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Black Maternal Health: a 360-Degree Look at Black Midwives

July 14, 2026

Dr. Kaytura Felix, a researcher at Johns Hopkins Bloomberg School of Public Health, is leading the Black Birthing Futures study to examine how Black midwives address the maternal healthcare crisis through comprehensive, community-based care that extends beyond traditional medical approaches. After two decades studying health disparities, Felix shifted focus to investigate what the Black community itself was doing to combat the Black maternal mortality crisis, discovering that Black midwives provide holistic, family-centered care that considers social determinants of health including poverty, racism, and environmental factors. The research reveals that Black midwives offer extended postpartum visits, nutritional education, and emotional support that differs significantly from conventional fifteen-minute medical appointments, though they represent fewer than ten percent of the approximately 14,500 certified midwives in the United States.

Who is affected

  • Black mothers and pregnant women experiencing maternal health complications and mortality
  • Black midwives (fewer than 10% of approximately 14,500 certified midwives nationally)
  • Families of pregnant Black women
  • Black communities in historically underinvested neighborhoods
  • Doulas working in hospitals
  • Certified Nurse Midwives, Certified Professional Midwives, and lay midwives
  • Dr. Kaytura Felix and her research team
  • Clients of Black midwives across five cities (Jacksonville, Philadelphia, Kansas City, Los Angeles, and Honolulu)
  • The broader midwifery profession experiencing internal fragmentation
  • Funders and policymakers addressing maternal health

What action is being taken

  • Dr. Kaytura Felix is leading the Black Birthing Futures study, a multi-city research project examining Black midwives' community-based care approaches
  • Black midwives are providing restorative, holistic care including home visits, postpartum support, nutritional education, and family-centered care
  • Doulas are working in hospitals to reduce stress on mothers and help catch complications early
  • Community births are taking place in birth centers and homes as alternatives to hospital births
  • Felix and her team are conducting interviews with midwives, clients, families, and collaborators across five cities
  • Felix is producing and distributing the Deep Care podcast on Spotify to raise awareness about birthing options and correct misinformation
  • A movement is underway to harmonize different midwifery training tracks and certifications

Why it matters

  • This work matters because the United States faces persistently high maternal mortality rates, with Black women disproportionately affected by pregnancy-related complications and death. Black midwives provide an evidence-based alternative model of care that addresses root causes including structural racism, poverty, and environmental stressors that leave Black Americans entering pregnancy already "weathered" from living in underinvested communities. The research demonstrates that community-based midwifery care—which treats pregnancy as a family event rather than solely a medical procedure—can reduce cesarean rates, increase satisfaction with care, and address the postpartum period when most maternal deaths occur. Understanding and scaling these solutions is critical because conventional institution-driven medical care overlooks the comprehensive support systems that Black midwives naturally provide, and highlighting these proven community-based approaches offers actionable solutions rather than simply documenting problems.

What's next

  • Expand the footprint for midwifery nationwide
  • Improve transitions from community midwifery care to hospital care
  • Dispel myths and change narratives about Black midwifery and Black birth
  • Support pregnant people in communities through funding
  • Fund community-based birth centers and training programs for doulas and midwives
  • Advocate for midwife-friendly policies in both community and hospital settings
  • Encourage hospitals to adopt more aspects of the midwifery model of care focused on family support
  • Resolve fragmentation within the midwifery profession to enable unified advocacy and funding
  • Continue research efforts as Felix acknowledges "we've only begun to scratch the surface"

Read full article from source: The San Diego Voice & Viewpoint

Black Maternal Health: a 360-Degree Look at Black Midwives