Wednesday, April 28, 2010

Maternal Health: Despicable Discrimination

Part IV

In a country plagued by discrimination in almost every part of society, it is no surprise that our maternal health system is extremely discriminatory in practice. Women’s reproductive and sexual health has been a point of discrimination and contention in this country forever, and that battle still continues today. The maternal health system’s discrimination toward minorities and lower income women is inhumane yet sadly not shocking. It has become typical for American society to cast aside women, especially minority or low income women. The discrimination in the maternal health care system seems to be two fold. Minorities are often treated without respect at health care clinics and hospitals causing poor quality care. Additionally, overall access to health care is restricted for these women because of their dependence on public services. These are extensive problems within the system that contribute to the deaths of hundreds of women a year.
One of the major roots of discrimination in the system is the general treatment and attitude towards minorities. Not giving women proper and complete information about their health care and options has been a problem for everyone in the maternal health system, but it is greatly accentuated with women of color, women who are uninsured or receive Medicaid, and women who do not speak English. Without the necessary knowledge, women are much less likely to be involved with their own health care. These targeted groups are often purposely denied information. Many minority women have reported receiving poor care, being ignored and treated with disdain and indifference because it was assumed by staff they were uninsured or on Medicaid. These assumptions are demeaning and discriminatory towards these women and put their health at risk. Even women who are uninsured still deserve proper care and to be treated with respect and dignity. Women should be able to access care with equality and nondiscrimination. Not only is it against the law to base health care service on a women’s skin color or income, it should be against the moral code we have as humans.

Monday, April 26, 2010

Maternal Health: Family Planning

Part III


Planned Parenthood is a big fan of family planning. Whoot Whoot! It’s also an organization that supports maternal health, so it only makes sense that when these two issues intersect I would try and make a big deal about it. Here’s the connection as explained by Carolina Reyes, Clinical Associate Professor of Obstetrics and Gynecology at USC, “Effective family planning services are probably the single largest contributor to reduction in maternal mortality and morbidity in our lifetime.” Basically, limited access to family planning is a huge reason why the United States has such high maternal mortality rates and poor overall maternal health care.

Half of all pregnancies in the United States are unintended- a huge number of accidents. Women who have unplanned pregnancies are much more likely to suffer complications and generally receive less prenatal care than women with intentional pregnancies because they start it much later into their pregnancy. A couple hundred of the women who die from maternal health complications every year are women who should not have gotten pregnant in the first place because of their existing medical conditions. From the very beginning, these women have a high risk pregnancy, putting themselves and their babies in danger.

Wednesday, April 21, 2010

Maternal Health: Why Is the System Failing?

Part II
The crisis of the maternal care system is rooted in problems embedded within the core of society. Women are lacking good maternal care, not because we lack the medical technology or the ability to provide it, but because no one has drive to fix the problems with the system. Not enough people care. So why is it that so many women die every year in our country and around the globe from maternal health problems? How can a woman in a hospital struggling to breathe after giving birth be ignored for hours until the internal bleeding was too bad to stop? There are a number of reasons the system fails women, including lack of coverage, lack of prenatal and postpartum care, quality of care, limited staffing, restrictive patient involvement, family planning, discrimination and a lack of accountability. Together these problems create a maternal health care system that is in a state of crisis, unable to provide proper care to some of the people in society who need it the most.