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Throughout the country, Minnesota is seen as a leader in health care with a rich history of innovation and off-the-charts rankings. Some of the leading clinics, technology manufacturers and insurance providers all call Minnesota home, and for good reason. But at the same time, the very health care systems in our state that promise care and comfort for families during one of the most significant health events in their lives — childbirth — fall short of meeting the needs of all birthers.
Despite increased attention on equity and DEI initiatives, there remains a stark disparity in maternal mortality rates between Black and white people. According to the Kaiser Family Foundation, Black women have a pregnancy-related mortality rate that is about three times higher than that of white women. In addition, a recent Minnesota Department of Health report indicated that, while the state’s overall maternal mortality rate is much lower than the national average, there are also disparities. Black Minnesotans represent 13% of the birthing population, but made up 27% of pregnancy-associated deaths between 2017 and 2019. What is more unnerving is that this tragic reality cannot be attributed to biological differences but rather to the structural racism that pervades our society.
Factors such as lack of access to quality health care and culturally concordant care, racial bias and discrimination within health care settings, socioeconomic disparities, and environmental stressors all contribute to the elevated risk of maternal death among Black mothers and birthers.
According to a new poll commissioned by Blue Cross and Blue Shield of Minnesota, more than half of Black Minnesota mothers and birthing people feel that discrimination based on their race/ethnicity negatively impacts their health.
Respondents identified discrimination as a key impediment to health equity, with 59% indicating it adversely affects birther health. The survey exposes a challenging environment for Black women and birthing people, who must place significant trust in health care systems, yet have low confidence that their health care needs (particularly postpartum) are met.
The survey results also pointed to some potential solutions. About 52% of respondents said increasing the representation of Black health care professionals would have a strong impact in improving Black birther health.