Bearing the Burden of Injustice: Black Maternal Mortality

Mother and babyWhen it comes to maternal mortality, American women don’t all live in the same country. While white women live in Qatar, black women live in Mongolia.

Maternal mortality is death related to complications from pregnancy or childbirth. Most of us don’t come from a time or place where the prospect of dying in childbirth is a tangible possibility — in the past century, as medicine has advanced, maternal mortality rates have plummeted.


To raise healthy families, we need access to general and reproductive health care, including preventive care, prenatal care, and maternity care.


The United States, though, hasn’t come as far as would be expected. Although its wealth should have put it on par with other developed nations like Canada, the United Kingdom, Australia, Japan, and those in Scandinavia, women in these countries fare far better than those in the United States. So do women in Libya, Bosnia and Herzogovina, Bulgaria, and Kazakhstan, indicating that national priorities — and not necessarily national wealth — are key to ensuring maternal health.

The United States’ high maternal mortality rate is heartbreaking no matter how you look at it, but is even worse for women of color. African-American women are 3.5 times more likely to die as a result of pregnancy or childbirth than white women. Between 2011 and 2013, the maternal mortality rate for white women was 12.7 deaths per 100,000 live births. Comparing that to 2015 data from the World Health Organization (WHO), that rate puts white women’s maternal mortality on par with mothers in Qatar and Bahrain, two wealthy Persian Gulf nations. African-American women, however, suffered 43.5 deaths per 100,000 live births, putting their maternal mortality on par with those of Turkmenistan, Brazil, and Mongolia. Continue reading

Pro-Choice Friday News Rundown

  • Republican legislators in Arizona sure have a lot of nerve. They want to mandate that doctors performing abortions ask “why” a woman is terminating her pregnancy. What is the “why” behind this invasive questioning other than wanting to intrude upon the privacy of a woman undergoing a perfectly legal medical procedure? (AZ Central)
  • We at Planned Parenthood will always stress the importance of comprehensive sex education in schools. If you happen to think that sex education isn’t crucial to children’s development, I welcome you to read this disturbing but informative piece over at the New York Times. In the age of widespread smartphone access, young, impressionable kids are learning about sex from the worst source possible — online porn. (NY Times)
  • Speaking of the NYT, why does columnist David Brooks have such a fundamental misunderstanding of late-term abortions (and the fact that only slightly more than 1 percent of abortions are performed at 21 weeks or later, according to the Guttmacher Institute) and the reasons women have them? This is a highly educated, privileged man with access to soooo many educational resources and statistics on the subject … It’s almost like he’s being willfully ignorant! (Slate)
  • How Trump’s Global Gag Rule Is Devastating Abortion Rights & So Much More One Year Later (Bustle)
  • Alarming news: Head and neck cancers caused by HPV are expected to outnumber cervical cancer cases in the next few years. (U.S. News & World Report)
  • Additionally, men infected with HPV-16, the type responsible for most HPV-related cancers, are 20 times more likely to be reinfected with the same type of HPV after one year. (Science Daily)
  • Thank you, Cosmo, for highlighting Planned Parenthood’s efforts to increase access to telemedicine abortion in 2018. Ensuring women have choices and access to safe procedures will always be a meaningful endeavor for us. (Cosmopolitan)
  • Women who were denied an abortion are three times more likely to be unemployed than women who were able to access one. Women’s access to reproductive health care has an undeniable economic impact! How many times do we have to highlight this connection? (Rewire)
  • Excuse me if I sound radical, but Trump and the Republicans’ war on Medicaid is tantamount to genocide of the poor. (Salon)

STD Awareness: The HIV Epidemic at Home

In the United States, we understand HIV — the virus that causes AIDS — using a common narrative, one that gives us the impression that its deadliest chapters belong in decades past or distant places. It goes like this:

The disease emerged in the 1980s, cutting down young gay men in their primes and blindsiding scientists as they scrambled to unravel the virus’ mysteries. While AIDS initially whipped up mass hysteria among the general public, LGBTQ folks demanded equality, pushing to find treatments and a cure. AIDS activism and scientific research eventually led to the development of antiretroviral drugs, which tamed the plague by turning a death sentence into a chronic disease. Now, with the right medication, people with HIV can live long, healthy lives. The hysteria has died down, as most people realize viral transmission is preventable, and the infection is manageable.

One thing hasn’t changed, however: Just as it was in the 1980s, AIDS is still thought of as a disease of the “other.” Back then, it was a disease of gay men, a population cruelly marginalized by the general public. Today, it’s thought of as a disease of sub-Saharan Africa, where HIV prevalence is highest.

That narrative, however, doesn’t tell the whole story. Right here in our own backyards, the HIV epidemic continues to spread in the face of chilling indifference from those not affected. African-American MSM — men who have sex with men, who may or may not self-identify as gay or bisexual — have an HIV prevalence that exceeds that of any country in the world. In Swaziland, for example, 27 percent of adults are living with HIV/AIDS, but if current transmission rates hold steady, half of African-American MSM are projected to be diagnosed with HIV in their lifetime. Instead of taking this projection as a wake-up call to invest in lifesaving health policies, however, state and federal responses are poised to let it become a self-fulfilling prophecy.

Contrary to racist and homophobic stereotypes, data show that black MSM aren’t more likely to engage in risky sexual behavior, use drugs and alcohol, or withhold their HIV status from partners. So why are they burdened with higher HIV rates? The answer lies beyond mere behavior, embedded in policies and practices that disproportionately harm people based on race, sexuality, and geography. Continue reading

The Racial and Reproductive Justice of Thurgood Marshall

Thurgood Marshall, 1967. Photo: National Archives and Records Administration

On January 21, 2017, the day after the inauguration of Donald Trump as America’s 45th president, almost half a million people descended on Washington, D.C., in what the Washington Post called “likely the largest single-day demonstration in recorded U.S. history.” The Women’s March was held to protest the election of a highly unpopular president, who had been exposed in the months leading up to the election as someone who insulted the appearance and intelligence of women, boasted of his aggressive sexual advances toward others, and vowed to nominate a Supreme Court judge who would roll back women’s access to abortion. In D.C., and at solidarity marches around the nation and the world, people arrived for a massive show of support for women’s rights and reproductive justice.


Thurgood Marshall was a “great champion of intersecting struggles against racism and sexism.”


Actor Chadwick Boseman, who was on the set of Marvel Studios’ Black Panther, a movie based on the first black superhero featured in mainstream comics, took a break from filming that morning to tweet, “Shooting Black Panther on a Saturday. But my heart is at the Women’s March.” It was a fitting sentiment for an actor who had also been cast to star in Marshall, the recently released biopic about the late Supreme Court Justice Thurgood Marshall.

While Marshall was known foremost for his role in important civil rights cases like Brown v. Board of Education, as well as for becoming the first black U.S. Supreme Court justice some 50 years ago this month, he was also an influential figure in the history of reproductive justice. While the biopic focuses on his early career, when he handled a 1941 case involving a black defendant facing racially charged allegations and a prejudiced criminal justice system, it was not until more than three decades after that case — and more than five years after his swearing in to the Supreme Court — that Marshall became a fixture in the history of abortion rights in the U.S. Continue reading

Pro-Choice Friday News Rundown

  • With all of the shenanigans that have transpired in North Carolina over the years (their racially discriminatory voting debacles especially), it’s nice to be able to highlight the state for doing something positive for a change. North Carolina has managed to close its black-white maternal death gap. This is amazing and so important. (Vox)
  • I’m sure we all remember (and would like to forget) the Jan Brewer era? Well, friendly reminder: Arizona Already Tried What the GOP Wants to Do to Medicaid. It Was a Disaster. (Slate)
  • Our nomination for sentence of the week: “Whatever maternity care his mother got when she was pregnant with him helped him grow into the healthy, thriving, intolerable jerkoff he is today.” HA! (XX Factor)
  • Christian crisis pregnancy centers in Illinois are suing the state because they want to keep lying to vulnerable pregnant women about their options. Let’s hope they catch the ‘L’ they deserve. (Chicago Tribune)
  • The majority of women who have abortions are already mothers. They share their stories about why they chose to terminate their pregnancies. (Elle)
  • Parents are doing a mediocre job teaching teens about love, sex, and the misogyny that permeates our culture. Eighty-seven percent of teenage girls have experienced harassment, abuse, or assault. This is not OK. (NBC News)
  • Due to the fact that we have a thin-skinned narcissist with the restraint and civility of a toddler in the White House, there are obviously A LOT of concerns about national politics. However, we can’t lose sight of the fact that local politics have a much greater effect on most of our daily lives — especially for women. NARAL President Kaylie Hanson Long details why. (Think Progress)
  • Literally ALL the medical groups hate Trumpcare. Have they no compassion for the rich people who would be further enriched by GOP tax cuts?!? (NBC News)
  • Wow — a majority of GOP voters largely support Obamacare’s birth control mandate. Surprising! (The Hill)
  • While conservative politicians are doing everything within their power to ensure women have less access to birth control to prevent unintended pregnancy and less access to abortion to terminate an unwanted pregnancy, the foster care system is bursting at the seams with child victims of the opioid crisis. I personally have spent a great deal of time looking for SOME kind of evidence that the “pro-life” politicians who seek to restrict women’s rights are also advocating somehow for these children. Unfortunately I’m at a loss. Their privileged, traditional, nuclear families aren’t fostering them. They aren’t publicly advocating for them vocally. They aren’t trying to bring about meaningful change to the foster care system. Oddly, it seems like the “pro-life” advocacy only applies to CURRENT, not former, residents of a womb. Sad. (Mother Jones)
  • Well, this is heart-wrenching and tragic: In developing nations, 214 million women want to prevent pregnancy but have no contraception. How will poverty ever be eradicated if women have no control over their fertility, limited ability to prioritize their existing children and give them better opportunities, and no meaningful path toward economic independence? (XX Factor)

Abstinence Education Harms LGTBQ+ Youth

Did you know that lesbian, bisexual, and gay teens are just as (if not more) likely to have or father a teen pregnancy than their heterosexual peers? Furthermore, as most major data sources fail to gather data on gender identity, the trans teen pregnancy rate is largely unknown.

Last month was Teen Pregnancy Prevention Month. This month, June, is LGBT Pride Month. That makes now the perfect time to discuss queer teen pregnancy and what we can do about it.


We can create a world where every young person feels empowered to make choices for themselves, and where every pregnancy is planned and wanted.


To combat queer teen pregnancy, reduce homophobia, and save taxpayer money, the federal government should redirect the $90 million budget for abstinence education toward LGBTQ+ inclusive comprehensive sexuality education (CSE) programs. All too often, sexual health education focuses on heterosexual and cisgender youth. LGBTQ+ people are often only discussed in tandem with HIV/AIDS. As a result, queer youth report that sex ed feels irrelevant to their needs and further stigmatizes them. Worse yet, the federal government spends $90 million annually on sexual health education programs that teach sexual abstinence instead of equipping young people with the tools and resources they need.

This may soon change — but not for the better: President Trump’s proposed budget would eliminate the evidence-based Teen Pregnancy Prevention Program, while maintaining $85 million dollars for abstinence education programs. Continue reading