Black Maternal Mortality Archives

Hi, it’s Dr. Curry-Winchell. Today, I want to discuss a significant health issue that often goes undiscussed. Gestational diabetes, especially as it pertains to the Black maternal health crisis in the United States.

In honor of National Diabetes Month and the current Maternal Health crisis I partnered with She Knows to highlight this growing concern. You can find my article from She Knows HERE

What is Gestational Diabetes?

Gestational diabetes is a condition that can develop during pregnancy. It is usually diagnosed through screening between the 24th and 28th weeks. The exact cause is not fully understood, it’s thought to be linked to hormonal changes in pregnancy. Symptoms can be subtle, such as increased thirst and frequent urination, or non-existent, making it a potentially silent threat.

The condition not only affects mothers by increasing the likelihood of complications like premature birth and cesarean sections, but it also impacts infants, who may face respiratory difficulties, future obesity, and a higher diabetes risk later in life.

The Impact on Black Maternal Health

Alarmingly, gestational diabetes is a gateway to type 2 diabetes postpartum. Research shows that Black women are disproportionately diagnosed with type 2 diabetes following gestational diabetes, this disparity could be due to a lack of consistent screenings post-childbirth, as symptoms may be mistakenly attributed to typical postpartum recovery.

Type 2 diabetes is a serious condition where the pancreas either doesn’t produce enough insulin or the body becomes insulin resistant. This can lead to severe health issues, including vision loss, nerve damage, and increased risk of kidney and heart diseases — conditions that already have a higher mortality rate among Black individuals.

The Importance of Advocacy and Screening

Advocacy is crucial in addressing this health crisis. The healthcare system’s systemic racism and unconscious biases often lead to the dismissal of Black women’s pain and concerns. I speak from personal experience. As a physician within the healthcare system, I encountered life-threatening challenges during my childbirth due to my pain being overlooked.

For those diagnosed with gestational diabetes, it’s critical to request diabetes screenings after giving birth. As healthcare providers, we must confront unconscious biases and eradicate race-based medicine to improve health outcomes for all mothers and children.

In conclusion, while gestational diabetes is a complex condition with profound implications for maternal health, awareness and proactive management can lead to better outcomes. Help spread awareness, share this article with loved ones and those that can benefit from the information. Increased health literacy gives everyone a better opportunity to advocate for their own health. Greater awareness helps bring light to disparities and of course helps bring change.

Stay informed and prioritize your health!

– Dr. Curry-Winchell (Dr. BCW)

Hi, it’s Dr. Curry-Winchell or Dr. BCW for short. I am thrilled to share insights from my recent TEDx talk on Black Maternal Mortality with you. In this talk I cover a topic that has gotten some recent press, Black Mothers Dying. I shed light on the persistent issue of race-based medical practices and unconscious bias within our healthcare system and its real impact on black health. Specifically the life expectancy of black mothers. If you want to see more you can also check out my recent BBC interview which aired shortly before my TEDx talk was released.

Real-Life Stories:

During my TEDx talk, I wanted to urge the audience to grasp the gravity of the situation. I began by recounting the near-death experience of Serena Williams, a world-renowned athlete and champion. Serena’s terrifying encounter during childbirth highlights that even individuals with access to the best healthcare are not exempt from the dangers black mothers face during pregnancy. When disparities in black health are discussed, the argument inevitably falls to “lack of access.” Still, for maternal mortality, this is not the case. Affluent Black Mothers are dying 3x the rate compared to white women despite access to the best healthcare.

Unconscious Bias:

Unconscious bias is an invisible force that affects everyone. It affects our perceptions and decisions without us even realizing it. I shared a personal story from my experience as a patient and mother. My concerns were dismissed due to unconscious bias. If not for my personal relationships in medicine and the help of my husband, these dismissals could have cost me my life. Even though unconscious bias affects everyone, when the results of unconscious bias severely negatively impacts one group, it is something we must address. With Black Mothers dying at a 3x rate compared to other races this shows real negative impacts.

Invisible Pain:

One persistent stereotype that took hold many years ago was the thought that individuals with black skin feel less pain. I delved into the dark history of medical experimentation on enslaved black women, where pain medication was withheld under this false belief. And, of course, sadly, this bias persists today, as research shows that healthcare providers may struggle to recognize pain in black patients. Other studies have shown that many medical students believe black patients have thicker skin and feel less pain. This incorrect belief and subsequent disparity in pain management puts lives at risk and calls for immediate action.

Race-Based Medical Practices:

A significant issue I called out in my TEDx talk was the flawed VBAC scoring system. The original VBAC pushed risky medical procedures on specific racial and ethnic groups while pushing others towards safer natural births. I emphasized that race is a social construct and should not determine medical decisions. While progress has been made with revising the VBAC, I highlighted the need for continued change. I urged healthcare providers to advocate for updated policies and comprehensive training. Addressing race based medicine will help reduce black mothers dying during child birth.

Taking Action Together:

I ask everyone, healthcare providers and patients, to be agents of change. I called upon my fellow healthcare professionals to educate themselves about the fallacy of race-based medicine and to actively challenge these practices within their institutions. To patients, I stressed the importance of speaking up when witnessing racial inequities and engaging in self-reflection to confront our own biases. If we all look at our own biases we can overcome Black Mothers dying 3x and so much more.

Conclusion:

This TEDx talk on Black Maternal Mortality was incredibly emotional for me. I shared a very personal story from my life. I share my passion and commitment to addressing race-based medical practices and unconscious bias. My hope is that by shedding light on these issues that result in Black Mothers dying more than any other race, we can create a healthcare system that is equitable for every individual, regardless of race or ethnicity.

Stay informed and make well-informed decisions about your health and well-being.

-Dr. Curry-Winchell (Dr. BCW)