In the article presented by the Associated Press, women today have increased risk to die during pregnancy, childbirth, and in the postpartum period when compared to prior generations. I agree that this is a growing issue of concern, especially with minority groups. I disagree, however, with the presumed association of racial bias being a cause. The presumed bias puts the wrong issue in the spotlight as other ethnicities, especially African Americans, are overall at higher risk for cardiovascular disease due to physiologic differences. Rising obesity and C-section rates contribute, adding to the strain of pregnancy. Causes for the increased morbidity and mortality among African Americans are still being researched; however, family history and genetics are thought to play a role. This is something that can’t be modified.
As a registered nurse, I, along with my peers, strive to do the best that we can for our patients with limited resources. Issues such as access to care, insurance, and education really need to be examined. A society with increased comorbidities will result in increased mortalities. Unfortunately, African Americans are already known to be of higher risk. Education and health promotion for communities are a key part remedying this issue.