Black Lives Matter
We’re committed to the work of anti-racism for the long term.
As white birth workers, we have a responsibility to acknowledge and work to dismantle the oppressive systems that benefit us and harm others every day.
The problem:
Racial inequities in the care and treatment of pregnant, birthing, and postpartum people cause trauma at best, and injury and death of parents and newborns at worst.
Black folks in the US are at higher risk of:
disrespect (PDF download), infantilization, mistreatment and abuse, lack of autonomy, coercion, and more (all of which are aspects of obstetric violence)
That’s quite a list. We see the effects of white supremacy and institutional racism on our Black clients and clients of color all the time.
The ugly truth is that rates of mistreatment and bad outcomes in reproductive healthcare are much worse for Black folks. Black pregnant and birthing people in the US are over twice as likely to die from pregnancy-related causes as those who are white. It’s even worse in PA. Between 2011-2015, Black parents were three times more likely to die from pregnancy-related causes in Pennsylvania.
It’s important to call out that the problem here isn’t race - it’s racism.
Black, indigenous, and people of color are harmed by institutionalized racism every single day.
As birth workers, promoting reproductive justice and equity is a central tenet of our practice.
What we’re doing:
Learning with humility
We’re following the work of Black, indigenous, and people of color, reading books and articles, attending workshops, listening to educational podcasts, and continuing to tune into the ways white supremacy shows up in our life and work. We take the responsibility to examine our own socialization, beliefs, and biases seriously. We recognize harm we have caused in the past, and are working to reduce the harm we may cause in the future.
Recognizing the impact of trauma on reproductive experiences
With an intersectional lens, we recognize that many of our clients - especially those with marginalized identities - have experienced and are experiencing trauma in some form or another (or many forms simultaneously). We strive to maintain a trauma-informed practice. We are always growing in our understanding of what that truly means, and we are learning ways we can be better equipped to be safer for our clients to work with.
Advocating for better perinatal experiences for our clients with marginalized identities
We are always conscientious about bias and oppression within the medical industrial complex, but even moreso when working with marginalized folks. Using our privilege to access more personalized and thorough treatment for our clients is so important to us.
Having hard conversations
We discuss with our friends, family, and other birth workers the ways our racist systems and institutions in the US benefit white people and disenfranchise, imprison, and kill Black people, Indigenous people, and people of color.
Finding resources
We’ve gathered a collection of resources for Black birthing families. This list continues to grow - if you know of something we should add, please let us know!
Referring with care
Racial inequities in birth outcomes are real and present in the Pittsburgh area. As often as possible, we refer our clients to other professionals and providers who offer safe, appropriate, and inclusive care for everyone, and who are also committed to dismantling systems of oppression. We also recognize when we are not the right people to support a potential client, and offer them a referral for someone else who would be a more appropriate fit for their needs.
Supporting with money
On an ongoing basis, we financially support Black individuals and Black-led organizations that promote reproductive justice.
Supporting with time
We volunteer support for Black parents and parents of color who are in need as often as we can through free and reduced cost childbirth education, postpartum support, lactation consultations, as well as birth rights education and advocacy as doulas.
Support organizations advancing equity in reproductive care
Pittsburgh-based organizations:
Western Pennsylvania Fund for Choice (our local abortion fund)
Organizations beyond the Pittsburgh area:
Anti-racism & anti-oppression educational resources specific to reproductive health:
Birth Monopoly: anti-racism resources
Birthing Advocacy Doula Trainings:
Evidence Based Birth: Birth justice resources
National Partnership for Women and Families: Black Women’s Maternal Health
Books we’ve found helpful along the way:
Note: Not all of these books pertain specifically to racism and reproductive health, but all have been influential in our understanding of oppression and intersectional justice.
All Boys Aren’t Blue by George M. Johnson
American Prison: A Reporter's Undercover Journey into the Business of Punishment by Shane Bauer
Americanah by Chimimandi Ngozi Adichie
An American Sickness: How Healthcare Became Big Business and How You Can Take It Back by Elisabeth Rosenthal
Beloved by Toni Morrison
Between the World and Me by Ta-Nehisi Coates
Birthing Liberation: How Reproductive Justice Can Set Us Free by Sabia Wade
Black Boy by Richard Wright
Black Fortunes: The Story of the First Six African Americans Who Escaped Slavery and Became Millionaires by Shomari Wills
Black Is the Body: Stories from My Grandmother's Time, My Mother's Time, and Mine by Emily Bernard
Black Widow: A Sad-Funny Journey Through Grief for People Who Normally Avoid Books with Words Like "Journey" in the Title by Leslie Gray Streeter
Conditional Citizens: On Belonging in America by Laila Lalami
Frederick Douglass: Prophet of Freedom by David W. Blight
Hood Feminism: Notes from the Women That a Movement Forgot by Mikki Kendall
How to Be an Antiracist by Ibram X. Kendi
How to Be Less Stupid About Race: On Racism, White Supremacy, and the Racial Divide by Crystal Marie Fleming
I'm Still Here: Black Dignity in a World Made for Whiteness by Austin Channing Brown
Just Mercy: A Story of Justice and Redemption by Bryan Stevenson
Lakewood by Megan Giddings
Long Walk to Freedom: The Autobiography of Nelson Mandela by Nelson Mandela
Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present by Harriet A. Washington
Mediocre: The Dangerous Legacy of White Male America by Ijeoma Oluo
Minor Feelings: An Asian American Reckoning by Cathy Park Hong
My Grandmother’s Hands: My Grandmother's Hands: Racialized Trauma and the Pathway to Mending Our Hearts and Bodies by Resmaa Menakem
Notes of a Native Son by James Baldwin
Racecraft: The Soul of Inequality in American Life by Karen E. Fields
Rage Becomes Her: The Power of Women's Anger by Soraya Chemaly
Policing the Black Man: Arrest, Prosecution, and Imprisonment by Angela J. Davis
Sister Citizen: Shame, Stereotypes, and Black Women in America by Melissa V. Harris-Perry
So You Want to Talk about Race by Ijeoma Oluo
The Absolutely True Diary of a Part-Time Indian by Sherman Alexie
The Awkward Thoughts of W. Kamau Bell: Tales of a 6' 4", African American, Heterosexual, Cisgender, Left-Leaning, Asthmatic, Black and Proud Blerd, Mama's Boy, Dad, and Stand-Up Comedian by W. Kamau Bell
The Color of Law: A Forgotten History of How Our Government Segregated America by Richard Rothstein
The Heartbeat of Wounded Knee: Native America from 1890 to the Present by David Treuer
The New Jim Crow: Mass Incarceration in the Age of Colorblindness by Michelle Alexander
They Were Her Property: White Women as Slave Owners in the American South by Stephanie E. Jones-Rogers
Things That Make White People Uncomfortable by Michael Bennett
This Will Be My Undoing: Living at the Intersection of Black, Female, and Feminist in (White) America by Morgan Jerkins
We Were Eight Years in Power: An American Tragedy by Ta-Nehisi Coates
When They Call You a Terrorist: A Black Lives Matter Memoir by Patrisse Kahn-Cullors
Why Are All the Black Kids Sitting Together in the Cafeteria? by Beverly Daniel Tatum
Wow, No Thank You: Essays by Samantha Irby