See more stories at cdc.gov/hearher/.
Want to read more? Check out this list of resources compiled by the producer of the film Laboring with Hope.
Battling over Birth by
"Battling Over Birth: Black Women and the Maternal Health Care Crisis reveals hard truths- powerful findings on the role of racism, coercion, inadequate prenatal care, the pressures undermining breastfeeding and the lack of access to alternatives to a broken maternal health-care system as key threads of black women's birth experiences." -Kimberly Seals Allers, MS, author, The Big Letdown "This book clearly lays out the barriers facing Black families, but it also offers solutions. I think every professional who works with parents and babies of any color should read this book." -Sharon Muza, BS, CD(DONA), BDT(DONA), LCCE, FACCE, CLE "Battling over Birth is a critical and timely resource for understanding black women's birthing experiences in the United States, a country where black women's lives-and the lives they create-are at much greater risk of death and injury than those of non-black women ... By distilling the common and diverse threads from over 100 black women, the BWBJ researchers have woven a multi-faceted tapestry that reflects what black women view as important and central to optimal birth experiences. Their recommendations for improving care and outcomes are grounded in black women's authoritative knowledge. ... This wonderful, important, necessary research by and for black women points in the direction that black women think we should go to ensure they have safe, healthy, and satisfying birth experiences and outcomes. We need to listen and act." -Christine Morton, PhD, author, Birth Ambassadors: Doulas and the Re-Emergence of Woman-Supported Birth in America Black Women Birthing Justice is a collective of African-American, African, Caribbean and multiracial women who are committed to transforming birthing experiences for black women and transfolks. Our vision is that every pregnant person should have an empowering birthing experience, free of unnecessary medical interventions and forced separation from their child. Our goals are to educate, to document birth stories and to raise awareness about birthing alternatives. We aim to challenge human rights violations, rebuild confidence in our ability to give birth, and decrease disproportionate maternal and infant mortality.
Birthing Justice by
There is a global crisis in maternal health care for black women. In the United States, black women are over three times more likely to perish from pregnancy-related complications than white women; their babies are half as likely to survive the first year. Many black women experience policing, coercion, and disempowerment during pregnancy and childbirth and are disconnected from alternative birthing traditions. This book places black women's voices at the center of the debate on what should be done to fix the broken maternity system and foregrounds black women's agency in the emerging birth justice movement. Mixing scholarly, activist, and personal perspectives, the book shows readers how they too can change lives, one birth at a time.
Black Women and Public Health by
Black Women and Public Health creates an urgently needed interdisciplinary dialogue about issues of race, gender, and health. An enduring history of racism, sexism, and dehumanization of Black women's bodies has largely rendered the health needs of the Black community inaudible and invisible. Grounded in the lived experiences and expertise of Black women, this collection bridges gaps between researchers, practitioners, educators, and advocates. Black women's public health work is a regenerative practice--one that looks backward, inward, and forward to improve the quality of life for Black communities in the United States and beyond. The three dozen authors in this volume offer analysis, critique, and recommendations for overcoming longstanding and contemporary challenges to equity in public health practices.
Killing the Black Body by
This is a no-holds-barred response to the liberal and conservative retreat from an assertive, activist, and socially transformative civil rights agenda of recent years--using a black feminist lens and the issue of the impact of recent legislation, social policy, and welfare "reform" on black women's--especially poor black women's--control over their bodies' autonomy and their freedom to bear and raise children with respect and dignity in a society whose white mainstream is determined to demonize, even criminalize their lives. It gives its readers a cogent legal and historical argument for a radically new , and socially transformative, definition of "liberty" and "equality" for the American polity from a black feminist perspective.
Legacy by
Growing up in Brooklyn, New York, it never occurred to Uche Blackstock and her twin sister, Oni, that they would be anything but physicians. In the 1980s, their mother headed an organisation of Black women physicians, and for years the girls watched these fiercely intelligent women in white coats tend to their patients and neighbours, host community health fairs, cure ills, and save lives. What Dr. Uche Blackstock did not understand as a child - or learn about at Harvard Medical School, where she and her sister had followed in their mother's footsteps, making them the first Black mother-daughter legacies from the school - were the profound and long-standing systemic inequities that mean just 2 percent of all U.S. physicians today are Black women; the racist practices and policies that ensure Black Americans have far worse health outcomes than any other group in the country; and the flawed system that endangers the well-being of communities like theirs. As an ER physician, and later as
The Pain Gap by
Explore real women's tales of healthcare trauma and medical misogyny with this meticulously researched, in-depth examination of the women's health crisis in America--and what we can do about it. When Anushay Hossain became pregnant in the US, she was so relieved. Growing up in Bangladesh in the 1980s, where the concept of women's healthcare hardly existed, she understood how lucky she was to access the best in the world. But she couldn't have been more wrong. Things started to go awry from the minute she stepped in the hospital, and after thirty hours of labor (two of which she spent pushing), Hossain's epidural slipped. Her pain was so severe that she ran a fever of 104 degrees, and as she shook and trembled uncontrollably, the doctors finally performed an emergency C-section. Giving birth in the richest country on earth, Hossain never imagined she could die in labor. But she almost did. The experience put her on a journey to explore, understand, and share how women--especially women of color--are dismissed to death by systemic sexism in American healthcare. Following in the footsteps of feminist manifestos such as The Feminine Mystique and Rage Becomes Her, The Pain Gap is an eye-opening and stirring call to arms that encourages women to flip their "hysteria complex" on its head and use it to revolutionize women's healthcare. This book tells the story of Hossain's experiences--from growing up in South Asia surrounded by staggering maternal mortality rates to lobbying for global health legislation on Capitol Hill to nearly becoming a statistic herself. Along the way, she realized that a little fury might be just what the doctor ordered. Meticulously researched and deeply reported, this book explores real women's traumatic experiences with America's healthcare system--and empowers everyone to use their experiences to bring about the healthcare revolution women need.
The Political Determinants of Health by
How do policy and politics influence the social conditions that generate health outcomes? Reduced life expectancy, worsening health outcomes, health inequity, and declining health care options--these are now realities for most Americans. However, in a country of more than 325 million people, addressing everyone's issues is challenging. How can we effect beneficial change for everyone so we all can thrive? What is the great equalizer? In this book, Daniel E. Dawes argues that political determinants of health create the social drivers--including poor environmental conditions, inadequate transportation, unsafe neighborhoods, and lack of healthy food options--that affect all other dynamics of health. By understanding these determinants, their origins, and their impact on the equitable distribution of opportunities and resources, we will be better equipped to develop and implement actionable solutions to close the health gap. Dawes draws on his firsthand experience helping to shape major federal policies, including the Affordable Care Act, to describe the history of efforts to address the political determinants that have resulted in health inequities. Taking us further upstream to the underlying source of the causes of inequities, Dawes examines the political decisions that lead to our social conditions, makes the social determinants of health more accessible, and provides a playbook for how we can address them effectively. A thought-provoking and evocative account that considers both the policies we think of as "health policy" and those that we don't, The Political Determinants of Healthprovides a novel, multidisciplinary framework for addressing the systemic barriers preventing the United States from becoming the healthiest nation in the world.
Pregnant While Black by
A tragedy is unfolding all around us and is receiving well overdue attention. Black women are three times more likely to die from pregnancy than their white peers. But Dr. Monique Rainford is working to better understand these disparities and do something about them. Pregnant While Black is a hopeful exploration of the issues pregnant Black women face in America.Within these pages, Dr. Rainford draws on over twenty years of experience working in obstetrics and gynecology to offer a primer on Black pregnancies and how to better care for them. She shares the successes and testimonies of Black women who have struggled during pregnancy and childbirth, anchoring the stories of these women with carefully researched facts. Despite medical advances over the last twenty years, for Black women, the overwhelming dangers of carrying and delivering children remain and it only seems to be getting worse. In Pregnant While Black, Rainford begins the work of "repairing the damage of the past" with an examination of the conditions that plague Black pregnancies. This important book carries the hopes and dreams of a generation looking to effect change, here and now.
Undivided Rights by
Undivided Rights captures the evolving and largely unknown activist history of women of color organizing for reproductive justice--on their own behalf. Undivided Rights presents a textured understanding of the reproductive rights movement by placing the experiences, priorities, and activism of women of color in the foreground. Using historical research, original organizational case studies, and personal interviews, the authors illuminate how women of color have led the fight to control their own bodies and reproductive destinies. Undivided Rights shows how women of color---starting within their own Latina, African American, Native American, and Asian American communities--have resisted coercion of their reproductive abilities. Projected against the backdrop of the mainstream pro-choice movement and radical right agendas, these dynamic case studies feature the groundbreaking work being done by health and reproductive rights organizations led by women-of-color. The book details how and why these women have defined and implemented expansive reproductive health agendas that reject legalistic remedies and seek instead to address the wider needs of their communities. It stresses the urgency for innovative strategies that push beyond the traditional base and goals of the mainstream pro-choice movement--strategies that are broadly inclusive while being specific, strategies that speak to all women by speaking to each woman. While the authors raise tough questions about inclusion, identity politics, and the future of women's organizing, they also offer a way out of the limiting focus on "choice." Undivided Rights articulates a holistic vision for reproductive freedom. It refuses to allow our human rights to be divvied up and parceled out into isolated boxes that people are then forced to pick and choose among.
We Live for the We by
A warm, wise, and urgent guide to parenting in uncertain times, from a longtime reporter on race, reproductive health, and politics In We Live for the We, first-time mother Dani McClain sets out to understand how to raise her daughter in what she, as a black woman, knows to be an unjust -- even hostile -- society. Black women are more likely to die during pregnancy or birth than any other race; black mothers must stand before television cameras telling the world that their slain children were human beings. What, then, is the best way to keep fear at bay and raise a child so she lives with dignity and joy? McClain spoke with mothers on the frontlines of movements for social, political, and cultural change who are grappling with the same questions. Following a child's development from infancy to the teenage years, We Live for the We touches on everything from the importance of creativity to building a mutually supportive community to navigating one's relationship with power and authority. It is an essential handbook to help us imagine the society we build for the next generation.
Black Women's Mental Health by
Creates a new framework for approaching Black women's wellness, by merging theory and practice with both personal narratives and public policy.
Just Medicine by
Offers an innovative plan to eliminate inequalities in American health care and save the lives they endanger Over 84,000 black and brown lives are needlessly lost each year due to health disparities: the unfair, unjust, and avoidable differences between the quality and quantity of health care provided to Americans who are members of racial and ethnic minorities and care provided to whites. Health disparities have remained stubbornly entrenched in the American health care system--and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients. Implicit bias is the single most important determinant of health and health care disparities. Because we have missed this fact, the money we spend on training providers to become culturally competent, expanding wellness education programs and community health centers, and even expanding access to health insurance will have only a modest effect on reducing health disparities. We will continue to utterly fail in the effort to eradicate health disparities unless we enact strong, evidence-based legal remedies that accurately address implicit and unintentional forms of discrimination, to replace the weak, tepid, and largely irrelevant legal remedies currently available. Our continued failure to fashion an effective response that purges the effects of implicit bias from American health care, Matthew argues, is unjust and morally untenable. In this book, she unites medical, neuroscience, psychology, and sociology research on implicit bias and health disparities with her own expertise in civil rights and constitutional law. In a time when the health of the entire nation is at risk, it is essential to confront the issues keeping the health care system from providing equal treatment to all.
Medical Bondage by
The accomplishments of pioneering doctors such as John Peter Mettauer, James Marion Sims, and Nathan Bozeman are well documented. It is also no secret that these nineteenth-century gynecologists performed experimental caesarean sections, ovariotomies, and obstetric fistulae repairs primarily on poor and powerless women. Medical Bondage,/em> breaks new ground by exploring how and why physicians denied these women their full humanity yet valued them as "medical superbodies" highly suited for medical experimentation. In Medical Bondage, Cooper Owens examines a wide range of scientific literature and less formal communications in which gynecologists created and disseminated medical fictions about their patients, such as their belief that black enslaved women could withstand pain better than white "ladies." Even as they were advancing medicine, these doctors were legitimizing, for decades to come, groundless theories related to whiteness and blackness, men and women, and the inferiority of other races or nationalities.Medical Bondage moves between southern plantations and northern urban centers to reveal how nineteenth-century American ideas about race, health, and status influenced doctor-patient relationships in sites of healing like slave cabins, medical colleges, and hospitals. It also retells the story of black enslaved women and of Irish immigrant women from the perspective of these exploited groups and thus restores for us a picture of their lives.
Motherhood So White by
The story every mother in America needs to read. As featured on NPR and the TODAY Show. All moms have to deal with choosing baby names, potty training, finding your village, and answering your kid's tough questions, but if you are raising a Black child, you have to deal with a lot more than that. Especially if you're a single Black mom... and adopting. Nefertiti Austin shares her story of starting a family through adoption as a single Black woman. In this unflinching account of her parenting journey, Nefertiti examines the history of adoption in the African American community, faces off against stereotypes of single Black moms, and confronts the reality of what it looks like to raise children of color and answer their questions about racism in modern-day America. Honest, vulnerable, and uplifting, Motherhood So White is a fantastic book for mothers who have read White Fragility by Robin DiAngelo, Stamped from the Beginning by Ibram X. Kendi, Why Are All The Black Kids Sitting Together in the Cafeteria? by Beverly Daniel Tatum, or other books about racism and want to see how these social issues play out in a very personal way for a single mom and her Black son. This great book club read explores social and cultural bias, gives a new perspective on a familiar experience, and sparks meaningful conversations about what it looks like for Black families in white America today.
Reproducing Race by
Reproducing Race, an ethnography of pregnancy and birth at a large New York City public hospital, explores the role of race in the medical setting. Khiara M. Bridges investigates how race--commonly seen as biological in the medical world--is socially constructed among women dependent on the public healthcare system for prenatal care and childbirth. Bridges argues that race carries powerful material consequences for these women even when it is not explicitly named, showing how they are marginalized by the practices and assumptions of the clinic staff. Deftly weaving ethnographic evidence into broader discussions of Medicaid and racial disparities in infant and maternal mortality, Bridges shines new light on the politics of healthcare for the poor, demonstrating how the "medicalization" of social problems reproduces racial stereotypes and governs the bodies of poor women of color.
Reproductive Injustice by
Winner, 2020 Senior Book Prize, given by the Association of Feminist Anthropology Winner, 2020 Eileen Basker Memorial Prize, given by the Society for Medical Anthropology Honorable Mention, 2020 Victor Turner Prize in Ethnographic Writing, given by the Society for Humanistic Anthropology Finalist, 2020 PROSE Award in the Sociology, Anthropology and Criminology category, given by the Association of American Publishers A troubling study of the role that medical racism plays in the lives of black women who have given birth to premature and low birth weight infants Black women have higher rates of premature birth than other women in America. This cannot be simply explained by economic factors, with poorer women lacking resources or access to care. Even professional, middle-class black women are at a much higher risk of premature birth than low-income white women in the United States. Dána-Ain Davis looks into this phenomenon, placing racial differences in birth outcomes into a historical context, revealing that ideas about reproduction and race today have been influenced by the legacy of ideas which developed during the era of slavery. While poor and low-income black women are often the "mascots" of premature birth outcomes, this book focuses on professional black women, who are just as likely to give birth prematurely. Drawing on an impressive array of interviews with nearly fifty mothers, fathers, neonatologists, nurses, midwives, and reproductive justice advocates, Dána-Ain Davis argues that events leading up to an infant's arrival in a neonatal intensive care unit (NICU), and the parents' experiences while they are in the NICU, reveal subtle but pernicious forms of racism that confound the perceived class dynamics that are frequently understood to be a central factor of premature birth. The book argues not only that medical racism persists and must be considered when examining adverse outcomes--as well as upsetting experiences for parents--but also that NICUs and life-saving technologies should not be the only strategies for improving the outcomes for black pregnant women and their babies. Davis makes the case for other avenues, such as community-based birthing projects, doulas, and midwives, that support women during pregnancy and labor are just as important and effective in avoiding premature births and mortality.
Reproductive Justice by
Reproductive Justice is a first-of-its-kind primer that provides a comprehensive yet succinct description of the field. Written by two legendary scholar-activists, Reproductive Justice introduces students to an intersectional analysis of race, class, and gender politics. Loretta J. Ross and Rickie Solinger put the lives and lived experience of women of color at the center of the book and use a human rights analysis to show how the discussion around reproductive justice differs significantly from the pro-choice/anti-abortion debates that have long dominated the headlines and mainstream political conflict. Arguing that reproductive justice is a political movement of reproductive rights and social justice, the authors illuminate, for example, the complex web of structural obstacles a low-income, physically disabled woman living in West Texas faces as she contemplates her sexual and reproductive intentions. In a period in which women's reproductive lives are imperiled, Reproductive Justice provides an essential guide to understanding and mobilizing around women's human rights in the twenty-first century. Reproductive Justice: A New Vision for the Twenty-First Century publishes works that explore the contours and content of reproductive justice. The series will include primers intended for students and those new to reproductive justice as well as books of original research that will further knowledge and impact society. Learn more at www.ucpress.edu/go/reproductivejustice.
So We Can Know by
In this brave and devastatingly beautiful anthology, the illustrious poet and editor Aracelis Girmay gathers complex and intimate pieces that illuminate the nuances of personal and collective histories, analyses, practices, and choices surrounding pregnancy. Featuring the brilliant voices of writers such as Cheryl Boyce-Taylor, Patricia Smith, Elizabeth Alexander, and more, this book is a lighthouse--a tool and companion--for those navigating pregnancy, abortion, miscarriage, birth, loss, grief, and love. In So We Can Know: Writers of Color on Pregnancy, Loss, Abortion, and Birth, pieces range from essays to poems to interviews, with a broad entanglement of various themes, from many different perspectives including Black, Indigenous, Asian, Latinx, and more. At a time when people are becoming more and more limited in their choices surrounding pregnancy and abortion, this record is increasingly urgent and indispensable.
Torn Apart by
An award-winning scholar exposes the foundational racism of the child welfare system and calls for radical change Many believe the child welfare system protects children from abuse. But as Torn Apart uncovers, this system is designed to punish Black families. Drawing on decades of research, legal scholar and sociologist Dorothy Roberts reveals that the child welfare system is better understood as a "family policing system" that collaborates with law enforcement and prisons to oppress Black communities. Child protection investigations ensnare a majority of Black children, putting their families under intense state surveillance and regulation. Black children are disproportionately likely to be torn from their families and placed in foster care, driving many to juvenile detention and imprisonment. The only way to stop the destruction caused by family policing, Torn Apart argues, is to abolish the child welfare system and liberate Black communities.
Under the Skin by
A NEW YORK TIMES TOP 10 BOOK OF THE YEAR * "A stunning exposé of why Black people in our society 'live sicker and die quicker'--an eye-opening game changer."--Oprah Daily From an award-winning writer at the New York Times Magazine and a contributor to the 1619 Project comes a landmark book that tells the full story of racial health disparities in America, revealing the toll racism takes on individuals and the health of our nation. In 2018, Linda Villarosa's New York Times Magazine article on maternal and infant mortality among black mothers and babies in America caused an awakening. Hundreds of studies had previously established a link between racial discrimination and the health of Black Americans, with little progress toward solutions. But Villarosa's article exposing that a Black woman with a college education is as likely to die or nearly die in childbirth as a white woman with an eighth grade education made racial disparities in health care impossible to ignore. Now, in Under the Skin, Linda Villarosa lays bare the forces in the American health-care system and in American society that cause Black people to "live sicker and die quicker" compared to their white counterparts. Today's medical texts and instruments still carry fallacious slavery-era assumptions that Black bodies are fundamentally different from white bodies. Study after study of medical settings show worse treatment and outcomes for Black patients. Black people live in dirtier, more polluted communities due to environmental racism and neglect from all levels of government. And, most powerfully, Villarosa describes the new understanding that coping with the daily scourge of racism ages Black people prematurely. Anchored by unforgettable human stories and offering incontrovertible proof, Under the Skin is dramatic, tragic, and necessary reading.
Women, Race and Class by
From one of our most important scholars and civil rights activist icon, a powerful study of the women's liberation movement and the tangled knot of oppression facing Black women. "Angela Davis is herself a woman of undeniable courage. She should be heard."--The New York Times Angela Davis provides a powerful history of the social and political influence of whiteness and elitism in feminism, from abolitionist days to the present, and demonstrates how the racist and classist biases of its leaders inevitably hampered any collective ambitions. While Black women were aided by some activists like Sarah and Angelina Grimke and the suffrage cause found unwavering support in Frederick Douglass, many women played on the fears of white supremacists for political gain rather than take an intersectional approach to liberation. Here, Davis not only contextualizes the legacy and pitfalls of civil and women's rights activists, but also discusses Communist women, the murder of Emmitt Till, and Margaret Sanger's racism. Davis shows readers how the inequalities between Black and white women influence the contemporary issues of rape, reproductive freedom, housework and child care in this bold and indispensable work.