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Meet two women doing their part to combat racial inequities in preterm birth

Updated: Nov 18, 2022

November is Prematurity Awareness Month. Premature babies can face complicated medical setbacks including infections, asthma, stomach complications, hypothermia, bleeding in the brain – the list goes on. The earlier your baby is born, the higher the risk of complications.

In Minnesota, the preterm birth rate among Indigenous women is 46% higher than the rate of other women and 31% higher for Black women. Why? According to the Mayo Clinic’s website, the reasons are unknown.

Dr. Rachel Hardeman, a professor and researcher at the University of Minnesota’s School of Public Health, disputes that claim. “For as long as we’ve been collecting data, inequities in preterm birth have persisted. Even as the United States has lowered its overall infant mortality rate, the gap between white infants versus Black and Indigenous infants has persisted,” she said.

My research - and that of many others across the country - has demonstrated that racism - not race - is a fundamental cause of racial inequities in preterm birth.

Health professionals should consider understanding the historic and contemporary impacts of structural racism to be a core professional competency.”

Widlyne Desir is a doula and massage therapist at Desir Holistic Therapy in the Twin Cities. “The things I have witnessed in Minnesota as a doula are horrific,” she said. “I have seen how they treat women of color versus treatment of white women. The darker your skin, the more problems you encounter.”

With both her pregnancies, Widlyne went into labor early and felt unseen and unsafe with the care she received at the hospital. When she was five months pregnant with her first child, Widlyne was taken by helicopter to St. Cloud Hospital in active labor.

Widlyne’s daughter (middle) weighed 4 lbs 4 oz at birth; small enough to wear doll clothing

Once there, she was given medicine to stop her contractions and then - to her surprise - was discharged and sent back to her doctor, a 90 minute car ride away.

Widlyne was put on total bed rest for two months before bringing a small but healthy baby girl into the world.

Her second pregnancy was with twin boys. “Since I went into labor early with my daughter, I was high risk for another pre-term birth. I had a checkup at 27 weeks and once again, I was in labor.”

This time, her doctor sent her to the Mother Baby Center at Children’s Minnesota.

“A male doctor came in, he didn’t even introduce himself to me, and stated I would be prepped for surgery.” Widlyn asked instead for medicine to stop her contractions. The doctor told her, “There is not such thing,” and Widlyne panicked.

Widlyne Desir’s twin boys were born six weeks early and weighed 3 lb 2 oz and 3 lb 12 oz

“I started screaming at the top of my lungs, ‘You’re trying to murder my babies!’ over and over again. The doctor left the room while I cried and came once I stopped to tell me they found the medicine — and didn’t speak to me again after that.”

Widlyne’s twins were born six weeks early. Because of how she was treated, she didn’t trust that the doctors and nurses would treat her babies any better.

“I was so scared to leave their side,” she said. “They kept trying to get me to go home, and I refused.”