Inadequate Prenatal Care

The medical industrial complex (MIC) holds many influences in the care of women, especially poor marginalized women. MIC is simply a platform of the network among corporations that supply health care services and products to make money. Oparah and Bonaparte explain how the individual’s ability to pay determines the quality of care they receive (Oparah & Bonaparte, 2015, pg. 4). In relations to birthing, hospitals aren’t a place for an intimate connection between a woman that’s about to give birth and their newborns. It’s more of a time efficiency center where doctors (mainly white men) would purposely perform cesarean deliveries to not only save time, but to make a

The differences in infant mortality rate defined by race can be attributed to access to healthcare. African Americans

This can be defined as heath care that is received while pregnant, and can be seen through a few of the many ways to obtain care: going for regular monthly checkups, taking prenatal vitamins, eating properly and healthily to obtain the nutrients needed (U.S Women’s Health Department, 2012). A healthy pregnancy increases the chances for a healthy newborn, and according to the U.S Women’s Health Department (2012), “babies of mothers who do not get prenatal care are three times more likely to have a low birth weight and five times more likely to die than those born to mothers who do get care”. When taking care of the body and focusing on prenatal care, doctors are able to catch health problems in the baby earlier and health problems in the mother that can later affect the baby, and through proper prenatal care, it allows these issues to be treated early (U.S Women’s Health Department, 2012). In previous years and centuries, because prenatal care was not widely recognized, and future mothers did not recognize the importance of proper care of the fetus, the number of newborns born with birth defects or irregular vital signs was significantly higher than in today’s

In the Low Country area of South Carolina( Allendale, Bamberg, Hampton, and Orangeburg counties), African American women have been linked with low birth weight babies. Within the low country black babies are born at a low birth weight more frequently than babies of any other ethnic group. The Low Country Healthy Start program is designed to eliminate disparities in perinatal health and improve birth outcomes and quality of life in African American women. A process evaluation will be conducted in order to define the risk associated with chronic disease, recognize who is high risk, what services are provided by LCHS, who receive these services, and if the services provided are efficient.

Infant mortality rate constitutes the death of a baby before their first birthday. Mortality rates around the world differ tremendously with America leading the first world countries at an alarming rate of 6.1 deaths per 1,000 births. Conversely, Finland and Japan secure the last, most desirable position, with deaths totaling 2.3 per 1,000 births, as of 2010. (Ovaska-Few, 2015) In 2014, over 23,000 babies died in the United States. (CDC, 2016) Exploring the mortality rates in America brings light to a dire need for additional interventions and research as to why this developing nation has the highest rate of infant deaths before the age of 1 year old. African Americans face the worst outcomes of infant death compared to whites, Latino, and their Native American peers in North Carolina. (Ovaska-Few, 2015) This paper will explore why African American are the leading race for infant mortality and the steps that health communities need to take to address this devastating occurrence.

Discuss disparities related to ethnic and cultural groups relative to low birth weight infants and preterm births.

A journal gives an example of Medicaid prenatal services providing in the state of Washington. The program includes, case management, nutrition, psychological changes, health education and home visiting. The Medicaid sponsored service and case management program was associated with a decrease in the low birth-weight rate of high risk women (Baldwin et al., 1998).

This research consisted of key informants and general informants. These general informants were leaders in the community, granny midwives and African American and European American health care professionals. These general informants came from the clinics and hospitals where key informants were from. The key informants from each region were women who were either pregnant or had a baby within in a year preceding the study. (Marjorie Morgan, 1996)

“Compared with European Americans, African American infants experience disproportionately high rates of low birth weight (LBW) and preterm delivery and are more than twice as likely to die during their 1st year of life”(Giscombé, C. L., & Lobel, M., 2005). The infant mortality rate for African Americans is 13.7 deaths per 1000 live births, more than twice the rate (5.7) for White Americans in the U.S. (Kung, Hoyert, Xu, & Murphy, 2008). A lot of the racial disparity in infant mortality can be explained by low birthweight and preterm delivery, which are also disproportionately and often experienced by African Americans (Martin et al., 2007).

Infant mortality is said to be an important indicator of the community’s health. It is also one of the strongest indicators of the disparities that are faced in the U.S. today. A great way to address this issue as a whole, and try to work at fixing the problem, is by educating African American women on the importance of carrying a child to

Low birth weight (LBW), defined as an infant weighing less than 2500g at birth, and very low birth weight (VLBW), infants <1500g, are health outcomes that themselves are indicators of future health outcomes, as well as present and future morbidity and mortality risk (“Birth Outcomes,” 2017). A large component of these associated outcomes are neurobehavioral, manifesting as impaired cognitive and language development measured in childhood, as well as lower IQ, poorer academic achievement, and reduced executive function measured later on (Aarnoudse-Moens et al., 2009; Barre et al., 2011; Hack et al., 2002; Linsell et al., 2015; Litt et al., 2012). Although decreasing in prevalence, neurosensory impairments, such as cerebral palsy, blindness,

According to Healthy People 2020, "Improving the well-being of mothers, infants, and children, is an important public health goal for the United States. Their well-being determines the health of the next generation and can help predict future public health challenges for families, communities, and the health care system" (Healthy People 2020, 2015). Infant mortality is defined as the death of an infant before his or her first birthday, while fetal mortality is defined as the intrauterine death of a fetus at any gestational age (MMRW, 2013 and MacDorman, Kirmeyer & Wilson, 2012). In the United States an estimated 13,000 fetal deaths occurred ≥ 28 weeks gestation making up 28% of all perinatal deaths in 2006, the latest year with available national data (Lee,

In the United States, data from various racial groups indicated that minorities are more likely to experience complications with pregnancy. Racial and ethnic minority women, particularly

There are several cities, such as Milwaukee and Detroit and states, such as Indiana and Ohio that have a goal to reduce infant mortality rates , especially amongst African- Americans. The benefits are enormous, such as the length of hospital visits for the mother , the mental health issues and better health outcomes for the

While some women who received no prenatal care had normal, uncomplicated births, others did not. Most of the women who did not receive adequate prenatal care gave birth to an underweight and underdeveloped infant. Among the benefits of early, comprehensive prenatal care are decreased risk of preterm deliveries and low birth weight (LBW)-both major predictors of infant morbidity and mortality. (Dixon, Cobb, Clarke, 2000). Preterm deliveries, deliveries prior to 37 weeks of gestation, have risen. Since the studies in 1987, which showed the rate of preterm deliveries as 6.9% of births, the 1997 rate shows an increase to 7.5%. Low birth weight, defined as an infant weighing less than 2500 grams (5lbs. 5oz) is often preceded by preterm delivery. Low