Dear white midwives,
Nurse midwifery is the only modern American profession in the nation besides police which began with slave/Indian catcher patrols, whose existence is rooted in white supremacy: the control, elimination & replacement of the Black midwife with white nurses.
Whiteness was central to the planning, implementation, growth and marketing of the profession. This is not hyperbole this is fact. It still continues today. The 87% white workforce looks exactly like the 86% midwifery directors who determine who teaches & studies nurse midwifery.
CPMs are no more diverse and make up only a tenth of the midwifery profession. So to suggest @ACNMmidwives@MANAcommunity with their white leadership, white educators & white workforce can reduce mortality driven by 🤰🏾🤱🏽isn’t naive it’s white supremacy in action.
Solutions that are led by & centering Black femme thought leaders in nursing, medicine, public health, public policy & of course Black midwives @BirthEquity@black_midwives@BMHCaucus@BlkMamasMatter
to the exclusion of white gatekeepers is the only practical solution.
If we learned nothing in the past month, not as Black folks but as a nation it’s that most white women will side with white supremacy to advance their own best interests. Why should Black families trust the care of their desired pregnancy with a white female workforce, MD or CNM
I’m seeing more & more Black families choosing unassisted births if they can’t find Black providers midwife, or physician rather than place themselves in the hands of white clinicians they believe mean them intentional ill. We need to own that. White midwives sit down & shut up.
You are white women of privilege that came into a profession rooted in the oppression of Black women that relies on poor Black pregnant people to survive while you wait for whites women to find you chic.
You can’t be both oppressors and our saviors. #TrustBlackWomen
Wrote a little poem. Bet y’all didn’t know I was an artist. Like to here it; here it goes.
Resilience Training is for White Folks
By Michelle “Auntie Chelle” Drew
Dear HR: about that mandatory Resiliency Training:
I’m a have to say nah.
Black women don’t need to learn resilience.
We invented it in the belly of slave ships
Perfected it when we watched our lovers and babies ripped from our arms and sold off the plantation never to be seen again.
Books/articles that should be required reading for antiracism in MCH
Policing the Womb @michelebgoodwin
Medical Apartheid @haw95
Killing the Black Body & Fatal Invention by @DorothyERoberts
Medical Bondage: Race, Gender & the Origins of American Gynecology @drcooperowens
Birthing, Blackness, and the Body: Black Midwives and Experiential Continuities of Institutional Racism by @keishagoode8 or as I call it: Killing Me Softly Part 2.
A primer on the lived experience of Black birth workers in PWIs
Now why in the nurse’s note about my new pregnant patient contain only one sentence about her pregnancy outcomes but a whole paragraph that she uses marijuana; was “incarcerated” instead of the fact that she has a condition approved for medical marijuana & needed cash bail? Z60.5
Thanks for all the supportive comments. A few points.
As health professionals our job isn’t to judge patients but to help. There are important things to ask, know, do if you’re really concerned about the health and safety of a pregnant person who discloses social information:
Do you need help?
What can I/we do to get you to a safe place?
Do you know where the resources are to get help/can I help you find them.
If it doesn’t contribute to the patient getting good care why write it in their permanent medical record? Save judgement for courts & Jesus
Today’s tweets will be a series of Billable ICD10 codes you can use in the care of Black mamas and babies birthing and being born in today’s AmeriKKKa:
Z60.5 Target of (perceived) adverse discrimination and persecution.
i.e. Racism
I use it almost every day that I work.
Victim of bullying l-Z65.8
Can also be applied to Black femme health workers in the culture of systemic and institutional racism that burns us out at unprecedented rates
Unstable housing, couch surfing, living in hotels, shelters
As well as being heartbroken for the family of Jacob Blake, the @ACNMmidwives Caucus of Black Midwives for Reproductive Justice and Birth Equity are once again angered & anguished for the continued police violence against Black people & Black communities
as we move through another episode of state sanctioned police violence. We lift up meditations and prayers for healing and pour the offerings to our ancestors to aid in his recovery. We beg his physicians to see him as a victim, not a criminal suspect.
Our thoughts are with Sabrina M. Foulks-Thomas & Dr. Karen Robinson, two Black midwives working & serving in Wisconsin, one of the most segregated regions in America & where Jim Crow & Black Codes are still alive & determining the futures & health outcomes of Black Wisconsinites
A rant about education: Non-Black “allies” in midwifery education, Quick chat. When you’re calling for a “study of the poor pass rates of Black graduates” on the @AMCBmidwife exam: please understand what you’re saying to the white institutions that make up “midwifery” education
You’re not saying that the data is skewed by the lack of representation of Black graduates compared to the U.S. population therefore every unsuccessful candidate markedly drops the pass rate if you use “race” compared to white students & making it a flawed metric to begin with.
You’re not demanding that @ACNMmidwives , or it’s separately incorporated affiliate organizations that control education; certification of CM/CNM simply admit that the origins & therefore present of nurse midwifery are tied white suffrage that saw all BIPOC Americans left out.