We cannot protect what we refuse to name. And we cannot save Black womenās lives while allowing the world to blur, dilute, or silence the very people
We cannot protect what we refuse to name.
And we cannot save Black womenās lives while allowing the world to blur, dilute, or silence the very people most affected.
These two realities cannot coexist.
Because every kind of erasure ā historical, medical, linguistic, statistical, spiritual ā weakens the ground we stand on when we fight for dignity, protection, and life-saving care.
Hereās why:
And without that data, institutions feel safe saying:
āWe donāt see a problem.ā
āWe donāt see racial disparities.ā
āThe outcomes arenāt that different.ā
But these claims fall apart the moment you look at the work of Dr. Joia Crear-Perry of the National Birth Equity Collaborative, who has documented for years that Black womenās maternal deaths are not only higherāthey are preventable.
They fall apart when you read Dr. Monica McLemore, who shows that the disparities remain even among healthy, educated, insured Black women.
They fall apart when you hear Serena Williams, nearly dying in childbirth despite wealth, fame, and access, say plainly: āNo one was listening to me.ā
They fall apart when you look at CDC data showing Black women are 3 to 4 times more likely to die from pregnancy-related causes than white women ā a statistic repeated by:
The CDC
The National Institutes of Health
The Black Mamas Matter Alliance
The March of Dimes
So no ā the outcomes arenāt the same.
They never have been.
We feel the difference in our bodies.
We see the difference in our families.
And we carry the difference in our grief.
ā 2. Erasure removes accountability.
If the system can pretend Black women arenāt being harmed,
then the system can also pretend no one is responsible.
But naming who is harmed is the first step toward
naming who must change.
Accountability begins with clarity.
ā 3. Erasure removes urgency.
When Black womenās deaths are buried under āgeneral maternal outcomes,ā
the crisis becomes invisible.
Invisible crises do not get funding.
They do not get policy change.
They do not get the respect needed to make institutions move.
Urgency disappears when the people in danger are erased.
ā 4. Erasure removes cultural wisdom.
Black women have always carried knowledge about birth ā
the rituals, the bonding, the care, the postpartum watching-over,
the ways our mothers and grandmothers knew how to hold life and heal it.
When we erase Black women, we erase the lineage that could save lives today.
We lose:
midwives
doulas
birth workers
aunties
the cultural memory that has always kept us alive
Doulas and midwives ā especially historically Black midwives ā were rooted in:
relational care
cultural knowledge
continuity
trust
staying with the mother
attending to the whole body
honoring both spirit and science
respecting the motherās voice
They cared for women long before the medical system took over childbirth.
Erasure steals wisdom from the future.
ā 5. Erasure removes the right to be heard.
When our language, our boundaries, our sex-based realities,
our medical pain, and our survival experiences are rewritten or dismissed,
advocacy becomes a hollow echo.
We end up fighting for an issue
without being allowed to say who is suffering.
Advocacy cannot survive in a space where truth is not permitted.
ā 6. Black maternal health requires visibility ā not dilution.
When we name Black women,
weāre not excluding anyone.
Weāre protecting the group most endangered.
Clarity is not divisive.
Clarity is life-saving.
When we lose clarity,
we lose focus.
And when we lose focus,
Black women die.
This is not symbolic.
This is not theoretical.
This is life and death for our daughters, sisters, aunties, mothers, and friends.
šæ We cannot fight for Black maternal health if our society allows Black women to disappear.
Visibility is light for life.
Naming is light for life.
Truth is light for life.