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Black Maternal Health Can't Wait Any Longer – Here's What Needs To Change

Black Maternal Health Can't Wait Any Longer – Here's What Needs To Change
It’s Black maternal health awareness week – and if you’re wondering how much change has happened in the past five years since mothers like Tinuke Awe began banging the drum for action, the answer is: not enough.Today, MPs are speaking in parliament about what is being done to improve health outcomes for Black women and birthing people. And while talk is needed, it’s clear that so, too, is action.Ahead of the crucial conversation, Tinuke Awe, co-founder of Five X More, told HuffPost UK: “We must move away from promising change and towards transforming the structures that continue to fail Black women.“At Five X More, the conversations we have with Black mothers and birthing people are consistent and clear: real change is urgently needed, and it must move beyond awareness into action.”Black maternal health awareness week was first founded in 2020 by Five X More, an organisation empowering, supporting and advocating for Black women and birthing people.Awe knew there was a need for an advocacy group like hers after she was diagnosed with preeclampsia late in pregnancy and didn’t feel listened to.At the time, she ran a group where parents would get together and discuss pregnancy and motherhood. Through her conversations with others, she discovered so many women had suffered negative experiences. “There were so many other Black mums like me who also experienced negative outcomes given birth within the NHS,” she explained on Five X More’s website.In 2019, damning statistics released by MBRRACE UK found Black women were five times more likely to die in childbirth than white women. “I was shocked,” said Awe of the data, “but I wasn’t surprised due to the stories I heard.”Fast forward to now and change is happening. But is it happening fast enough?Black women are still three times more likely to die during, or in the first year after, pregnancy than white women – and suicide continues to be the leading cause of direct maternal death between six weeks and 12 months after birth.Black mums are also twice as likely to be hospitalised with perinatal mental illness than white mums. Miscarriage rates are 43% higher in Black women – and there is also a disparity between stillbirth rates in Black babies and those of white ethnicities.Discussing the damning statistics earlier this year, Dr Zoe Williams, a mother and NHS doctor, told HuffPost UK: “There’s a real feeling of injustice, which makes me feel so sad and disappointed.“I think myself, as a Black woman who is somebody who works in the NHS and is very proud to work in the NHS – the fact we’re failing Black women in this way, it’s very disappointing.”NHS England is developing a maternity care toolkit to support inclusive and culturally competent practice.In 2023, the government – under Rishi Sunak’s leadership – acknowledged “we must do more” to ensure maternity care is consistent regardless of ethnicity. However it didn’t set a target to end these disparities by. In its manifesto, Labour then pledged to set a target to close the maternal mortality gap. We are still waiting for that target. What needs to happen now?Labour MP Bell Ribeiro-Addy secured today’s parliamentary debate, which aimed to raise awareness about disparities in maternal outcomes for Black women and birthing people.The Labour MP highlighted that it’s been years now since these issues were first flagged – “and we’re still in this situation. Things absolutely have to change.” When asked what she hopes will come out of today’s discussion, Awe told me that, based on her conversations with Black women and birthing people, there is a need for commitment to the maternal mortality target.“We need to see it implemented and monitored with real accountability,” she said.Better data collection, is also crucial, she added, which “meaningfully captures ethnicity, outcomes, and patient experiences, so we can tackle disparities with evidence and urgency”.Ribeiro-Addy also flagged this issue in parliament, saying current data on racial disparities “is limited and scattered” and that the “lack of comprehensive research makes it difficult to see the full picture of what is happening”. And lastly, Awe wants Black women to be listened to and believed – not just in maternal health, but across all areas of health.Discussing the disparities, Angela McConville, chief executive of the National Childbirth Trust (NCT), urged MPs from all parties to use their voices to call for urgent change.NCT said it stands in solidarity with affected families and campaigners, and has provided a template letter to help the public encourage MPs to push for real change.“For Black mothers and birthing people in 2025 and beyond, their lives, their health, and their experiences must be valued as a priority, not an afterthought,” said Awe.“We’re hopeful that today’s debate will act as a reminder that the time for talking is over. We need action.”HuffPost UK has contacted the government for comment and will update the piece when we hear back. Help and support:Sands works to support anyone affected by the death of a baby.Tommy’s fund research into miscarriage, stillbirth and premature birth, and provide pregnancy health information to parents.Saying Goodbye offers support for anyone who has suffered the loss of a baby during pregnancy, at birth or in infancy.Related...Dr Zoe Williams: We Need New Ways To Ask Black Mums About Their Mental Health'Motherhood Does Not Erase Your Sexuality' – 3 Mums On Sex During And After Pregnancy'It's Impossible To Live A Good Life': The Bleak Reality Of Living Off Maternity Pay

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