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It was 2007. Tudor, a Black woman, was 24 years old. During the delivery, she needed two blood transfusions and couldn’t see her son immediately after giving birth to him, she said.

But while labor and delivery are thought to be the most dangerous time in pregnancy, studies show it’safter mother and baby come homewhen most deaths occur, according to theUS Centers for Disease Control and Prevention.

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Her manner of death was ruled natural, and the report found there had been “possible complications,” including “respiratory distress and eclampsia.”

Eclampsia is an especially severe pregnancy-related complication and can happen when a mother’sblood pressure gets too high.

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Black babies aremore likely to diethan any other racial or ethnic group, the agency found. They are also far more likely to be born prematurely, setting them up for health issues that could follow through their lives.

“The important thing for me is the advocacy. That’s what was missing in my birthing story,” Tudor said. “I didn’t know that I could say, ‘no.’ I didn’t know that I could switch providers. I didn’t know that I had all these different options.”

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“Black women are telling us that they don’t feel seen, they don’t feel heard; that they feel dismissed, ignored and feel undervalued by our health care system,” Thomas said. “We have people who feel afraid to give birth, that something will happen to them.”

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“It’s really scary, I think, for people to sit with the statistical information, we know what it is. We know it’s alarming, we know that it’s unsettling and yet we still have to make improvements. We still have to build towards a future where birth is safe,” Thomas said.

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Cost is one of the major obstacles to hiring doulas. Kiyoko Ray was pregnant with her seventh child when she decided to hire doula Zania Mathis. Cost was a major factor in her decision.

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“In the Black community, we’re told we don’t need a doula. It is looked at something as far as luxury goes. Look at the numbers, look at the data. We need doulas more than any other race,” Mathis said.

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“I’ve seen a mom code. I’ve seen mom’s contractions completely stop,” Mathis said. “I’ve seen a mom completely neglected in active labor, having to wait in the (hospital) waiting room.”

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