​Black maternal mortality in the United States is a pressing public health crisis, with stark disparities across different states. Some regions exhibit alarmingly high rates, underscoring systemic inequities that demand urgent attention. However, within these states, grassroots organizations are actively working to address these challenges and improve outcomes for Black mothers.​

Mississippi: The Epicenter of the Crisis

Mississippi has one of the highest maternal mortality rates in the nation. According to the Centers for Disease Control and Prevention (CDC), the state's maternal mortality rate was 43.0 deaths per 100,000 live births between 2018 and 2021. This rate significantly exceeds the national average and highlights the dire situation for expectant mothers in the state. ​

The situation is even more alarming for Black women in Mississippi. While specific state-level data by race is limited, national trends indicate that Black women face a maternal mortality rate approximately three times higher than that of white women. This disparity suggests that Black mothers in Mississippi are disproportionately affected, likely experiencing maternal mortality rates well above the state average. ​

Georgia: A State of Emergency

Georgia also faces a severe maternal health crisis. The state's maternal mortality rate stood at 33.9 deaths per 100,000 live births between 2018 and 2021, placing it among the highest in the country. ​

Black women in Georgia are particularly vulnerable. While exact figures vary, reports indicate that Black mothers in the state experience maternal mortality rates significantly higher than their white counterparts. This disparity underscores systemic issues within Georgia's healthcare system, including unequal access to quality prenatal and postpartum care, as well as broader socio-economic factors that adversely affect Black communities.

Louisiana: Addressing Disparities Through Community Action

Louisiana's maternal mortality rate is also among the highest nationally, with 39.0 deaths per 100,000 live births reported between 2018 and 2021. Black women in Louisiana face a maternal mortality rate that is significantly higher than that of white women, reflecting deep-rooted inequities in healthcare access and quality.​

In response, organizations like the Birthmark Doula Collective are making significant strides to support Black mothers. Based in New Orleans, Birthmark is a worker-owned cooperative dedicated to providing comprehensive doula care, lactation support, and childbirth education, with a focus on serving Black families. Their initiatives aim to combat medical trauma, reduce maternal and infant mortality, and address systemic barriers to care.

Texas: Grassroots Efforts Leading the Way

Texas presents a complex landscape for maternal health. While the state's overall maternal mortality rate is concerning, Black women are disproportionately affected, experiencing higher rates of maternal mortality and morbidity. Factors contributing to this disparity include restrictive reproductive health policies, limited access to care, and socio-economic challenges.​

The Afiya Center, located in Dallas, is at the forefront of addressing these issues. As the only Reproductive Justice organization in North Texas founded and led by Black women, The Afiya Center focuses on transforming the lives of Black women and girls through education, advocacy, and resource provision. Their work encompasses a range of services, including HIV prevention, maternal health support, and reproductive rights advocacy.

Policy Implications and the Path Forward

The disparities in maternal mortality rates across these states highlight the urgent need for policy interventions that prioritize Black maternal health. Expanding Medicaid coverage to include comprehensive prenatal and postpartum care is a critical step. Additionally, investing in community-based programs that provide culturally competent care can bridge gaps in the healthcare system.​

Federal initiatives, such as the "Momnibus" package, aim to address these disparities by funding programs that improve maternal health outcomes for Black women. However, state-level action is equally crucial. Policymakers must collaborate with community organizations to develop and implement strategies that address the specific needs of Black mothers in their regions.​

The crisis of Black maternal mortality in states like Mississippi, Georgia, Louisiana, and Texas is a multifaceted issue rooted in systemic inequities. While the statistics are alarming, the dedicated efforts of grassroots organizations offer a beacon of hope. By supporting these initiatives and enacting policies that prioritize Black maternal health, we can work towards a future where all mothers have the opportunity to thrive.

Khalilah Archie is a D.C.-based journalist and maternal health advocate who juggles three kids, a husband, and Real Housewives of Potamac viewing.