate has reached a crisis point with a significantly higher mortality rate than any other high-income nation, despite advances in medical technology and maternal care. The danger is even more acute for black and minority women. The maternal mortality rate for black women is approximately three to four times higher than for white women, according to the Centers for Disease Control.

The tricky question is why this is a growing crisis for the women of this country despite our wealth and advancing technology. The causes are multifaceted and complex, combining biological, social, and cultural factors. Some would point out that it is related to social determinants of health such as a lack of access to care, insurance disparities, poverty/stress, lower education levels, and higher unemployment levels. But this points the finger back at the victims and does not account for the fact that minority women are at risk across the board, regardless of educational or economic status. It is past time to start looking at shortcomings in the healthcare system, including implicit bias and medical disparities. Studies have shown that medical professionals often hold biases against minority patients, which can lead to discrimination or underestimating the seriousness of their pain or arising complications.

Just as the causes of the crisis are multifaceted, the solutions also require a dynamic approach focusing on multiple solutions. Identifying areas of need such as access to healthy food, transportation, employment, housing, and education to address social detriments of health.

It is also critical for physicians and other healthcare workers to recognize and check internal biases and cultural stereotypes that contribute to patient oppression and higher mortality rates in women of color. Additionally, there is a need for mandated implicit bias and cultural competency training for healthcare providers. At the same time, funding and expanding access to doulas, midwives, and perinatal health workers from within the community. Giving these women a trusted support system and advocates who provide culturally tailored prenatal and postpartum care and programs. Recognizing urgent maternal warning signs, providing timely treatment, and delivering respectful, quality care can prevent many pregnancy-related deaths. While also focusing on a holistic approach with services beyond basic prenatal care such as mental health providers and nutritional support.

Given the importance of maternal health for our families, communities, and nation, addressing the unacceptable rates of maternal mortality and morbidity is of utmost importance. It calls for a comprehensive approach addressing the patient, healthcare system, and providers. We need to create a safe space for women and give them the tools to advocate for themselves and each other, especially for minority women who are disproportionately at an increased risk for adverse outcomes. The first step is recognizing the problem; now it is time for action.

Nicole Robertson, CNP