Pregnancy is a transformative journey—one filled with joy, uncertainty, strength, and deep love. For Black women, however, the journey to motherhood can also come with added challenges due to systemic disparities in maternal health. Whether this is your first pregnancy or you’re preparing to welcome another child, understanding how to care for your body, protect your mental health, and build a strong support system is essential.

This resource is for you: the Black mother-to-be. Navigating the medical system and connecting with doulas, midwives, and mental health support are key steps to centering your wellness and safety during pregnancy—here’s what you need to know.

In today’s article, you will discover:

• The realities of Black maternal health and what’s driving health disparities
• Why culturally competent prenatal care makes a difference
• How doulas and midwives support Black mothers before, during, and after birth
• Ways to protect your mental health throughout pregnancy
• How to build a support system that truly shows up for you
• What Black Maternal Health Week is and why it matters
• Empowering resources to guide and support your pregnancy journey

 

Understanding the Realities: Black Women and Maternal Health

Black women in the United States are nearly three times more likely to die from pregnancy-related causes than white women. This disturbing statistic—known as the Black women maternal mortality rate—has nothing to do with biology and everything to do with inequity. Systemic racism, implicit bias in healthcare, and a lack of access to high-quality care contribute to higher risks for Black mothers and Black babies.

According to the CDC, about 80% of maternal deaths are preventable. These numbers highlight the urgent need to prioritize Black maternal health through advocacy, education, and community care.

Prioritizing Culturally Competent Prenatal Care and Informed Choices

Good prenatal care is key to a healthy pregnancy. Early and regular visits to a trusted healthcare provider can help identify potential risks, ensure your baby is developing properly, and support your overall health.

When seeking care, consider these steps:

• Find a culturally competent provider: Not all OB/GYNs are trained to recognize their own biases or provide affirming care to Black patients. Don’t be afraid to switch doctors if you feel dismissed or unheard.

• Track your own symptoms: Keep a journal of physical and emotional changes. Bring your concerns to appointments and trust your instincts.

• Ask questions: You deserve to understand every test, procedure, and recommendation. If something doesn’t feel right, speak up—or bring someone with you who will.

Doulas and Midwives: A Holistic Approach to Care

Black mothers are increasingly turning to doulas and midwives to support their births. Unlike traditional doctors, doulas offer emotional, physical, and informational support throughout pregnancy, labor, and postpartum recovery. Midwives—especially those trained in the midwifery model of care—focus on personalized, patient-centered support.

Studies show that women giving birth with the help of a doula or midwife often experience:

• Lower rates of C-sections

• Reduced labor times

• Fewer birth complications

• Increased satisfaction with their birth experience

Organizations like The National Black Doulas Association and Black Midwives Alliance can help you find a trusted provider who reflects your values and understands your needs.

Protecting Pregnancy Mental Health for Black Women

Pregnancy mental health is just as important as physical health, but it’s often overlooked. Anxiety, depression, and stress can arise at any stage of pregnancy—and Black women are less likely to be properly screened or treated.

Here are ways to prioritize your mental well-being:

• Talk to a culturally competent therapist who specializes in perinatal or maternal mental health.

• Build in time to rest and reflect, even if your schedule is packed.

• Join support groups (in-person or online) to connect with other Black women navigating pregnancy.

• Limit exposure to triggering news or social media that amplifies stories of Black pain without offering healing or solutions.

Black therapists and mental health organizations like Therapy for Black Girls, The Loveland Foundation, and Black Mamas Matter Alliance are great places to start.

Creating a Circle of Support

It takes a village to raise a child—and that village begins during pregnancy. From partners to parents, friends to faith leaders, lean into your community.

Ways to build your support system:

• Assign a pregnancy advocate who can help communicate your needs at medical appointments.

• Make a postpartum plan that includes meals, rest, and help with chores or child care.

• Celebrate every milestone, whether it’s a baby shower or a quiet moment to bond with your growing baby.

Black Maternal Health Week

Black Maternal Health Week, held each April, is a great time to plug into national conversations and find local events, resources, and workshops focused on Black pregnancy and wellness.

H2: Pregnancy Education & Resources that Empower Women of Color

Knowledge is power. Educating yourself about your rights, body, and care options can protect you and your baby throughout the pregnancy journey.

Helpful resources include:

• The Black Mamas Matter Alliance (BMMA)

• March for Moms

• SisterSong

• Mama Glow

These organizations advocate for reproductive justice, provide birthworker training, and offer comprehensive support for Black mothers and birthing people.

Every Black woman deserves to experience pregnancy with dignity, joy, and peace. You deserve to be heard, respected, and supported. Whether you’re choosing a doula, speaking up in the delivery room, or tending to your pregnancy mental health, remember this: you are not alone.

Black pregnancy is beautiful, sacred, and powerful. And with the right tools, care, and community, you can thrive.

Resources to Bookmark:

• Black Mamas Matter Alliance

• National Black Doulas Association

• Therapy for Black Girls

• SisterSong

• Mama Glow

Share this with another Black mother-to-be, and remind her that her life, voice, and baby matter—every step of the way.