Maternal health and
medicine has advanced significantly over the years and global trends have shown
that maternal deaths, defined as deaths due to complications from pregnancy or
childbirth, continue to decrease. However, the U.S. is defying all odds: it is
still one of the leading countries with a high maternal mortality rate, and the
rate continues to increase. Multiple studies and analyses have shown that maternal
mortality rates have increased overall, but especially for non-Hispanic black
women. The U.S., one of many leading innovators in medicine, science, and technology,
is still struggling to help women with their health and the question is, why?
Furthermore, how can we move forward
to help alleviate this social problem?
Experts have explored several
reasons that might attribute to the high mortality rate in the U.S. First, researchers
have hypothesized that the obesity epidemic may heavily contribute to maternal
deaths. Obesity is linked with cardiovascular disease and diabetes that exponentially
complicate pregnancy and childbirth. The lack of access to nutritional food and
healthcare coupled with chronic stress could explain the increased risk of
maternal death, especially those seen in communities of color. Second, researchers
contributed the maternal mortality rate to the increase in age (45 years or
older) that women became pregnant. However, they found that there was an
increase in death rates among all age groups. Finally, people think the U.S. has
a high rate of maternal deaths due to the fact that that there are more minorities
and more economically disadvantaged people. Nevertheless, studies have shown
that if the analysis was limited to white women, the U.S. still ranks behind
other developed nations. Despite the multifaceted
complexities that are involved, the United States should invest resources into
researching an issue that directly affects half of the population and to provide services that help women navigate their health and quality of life.
Women’s bodies, and thus
their reproductive rights, is heavily regulated politically, legally, and
morally. Everyone has a right to their opinions and beliefs; however, as we all
have learned at Regis, we need to have a care for the whole person and to think
about what we ought to do. This is an important topic for me to explore because
I hope to have the opportunity to work with women in underrepresented
communities, most notably women of color and women in rural communities, who
historically have not had access to quality healthcare. The challenges women face trying to obtain
quality healthcare, especially regarding their reproductive health, is an ugly
reality. It is our duty as future health care professionals and scientists to advocate
for our patients and to explore new ways to improve their quality of life.
References:
Howard, Jacqueline. “Childbirth
is Killing Black Women, and Here’s Why.” CNN,
Cable News Network, 15 Nov. 2017, http://www.cnn.com/2017/11/15/health/black-women-maternal-mortality/index.html.
Tavernise, Sabrina. “Maternal
Mortality Rate in U.S. Rises, Defying Global Trend, Study Finds.” The New York Times, 21 Sept. 2016, https://www.nytimes.com/2016/09/22/health/maternal-mortality.html.
I found this very interesting. I did not know that maternal death rates were increasing, I guess I just assumed that as technology advanced in the United States maternal death rates would be declining. Besides race inequality in obtaining quality prenatal care and health care, I think it is important to also look beyond pregnancy and into early childhood. African American and Latino children are more likely to become obese due to low social economic status, increased exposure to fast food (Rideout, 2013), and increased TV time which decreases exercise (Ogden et al., 2014).
ReplyDeleteIn addition to an increased risk for obesity, minorities in the United States also have the highest rate of children diagnosed asthma. According to Pearlman (2006), African American children have the highest risk of asthma due to an increased likelihood of obesity, exposure to poor air quality, and being born with a low birth weight. As described previously, obesity can be linked to poor social economic status, but so are the factors of low air quality and low birth weights. Low birth weights are usually due to little to no prenatal care for a mother and a mother’s malnutrition while being pregnant. Minorities are also more likely to live in urbanized areas which in turn causes children to be exposed to poor air quality and pollutants.
As future health care workers I think it is also very important to learn how racial inequality can be linked to multiple health problems. It is also important to keep in mind that many health related problems can be linked.
Cynthia L. Ogden, Margaret D. Carroll, Brian K. Kit, Katherine M. Flegal. (2014). Prevalence of Childhood and Adult Obesity in the United States, 2011-2012. JAMA. 2014;311(8):806–814. doi:10.1001/jama.2014.732
Pearlman, D. N., Zierler, S., Meersman, S., Kim, H. K., Viner-Brown, S. I., & Caron, C. (2006). Race Disparities in Childhood Asthma: Does Where You Live Matter?. Journal Of The National Medical Association, 98(2), 239-247.
Rideout, V. (2013, October 28). Zero to Eight: Children's Media Use in America 2013 | Common Sense Media. Retrieved December, from https://www.commonsensemedia.org/research/zero-to-eight-childrens-media-use-in-america-2013