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Neel Shah, MD @neel_shah
, 14 tweets, 11 min read Read on Twitter
THIS is the cover story of latest @HarvardChanSPH magazine

TLDR version 👉🏽 the scientific explanation based on decades of research (following even more decades of black mothers calling it out) is racism…
.@mclemoremr & team found that three quarters of pregnant black women experience racial discrimination just living their lives...

nearly half on the street or in a "public setting"...

more than a fifth (ONE in FIVE) while receiving medical care…
.@lindavillarosa wrote in vivid color what racial discrimination looks like in medical settings ...

it's often inadvertent not evident to the medical professionals until truly viewed from the perspective of the mom herself

.@ByNinaMartin & @nprmontagne prominently ripped the bandaid off and put a spotlight on racism with this devastating headline:
Nothing Protects Black Women From Dying in Pregnancy and Childbirth
Not education. Not income. Not even being an expert ...
.@EFMoriarty & @CBSSunday did a great feature highlighting both the role of race and the consequences for families, including my friend @4kira4moms
.@4kira4moms spent the year relentlessly speaking out about their story (and was the animating strength behind the movement to get maternal mortality legislation passed and signed by @POTUS last week)
.@doccrearperry wrote THIS (and many other brilliant takes)

Race Isn’t a Risk Factor in Maternal Health. Racism Is.
The language of the moment suggests that it's Blackness that's the problem, not bias.…
.@edawesgay wrote THIS (and many other brilliant takes)

Serena Williams Could Insist That Doctors Listen to Her. Most Black Women Can’t.
We can’t solve America’s maternal-health problem without first acknowledging how racism harms black moms.…
.@RRHDr Eduardo Medina and @katybkoz wrote THIS, a clarion call to clinicians and public health professionals alike

Dismantling Structural Racism, Supporting Black Lives and Achieving Health Equity: Our Role…
.@BlkMamasMatter held *PACKED* conference + training institute (ft/ organizers like @AncientSong7) to "build capacity of black leaders in maternal health to shape programs, policy, and care,"

...helping raise army of black and allied changemakers
.@nycgov + @NYCMayorsOffice committed $12M as part of a comprehensive plan to "eliminate disparities in maternal mortality between Black and White women" over the next 5 years…
.@nytimes named @JennieJoseph one of six people making a difference in 2018 (google it)

For now the important link is this @TEDTalks by @miriamzperez, focusing on Jennie's work to explain why black women have worse health outcomes than white counterparts…
...and in 2018 with the help of all these folks + many more, we put a giant stage in front of the Capitol Building on the weekend before Mother's Day, anchoring a movement that is not going away any time soon
btw, we're doing @MarchForMoms again

2018 was the year a broad swath of the public recognized the role of racism in America's dismal standing on maternal health

2019 will be the year we make giant leap forward to fix it 🥂

updates here in new year 👉🏾
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