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Well Being

COVID-19 has made the overlooked Black maternal health crisis even more vital to address

COVID-19 has made the overlooked Black maternal health crisis even more vital to address
Photo by Andre Adjahoe on Unsplash

"New normal." That's the phrase ushered in by the novel coronavirus and the devastating scourge of death from COVID-19. "New normal" is the only way we as a collective can explain our current way of life: Social distancing, face mask wearing, working and teaching from home, constantly conferencing over Zoom and scheduling telehealth appointments instead of physically seeing a doctor unless absolutely necessary.

However, not all characteristics of "normal" life are easily converted to digital expression. Specifically, giving birth.

Right now as the United States grapples with more than 100,000 COVID-19 deaths, a resurgence of the virus in a dozen states, and massive demonstrations over the most recent murders of unarmed Black men and women, there is one crisis that is not getting the same attention, a crisis that has been allowed to linger and fester in this country for decades: The glaring disparity in the maternal death rate and infant mortality rate for Black mothers and their newborns.


Pre-pandemic numbers show that Black women are three to four times more likely to die during childbirth than are white women, and Black infants are twice as likely to die at birth or immediately after than are white infants.

"The thought of losing a child that didn't even get a chance to live life is truly terrifying," says Rebecca Merriweather, who recently gave birth to a baby girl.

Merriweather wasn't aware of the statistics surrounding Black maternal health and infant mortality when she learned she was pregnant, but already had concerns of her own: "Preeclampsia and possible complications during labor and how to avoid them." Preeclampsia is a pregnancy complication characterized by high blood pressure and is 60% more common in Black women compared to white women.

"Oftentimes women take very good care of themselves," said Certified Nurse Midwife Marsha E. Jackson CNM, MSN, FACNM. "They're often knowledgeable, they're eating right, they're doing all the right things, and they start running into problems with their blood pressure creeping up and things like that and it stems back to our whole healthcare system and all of the hurts we as Black people have experienced for centuries."

To help stave off some of those complications, Dr. Chandra Adams, M.D. has had to find new ways to keep up with her patients health while also providing them the best care.

"We're doing telehealth visits, which works pretty well, but we had to work out getting blood pressure cuffs, encouraging people to buy them, that way if they aren't coming to the office we can keep up with their vital signs," Dr. Adams said.

In the midst of the pandemic some Black women have been taking their birth experience into their own hands, looking for alternatives to decrease their risks and exposure to the coronavirus and any complications that could impose on their pregnancy, labor, and delivery. Those alternatives include midwifery care.

"More Black women go to the hospital to have their babies, but I think with this pandemic we have had an increase in women seeking our services," Jackson said. Jackson is the owner, co-founder, and director of BirthCare & Women's Health, Ltd. based in Alexandria, Virginia, a midwifery practice that caters to clients who have births in their homes or in the BirthCare birth center.

Dr. Adams, The Owner of Full Circle Jax in Jacksonville, Florida runs a private practice with doctors and midwives on staff. While she believes in the midwifery and birth center model, she cautions that it is not for everyone.

"I'm not opposed to out of hospital birth, but I don't think any decisions about birth should be made out of fear . . . You shouldn't run from a hospital because of a perceived danger without understanding what the risks are of delivering outside of the hospital."

Tecoya Harris, currently pregnant with her first child, admits to having mixed feelings about giving birth.

"I feel anxious about delivery due to the fact that I can't anticipate how it will feel," Harris said. "At the same time, my faith is high so I have to trust that God has brought me to this moment because I am ready. Having resources, a strong partner, and a doula also helps bring down some of those anxieties."

Dr. Adams strongly advocates for her moms to have a doula, and also encourages pregnant women to use their voice to advocate for themselves.

"I've been hearing women saying [about health problems] 'I've never brought it up again because I was afraid of what a doctor would say to me,' and so they just stopped talking about their problem. Don't stop talking about your problem! Go find somebody who's going to listen to you, and treat you like someone who respects you, and will find out what's wrong. That's our job. That's literally our job!"

While that may be the job, history shows the healthcare industry has a negative track record when it comes to listening and believing Black women when they say something is wrong.

"The system has done a terrible job of listening to Black women," Dr. Adams said.

Tennis superstar Serena Williams and Olympic-gold medal winner Allyson Felix have both been vocal about their birth experiences, the complications they faced, and how they had to fight to be heard to get well. Yet their stories, though cautionary, still end with a positive outcome. The same cannot be said for Charles Johnson IV who lost his wife Kira in 2015 when she bled to death after the birth of their second child.

"They [were] under the care of a physician, and basically they just let her die," Jackson said, recounting hearing Charles Johnson IV tell his family's story during the 2020 virtual conference of the American College of Nurse Midwives.

Jackson and Dr. Adams believe some of the blame for the Black maternal health crisis lies with ever expanding physician practices.

"One of the biggest problems was when hospitals started to employ physicians," Dr. Adams said. "Physicians, before, when we started we'd hang our shingle and open solo practices. You had the personal care because in the similar fashion of the mom-and-pop shop you were responsible for the level of customer service, and that is how you kept your 'customers' coming back."

Now, many physicians are employed by hospitals or large doctor groups who are more focused on productivity. Dr. Adams said that has led to a decrease in time doctors have with their patients, which can lead to a decrease in care. Because of this, Dr. Adams and Marsha Jackson both say Black women need to educate themselves in every way.

"You have to do research in the beginning. You want to find out what kind of options are available," Jackson said.

"But you're not going to go to medical school," Dr. Adams added. "There's a certain amount that you can't just get from Googling or reading on your own . . . but if you gather enough information about people you'll find what you're looking for."

This advice applied before the pandemic hit. Now, the country's response to COVID-19 has made it all the more important for pregnant Black women to do their research, assess their risks, and have the hard conversations with their doctors.

On her birth experience, Merriweather said, "The labor and delivery ward where I had my child was very meticulous in keeping the section of the hospital cut off from the rest to protect the lives of the mother and baby from the virus. Each doctor and nurse was only allowed to work in that division of the hospital and had to be tested before being allowed in while wearing masks."

For Harris, hearing of positive birth experiences from friends and loved ones has helped to keep her spirits up, even in the face of the pandemic and Black maternal health crises.

"Although it is scary, seeing that other women have had healthy babies and deliveries give me hope," Harris said. "Our bodies were made to do this and we are already amazing moms with every decision we make during pregnancy."

Pandemic or no pandemic, Dr. Adams—who has been focused on the Black maternal health crisis for over a decade—says while this discussion isn't new, people are finally being heard and there is responsibility for doctors and Black women.

"What is unfortunate in the healthcare system is that Black women are not listened to, we are not treated with respect, and we are not believed when we present valid complaints," she said. "[But] what is actually physically killing us is hypertension and hemorrhage. We are not dying from people not being nice to us. We are disenfranchised and we're not receiving the appropriate amount of preventative care, and sometimes responsive care, because of that."

In early March, U.S. Representatives Lauren Underwood, Alma S. Adams, and Senator Kamala Harris introduced the Black Maternal Health Momnibus Act of 2020. The legislation is a package of nine individual bills aimed at "comprehensively addressing every dimension of the Black maternal health crisis." However, the package has received little exposure due to COVID. Once again, Black women, mothers, and their children are left to fend for themselves at a time when Black people are twice as likely to die from COVID than their white peers.

With the future passability of the Black Maternal Health Momnibus Act unknown, and the expected resurgence of COVID-19 in the fall (or until there is a vaccine) the onus remains on Black women to educate and advocate for themselves and their unborn children, and perhaps to seek a collaborative model of care where available.

"Cooperative care between midwives and physicians is essential," Dr. Adams said. "You have to have a midlevel to understand what is normal. [Someone] who has been trained enough to see enough to know what is abnormal and to appropriately refer to someone to handle when something is abnormal."

Images provided by P&G

Three winners will be selected to receive $1000 donated to the charity of their choice.

True

Doing good is its own reward, but sometimes recognizing these acts of kindness helps bring even more good into the world. That’s why we’re excited to partner with P&G again on the #ActsOfGood Awards.

The #ActsOfGood Awards recognize individuals who actively support their communities. It could be a rockstar volunteer, an amazing community leader, or someone who shows up for others in special ways.

Do you know someone in your community doing #ActsOfGood? Nominate them between April 24th-June 3rdhere.Three winners will receive $1,000 dedicated to the charity of their choice, plus their story will be highlighted on Upworthy’s social channels. And yes, it’s totally fine to nominate yourself!

We want to see the good work you’re doing and most of all, we want to help you make a difference.

While every good deed is meaningful, winners will be selected based on how well they reflect Upworthy and P&G’s commitment to do #ActsOfGood to help communities grow.

That means be on the lookout for individuals who:

Strengthen their community

Make a tangible and unique impact

Go above and beyond day-to-day work

The #ActsOfGood Awards are just one part of P&G’s larger mission to help communities around the world to grow. For generations, P&G has been a force for growth—making everyday products that people love and trust—while also being a force for good by giving back to the communities where we live, work, and serve consumers. This includes serving over 90,000 people affected by emergencies and disasters through the Tide Loads of Hope mobile laundry program and helping some of the millions of girls who miss school due to a lack of access to period products through the Always #EndPeriodPoverty initiative.

Visit upworthy.com/actsofgood and fill out the nomination form for a chance for you or someone you know to win. It takes less than ten minutes to help someone make an even bigger impact.

Representative image from Canva

Because who can keep up with which laundry settings is for which item, anyway?

Once upon a time, our only option for getting clothes clean was to get out a bucket of soapy water and start scrubbing. Nowadays, we use fancy machines that not only do the labor for us, but give us free reign to choose between endless water temperature, wash duration, and spin speed combinations.

Of course, here’s where the paradox of choice comes in. Suddenly you’re second guessing whether that lace item needs to use the “delicates” cycle, or the “hand wash” one, or what exactly merits a “permanent press” cycle. And now, you’re wishing for that bygone bucket just to take away the mental rigamarole.

Well, you’re in luck. Turns out there’s only one setting you actually need. At least according to one laundry expert.

While appearing on HuffPost’s “Am I Doing It Wrong?” podcast, Patric Richardson, aka The Laundry Evangelist, said he swears by the “express” cycle, as “it’s long enough to get your clothes clean but it’s short enough not to cause any damage.”

Richardson’s reasoning is founded in research done while writing his book, “Laundry Love,” which showed that even the dirtiest items would be cleaned in the “express” cycle, aka the “quick wash” or “30 minute setting.”


Furthermore the laundry expert, who’s also the host of HGTV’s “Laundry Guy,” warned that longer wash settings only cause more wear and tear, plus use up more water and power, making express wash a much more sustainable choice.

Really, the multiple settings washing machines have more to do with people being creatures of habit, and less to do with efficiency, Richardson explained.

“All of those cycles [on the washing machine] exist because they used to exist,” he told co-hosts Raj Punjabi and Noah Michelson. “We didn’t have the technology in the fabric, in the machine, in the detergent [that we do now], and we needed those cycles. In the ’70s, you needed the ‘bulky bedding’ cycle and the ‘sanitary’ cycle ... it was a legit thing. You don’t need them anymore, but too many people want to buy a machine and they’re like, ‘My mom’s machine has “whitest whites.”’ If I could build a washing machine, it would just have one button — you’d just push it, and it’d be warm water and ‘express’ cycle and that’s it.”
washing machine

When was the last time you washed you washing machine? "Never" is a valid answer.

Canva

According to Good Housekeeping, there are some things to keep in mind if you plan to go strictly express from now on.

For one thing, the outlet recommends only filling the machine halfway and using a half dose of liquid, not powder detergent, since express cycles use less water. Second, using the setting regularly can develop a “musty” smell, due to the constant low-temperature water causing a buildup of mold or bacteria. To prevent this, running an empty wash on a hot setting, sans the detergent, is recommended every few weeks, along with regularly scrubbing the detergent drawer and door seal.

Still, even with those additional caveats, it might be worth it just to knock out multiple washes in one day. Cause let’s be honest—a day of laundry and television binging sounds pretty great, doesn’t it?

To catch even more of Richardson’s tips, find the full podcast episode here.


This article originally appeared on 2.4.24

Science

Bartender in Patagonia takes sustainability to a whole other level

Wait til you see how Federico Gil uses glaciers—yes, glaciers—to distill his signature gin.

Annie Reneau

Federico Gil puts his passion for sustainability into practice.

When people talk about sustainability in the food and drink industry, there's a lot of talk about plastic straws and reducing waste. But at Bar Pionero, the sustainability standard is set much, much higher. They do things I didn't even know were possible, and they don't do things a lot of people—those who put profit before protection of the environment—would do in the name of conservation.

And most of it comes down to the vision of elite bartender Federico Gil.

Gil and his brother founded Bar Pionero 14 years ago, after moving to Chilean Patagonia from Uruguay. The bar sits adjacent to the main lobby of the Las Torres Hotel, just inside Torres del Paine National Park, and with its wall of windows framing a towering mountain, just being in the bar is an experience. The food is good, and as someone who doesn't drink, I was delighted by the incredible mocktail offerings. But the highlight of the bar is Gil himself.


Watching Gil speak about sustainability was mesmerizing, even with him speaking in Spanish and me only understanding a few words of what he said. For the details, I needed the English-speaking translator, but Gil's passion for sustainability needed no translation; it was genuine and palpable.

bartender standing in front of a table full of drink-making materials.

Federico Gil shares how Bar Pionero creates its sustainable cocktails.

Annie Reneau

On a practical level, here are some of the zero-waste practices the bar has implemented:

- Not only do they not use plastic straws but they use signature copper straws. Chile is the world's largest copper producer, so the metal is plentiful. It's also naturally anti-bacterial (though they have a sanitation process they use to clean them, of course).

- They repurpose bottles and jars into drinking glasses and tools for the bartenders. Sometimes they even combine them with copper. Check out this gorgeous glass made from an upside down glass bottle top and copper.

Cocktail glass sitting on a table

Cocktail glass made from a glass bottle top and copper

Annie Reneau

- They make their own mixes, spirits, bitters, vinegars, etc. from the plants that grow naturally in the surrounding landscape as well as from the organic garden on site.

- They also make vinegar by capturing and repurposing the dribbles of beer that come out of the tap after a draft beer is poured.

- They brew their own beer using pure glacial water and hops grown in the garden. The byproduct of the brewing process then goes back into the garden as fertilizer.

glacier

Glacier in Torres del Paine National Park, part of the Southern Patagonia Ice Field

Annie Reneau

- They distill their own gin in small batches, using glacial water, 13 botanicals from the natural landscape and the clay left behind from the moving glaciers. Gil says his goal with the gin is to convey the "spirit of the ice." Glacial gin. Who knew?

The gin is so unique, Gil could certainly make money distributing it around the world, but he refuses. Same with the beer.

"The world doesn't need one more gin or one more beer," he says. The most sustainable way is not to sell it outside the hotel, where it would have to be shipped and transported. "We're not thinking about how much we can sell, but what impact we have," he adds.

It's literally putting their money where their mouth is, knowing they could have a lucrative product on their hands but not capitalizing on it because of the environmental impact that would have. And it's not just a guess—Gil says the bar actually keeps track and calculates their environmental impact using various measures.

bartender painting a rock held in tongs

Federico Gil painting a lemon extraction onto a frozen rock from Torres del Paine National Park

Annie Reneau

On top of all of that, watching Gil craft a cocktail is like watching an artist at work. He's as passionate about creativity as he is about sustainability, and it shows. I watched him light herbs on fire and set a glass bottle top over the flame to capture their essence, then paint a homemade cold extraction of lemon onto a frozen stone from the park, then shake together various liquids created from park botanicals and put it all together into glass made of layers of jar and glass tops.

I'd never seen anything like it, and I've rarely seen anyone who walks the sustainability talk so clearly in their work. It not only gave me hope for the conservation of Torres del Paine and Patagonia (which is stunning—a place bucket lists are made for, seriously), but also made me realize how much we have to learn from one another as we strive to protect our beautiful planet.

If you'd like to see Federico in action, check out this video from my experience there:

This writer was a guest of Las Torres Patagonia. This article was not reviewed by the hotel or anyone associated with it before publication.


America's Got Talent/Youtube

Kodi Lee has become an "AGT" fan favorite with his next level skills


Since 2019, Kodi Lee has wowed “America’s Got Talent” audiences with his next-level musical skills. That goes for whether he’s performing touching original works or putting his own personal touch on well-known songs.

For “America’s Got Talent: Fantasy League,” the music savant was guided by his mentor Howie Mandel to cover “Bohemian Rhapsody” by Queen.

It’s hard to imagine a version of this fan-favorite tune you haven’t already heard before, since the song has been covered quite a few times. But once again Lee delivered something epic and completely unique.


Even though judges Mel B and Heidi Klum still prefer Lee’s original songs, all applauded his haunting and emotional piano rendition of the rock-n-roll anthem.

Simon Cowell even said “You use these words ‘Star Quality’ a lot, but you genuinely, Kodi, over the years we’ve got to know you, you’ve just got better as an artist. You’ve never given up, and the Finals just wouldn’t be the same without you in it this year.”

Other viewers applauded Lee for one-of-a-kind performance, agreeing that he did freddie Mercury proud.

One wrote, “‘You can do whatever you want to do in my music, just don't make it boring’ -Freddie. What a magical performance.”

Another added, “Kodi has an amazingly rare talent to be able to sing across different musical genres. He owns them all!!!”

Last but not least, I think this comment sums up the general consensus pretty well: "This version is unlike anything anyone has ever seen before. It’s truly a masterpiece. Kodi is an amazing gift to our world. He continues to change the world just by being himself."

Watch below. And enjoy.

This article originally appeared on 2.13.24

Representative image. Triplet babies in "Thing" outfits.

Many people believe that someone’s personality can be determined by their birth order within a family. Older siblings are often seen as more responsible and the youngest is frequently characterized as the most laid-back. Although there isn’t much research to back up these claims, there is evidence that birth order can affect someone’s intelligence.

So, does birth order have any effect on multiples? In a unique case like triplets, there can be a small, self-fulfilling prophecy effect. Parents and siblings may project stereotypes onto one another, such as, “You were born first, now you’re first at everything,” or “You were born last, no wonder you’re lazy.”

Triplets on TikTok are going viral because they were never able to have any squabbles about their birth order because they never knew it until they turned 18. Janie Hilbert, 18, shared a video in February featuring her triplet brothers, Luke and Wright, that showed their reaction to learning their birth order for the first time.


The video is touching, but it didn’t reveal the actual order, just their reaction and it was still viewed over 20 million times.

x3 🤷😆

@janie.banie4

x3 🤷😆

After the post, TikTok was shouting for a follow-up video that revealed the results. A few days later, Janie posted a video that revealed their birth order, set to the theme song from “Full House.”

triplet birth order reveal!!!

@janie.banie4

triplet birth order reveal!!!

The post showed that Wright is the oldest, followed by middle child Luke and then Janie. Janie was not excited about being the youngest. “I did not want to be the youngest,” Janie told Today.com. “That’s the one thing I really hoped I hadn’t been waiting 18 years to be the youngest and then here we are.”

The triplets’ parents, Stewart Hilbert and Clay Hilbert, told Today.com why they decided to wait until their 18th birthday to learn the truth about their birth order. The decision was made because Clayton, their oldest child, was born three years before the triplets.

“He was also definitely precocious, a rule follower and very literal,” Stewart said, adding that he would probably tried to enforce an “olest gets the bottle first” mentality when the triplets arrived. “We just didn’t want to play his game, and we were like, alright, let’s just keep it a secret. It’ll be fun. They won’t have to subscribe to any of the stereotypes of oldest, middle, youngest, all that.”

It was tough keeping the birth order a secret for all those years, especially with the children constantly begging to find out the answer. “They definitely wanted to know, and that made it even more fun,” Stewart explained.

“We tried to figure it out for so long. We begged and begged. They wouldn’t crack,” Janie added.

The funny thing was that their father secretly revealed the truth in the family group chat which featured the children’s names in birth order. But the triplets never put it together. "I was so excited to try to tell them that it was in front of them the whole time," Clay said.

Representative photos by Aaron J. Hill and Greta Hoffman

Women choose being alone with bear instead of man in interview

There are often hypothetical scenarios that people get asked just to see what their answer will be. In most cases, the scenario is something that has a very slim chance of ever happening in real life, but it can be fun to allow your brain to wander. A hypothetical scenario is taking over social media right now and it has women nodding in agreement while many men are left scratching their heads.

Screenshot HQ took to the streets and asked random women if they would rather be stuck in the woods with a man or a bear. Overwhelmingly women chose to take their chances with a bear, some providing the inquirer with a reason as to why they'd chose a bear over a man. Unsurprisingly to most women, the participants saw the bear as the safer option.

Some men had a hard time understanding why women would risk being mauled by a bear, but several men did understand and took to social media to attempt to explain.


Some men seemingly easily knew why women would choose to be in the woods with a bear when their partners asked them the same question but the hypothetical woman was their daughter. In the video, one woman makes her case for choosing a bear.

"Well I've heard about bears, they don't always attack you right unless you f**k with them? So maybe a bear," she laughs.

Luis Torio responded to the video with an explanation for men who seemed confused by the amount of women choosing a bear. In his video he asks, "why would a woman choose a man over a bear when the number one predator of a woman is a man and not the bear?" He goes on to explain that if a woman is put in the woods with the wrong man, she could be in a much worse situation than with a bear.

@yourtango

Women were asked if they would rather be stuck in a forest with a man or a bear - and their answers are sad #manvsbear

YourTango jumped in on the debate and dropped a few facts with the most staggering being, "the 750,000 black bears in North America unalive less than one person per year on average. Men aged 18-24 are 167 times more likely to unalive someone." The woman in the video also cites assault statistics for women.

That's not to say that all men would be dangerous if trapped in the woods with them, commenters and content creators point that out. The concern seems to be more about the predictability of bears verses the predictability of an unknown man.

You can watch the original video that started this weeks long debate below:

@screenshothq

The question of being stuck in a forest with a man or a bear is circulating on TikTok right now and sparking some interesting conversation.... we know what our answer would be 🐻🌳 #manvsbear #tiktok #tiktoktrend #trending #challenge #streetinterview #voxpop