What if — within communities of color — we could build a regionally or nationally accredited midwife training program designed to work with mom’s who potentially could have a problem pregnancy— or fit the data set for having a pre-term birth?
The midwives could be supervised from a central organization or a hospital within the county or through the county health department. There could even be a requirement that every third year midwives would have a re-examination and additional instruction in state-of-the-art obstetrics and new techniques in matters which influenced their work.
The needs of black communities— as it relates to health — are often ignored as part of the public discourse. We can move people from sickness to wellness and use health as an extension of social justice. Facing the discrepancy in BIMR is part of this.
Having the midwife training programs in communities with close proximity to hospitals offer the possibility of additional staff support from medical providers. Is it possible that we could have a regional or statewide effort to create the training of midwives—within communities? With an infant mortality rate for black infants that is double than for other races, we have to do something. The reality is that thousands Black infants will die this year and next year. The infants cannot help themselves. The adults have to act. It is, therefore, my belief that reform is urgently needed. The status quo is a failure. The metrics fully present the story.