Elevating Black Pregnant Voices for Self-Advocacy

Black women have the highest rate of maternal mortality in the United States. Racism, access to health care, lack of quality health care providers, and lack of childbirth and advocacy education are contributors to maternal mortality. Systemic and interpersonal racism significantly impact health experiences of pregnant women. Lack of access to health care and lack of quality health care providers can prevent pregnant women from receiving adequate care and keep their health concerns from being taken seriously. Childbirth education can prepare pregnant women for birth; and advocacy education can help patients understand their rights and how to collaborate in their care, especially for high-risk populations such as pregnant women. Because Dallas has a high maternal mortality rate, this study explores the experiences and impact for Black pregnant women after attending a childbirth and advocacy education course. The findings indicate that when Black pregnant women know their rights, confidence to advocate for birth is increased, and support teams can help ensure rights are respected in birth.