“Do no harm” is the oath all medical practitioners swear when becoming a doctor, why is it that for women of color that oath may not always apply?
Having the right to medical treatment, and the best possible medical treatment should not be a privilege, especially if it is only for people who are white. In this country women of color are oftentimes not taken as seriously in hospitals or places of care. This is not only instilled racism, but it is extreme negligence. Not only is this known by listening to experiences of women of color who have been treated awfully by doctors and hospitals, there is statistics to prove it. According to the CDC women of color are two times more likely to die from pregnancy-related causes than white women are. It also states that pregnancy related deaths per 100,000 live births for women of color are also 5x as high as it was for white women. This is because of these doctors and care-takers instilled racism and microaggressions. A very noteable and public example of this is Serena Williams. She opened up about her birth and shared her experiences whilst in the hospital. She had to undergo an emergency c-section with her daughter, the next day she didn’t feel that well and noticed she had shortness of breath, and also made the doctors aware about her history of pulmonary embolisms. Even though she detailed this all to the doctors, instead of them running tests, they told her she was confused from the pain medicine. She then asked them to just run a CT scan, and instead they ran different meaningless tests. Sure enough when they finally ran the original test she asked for, they found small blood clots in her lungs. Thankfully in this instance she ended up being okay, but a lot of times these women do not end up okay. Serena Williams is a world class athlete that knows how her body works inside and out, and doctors didn’t even listen to her or take her seriously. Why is this happening, and why are we giving doctors leeway to act in this manner.
Not only are there severe cases of mistreatment of women of color, there are also many microaggressions displayed as well that usually end up leading to severe damage. A lot of times while giving birth women of color are shouted at or may be forced into a treatment plan they don’t agree with. A lot of women of color said they have just been ignored or shouted at for no reason at all. A woman named Paress Salinas who gave birth in 2007 experienced microaggressions during her birthing experience that leaves her with scars to this day. Her doctors tried to give her a c-section although she did not want one, and it was not obligatory for her situation. She was then ready to deliver within 45 minutes, and since the doctors nor nurses listened to any of her wishes, and neglected her, they also neglected her preparations to give birth which resulted in a physical scar due to damage along with a lot of mental scarring. This left her feeling very scared and nervous of hospitals, and it took a toll on her mental health. Going into something with expectations on how it should go, and then having to endure all of this maltreatment during one of the most painful experiences in your life, really can have a negative impact on someone’s mental state.
This is an issue that is not a quick fix and ties into reform of systemic injustices overall. With that being said there are ways to start at a lower level in order to start bringing this reform to the healthcare field. I believe that in order to help to put an end to this, and to help combat this issue this needs to be a nationwide approach. Many hospitals and healthcare institutions will have bias training programs, but there are not usually anything of significance and are obviously not actually educating these professionals. Instead of just giving a software program to complete that people can just skip through, there should be interactive events and seminars that these healthcare professionals should have to attend. I also think that diversifying the healthcare force would also be beneficial. I think it is important for women to feel completely comfortable when needing healthcare and giving birth, and I think that women of color may feel more comfortable if they have someone treating them that better understands their experiences and emotions than someone who is white could. There also needs to be more accessible healthcare to help combat this issue of systemic injustice in the healthcare field. This can range from insurance so women of color have the resources they need when they do need to seek treatment, from making midwives and things like that more available. Although there are also many mistreatment cases seen with midwives, sometimes it is easier to personalize your experience. There are also some midwives or midwife groups that specifically practice with women of color. This is beneficial because if they specialize in this, they are highly educated on the topic.
This is also something that I think needs to be looked at from a legislative level as well. If there is more funding that can come from the government in order to help establish more inclusive programs in healthcare it can also help with better educating people, and reducing the injustices that I have written about. If there were to be more funding there could also be so many more resources for women of color before,during, and after birth. This means that items like prenatal vitamins can be universally given. There is also not enough talk about postpartum depression, which is very real. It is very common to be depressed after giving birth and it can sometimes lead to a mother feeling incompetent, which isn’t the case at all. These women just spent nine months with their hormones fluctuating, their body going through major changes, and producing a life, it is normal to experience some highs and lows and to feel depression afterwards. Not only is it not really de-stigmatized, but for women of color who already may have had a very traumatic birthing experience, now may be sent home with not a single asset on how to help their mental health post giving birth. What is extremely unfair a lot of times for women of color is they may have postpartum depression because of an incident that may have happened while giving birth, so why is it okay to just send them home with no help for the after part?
There are a lot of ways that help to determine what the causes were when there is a pregnancy related death. They look at the mother’s age at death, timing of the death in relation to the pregnancy, race and ethnicity, and they will compare this data with previous data. There are an extensive number of ways to determine a cause of death, but there are not extensive amounts of ways to prevent these deaths in the first place. If they are able to gather all this research to study this problem, and to determine causes, there should be more done for a fix. What also frustrates me is that there is a starting place, and there are a million articles with ways to reform these systemic injustices, but for the most part none of these procedures have been put into place.
No one should have fear when they are in need of medical attention. The point of healthcare is to save your life, not to put it in danger. After nine months of growing another life inside of you, you should not have to face negligence because of the color of your skin. There are many ways and ideas people have researched to help to combat this problem, it is time to really start educating people, and actually putting these new procedures in place. Women of color should not be experiencing life long negative influences from a moment that is supposed to be one of the best in life. Anyone who gives birth should have the access to proper care, and deserves to be treated with the absolute best care possible.