{"id":18021,"date":"2019-01-07T13:37:58","date_gmt":"2019-01-07T18:37:58","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=18021"},"modified":"2023-03-03T15:50:25","modified_gmt":"2023-03-03T20:50:25","slug":"closing-the-race-gap-in-prenatal-care","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/","title":{"rendered":"Closing the Race Gap in Prenatal Care"},"content":{"rendered":"

Midwife Jennie Joseph prepares her patients for childbirth like she\u2019s \u201csending folks onto the battlefield.\u201d The battlefield is the hospital. Joseph cares for a wide variety of patients, but she\u2019s particularly attuned to black mothers. She knows they\u2019re more likely to have negative experiences in the healthcare system: being ignored by nurses, reporting pain that goes untreated, watching doctors glance nervously at their partners and enduring other forms of subtle and not-so-subtle discrimination. <\/span><\/p>\n

Joseph gives these women what she calls \u201csneaky things,” tips to ensure better care once they reach the hospital. She recommends specific doctors with lower C-section rates and friendly nurses she knows personally. She tells patients never to show up alone \u2014 they should always have someone to advocate on their behalf. And when contractions start, she advises them to \u201cstay outside (the hospital) for as long as you can. Walk the grounds, stay in the parking lot until the last minute, because if you bust in the door ready to go, you\u2019re going to get better care.\u201d<\/span><\/p>\n

\u201cYou have to learn how to navigate this mess if you want to survive,\u201d says Joseph, who trained in the U.K. before founding Commonsense Childbirth and <\/span>The Birth Place<\/span><\/a> in Orange County, Florida. \u201cAnd because you\u2019re in dire jeopardy for not surviving, let me give you the straight skinny so you can be prepared and have some agency around this crap.\u201d<\/span><\/p>\n

Joseph isn\u2019t being hyperbolic. Preparation, she emphasizes, can save a woman\u2019s life.<\/span><\/p>\n

In the U.S., women die during childbirth at a higher rate than in any other developed nation. Between 1990 and 2013, <\/span>the U.S. maternal mortality rate more than doubled, jumping from an estimated 12 to 28 maternal deaths per 100,000 births, according to <\/span>a report by the World Health Organization<\/span><\/a>. About half of those deaths were preventable.<\/span><\/p>\n

The outcomes are significantly bleaker for black mothers in the U.S., who die at three to four<\/span>\u00a0times the rate of white mothers. Forty\u00a0black women died per 100,000 births between 2011 and 2014, compared to 12.4 deaths per 100,000 births for white women,\u00a0<\/span>according to the Centers for Disease Control and Prevention.<\/span><\/a> A study in the <\/span>American Journal of Public Health<\/span><\/i><\/a> examined five common, life-threatening complications for pregnant women. While black women weren\u2019t necessarily at a greater risk for the complications themselves, they were two or three times more likely than white women to die from those complications. \u201cThis increased risk of pregnancy-related death among black women,\u201d study authors wrote, \u201cis independent of age, parity or education.\u201d <\/span><\/p>\n

\u201cThe risk factor,\u201d Joseph tells me, \u201cis being a black woman.\u201d<\/span><\/p>\n

\n

It\u2019s not a new phenomenon. While maternal mortality rates in the U.S. fell overall between 1935 and 2007, maternal health risks for black women steadily increased,<\/span> according to a report by the U.S. Department of Health and Human Services<\/span><\/a>. And although infant mortality decreased across all racial and ethnic groups between 1960 and 2011, it decreased the most among children born to white women, <\/span>according to the March of Dimes<\/span><\/a>. As a result, racial gaps widened: As of 2010, black women lost infants at more than twice the rate of white women. <\/span><\/p>\n

\u201cWhen you\u2019re talking about maternal health in the U.S., obviously a major part of the issue is the racial disparity and being upfront and honest about that,\u201d says Elizabeth Dawes Gay, co-director of <\/span>Black Mamas Matter Alliance<\/span><\/a>, an organization that sponsors research, education initiatives and advocates for policy change. \u201cI\u2019ve seen people posing questions like, <\/span>Oh, what could it be?<\/span><\/i> You know what it is. Just name it. Let\u2019s talk about it.\u201d<\/span><\/p>\n

For Gay, that means talking about openly about racism, and the countless stories she hears from women of color across the country, detailing their experiences with healthcare providers. One women in Louisiana told Gay about the time her doctor called her an \u201cugly monkey.\u201d <\/span><\/p>\n

\u201cThis is a white, male professional calling a black woman an ugly monkey,\u201d says Gay. \u201cIn what world is that appropriate? This is what black women are dealing with; it\u2019s also how black women are treated in a variety of spaces. We encounter racism on a daily basis.\u201d<\/span><\/p>\n

It’s racism, some say, that lies at the<\/span>\u00a0root of well-documented differences in pain treatment for black and white women. Patient anecdotes and academic research lend credence to this idea.\u00a0<\/span><\/p>\n

For a 2017 series called Lost Mothers<\/a>, <\/i>ProPublica and NPR collected hundreds of stories from black women who\u2019d dealt with healthcare discrimination, including many instances of doctors ignoring their reports of pain.<\/p>\n

A <\/span>2012 analysis of 20 studies<\/span><\/a> found that black patients were 34 percent less likely to be prescribed opioids for pain conditions <\/span>like backaches, abdominal pain and migraines<\/span>.<\/span> Both experimental and observational studies<\/a>\u00a0suggest that many people, including physicians, tend to assume black people experience less pain than white people in the same scenarios.<\/p>\n

Researchers are also looking into the <\/span>physical and mental health effects<\/span><\/a> of the discrimination black women too often face inside and outside the exam room. <\/span><\/p>\n

\u201cThere\u2019s not a level playing field in terms of the amount of stress black women are coming to care with,\u201d says Monica McLemore, assistant professor of nursing at the University of California, San Francisco. She points to <\/span>a 2010 study<\/span><\/a> suggesting that black women may age at an accelerated rate due to the effects of stress. \u201cA lifelong exposure to having all sorts of stressors \u2014 particularly stressors that are related to race and racism \u2014 (and) you have a real recipe for disaster when you come to pregnancy.\u201d<\/span><\/p>\n

\u201cIf we had said 400 years ago that people with blonde hair and blue eyes were less valuable, trust me, they would have bad birth outcomes,\u201d says Dr. Joia Crear-Perry, a physician and the founder and <\/span>president of the National Birth Equity Collaborative<\/span>. \u201cThey would be obese, they would have higher rates of poverty, we would create structures and systems that devalue them.\u201d<\/span><\/p>\n

\n

In 2018, Serena Williams and <\/span>Beyonc\u00e9<\/span><\/a> spoke publicly about their own life-threatening pregnancy complications. In an <\/span>opinion piece for CNN<\/span><\/a>, Williams says that while she had an easy pregnancy, an emergency C-section \u201c<\/span>sparked a slew of health complications that I am lucky to have survived.\u201d At one point, when she felt shortness of breath, which she thought might be related to past blood clots, Williams tracked down a nurse, <\/span>who suggested that perhaps she was confused from her pain meds<\/span><\/a>. <\/span><\/p>\n

\u201cI think that really shone a light on how not-believed patients are,\u201d says McLemore. \u201cPart of not believing people, I believe, is directly attributable to racism, to not believe black women when they talk.\u201d<\/span><\/p>\n

Williams\u2019 and Beyonc\u00e9\u2019s experiences buck the notion that racial differences in maternal care are socioeconomic at their core, or that they\u2019re ultimately a product of poor patient health. After all, Williams is an elite athlete. Meanwhile, research shows that infant mortality rates are <\/span>higher for babies born to middle-class black mothers<\/span><\/a> than to white mothers who never attended high school. Still, maternal health outcomes are even worse for poor women.<\/span><\/p>\n

\u201cEverybody suffers this [racial]<\/span> disparity, but it\u2019s a lot more profound in people who have limited resources and limited options for their healthcare, which is the population I work with,\u201d says Dr. Michael Lindsay, an ob-gyn at Grady Memorial Hospital in Atlanta. \u201cIn Georgia, we have geographic pockets of physician-shortage, and I think there\u2019s a role midwives and doulas can play where there is a shortage of care.\u201d<\/span><\/p>\n

Joseph\u2019s Florida practice employs peer educators, lactation specialists and doulas. Together, they follow the \u201cJJ Way,\u201d a comprehensive system of prenatal care created by Joseph to reduce racial inequality and improve birth outcomes overall. The JJ Way covers a broad array of issues that pregnant women, particularly black pregnant women, commonly face, including those related to financial hardship. <\/span><\/p>\n

\u201cComprehensive care mitigates racism,\u201d says Joseph. \u201cAnd what\u2019s more, it eliminates the disparity. \u00a0I\u2019m providing prenatal care, but I\u2019m also doing insurance triage,\u201d she says. \u201cWe\u2019ll make sure you get [Medicaid] if you\u2019re eligible and we\u2019ll make sure you understand your insurance.\u201d<\/span><\/p>\n

Joseph says the JJ Way delivers results. \u201c<\/b>When we do our work with our team,\u201d she says, \u201cthe women go to term, the babies are fat and the moms are breastfeeding. It\u2019s that simple. And anybody can do it. It\u2019s not a midwifery model, it\u2019s a patient-centered care model.\u201d<\/span><\/p>\n

Among children of black mothers, the leading causes of infant mortality are low birth weight and preterm birth (meaning earlier than 37 weeks).<\/span>\u00a0Independent research found that Joseph\u2019s care model <\/span>reduced the incidence of low birth-weight babies in at-risk populations<\/span><\/a> and eliminated racial differences in preterm-birth rates in Florida’s Orange County, where Joseph practices.\u00a0<\/span><\/p>\n

\u201cThe black women were doing better than the white women in the county,\u201d Joseph says. \u201cCome on, now, where are you going to see that statistic ever in the U.S.?\u201d<\/span><\/p>\n

Joseph also continues to see patients after they give birth, screening for everything from hemorrhaging to depression. Postpartum care, she says, was standard when she worked in Europe, but not in the U.S. It\u2019s an area of care where midwives and doulas tend to take a leading role. It\u2019s also care that many women don\u2019t have access to. \u201cAll of the ills that are postpartum have no home and nobody watching,\u201d she says.<\/span><\/p>\n

Improving maternal care overall will reduce prejudicial differences, says<\/span> Crear-Perry. \u201cCountries that value women in general and support women when they\u2019re pregnant have better health outcomes than we do,\u201d she says. \u201c<\/span>If white women moved to Finland, places that have more freedom for women to have access to education and equal pay, they would do better.\u201d<\/span><\/p>\n

Though McLemore is reluctant to put the onus on women, she thinks a patient-led movement might do the trick: \u201cIf women want better, we\u2019re going to have to demand better, and that\u2019s an unfair demand because when you\u2019re a new parent, the last thing you have time to do is start an advocacy agency, but I think that\u2019s what it\u2019s going to take.\u201d<\/span><\/p>\n

In December, Congress passed the <\/span>Preventing Maternal Deaths Act<\/span><\/a>, now headed to the president\u2019s desk. The legislation aims to help \u201cwomen with disproportionately high rates of maternal mortality,\u201d its goal being \u201cto eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths.\u201d<\/span> If signed into law, it would give states funding to track and investigate the deaths of new and expectant mothers. <\/span><\/p>\n

\u201cThese are completely preventable deaths and that\u2019s why the disparity is so problematic,\u201d says McLemore. \u201cBecause we actually know what to do.\u201d<\/span><\/p>\n

\n

Ready to book a doctor’s appointment? Visit Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"

For black women in the U.S., having a baby comes with disproportionate health risks. Experts are calling for change. <\/p>\n","protected":false},"author":11,"featured_media":17840,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[229],"tags":[134,123,94,93,155,122,75],"class_list":["post-18021","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare-trends","tag-gender","tag-maternal-health","tag-pregnancy","tag-public-health","tag-race","tag-reproductive-health","tag-womens-health","reviewer-dr-nassim-assefi","specialist_by_city-ob-gyn"],"yoast_head":"\nClosing the Race Gap in Prenatal Care - Healthcare Trends<\/title>\n<meta name=\"description\" content=\"For black women in the U.S., having a baby comes with disproportionate health risks. Experts are calling for change.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Closing the Race Gap in Prenatal Care - Healthcare Trends\" \/>\n<meta property=\"og:description\" content=\"For black women in the U.S., having a baby comes with disproportionate health risks. Experts are calling for change.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/\" \/>\n<meta property=\"og:site_name\" content=\"The Paper Gown\" \/>\n<meta property=\"article:published_time\" content=\"2019-01-07T18:37:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-03T20:50:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/zocdoc.com\/blog\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png\" \/>\n\t<meta property=\"og:image:width\" content=\"2500\" \/>\n\t<meta property=\"og:image:height\" content=\"1167\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Cole Kazdin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@colekazdin\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Cole Kazdin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/\"},\"author\":{\"name\":\"Cole Kazdin\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#\/schema\/person\/8948edaccaf508512fd46f0df5037baa\"},\"headline\":\"Closing the Race Gap in Prenatal Care\",\"datePublished\":\"2019-01-07T18:37:58+00:00\",\"dateModified\":\"2023-03-03T20:50:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/\"},\"wordCount\":1783,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png\",\"keywords\":[\"Gender\",\"Maternal Health\",\"Pregnancy\",\"Public Health\",\"Race\",\"Reproductive Health\",\"Women's Health\"],\"articleSection\":[\"Healthcare Trends\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/\",\"url\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/\",\"name\":\"Closing the Race Gap in Prenatal Care - Healthcare Trends\",\"isPartOf\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png\",\"datePublished\":\"2019-01-07T18:37:58+00:00\",\"dateModified\":\"2023-03-03T20:50:25+00:00\",\"description\":\"For black women in the U.S., having a baby comes with disproportionate health risks. Experts are calling for change.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#primaryimage\",\"url\":\"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png\",\"contentUrl\":\"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png\",\"width\":2500,\"height\":1167,\"caption\":\"antidepressants and pregnancy\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.zocdoc.com\/blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Healthcare Trends\",\"item\":\"https:\/\/www.zocdoc.com\/blog\/category\/healthcare-trends\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Closing the Race Gap in Prenatal Care\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#website\",\"url\":\"https:\/\/www.zocdoc.com\/blog\/\",\"name\":\"The Paper Gown\",\"description\":\"Stories for and about patients\",\"publisher\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.zocdoc.com\/blog\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#organization\",\"name\":\"Zocdoc\",\"url\":\"https:\/\/www.zocdoc.com\/blog\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2019\/11\/ZD-logo.png\",\"contentUrl\":\"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2019\/11\/ZD-logo.png\",\"width\":2059,\"height\":1049,\"caption\":\"Zocdoc\"},\"image\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#\/schema\/person\/8948edaccaf508512fd46f0df5037baa\",\"name\":\"Cole Kazdin\",\"description\":\"Cole Kazdin is a writer and Emmy-winning television journalist living in Los Angeles. She is a regular contributor to Vice, has written for the New York Times and Refinery29 and has been featured on NPR as part of the Moth Radio Hour.\",\"sameAs\":[\"https:\/\/x.com\/colekazdin\"],\"url\":\"https:\/\/www.zocdoc.com\/blog\/author\/ckazdingmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Closing the Race Gap in Prenatal Care - Healthcare Trends","description":"For black women in the U.S., having a baby comes with disproportionate health risks. Experts are calling for change.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/","og_locale":"en_US","og_type":"article","og_title":"Closing the Race Gap in Prenatal Care - Healthcare Trends","og_description":"For black women in the U.S., having a baby comes with disproportionate health risks. Experts are calling for change.","og_url":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/","og_site_name":"The Paper Gown","article_published_time":"2019-01-07T18:37:58+00:00","article_modified_time":"2023-03-03T20:50:25+00:00","og_image":[{"width":2500,"height":1167,"url":"https:\/\/zocdoc.com\/blog\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png","type":"image\/png"}],"author":"Cole Kazdin","twitter_card":"summary_large_image","twitter_creator":"@colekazdin","twitter_misc":{"Written by":"Cole Kazdin","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#article","isPartOf":{"@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/"},"author":{"name":"Cole Kazdin","@id":"https:\/\/www.zocdoc.com\/blog\/#\/schema\/person\/8948edaccaf508512fd46f0df5037baa"},"headline":"Closing the Race Gap in Prenatal Care","datePublished":"2019-01-07T18:37:58+00:00","dateModified":"2023-03-03T20:50:25+00:00","mainEntityOfPage":{"@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/"},"wordCount":1783,"commentCount":0,"publisher":{"@id":"https:\/\/www.zocdoc.com\/blog\/#organization"},"image":{"@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#primaryimage"},"thumbnailUrl":"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png","keywords":["Gender","Maternal Health","Pregnancy","Public Health","Race","Reproductive Health","Women's Health"],"articleSection":["Healthcare Trends"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/","url":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/","name":"Closing the Race Gap in Prenatal Care - Healthcare Trends","isPartOf":{"@id":"https:\/\/www.zocdoc.com\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#primaryimage"},"image":{"@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#primaryimage"},"thumbnailUrl":"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png","datePublished":"2019-01-07T18:37:58+00:00","dateModified":"2023-03-03T20:50:25+00:00","description":"For black women in the U.S., having a baby comes with disproportionate health risks. Experts are calling for change.","breadcrumb":{"@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#primaryimage","url":"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png","contentUrl":"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2018\/10\/pregnancycare-01_LO.png","width":2500,"height":1167,"caption":"antidepressants and pregnancy"},{"@type":"BreadcrumbList","@id":"https:\/\/www.zocdoc.com\/blog\/healthcare-trends\/closing-the-race-gap-in-prenatal-care\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.zocdoc.com\/blog\/"},{"@type":"ListItem","position":2,"name":"Healthcare Trends","item":"https:\/\/www.zocdoc.com\/blog\/category\/healthcare-trends\/"},{"@type":"ListItem","position":3,"name":"Closing the Race Gap in Prenatal Care"}]},{"@type":"WebSite","@id":"https:\/\/www.zocdoc.com\/blog\/#website","url":"https:\/\/www.zocdoc.com\/blog\/","name":"The Paper Gown","description":"Stories for and about patients","publisher":{"@id":"https:\/\/www.zocdoc.com\/blog\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.zocdoc.com\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.zocdoc.com\/blog\/#organization","name":"Zocdoc","url":"https:\/\/www.zocdoc.com\/blog\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.zocdoc.com\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2019\/11\/ZD-logo.png","contentUrl":"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2019\/11\/ZD-logo.png","width":2059,"height":1049,"caption":"Zocdoc"},"image":{"@id":"https:\/\/www.zocdoc.com\/blog\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.zocdoc.com\/blog\/#\/schema\/person\/8948edaccaf508512fd46f0df5037baa","name":"Cole Kazdin","description":"Cole Kazdin is a writer and Emmy-winning television journalist living in Los Angeles. She is a regular contributor to Vice, has written for the New York Times and Refinery29 and has been featured on NPR as part of the Moth Radio Hour.","sameAs":["https:\/\/x.com\/colekazdin"],"url":"https:\/\/www.zocdoc.com\/blog\/author\/ckazdingmail-com\/"}]}},"_links":{"self":[{"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/posts\/18021","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/comments?post=18021"}],"version-history":[{"count":0,"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/posts\/18021\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/media\/17840"}],"wp:attachment":[{"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/media?parent=18021"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/categories?post=18021"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.zocdoc.com\/blog\/wp-json\/wp\/v2\/tags?post=18021"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}