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The History That Explains Today’s Shortage of Black Midwives

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A mid growing maternal mortality rates, Black and Indigenous women in the U.S. are three times more likely to die from a pregnancy-related cause than white women. Many women of color experience painful and traumatic hospital experiences as a result of structural racism and being historically neglected by the American health care system. And while maternal care experts have noted the improved health outcomes that come with midwifery care—less medical intervention and fewer C-sections—over 90% of midwives are white, highlighting how hard it is for Black women to find Black providers. But it always wasn’t this way. In 19th century America, interracial midwifery was the primary form of prenatal care. And yet, as childbirth became more medicalized, Black women and women of color were erased from providing maternal health care. Understanding the origin of this disparity is key to addressing the shortage of midwives of color and making the profession more diverse. For generations, pregnancy c...