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Something Was Wrong

S23 Ep14: Black Maternal Health and Reproductive Justice with Dr. Ndidiamaka Amutah-Onukagha, PhD, Founder CBMHRJ

15 May 2025

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*Content warning: birth trauma, medical trauma, medical neglect, racism, death of an infant, infant loss, death, maternal loss, mature and stressful themes. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources     Center for Black Maternal Health & Reproductive Justice: https://blackmaternalhealth.tufts.edu/ Center for Black Maternal Health & Reproductive Justice Instagram: https://www.instagram.com/cbmhrj_tufts/ Center for Black Maternal Health & Reproductive Justice Facebook: https://www.facebook.com/CBMHRJTufts/ Center for Black Maternal Health & Reproductive Justice LinkedIn: https://www.linkedin.com/company/cbmhrjtufts/ Sources:  Addressing Transportation Barriers to Improve Healthcare Access in Arizona https://repository.arizona.edu/handle/10150/674794  Advancing Health Equity and Value-Based Care: A Mobile Approach https://info.primarycare.hms.harvard.edu/perspectives/articles/mobile-clinics-in-the-us-health-system#:~:text=Mobileclinicsareaproven,thecriticalweeksafterbirth  American College of Nurse Midwives https://midwife.org/  American College of Obstetricians and Gynecologists (ACOG) https://www.acog.org/   Birth Centers in Massachusetts https://baystatebirth.org/birth-centers  A Brief History of Midwifery in America https://www.ohsu.edu/womens-health/brief-history-midwifery-america  Clinical outcomes improve when patient’s and surgeon’s ethnicity match, study shows https://www.uclahealth.org/news/article/clinical-outcomes-patients-surgeons-concordance The Controversial Birth of American Gynecology https://researchblog.duke.edu/2023/10/27/the-controversial-birth-of-american-gynecology/  'Father Of Gynecology,' Who Experimented On Slaves, No Longer On Pedestal In NYC https://www.npr.org/sections/thetwo-way/2018/04/17/603163394/-father-of-gynecology-who-experimented-on-slaves-no-longer-on-pedestal-in-nyc  Governor Healey Signs Maternal Health Bill, Expanding Access to Midwifery, Birth Centers and Doulas in Massachusetts https://www.mass.gov/news/governor-healey-signs-maternal-health-bill-expanding-access-to-midwifery-birth-centers-and-doulas-in-massachusetts#:~:text=GovernorHealeySignsMaternalHealthBillCExpanding,ExecutiveOfficeofHealthandHumanServices   Governor Murphy Signs Bill Establishing Maternal and Infant Health Innovation Center https://www.nj.gov/governor/news/news/562023/approved/20230717a.shtml  Helping Mothers and Children Thrive: Rethinking CMS’s Transforming Maternal Health (TMaH) Model https://www.milbank.org/quarterly/opinions/helping-mothers-and-children-thrive-rethinking-cmss-transforming-maternal-health-tmah-model/#:~:text=TheTransformingMaternalHealth(TMaH)Model&text=TheTMaHModelfocuseson,midwiferyservicesanddoulacare   The Historical Significance of Doulas and Midwives https://nmaahc.si.edu/explore/stories/historical-significance-doulas-and-midwives Infant Health and Mortality and Black/African American https://minorityhealth.hhs.gov/infant-health-and-mortality-and-blackafrican-americans#:~:text=In2022%2Ctheinfantmortality,Figure2   Legislature Passes Comprehensive Maternal Health Bill https://malegislature.gov/PressRoom/Detail?pressReleaseId=136 Life Story: Anarcha, Betsy, and Lucy https://wams.nyhistory.org/a-nation-divided/antebellum/anarcha-betsy-lucy/ Management of Postpartum Hemorrhage in Low- and Middle-Income Countries: Emergency Need for Updated Approach Due to Specific Circumstances, Resources, and Availabilities https://pmc.ncbi.nlm.nih.gov/articles/PMC11643001/#:~:text=EtiologyandRiskFactorsof,insufficienttreatment%E2%80%9D%5B50%5D  March of Dimes https://www.marchofdimes.org/peristats/about-us       Maternity Care Desert https://www.marchofdimes.org/peristats/data?top=23  Maternal deaths and mortality rates by state, 2018-2022 https://www.cdc.gov/nchs/maternal-mortality/mmr-2018-2022-state-data.pdf   Maternal Mortality in the United States After Abortion Bans https://thegepi.org/maternal-mortality-abortion-bans/#:~:text=In2023%2CTexas'smaternalmortality,suffermaternaldeathin2023   Maternal Mortality in the U.S Declined, though Disparities in the Black Population Persist https://policycentermmh.org/maternal-mortality-in-the-u-s-a-declining-trend-with-persistent-racial-disparities-in-the-black-population/ Maternal Mortality Is on the Rise: 8 Things To Know https://www.yalemedicine.org/news/maternal-mortality-on-the-rise  Maternal Mortality: How the U.S. Compares to Other Rich Countries https://www.usnews.com/news/best-countries/articles/2024-06-04/how-the-u-s-compares-to-other-rich-countries-in-maternal-mortality Maternal Mortality Rates in the United States, 2021 https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2021/maternal-mortality-rates-2021.htm#:~:text=In2021%2C1%2C205womendied,20.1in2019(Table)  Medical Exploitation of Black Women https://eji.org/news/history-racial-injustice-medical-exploitation-of-black-women/ National Midwifery Institute https://www.nationalmidwiferyinstitute.com/midwifery      National Counsel of State Boards of Nursing https://www.ncsbn.org/ North American Registry of Midwives (NARM) https://narm.org/         Outcome of subsequent pregnancies in women with complete uterine rupture: A population-based case–control study https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.14338#:~:text=outcomesarerare.-,1INTRODUCTION,experienceacompleteuterinerupture.&text=Completeuterineruptureisdefined,completeruptureofthemyometrium   Pregnancy-Related Deaths: Data From Maternal Mortality Review Committees in 36 U.S. States, 2017–2019 https://www.cdc.gov/maternal-mortality/php/data-research/mmrc-2017-2019.html  Preterm Birth https://www.cdc.gov/maternal-infant-health/preterm-birth/index.html#:~:text=Pretermbirthrates&text=In2022%2Cpretermbirthamong,orHispanicwomen(10.1%25)    Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them https://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-disparities-in-maternal-and-infant-health-current-status-and-efforts-to-address-them/ The Racist History of Abortion and Midwifery Bans https://www.aclu.org/news/racial-justice/the-racist-history-of-abortion-and-midwifery-bans  Reducing Disparities in Severe Maternal Morbidity and Mortality https://pmc.ncbi.nlm.nih.gov/articles/PMC5915910/#:~:text=Severemorbidityposesanenormous,ofseverematernalmorbidityevents   State investigating Dallas birth center and midwives, following multiple complaints from patients https://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef       The State of Telehealth Before and After the COVID-19 Pandemic https://pmc.ncbi.nlm.nih.gov/articles/PMC9035352/  Texas Department of Licensing and Regulation (TDLR) https://www.tdlr.texas.gov/      U.S. maternal death rate increasing at an alarming rate<...

Audio
Transcription

Full Episode

0.329 - 23.699 Amy

Wondery Plus subscribers can listen to Something Was Wrong early and ad-free right now. Join Wondery Plus in the Wondery app or on Apple Podcasts. Something Was Wrong is intended for mature audiences. This season contains discussions of medical negligence, birth trauma, and infant loss, which may be upsetting for some listeners.

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24.579 - 47.538 Amy

For a full content warning, sources, and resources, please visit the episode notes. Opinions shared by the guests of the show are their own and do not necessarily represent the views of myself, Broken Cycle Media, and Wondery. The podcast and any linked materials should not be misconstrued as a substitution for legal or medical advice.

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48.49 - 69.059 Amy

Origins birth and wellness owners and midwives Caitlin Wages and Gina Thompson have not responded to our requests for comment. Additionally, midwives Jennifer Crawford and Elizabeth Fuel have also not returned our request for comment. This season is dedicated with love to Malik.

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108.294 - 130.775 Tiffany Reese

Hi friends, this is Amy B. Chesler. As season 23 has progressed, and especially over the last couple weeks, many additional brave survivors have reached out to us to share their experiences. With that comes a lot of new evidence, and because we need to follow up on and fact-check every lead before airing the season finale, we need some extra time.

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131.776 - 145.581 Tiffany Reese

In the meantime, today's special episode features a conversation between the Broken Cycle Media team and Dr. Ndidiya Maka Amuta Onukaga, founder and director of the Center for Black Maternal Health and Reproductive Justice.

146.282 - 163.651 Tiffany Reese

This season, it was extremely important to have an honest conversation about the state of maternal health in America, especially for Black birthing people and other marginalized communities. We deeply appreciate Dr. Amuta Onukaga for sharing her time and expertise with us.

164.151 - 174.621 Tiffany Reese

Please don't forget to show your support for her and her organization by visiting the episode notes and finding out more about what they're doing to improve maternal and neonatal health in America.

181.493 - 198.604 Dr. Ndidiya Maka Amutah-Onukagha

Good afternoon, everybody. My name is Dr. Mutana Kaga. I am the founder and director of the Center for Black Maternal Health and Reproductive Justice, as well as the founder and director of the Mother Lab, which is a large research lab dedicated to training the next generation of maternal health scholar activists. I have 35 students in that lab.

199.185 - 204.668 Dr. Ndidiya Maka Amutah-Onukagha

I'm also a dean here in the School of Medicine and I have a consulting company. Thanks for having me.

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