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Maternal Mortality

The Dobbs Decision: Increased Black Maternal Deaths

The Dobbs v. Jackson Women's Health Organization decision by the U.S. Supreme Court in 2022, which overturned Roe v. Wade, has profound implications for Black women. The decision effectively removed the federal constitutional right to abortion, allowing states to set their own abortion laws. It denies women the human right of bodily autonomy, a cornerstone of self-determination. The concept of “States Rights” emerged in debates over the balance of power in the U.S. Constitution (1787), a strong central government versus states' rights to guard against “federal overreach.”

The Life-Threatening Consequences Of Rural ‘Maternity-Care Deserts’

North Carolina - As her husband drove through Western North Carolina’s winding mountain roads in December 2018, Katlyn Moss repeated instructions to him in case something went wrong. It was nighttime and snowing, and Moss was nine months pregnant. At the time, she was also an OB-GYN nurse. As her husband drove through the snowy terrain of North Carolina’s mountain region, Moss rehashed their plan for what to do if she went into labor during the 107-mile drive from her home in rural Clay County to Mission Hospital in Asheville. “I had a conversation with my husband, like, ‘If we deliver on the side of the road, this is what you’re responsible for, and this is what we’re going to do, and this is who you should call,’” Moss said. Recounting her experience last November on a mild morning in Hayesville, Moss said she knows several women from rural parts of the state who have similar delivery stories.

How Community Care Can Address The South’s Maternal Mortality Crisis

The maternal mortality rate in the United States is 23.8 deaths per 100,000 births — the highest of any developed country. The U.S. is also the only developed country where maternal mortality rates are rising. The crisis is especially dire in the South. As of 2018, Louisiana had the highest maternal mortality rate of any state with 58.1 deaths per 100,000 births — over three times the national rate. It was followed by Georgia with 48.4 maternal deaths per 100,000 births. Of the 10 states with the highest maternal mortality rates, six were in the South. Besides Louisiana and Georgia, they are Arkansas (37.5), Alabama (36.4), Texas (34.5), and South Carolina (27.9). The rates are even higher for Black and indigenous women.

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