Bearing the Burden of Injustice: Black Maternal Mortality

Mother and babyWhen it comes to maternal mortality, American women don’t all live in the same country. While white women live in Qatar, black women live in Mongolia.

Maternal mortality is death related to complications from pregnancy or childbirth. Most of us don’t come from a time or place where the prospect of dying in childbirth is a tangible possibility — in the past century, as medicine has advanced, maternal mortality rates have plummeted.


To raise healthy families, we need access to general and reproductive health care, including preventive care, prenatal care, and maternity care.


The United States, though, hasn’t come as far as would be expected. Although its wealth should have put it on par with other developed nations like Canada, the United Kingdom, Australia, Japan, and those in Scandinavia, women in these countries fare far better than those in the United States. So do women in Libya, Bosnia and Herzogovina, Bulgaria, and Kazakhstan, indicating that national priorities — and not necessarily national wealth — are key to ensuring maternal health.

The United States’ high maternal mortality rate is heartbreaking no matter how you look at it, but is even worse for women of color. African-American women are 3.5 times more likely to die as a result of pregnancy or childbirth than white women. Between 2011 and 2013, the maternal mortality rate for white women was 12.7 deaths per 100,000 live births. Comparing that to 2015 data from the World Health Organization (WHO), that rate puts white women’s maternal mortality on par with mothers in Qatar and Bahrain, two wealthy Persian Gulf nations. African-American women, however, suffered 43.5 deaths per 100,000 live births, putting their maternal mortality on par with those of Turkmenistan, Brazil, and Mongolia. Continue reading

Book Club: Her Body, Our Laws

By 2014, law professor Michelle Oberman was no stranger to El Salvador. She had already spent four years making research trips to the Central American country, but that June she would need a local guide during her travels. An activist had volunteered to accompany her on the interview she needed to conduct, a task that required a two-and-a-half-hour trip outside the city to an area that is not well mapped — in fact, to a village where there are “no signs or numbers” to help visitors find their way among the cinder-block houses and the patchwork of land where the clucks and lowing of livestock punctuate the silence.


Paid maternity leave, monthly child allowances, and affordable day care and health care decrease demand for abortion.


Once in the village, it took Oberman and her guide an additional 45 minutes to find the house they needed to visit. Inside, a curtain was all that separated the main room from a small bedroom in the back. A bucket and outdoor basin served as a shower, and an outhouse completed the bathroom facilities. The living conditions there were not uncommon — not in a country where roughly 40 percent of the population lives in poverty.

That poverty was both the cause and consequence of a conflict between left-wing rebels and government forces that lasted from 1979 to 1992. In many ways, that conflict set the stage for the abortion war in El Salvador, the subject of Oberman’s recently published book, Her Body, Our Laws: On the Frontlines of the Abortion War from El Salvador to Oklahoma (Beacon Press, 2018).

From Civil War to Abortion War

In the early 1980s, the small republic of El Salvador was in the grip of civil war, while in the U.S., debates raged over the emerging Sanctuary Movement that was aiding Salvadoran and other Central American refugees. The movement began in 1981, when Quaker activist Jim Corbett and Presbyterian Pastor John Fife, both of Tucson, pledged to “protect, defend, and advocate for” the many people fleeing warfare and political turmoil in El Salvador and neighboring countries. Tucson was at the forefront of the movement as refugees crossed through Mexico and arrived at the Arizona border. Continue reading

Pro-Choice Friday News Rundown

  • Planned Parenthood Arizona is fighting for DACA! (Buzzfeed)
  • In case you hadn’t heard, Republicans are trying for the umpteenth time to repeal the ACA. Nevertheless, they stupidly persisted. (WaPo)
  • In line with pretty much all other Republican-sponsored legislation, the consequences for women would be grave. (Jezebel)
  • Black women are 3.5 times more likely to die from being pregnant than white women. THIS is why being pro-choice ultimately translates into being “pro-life.” (Tonic)
  • The Arizona Supreme Court has unanimously affirmed the equal rights of same-sex parents! (Slate)
  • In other Arizona news: Two of our worst politicians, Mark Brnovich and Michele Reagan, are, as the Phoenix New Times puts it, on “Emily’s Sh*t List” for being woefully sucktacular on the issue of women’s health-care rights. (Phoenix New Times)
  • Abortion access has gotten easier in Missouri thanks to Planned Parenthood and, uh … other sources. (Double X)
  • One of my personal heroes, Dr. Willie Parker, gave a great interview to The Atlantic to discuss his Christian faith, teen moms, and what’s next for abortion access. (The Atlantic)
  • More than 1 in 5 women in Mexico is married before she turns 18. Unsurprisingly, teen pregnancy is usually a precursor. (Teen Vogue)

Pro-Choice Friday News Rundown

  • With all of the shenanigans that have transpired in North Carolina over the years (their racially discriminatory voting debacles especially), it’s nice to be able to highlight the state for doing something positive for a change. North Carolina has managed to close its black-white maternal death gap. This is amazing and so important. (Vox)
  • I’m sure we all remember (and would like to forget) the Jan Brewer era? Well, friendly reminder: Arizona Already Tried What the GOP Wants to Do to Medicaid. It Was a Disaster. (Slate)
  • Our nomination for sentence of the week: “Whatever maternity care his mother got when she was pregnant with him helped him grow into the healthy, thriving, intolerable jerkoff he is today.” HA! (XX Factor)
  • Christian crisis pregnancy centers in Illinois are suing the state because they want to keep lying to vulnerable pregnant women about their options. Let’s hope they catch the ‘L’ they deserve. (Chicago Tribune)
  • The majority of women who have abortions are already mothers. They share their stories about why they chose to terminate their pregnancies. (Elle)
  • Parents are doing a mediocre job teaching teens about love, sex, and the misogyny that permeates our culture. Eighty-seven percent of teenage girls have experienced harassment, abuse, or assault. This is not OK. (NBC News)
  • Due to the fact that we have a thin-skinned narcissist with the restraint and civility of a toddler in the White House, there are obviously A LOT of concerns about national politics. However, we can’t lose sight of the fact that local politics have a much greater effect on most of our daily lives — especially for women. NARAL President Kaylie Hanson Long details why. (Think Progress)
  • Literally ALL the medical groups hate Trumpcare. Have they no compassion for the rich people who would be further enriched by GOP tax cuts?!? (NBC News)
  • Wow — a majority of GOP voters largely support Obamacare’s birth control mandate. Surprising! (The Hill)
  • While conservative politicians are doing everything within their power to ensure women have less access to birth control to prevent unintended pregnancy and less access to abortion to terminate an unwanted pregnancy, the foster care system is bursting at the seams with child victims of the opioid crisis. I personally have spent a great deal of time looking for SOME kind of evidence that the “pro-life” politicians who seek to restrict women’s rights are also advocating somehow for these children. Unfortunately I’m at a loss. Their privileged, traditional, nuclear families aren’t fostering them. They aren’t publicly advocating for them vocally. They aren’t trying to bring about meaningful change to the foster care system. Oddly, it seems like the “pro-life” advocacy only applies to CURRENT, not former, residents of a womb. Sad. (Mother Jones)
  • Well, this is heart-wrenching and tragic: In developing nations, 214 million women want to prevent pregnancy but have no contraception. How will poverty ever be eradicated if women have no control over their fertility, limited ability to prioritize their existing children and give them better opportunities, and no meaningful path toward economic independence? (XX Factor)

Pro-Choice Friday News Rundown

  • The Washington Post has a nifty graphic explaining what the Senate health care bill changes about the Affordable Care Act. FYI: It’s really just as much an abomination as the House’s crappy version. (WaPo)
  • To be clear, Planned Parenthood would be screwed out of funding if GOP numbskulls have their way. (Newsweek)
  • The Arizona State Senate has more female members, proportionally speaking, than any other state legislative body in the entire country. So why in all hells does this state still pass so much anti-woman legislation? WHY?!? (Phoenix New Times)
  • Apparently, women in many states can’t legally revoke consent if sex with a partner turns violent during the act? The failure to cease the sex when a woman says so isn’t legally “rape” according to the courts if she has already consented. Evidently, men are entitled to “finish” (ejaculate) once consent has been given and it cannot be revoked. WTF?!?! How is this real life? (Broadly)
  • Fusion has a great piece and accompanying documentary about rising maternal mortality rates among black women in the U.S. (Fusion)
  • NY Attorney General Sues Anti-Abortion Groups for Viciously Harassing Patients Outside Queens Clinic. Good. Throw.The.Book.At.These.Fools. Who else is willing to bet rent money that they are in the “so pro-life they’ve never fostered or adopted any children” crowd? A show of hands please. (Jezebel)
  • Missouri is legit taking a page out of The Handmaid’s Tale, y’all. (The Mary Sue)
  • Six experts quit the Presidential Advisory Council on HIV/AIDS because they feel No. 45 “simply does not care” about the disease. Obviously, this does not bode well for HIV/AIDS treatment or research to eradicate the disease. (CNN)
  • Earlier this week, Karen Handel won the special election in Georgia. Here’s a reminder why she’s literally the absolute worst and will be no champion for women. She’s also so “pro-life” she’s never fostered or adopted any children. That puts her in good company with all the other “pro-lifers” in government. (Cosmopolitan)
  • Most sexually active teenagers in the U.S. are using contraception! Good job, kids! (Time)
  • If you’re sick of Republicans rigging elections in their favor, the possibility of SCOTUS delivering a rebuke over gerrymandering should excite you just a little bit! (WaPo)

Pro-Choice Friday News Rundown

  • Deja Foxx

    Let’s kick this thing off with some good news — two states have passed laws making it easier for women to access birth control! Yay! (Elite Daily)

  • If you live in the Phoenix metro area, you may wanna check out this handy map on the prevalence of STDs in your ZIP code! (ABC 15)
  • In other local news, Tucson teen Deja Foxx is a fearless powerhouse. She courageously advocates for others, heroically stood up to Sen. Jeff Flake, and sings the praises of Planned Parenthood every chance she gets. We are SO in awe of her and SO thankful for her advocacy! (WaPo)
  • Extensive research by the National Bureau of Economic Research shows there are broad economic benefits of increased contraception use — not just for women but for society overall. (Salon)
  • Of course sexism played a huge role in Hillary’s 2016 election loss. (XX Factor)
  • Rewire‘s Yamani Hernandez explains why framing abortion as an economic issue that affects our survival may be the only way to make people understand how crucial our right to this choice is. (Rewire)
  • Texas’ maternal mortality rate doubled over a two-year period. Not coincidentally, this was the same two-year period of time in which the state gutted Planned Parenthood and forced most of our health centers in the state to close. Additionally, more than half of all births in Texas are paid for by Medicaid, but coverage for new mothers ends just 60 days after childbirth. The majority of the 189 maternal deaths the task force looked at from 2011 to 2012 occurred after the 60-day mark. (Texas Observer)
  • Texas also has the highest birth rate in the U.S. (more than half paid for through Medicaid), and one of the highest teen pregnancy rates in the country. Medicaid births — most likely unintended pregnancies — rose in areas where access to PP was barred. (Austin Chronicle)
  • And in case you were wondering, Texas is not done clobbering reproductive options and rights. Their governor just signed what is being described as a “sweeping anti-abortion law.” (The Cut)
  • The latest medical science discovery: A vaginal gel containing tenofovir, an antiretroviral drug used to treat HIV infection, was three times as effective at preventing HIV in women who had healthy vaginal bacterial communities as it was in women with a less beneficial mix. (Science News)
  • Gotta love this headline: “President Who Bragged About Extramarital Sex Appoints Top Abstinence Advocate to HHS” (XX Factor)