Black Maternal Health in Texas

This is not an easy topic, but it is an important one. Black mothers deserve the truth, delivered with care, and a plan to protect themselves.

The facts

Texas has one of the highest maternal mortality rates among U.S. states, and Black women face a significantly higher risk than white women (U.S. Commission on Civil Rights, Texas Advisory Committee). These gaps are not explained by personal choices. They reflect differences in access, in how symptoms are heard, and in the quality of care.

What you can do

• Choose a provider who listens. You should leave every visit feeling heard.
• Know the warning signs of high blood pressure and preeclampsia: severe headache, vision changes, sudden swelling, pain under the ribs. These can occur up to six weeks after birth.
• Bring someone with you. A partner, doula, or friend can help speak up.
• Ask "what else could this be?" if a concern is dismissed.
• Write it down. Keep a simple log of symptoms and questions.

Why the midwifery model matters

Midwifery care typically means longer visits, the same provider throughout, and care that continues into the home after birth. That relationship is a form of protection.

This content is for general education and is not a substitute for individualized medical care. Always talk with your midwife or health care provider about your situation. If you are experiencing an emergency, call 911.