Dawnette Lewis, MD, MPH on maternal health, birth complications for Black patients, and solutions

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Sign up for our acclaimed free newsletter Editorially Black with the top Racial Equity stories of the day to your inbox!at North Shore University Hospital, about maternal health issues, birth complications for Black patients, and potential future solutions. This interview has been edited and condensed for clarity.It’s a program that started during the pandemic, when patients were being discharged early from the hospital, and it started at three of our hospitals that had.

I think it’s also the way Black women are treated when they’re entered in the healthcare system. I also think that the support that you have in labor and delivery is important. I think your nurses in labor and delivery are important. There are multiple factors that contribute to poor outcomes.As simple as it seems, a lot of it is education.

It’s also important for patients to be on medications that aren’t contraindicated in pregnancy because some medications can cause anomalies in the baby. What often happens is someone who has chronic hypertension, , then stopped. Then the patient has to wait until they present to an obstetrician or midwife or maternal fetal medicine specialists before they can get restarted on their medications to control blood pressure.

Those are opportunities where patients can be educated before delivery. We certainly continue to educate our patient population and our staff, our nurses, our physicians, about implicit bias training in the disparate outcomes for our Black birthing patients.Oftentimes, being a new mom—or even if you’re a second-time mom, it can be overwhelming.

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