Harris County has one of the highest rates of maternal morbidity among metropolitan areas in the United States. Between 2008 and 2015, Harris County’s incidence of maternal morbidity increased 53%, compared to a 15% percent increase for Texas overall.
Those affected are more than a statistic. Through our limited series, Mothers First, you will hear from women and experts as they share their stories of fighting through bias, cycling on and off Medicaid due to their status, the vital role of midwives and doulas, and the causes of maternal death post-delivery.
Join Houston Public Media in partnership with Improving Maternal Health Houston as we aim to debunk the many myths surrounding maternal mortality and provide women with information on how to care for themselves before, during, and after pregnancy.
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Episode 2: Pregnant on Medicaid
After the long process of applying for Medicaid, Juanita Coleman was finally approved. That was not the end of her difficulties. Juanita was 12 to 13 weeks pregnant, still trying to find a doctor to accept Medicaid as their only form of insurance. In episode two, hear from Juanita as she shares her story of the care she received while on Medicaid and the struggle of trying to stay insured.
Dr. Carla Ortique, Healthcare Specialist and Co-Chair of IMH Houston, lends her expertise to share that many maternal morbidities happen after pregnancy when women are no longer able to receive Medicaid.
Mothers First is a project of Improving Maternal Health Houston in partnership with Houston Public Media and is supported by Houston Endowment.
Mothers First Episode 2
Episode 1: Implicit Bias
Implicit bias causes African American women to experience more stress throughout their lifetimes, which adversely affects their health. Their reproductive health may also be affected; social and demographic biases have been shown to affect practitioners' recommendations for long-acting reversible contraceptive methods. During labor, African American women tend to be offered pain medication later than are white women. In addition, African Americans are less likely to be diagnosed and appropriately treated for heart disease, which is a leading cause of maternal death, both before and after delivery. Postpartum depression and anxiety are also under-diagnosed and undertreated in African American women.
In episode one, Deborah D.E.E.P. Mouton, former City of Houston Poet Laureate, shares her pregnancy and birth story of her son, where she was dismissed. Dr. Carla Ortique, Healthcare Specialist and Co-Chair of IMH Houston, sheds light on the role that implicit bias plays in maternal mortality and morbidities.
Mothers First is a project of Improving Maternal Health Houston in partnership with Houston Public Media and is supported by Houston Endowment.
Mothers First Episode 1
Resources
Implicit Bias
- March of Dimes Implicit Bias Training for health professionals
- Eliminating Inequities in Perinatal Health Care Project
- Kirwan Institute: Implicit Bias Module Series
- Project Implicit, Implicit Association Test
- The Impact of Institutional Racism on Maternal and Child Health; National Institute for Children’s Health Quality
Medicaid Postpartum Extension
- Equitable Maternal Health Coalition
- National Academy of State Health Policy; Each State’s Efforts to Extend Medicaid Coverage to Postpartum Women
- Texans Care for Children, Texas Should Take These Steps for Healthy Moms and Babies
Midwives and Doulas
- National Academy of State Health Policy; Four State Strategies to Employ Doulas to Improve Maternal Health and Birth Outcomes in Medicaid
- Continuous support for women during childbirth
- Impact of Doulas on Healthy Birth Outcomes
Postpartum Tools
- Healthy Women Houston
- Urgent Maternal Warning Signs
- Postpartum Depression and Screening Tool from Mental Health America
- March of Dimes Postpartum Depression
- Domestic Violence Resources in Harris County from Harris County Domestic Violence Coordinating Council
