RALEIGH, N.C. - The American Academy of Physicians and other groups are continuing to press Congress to pass two bills aimed at reducing the nation's high maternal death rate. The U.S. continues to rank one of the most dangerous countries in the developed world to give birth, especially for women of color.
Monifa Bandele, senior vice president of Moms Rising, said medical biases often mean black women's concerns during and after pregnancy are ignored.
"Too often, women, and especially black women, are in the hospital or they're with the health-care provider, and the things that they're raising, they are considered to be hysterical, their concerns aren't being taken seriously, medically seriously," Bandele said.
Legislators have introduced two bills, the Maternal Health Quality Improvement Act and the Helping Medicaid Offer Maternity Services Act, that, if passed, would help close the racial bias gap and extend Medicaid coverage to new moms for up to 1 year.
According to the nonprofit organization NC Child, 1 in 5 women of reproductive age in North Carolina is uninsured. Bandele said health-care access for new moms following delivery is critical.
"Right now, in many states, Medicaid, once a woman gives birth, will continue to cover the child, but the mom drops off within weeks," she said. "One of the big causes of death is postpartum hemorrhaging. And so, if you're not able to get your follow-up and see the doctor, then you are at risk of experiencing complications post-delivery."
Bandele also pointed out that reforming how hospitals and other health-care providers view and interact with pregnant women of color may be the most difficult obstacle to overcome. But she said the Maternal Health Quality Improvement Act could be a start.
"That's a step in the right direction," she said. "But it always remains to be seen how well these things will be implemented and how strong the accountability measures will be to the outcomes the hospital will have to show."
According to the Centers for Disease Control and Prevention, around 700 women die each year in the United States from complications during pregnancy or delivery.
Reporting by North Carolina News Connection in association with Media in the Public Interest and funded in part by the Park Foundation
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The U.S. Supreme Court will hear oral arguments this week on Idaho's near-total abortion ban.
Idaho v. United States is on the docket for Wednesday.
At issue is whether the ban violates the Emergency Medical Treatment and Labor Act, which prohibits hospitals from denying patients medical care because of financial or insurance issues.
The Idaho law has restricted access to reproductive care. Rory Cole is a fourth-year medical student at the University of Washington who is from Idaho and plans to practice in the state.
"A lot of these patients that we've been seeing don't really have a choice anymore, in that sense of it's not about if they want to be pregnant or not," said Cole. "It's about saving their life or their health, and we can't help them in Idaho."
Other states will be watching Idaho's Supreme Court case, and it could have an outsize impact on rural states that ban abortion, leaving patients with few options for care.
Cole said the Idaho law puts doctors in a tough place.
"The wording is so vague in the legislation here, that it makes it just extraordinarily challenging for doctors to kind of know what is legal and what is not legal here now," said Cole, "which is a place that no physician wants to exist in."
Idaho has seen an exodus of medical providers. The state has lost 22% of its practicing obstetricians since its abortion ban took effect, according to a recent report.
"Ultimately," said Cole, "that place of needing to help the people in Idaho and the people here deserving wonderful care was what brought me to basically try and stay in Idaho for residency."
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Vending machines commonly found in workplace break rooms generally contain soft drinks or snacks but one machine in Indianapolis dispenses unconventional items at the turn of a knob.
The Plan B morning-after pill, pregnancy tests and condoms are displayed in a clear glass case inside a colorful blue and orange dispenser. The items provide easy access to protection against an unwanted pregnancy and are free of charge.
Melissa Gruver, organizing director of the feminist organization Indiana Task FORCE, said it operates like a traditional vending machine.
"You just push whenever you want and it falls down, and you reach your hand through the little door and you pull it out, take it with you," Gruver explained.
A 2022 Indiana Department of Health Termination Report indicated 9,600 pregnancies were aborted, with Marion County recording the highest number of unwanted pregnancies. The report also noted the average age of a woman in Indiana who sought an abortion was 27, and 67% of all terminated pregnancies occurred within four to eight weeks of conception.
The state's contentious near-total abortion ban, which was upheld by the Indiana Supreme Court last year, has stoked fears lawmakers may begin restricting a woman's choice of birth control.
Indiana Task FORCE and reproductive health groups All-Options and the Midwest Access Coalition want the emergency contraceptive vending machine to serve as a gathering spot for community conversations on reproductive rights and sexual health.
"We've long been organizing our communities to bring about reproductive justice, which we didn't have before and we definitely don't have it now," Gruver pointed out. "But what we know to be true is that there are more of us that want access to reproductive care than those that try to stop it. We're excited to continue to work to meet this need now, and to organize for a better community."
Gruver hopes to have one dispenser in every Indiana region in the future to add to the single machine currently in an eastside Indianapolis grocery store. She added some universities in the state already have vending machines offering similar contraception products but users have to purchase the items.
This story is based on original reporting by Mary Claire Molloy for Mirror Indy.
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On Tuesday, the Arizona Supreme Court upheld an 1864 ban on nearly all abortions, except in situations when it is necessary to save the life of a pregnant person. It makes abortion a felony punishable by two to five years in prison for anyone who performs one or helps someone obtain one.
Arizona's near-total abortion ban will be one of the harshest in the country, along with Alabama, Mississippi and Texas.
Gov. Katie Hobbs said the law, written well before Arizona became a state or women had the right to vote, is placing lives in danger.
"I've personally experienced the anguish of losing a pregnancy," Hobbs noted. "I know it's outrageous to have the government tell you that the best decision for your health or future could now be considered a crime."
On the social media platform 'X,' Gov. Hobbs described it as a "dark day for Arizona." But anti-abortion advocates are celebrating a big win, even as some Republican lawmakers think the ban should be repealed. The Arizona Supreme Court put its decision on hold for 14 days as additional constitutional challenges are cleared up.
The ruling has rattled Democrats, including mother and nurse practitioner Sen. Eva Burch, D-Mesa. Just a couple of weeks ago, Burch announced on the state Senate floor she had an undergone an abortion procedure. She contended Arizonans of any political affiliation do not want an abortion ban.
"Somebody took care of me. Somebody gave me a procedure so I wouldn't have to experience another miscarriage; the pain, the mess, the discomfort," Burch stressed. "And now, we're talking about whether or not we should put that doctor in jail. This is outrageous."
Kris Mayes, Attorney General, said in a statement as long as she is in office, no person or doctor will be prosecuted under what she called a "draconian law."
Vice President Kamala Harris is set to visit the Grand Canyon State later this week to champion reproductive rights. And Arizona pro-choice advocates recently secured enough signatures for a ballot measure to enshrine abortion rights in the state Constitution.
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