In the US, pregnant Black women and their newborns have always been at far higher risk of experiencing complications in pregnancy than white women. But those statistics can be changed through sound policy and more holistic approaches to care. In our latest Tiny Spark podcast, we hear from two women who are at the forefront of improving the experiences of Black expectant mothers.

“We’re considered the most dangerous developed nation in the world in which to give birth,” says Stacey Stewart, the first Black CEO and President of March of Dimes, a nonprofit focused on maternal health. “We have never had a healthcare system that provides equitable, high quality, affordable healthcare to all people,” she tells us. “Especially to people of color.”

But a powerful group of Black professionals have been working to combat this problem for ages. They are researchers, OBGYNs, nonprofit leaders, doulas, policymakers, and midwives like Ebony Marcelle, director of midwifery at Community of Hope, a nonprofit serving low-income and homeless families in Washington, DC.

“This is not a new problem,” Marcelle explains. “There have been plenty of incredible advocates, Black women-led organizations who have been screaming about this for decades.”

Marcelle has experienced firsthand the health sector’s prejudices that can lead to poor and discriminatory care of Black women. “I love being a midwife,” she admits, “But midwifery does not get a pass that it’s not racist.”

When it comes to maternal mortality, Marcelle points out that educated, financially secure Black women “who have macrobiotic diets and do yoga every single day” still suffer from pregnancy complications at far higher rates than white women. “That’s how we’re finally starting to have the conversation about the effects of chronic stress,” she says. “And having the discussion about racism and its effects on health.”

Marcelle and Stewart both stress that maternal mortality is not just an issue that affects poor women. In the episode, Tiny Spark learns more about the historic decisions that led to 90 percent of today’s midwives being white, and hears what a positive difference training more Black midwives could make. And both women share the influences that drew them to this work. “The day I caught my first baby, I cried,” Marcelle tells us. “I was like, Yup. This is where I’m supposed to be.”

Photo Credits: Ebony Marcelle (cover, Kea Dupree Photography); Stacey Stewart (provided by subject)