According to the CDC, AIAN and Black women in the U.S. are two to three times more likely to die from pregnancy-related causes than white women. And Black infants are more than twice as likely to die in their first year.
Several health challenges contribute to these differences. Black and AIAN women are more likely to have preterm births, low birthweight babies, and a growing concern is the likelihood of receiving late or little to no prenatal care. In addition, chronic conditions like high blood pressure, diabetes, and obesity—all of which are conditions more common in communities of color—further increase pregnancy risks.
However, careful considerations can be taken to promote healthier pregnancies for those facing disparities, including the following:
Persistent prenatal checkups
Prenatal care is paramount in any healthy pregnancy. These visits help monitor the health of both mom and baby and manage any health issues early on. They also help build a trust or bond between you and your OB/GYN, which is also important. Many maternal and infant health programs offered by your health plan should include information and resources on how and how often to receive prenatal care. Qualifying Priority Health members have access to our PriorityMOM and PriorityBABY programs which inform new and expectant moms on cost and coverage details, doctor visits and the many maternity benefits included in their plan.
Culturally competent providers
If possible, seek health care providers who understand and respect your unique needs and cultures. When working with a culturally competent doctor, you’re able to better address any biases or risks associated with your care. You may also feel more listened to. There are many ways to find both doctors and specialists like OB/GYNs who look like you and understand your unique experiences.
Support systems
During pregnancy, support systems are vital. These include family, friends, community groups, and health care professionals like doulas and midwives who share the same cultural background. They can offer emotional support and personalized care. Check your health plan to see if you have coverage for doula or midwife services. You can also take advantage of helpful resources like Michigan’s Maternal Infant Health Program (MIHP).
Mental health awareness
Mental health is a key part of overall health, and it’s especially important during pregnancy. Access to mental health services can help address stress, anxiety, and depression which can affect or impact not only your overall health, but your baby’s as well. Check your health plan benefits to see what mental health resources are available to you to help you stay healthy throughout this special time.
Nutritious diet
Access to a nutritious diet is another social determinant of health that can impact communities of color. That’s why making it a point to eat a mix of fruits, vegetables, whole grains, lean proteins, and dairy is especially important throughout pregnancy and beyond. By eating right, you can take care of yourself and promote your baby’s healthy development—before, during and after pregnancy. In addition, breastfeeding is another way to promote healthy growth and development for your child after birth. While statistics show babies of color are less likely to be breast fed, there are resources to help in your breastfeeding journey.
Addressing the disparities in healthy pregnancies requires everyone to work together—health plans, providers, communities, and one another. Factors like housing, nutrition, and access to quality care impact maternal health for communities of color. Priority health remains committed to these social determinants of care, because we believe all people deserve the opportunity to live a healthy life.
