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Pentagon announces another boat strike amid heightened scrutiny; An End to Hepatitis B Shots for All Newborns; DeWine veto protects Ohio teens from extended work hours; Wisconsin seniors rally for dignity amid growing pressures; Rosa Parks' legacy fuels 381 days of civic action in AL and the U.S.

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Trump escalates rhetoric toward Somali Americans as his administration tightens immigration vetting, while Ohio blocks expanded child labor hours and seniors face a Sunday deadline to review Medicare coverage.

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Native American tribes are left out of a new federal Rural Health Transformation Program, cold temperatures are burdening rural residents with higher energy prices and Missouri archivists says documenting queer history in rural communities is critical amid ongoing attacks on LGBTQ+ rights.

Black Women Face Greater Risk for Maternal Mortality in Tennessee

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Friday, September 15, 2023   

In Tennessee, a pregnancy shouldn't be fatal - but Black women are three times more likely to die than white women from pregnancy-related causes, according to the Centers for Disease Control and Prevention.

The Tennessee Department of Health has said the state saw 113 pregnancy-related deaths between 2017 and 2020.

Rolanda Lister, who teaches maternal fetal medicine at Vanderbilt University Medical Center, said Black and brown populations suffered worse from COVID, which was the most recent major event that contributed to maternal mortality. She added that some societal factors also become risks.

"Things that are not necessarily limited to the hospital system, even though that certainly is an issue - like, with the racism and the bias of providers, and the unequal treatment - that certainly contributes," she said. "Unequal housing, employment, poverty - all of those things contribute."

Lister said addressing maternal mortality will take work outside the hospital walls, at the community level. This week, Gov. Bill Lee announced applications are now open for the Tennessee Strong Families Grant Program, which allocates $20 million to groups that can help improve access to maternal healthcare.

Lister pointed out that in Tennessee, mental health complicates a significant portion of maternal deaths, including from suicide. The Tennessee Maternal Mortality Review Committee's annual report found that some type of bias - and not necessarily only racial bias - was documented in the medical records of almost one-third of maternal deaths.

"The racial biases - that can lead to different decisions, with regard to increased Cesarean birth rates," she said. "Black women tend to have a higher rate of Cesarean births, and that can lead to long-term complications."

Lister recommended that when a person first finds out they're expecting, they identify a trusted provider, whether it's a doctor or midwife, to connect with throughout the pregnancy. She also suggested seeking out doula services, which can often improve a person's birthing experience.


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