Homicide was the leading cause of death for pregnant and postpartum women in the U.S. in 2018 and 2019 – exceeding all top causes of maternal death “by more than twofold,” found authors of a recent study published in Obstetrics and Gynecology.
Andreae Lloyd was working an overnight shift at the Miami-area group home she managed when she called her godmother to say she was ready to leave her boyfriend of 11 years.
Experts say the alarming statistics reflect a grave nationwide public health concern, with the inequity adding urgency to widen the lens on maternal mortality causes, track them better and raise domestic violence awareness.As a Black woman in the field, Dr. Andrea Jackson, an obstetrician and gynecologist and professor at the University of California, San Francisco, said the findings triggered anger and sadness.
And on Wednesday in Jackson, Mississippi, Keyunta McWilliams, 23, was eight months pregnant when she was shot and killed, local news outletsPregnant or postpartum Black women and girls were more than three times as likely as white women to be killed by an intimate partner, the study found, and eight times more likely than non-pregnant Black women.
"We really need to be screening for this, not once, not twice, but probably at every visit while a woman is pregnant or coming in for her postpartum visit," she said. "If the patient chooses to tell you 'no,' that's not the end of the story." “Most of the time, abuse during pregnancy and around the time of pregnancy does not escalate to a homicide. One of the things we need to work on, is what differentiates those cases where it does escalate to a homicide,” Campbell said. “We have to do a better job in prenatal care, helping pregnant women disclose if they're being abused.”is identified, the assailant is most often an intimate partner. Abusive partners are often obsessively jealous and controlling, Campbell said.
Community service organizations, along with clinicians, also need to be aware if a pregnant woman is living in a high-crime neighborhood, Campbell said.“If a woman's pregnant and she's living in a highly dangerous neighborhood, it's not like the obstetrician is going to be able to magically get her into a better living situation or a better neighborhood, but they do need to think about that” and refer her to services or shelters, she said.
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