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Despite high Black maternal death rate, California hospitals ignored training about bias in care
Cal Matters ^ | October 27, 2023 | Kristen Hwang

Posted on 10/28/2023 6:54:34 AM PDT by artichokegrower

Black women are three times more likely than any other women to die during or immediately after pregnancy. California lawmakers passed a law in 2019 requiring hospitals to train labor and delivery staff on unconscious bias in medicine.

More than two and a half years after a law took effect requiring maternity care staff to complete racism in medicine training, only 17% of hospitals were in compliance, according to an investigation published by the state Department of Justice Friday.

(Excerpt) Read more at calmatters.org ...


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To: Scarlett156

Because hypertension is endemic among blacks

You may have something there it’s with in reason.


21 posted on 10/28/2023 7:51:22 AM PDT by Vaduz (....)
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To: Vaduz

Maternal diabetes might also have something to do with it.


22 posted on 10/28/2023 7:54:37 AM PDT by mewzilla (Never give up; never surrender!)
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To: artichokegrower
Black women are three times more likely than any other women to die during or immediately after pregnancy.

Probably because they do not get proper - or any at all - prenatal and postnatal care (whether for economic or social reasons or just plain ignorance), and also little family network support. But no one wants to mention those issues.

23 posted on 10/28/2023 7:55:27 AM PDT by Rummyfan (In any war between the civilized man and the savage, support the civilized of man)
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To: lastchance

How to explain immigrant Vietnamese women, with infant mortality rates of 5.5 deaths per 1,000 live births, and African American women, with rates of 16.3 deaths per 1,000. The JAMA article was titled “Born in the USA: Infant Health Paradox” does not explain but clearly our medical profession is run by Vietnamese.
That is the logic.


24 posted on 10/28/2023 7:56:21 AM PDT by Vehmgericht
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To: mewzilla
From 2013...

Gestational diabetes in high-risk populations

25 posted on 10/28/2023 7:57:37 AM PDT by mewzilla (Never give up; never surrender!)
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To: Rummyfan

If gestational diabetes is an issue, and it looks like it is, there are a lot of factors in play.


26 posted on 10/28/2023 7:58:57 AM PDT by mewzilla (Never give up; never surrender!)
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To: Rummyfan

“Centinela announced its intent to close the maternity ward permanently days after Valentine’s family filed a wrongful death lawsuit. The maternity ward, which delivered more than 700 babies last year, closed Wednesday.”

So LA County loses a maternity hospital. The mother filed the lawsuit as the father could not be determined.


27 posted on 10/28/2023 7:59:45 AM PDT by artichokegrower
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To: Iron Munro
Is there any event at all in the entire universe that black skin can’t cause?

Its like Global Warming, which can cause any and all kinds of natural disasters, while black skin apparantly is the cause of any and all human disasters.

28 posted on 10/28/2023 8:00:00 AM PDT by PGR88
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To: mewzilla
From 2014...

Compliance with treatment regimen in women with gestational diabetes: Living with fear

Are non-compliance rates higher in African American women...?

29 posted on 10/28/2023 8:02:09 AM PDT by mewzilla (Never give up; never surrender!)
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To: Iron Munro

I think there is a decent chance that black women are seen as complainers, and their complaints may be dismissed as unfounded. L&D nurses have something of a reputation for being nice to a mother’s face and dismissive behind her back. Medical people do stereotype: Hispanic women are screamers, Hasidic women give birth really easily...

Serena Williams went through an ordeal.with blood clots in her lungs after delivery and nurses initially dismissive, even though she had a history of clots in lungs. I remember reading about a white woman here with the same problem, she and her husband knew she was in trouble and the hospital staff blew them off, and she died.

Now if black women are three times more likely to have serious problems in pregnancy and childbirth, then healthcare personnel should be prepared for more complaints and expect more complications and deal with them early, when there is time to make a difference.

Addressing the root cause of the increased number of complications is a huge issue, but recognizing complications is not.


30 posted on 10/28/2023 8:04:29 AM PDT by heartwood (Someone has to play devil's advocate.)
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To: mewzilla

And a few other issues many are loaded with them.


31 posted on 10/28/2023 8:06:59 AM PDT by Vaduz (....)
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To: lastchance

Teenage black mothers have fewer complications than do black mothers in their twenties. Health problems hit that group early.


32 posted on 10/28/2023 8:08:30 AM PDT by heartwood (Someone has to play devil's advocate.)
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To: Vaduz

Yup.

Not that Big Med seems to care anymore.

That said, moms with gestational diabetes who are non-compliant need their heads examined.

They are not doing themselves or their babies any favors.


33 posted on 10/28/2023 8:10:08 AM PDT by mewzilla (Never give up; never surrender!)
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To: antidemoncrat

I left So Calif over 30 years ago.

When I was still there-—L A COUNTY GENERAL HOSPITAL had 100% Hispanic births-—almost all ILLEGAL INVADERS.


34 posted on 10/28/2023 8:12:01 AM PDT by ridesthemiles
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To: artichokegrower

Whenever I see claims about higher maternal, fetal, and neonatal deaths among black women, I always wonder about the role of abortion in all of that.

The higher death rates are always blamed on some unconscious racial bias. But are black women and their infants *really* receiving substandard care?

Black women are targeted by the abortion industry at a significantly higher rate than women of any other race. (Yes, this is blatant racism.) Abortion damages a woman’s reproductive system. Abortion raises the chance of future miscarriage, premature, or stillbirth. Abortion raises the risk of ectopic pregnancy. Abortion can lead to an inability to get pregnant in the first place.

But abortion as a factor in suboptimal pregnancy outcomes is never considered or analyzed. Instead, we only hear about some vague “institutional racism.”

I would say that the lack of examining objective and measurable factors contributing to black maternal, fetal, and neonatal deaths and instead yelling about some vague “racism” is, in itself, an example of profound racism.


35 posted on 10/28/2023 8:14:56 AM PDT by exDemMom (Dr. exDemMom, infectious disease and vaccines research specialist.)
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To: Blennos; All

If you research statistics, you can see that hypertension has been endemic in the US’s black population for generations; a number of studies have been done trying to find out why this is so, but “dramatic change of latitude and city dwelling” have to be in the mix. A multitude of factors accounts for this problem, not just “stress” and not “racism” unless you want to say that those strands of DNA are racist! (I guess they are, now that I think about it...)

Indigenous people of North America have a higher incidence of diabetes (with hypertension and obesity) than white folks settled in the same regions. (And they were born here.) There are also many explanations for this - “urbanized living” accounts for a lot.

Obesity does explain a preponderance of problems with pregnancy and delivery of healthy children, and in and of itself causes hypertension. Civilization spawns these problems, but we could easily argue that it’s the work of evolution. (Not going to visit that particular avenue today!)


36 posted on 10/28/2023 8:19:59 AM PDT by Scarlett156
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To: exDemMom

If the latest figures are accurate, Hispanics now have a higher abortion rate than blacks or whites.

Yet the infant mortality rate for Hispanics is lower than for blacks.


37 posted on 10/28/2023 8:24:46 AM PDT by mewzilla (Never give up; never surrender!)
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To: Vaduz; All

Statistical fact. Anthropology types will say endemic HTN among US blacks because this and that, stress and discrimination and so on, but “abrupt change in latitude and shift in cultural norms” explains most of it for me.

African blacks (for example) managed to miss a great deal of the last “coronavirus” scourge - they routinely take prophylactic meds against endemic viruses (HCQ, ivermectin) and have built-in immunity against things that would lay most of us low. (However, the HIV epidemic rages among them.)

Dunno if you’re a whitey, but if you were to visit a latitude in the far south, there would be a lot of things there that would bother you greatly. Right? Doctors here in the USA will give you all kinds of shots and pills if you are even visiting Mexico, much less Africa. “You have to live in AFRICA for three months? OMG!!! You have to come back in every two weeks until you leave for all these shots!”

It’s all a trade-off. Like a tree or plant, every person has a place where he will flourish and where he won’t do so well. (But if you’re human and given time, you can adapt to all kinds of crazy sh1t!)


38 posted on 10/28/2023 8:31:39 AM PDT by Scarlett156
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To: artichokegrower

It’s a lot of things, but basically the fact that dysfunctional black “culture” has been elevated so that it’s considered defining (which it is not).

Decades ago when my one of my daughters was born, I was part of a maternity program at a Catholic hospital in CA that also included a large number of black mothers-to-be from the neighborhood. The big concern was nutrition, since black mothers had low-birth weight infants mostly as a result of poor nutrition.

We had weekly meetings, where it seemed like the girls lived on potato chips and soda, nobody in the family cooked, and they weren’t even interested in learning about it. They had plenty of benefits that would have allowed them to get or cook good food.

But by then they had grown up in a non-existent family and nobody cooked or took any responsibility for anything. So the problem was cultural, and I don’t think, unfortunately, that the program at the Catholic hospital had any lasting impact.

Most of the girls didn’t come more than a couple of times, they didn’t even take the prenatal vitamins, and they certainly didn’t change their diet or really start thinking about their participation in the health of their baby. And they didn’t look after their own health, since pregnancy is hard on the body and you have to have good nutrition.

The unfortunate thing is that these concerns are perceived as “acting white,” and with the enormous hostility that has been stirred up by the left, the average lower income black person dismisses all of this as an attack upon “blackness,” which seems to be defined as what is done by the lowest of the low in the group.

I think (white) studio-sponsored rap music with its trashy, nihilistic message has a lot to do with this, btw. Not to mention modern academia.

It would be like having European descent Americans (including Hispanics) consider the almost parody white trash in Deliverance as emblematic of “white” society and a model to be emulated.


39 posted on 10/28/2023 8:37:30 AM PDT by livius
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To: exDemMom

Abortion is a significant factor. They know it. They don’t care. They’re just pushing a narrative.

“A single induced abortion increases the risk of maternal death by 45 percent compared to women with no history of abortion, according to a new study of all women of reproductive age in Denmark over a 25 year period.

In addition, each additional abortion is associated with an even higher death rate. Women who had two abortions were 114 percent more likely to die during the period examined, and women had three or more abortions had a 192 percent increased risk of death. …

“We knew from our previous studies of low income women in California that women who have multiple pregnancy outcomes, such as having a history of both abortion and miscarriage, have significantly different mortality rates,” Reardon said. “But this new study is the first to examine how each experience with abortion or miscarriage contributes to higher mortality rates.”

This is called a “dose effect” because “each exposure, or ‘dose,’ is seen to produce more of the same effect, which is what one would expect if there is a cause-effect relationship,” Reardon explained.”
https://afterabortion.org/repeat-abortions-what-the-research-says/


40 posted on 10/28/2023 8:45:00 AM PDT by ReagansShinyHair
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