The alarming surge in unnecessary C-sections impacts Black women’s health

This disparity is ultimately costing Black communities financially and with lives
c-sections
Photo credit: Shutterstock.com/ Chvan Ilona

As the 2024 election approaches, one of the most pressing issues for Black voters is reproductive justice, particularly concerning Black maternal health outcomes. Recent statistics from the CDC reveal that Black women are three times more likely to die from pregnancy-related complications compared to their white counterparts. This alarming disparity highlights the urgent need for systemic change in health care practices, especially regarding childbirth.

Racial disparities in C-section deliveries

A new study conducted by the National Bureau of Economic Research has uncovered significant racial disparities in the rates of unscheduled C-sections among mothers. Analyzing nearly one million hospital births in New Jersey, researchers found that Black mothers are over 20 percent more likely to undergo C-sections than non-Hispanic white mothers, even when treated by the same health care provider.


This study raises critical questions about the motivations behind these medical decisions. It was noted that the likelihood of Black mothers undergoing C-sections increased when hospitals were less busy, suggesting that financial incentives may play a role in these decisions. As reported by The New York Times, this connection implies that some health care providers may prioritize hospital scheduling and profitability over the well-being of their patients.

The financial burden of C-sections

C-sections, while sometimes necessary for the safety of mother and child, can lead to significant health risks and financial burdens. According to the March of Dimes, over 30 percent of live births in the U.S. in 2022 were delivered via C-section. While these procedures can prevent serious complications, they also carry risks such as infection, organ injury and blood clots.


Moreover, the financial implications are staggering. In 2022, the average cost of a C-section for uninsured individuals or those receiving out-of-network care exceeded $35,000. This financial strain can lead to overwhelming medical debt, particularly for Black families who might already face economic disadvantages.

Addressing racial bias in health care

Many Black women report feeling unheard and marginalized in medical settings, which can exacerbate health disparities. Research has shown that racial bias in pain assessment and treatment can lead to inadequate care for Black patients. A study published in the Journal of the American Medical Association highlights how misconceptions about Black women’s pain tolerance can influence treatment decisions — often to their detriment.

Steps to take to alleviate — if not stop — this injustice

The findings from recent studies underscore the urgent need for health care reform that prioritizes the health and well-being of Black mothers and other birthing people. Addressing the systemic issues that contribute to these disparities is essential for improving birthing health outcomes. This includes advocating for equitable health care practices, increasing awareness of racial biases in medical treatment, and ensuring that all birthing people receive the care they deserve.

As we approach the 2024 elections, it is crucial for Black voters to consider candidates who prioritize maternal health and advocate for policies that address these disparities. By raising awareness and pushing for change, we can work towards a future where all mothers — regardless of race — have access to safe and equitable health care during childbirth.

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