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You want to begin your maternity leave feeling great about your work life and home life so you can enjoy every moment at home with your new baby—and return to work later with confidence.


Inspired by some fabulous mama leaders (namely Dana Bash, Jewelyn Cosgrove, Nedra Pickler and Stephanie Weeks) who have done the maternity leave thing recently, and drawing on my own experience and the experiences of women I’ve coached, I’ve pulled together four categories of maternity leave to-dos to think about as you plan your time away.

Check these things off your list before baby arrives, and you’ll be more than prepared. You’ll be a mama!

1. Prep for your departure from work.

Check in with HR.

Your human resources department should be one of your first stops at the office when you announce your pregnancy. Find out what your company’s leave policies are and what Family and Medical Leave Act (FMLA) forms you’ll need to fill out.

Don’t forget to ask about benefits, too. Will any retirement match you receive continue when you’re on FMLA? How do you add your baby to your insurance? If your HR manager can’t answer your questions, be calm but persistent. Not all HR departments are well-oiled machines when it comes to parental leave. Don’t stop until you get all your questions answered.

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Develop your maternity leave transition plan.

You’ll need to start thinking about what your job entails, who will take over your responsibilities, how much time you’ll take off, and how you’ll transition back.

Think about putting your whole plan in one document like Jewelyn Cosgrove, associate director of federal government affairs for a national trade association, who got big props from her employer for the formal maternity leave plan she created.

Here are some key to-dos to get your maternity leave plan ready:

  • Document your processes and projects.
  • Discuss coverage options with your supervisor.
  • Plan for supervision and mentoring of your direct reports.
  • Carve out dedicated time to teach those who will be covering for you about what they’ll need to do, and to introduce them to your key contacts.
  • Create an if-I-go-into-labor-at-work document with information about where you plan to deliver, the phone number of your OB-GYN, doula, midwife, etc., and emergency contact numbers, and share it with a few trusted colleagues.
  • Negotiate the duration of your leave. Stephanie Weeks, vice president at Blackboard, advises new mothers to “plan to take as much time as you possibly can off of work. As much as you love your job,” she says, “all will be well without you, and you will feel more confident going back with more time at home.”
  • Explore phased-in reentry and flexible work options for your return. Ask for flexible options on a trial basis to help your employer feel comfortable.
  • Develop a communication plan with your office for while you are on leave that outlines whether and when you plan to check in. Weeks recommends designating “someone at work you trust to keep you ‘in the loop’ with what’s going on at work, so you can totally disconnect electronically but still feel like you have a line to anything big that may change while you’re out.”
  • Block out breast pumping time on your calendar now. If you have an Outlook calendar and some control over your schedule, consider blocking out six months or a year’s worth of pumping time now. (I blocked three 30-minute periods per day.) If you wind up not needing the time, it’s easy to delete the calendar appointments, but it’s hard to get that time back if others schedule you to be elsewhere.
  • Build your leave and return into your work goals. As you can tell just from this checklist, a well-planned and executed leave and reentry is no small feat. Take credit for all the hard work you’re doing to leave and return in a thoughtful and professional manner by talking to your manager about how you might build maternity leave planning into your goals and your evaluation process.

2. Get ready for baby.

Get your gear in gear.

You already know babies seem to require warehouses full of gear. I remember laughing about how, in the first week of his life, my baby had more seating options in our one-bedroom condo than I did. Ask friends who already have children to help you put together a registry to weed out the useful from the useless.

And check out Baby Bargains, which is a bit like the Consumer Reports of baby stuff. However, don’t stress too much if the crib of your dreams won’t arrive in time or if you can’t put the finishing touches on a nursery. Neither of my little guys slept in a crib in until a few months after their arrival on the scene.

Explore childcare options.

Nedra Pickler, managing director at the Glover Park Group and former AP journalist covering the White House, explains, “Depending on where you live, you’ll want to start researching childcare options early.”

Talk to moms who have a variety of arrangements (think nanny, nanny share, au pair, day care center, in-home day care, family) to get their perspectives. And if you’re going the day care center route, be prepared for a scramble.

“Here in Washington, you need to get on a day care waitlist during pregnancy if you can,” the mom of two says. “I thought that sounded nuts when I was pregnant, but it’s true.”

While you’re pregnant, space out your visits to day care centers (my husband and I toured one a month) to avoid overwhelm. And then when you’re on maternity leave, “you need to work those waitlists like a job and network,” Pickler says.

“Those things are not really run in order and can be kind of a racket—the order of admission is totally up to the staff. I would go on tours to meet as many members of the staff as I could and check in regularly with the director. I made sure they knew I would be an involved parent and would bring them a deposit check the moment they had an opening.”

Be sure to follow up interactions with thank-you notes too, Pickler advises. “One day care center called to offer my baby a spot immediately, admitting they leaped our family to the head of the line because they appreciated the handwritten thank-you note.”

Line up a pediatrician.

It’s helpful to select a pediatrician before your baby arrives for two reasons. First, they will plan to visit your baby right after birth. Second, some pediatricians accept only newborns into their practices. Get recommendations from friends and colleagues, and go meet with them to get a feel for their office and style. (Yes, you’ll probably get charged for this visit, but it’s worth it.)

Explore pumping equipment + lactation consultants.

It’s good to know where you can go for pumping gear and help with breastfeeding, because sometimes when you need help feeding your baby, you wind up scrambling to find someone! Lose that worry by locating lactation consultants (LCs) recommended by friends, or check out Yelp reviews of LCs nearby.

Many pediatricians can also point you in the right direction. If you will be nursing, explore different pumps and features (wireless, backpack models, etc.) to figure out what you’ll need for your lifestyle.

Prepare for delivery.

Make sure your significant other knows the route to your hospital or birthing center, take some birth and baby classes, and pack the trunk of your car. Explore whether hiring a doula makes sense for you. And, of course, if you have other children, don’t forget to come up with some options for who can watch them when the big day arrives.

Keep an open mind.

Above all, Stephanie Weeks recommends “being open to doing things differently” than you might otherwise have imagined.

“From birthing methods to feeding choices to childcare, there are so many options. You truly cannot know what’s best for you and your family until it’s time,” she says.

3. Take care of YOU, mama.

Do not (I repeat, DO NOT) make to-do lists for during your leave.

CNN correspondent Dana Bash learned this lesson the hard way. “Given my Type A personality,” she said, “I made a long to-do list for my time off. Make scrapbooks, organize the garage—all the things I never have time to do.”

But did she have time for any of this? You guessed it: “Once the baby came, I realized that was all a pipe dream. As a semi-competent older mom, I thought handling a baby would be manageable,” Bash said. But she admits she was wrong. “I was all-consumed and totally at a loss by how to handle my little 6-pound miracle.”

Bash was lucky, though, that a friend came to the rescue to bring her maternity leave expectations “down to earth.” Her friend explained to her that she should “set a goal for one basic task per day (I mean basic, like doing laundry or showering), and if you can do that, it’s a successful day.”

All that said, don’t be afraid to line up a few things you’d like to watch on Netflix, some books you’d like to read, or some apps you want to explore for that inevitable baby-feeding downtime.

Brainstorm ways to make your life easier post-baby.

Think about ways that you can delegate and automate processes. Buy a slow cooker. (Or, my favorite kitchen appliance, the four-in-one slow cooker, rice cooker, oatmeal maker and veggie steamer.) Check out Motherly’s roundup of the five kitchen products every new mom needs.

Extra sets of hands can be lifesavers during this time, so explore food delivery options, research baby nurses and postpartum doulas, and see if there’s a local teenager you can recruit to be a parents’ helper a few hours a week.

Relish the final weeks.

Pickler recommends that expectant mamas “take as much time to pamper themselves as they can in the final weeks,” given that life is about to be completely consumed with caring for another human being.

“I made sure to schedule plenty of time to sleep,” she said, “and used my lunch hour to go for a short swim at the local indoor pool. It was glorious to feel weightless for 20 minutes.”

And if you’re able to take any time off for yourself pre-baby, Pickler encourages you to go for it. She used that time “to exchange baby gifts that we got in duplicate and to get more of that precious sleep with a daily nap.”

Make micro self-care a daily habit.

When baby arrives, of course, time for yourself takes on an entirely new (and relatively nonexistent) meaning. Now, while you are pregnant, is the time to make small acts of self-care a daily habit, so you can maintain some sanity after the baby arrives.

Explore what fills you up. Journal about it. And find things that can calm you down and recharge you in under five minutes. For me, that’s stretching and setting an intention for my day while I’m in the shower.

4. Connect to community.

Make some new mama friends.

One of the most important things women who are about to go on leave can do, Pickler says, is to “make friends who have babies born close to the same time.” How to do this? Pickler advises women to research play groups, new-mom support groups at your hospital, baby yoga classes, even the nursing room at a department store you visit.

“You need someone to talk to who is going through the same experiences,” she says. A lot of these experiences can seem strange, “and you wonder if you are crazy. But if you have friends with babies close in age, they likely will be going through the same things.”

She also notes that “if their baby is a couple months older or younger, they may be in a different phase and not even clearly remember that new thing you are experiencing.” Weeks couldn’t agree more. “Take a class or join a support group!” she said emphatically. And be sure to think about both in-person and online communities. (I teach the Mindful Return e-course to help women prepare for the transition back to work.)

Connect with other parents at work.

Are there already supportive communities for parents at your office? If so, connect. If not, consider starting one. I founded a “Returning to Work Community” at my office after my second child and we connected through monthly brown-bag lunches.

Also consider putting lunch on the books for your first day back at the office with a colleague who is also a parent and can relate to the transition.

Get family + friends on the same page.

The world will likely be dying to meet your little cherub, and watching your family and friends bond with baby can be magical. Have serious discussions with your partner, though, about when and how often you’d like visitors.

(My husband and I had a weeklong no-fly zone after our first baby, which we loved, but were quicker to accept visitors and help after our second.) Once you agree on a visiting plan, communicate it to your circle.

Final words of wisdom

Want the honest truth?

Whether you get through this checklist or not before baby arrives, you’re going to be just fine, mama. Our little ones have a way of surprising us with their arrival dates, so know that whatever you’ve done is enough.

My last piece of advice is this: Once your baby arrives, throw all to-do lists—including this one—out the window, and just love love love that little baby.

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It's 5 pm. You just got home from a busy day at work, dinner is nowhere close to being started, and the afternoon shenanigans have taken ahold of your little ones. They need some time to decompress from their busy day and, let's be honest, you need a few moments to transition into the last part of yours, too.

Your child asks, "Mooooom? Can I watch a show?"

Cue parenting inner-dilemma.

You want to say yes, but you also have fears about technology. How much is too much? Is it bad for my children? Will it isolate my children from me?

Sara DeWitt, the vice president of PBS KIDS Digital, said in her TED Talk that this last question is a big concern for parents. We desperately want to be connected to our children, and for our children to be connected to the world.

Unfortunately, she says, the "fear and skepticism about these devices hold us back from their potential." The truth is, high-quality educational screen time can actually build connections (more on that in a minute). Even more exciting, did you know that the right screen time can help your child develop empathy?

Empathy is a skill, but as a society, we are losing it. A shocking study found that empathy drops by about 40% by the time kids get to college. In a world fraught with inequities, divisiveness and conflict, rebuilding empathy is paramount. Motherly mamas agree. In the 2019 State of Motherhood survey, you told us that your top priority was to nurture kindness with your children.

But how do we do this? Telling our child to "be a kind person" is great, but in order to truly understand, they need to see empathy in context. By using digital content as a prompt for communication and conversation, it becomes one of the many tools we have at our disposal to help guide our children on the path to becoming empathic, kind people.

Enter PBS KIDS.

Raun D. Melmed, MD, FAAP, a developmental and behavioral pediatrician, and author of the Monster Diary series told us that, "our children have unprecedented access to wonderful educational opportunities through digital media. Interactive, nonjudgmental apps can enhance cognitive development (processing and organization, visual-spatial awareness, pattern recognition and even reading), social and emotional awareness, and even moral development."

When we control technology—and not the other way around—the potential is enormous.

The American Academy of Pediatrics says that "media can have educational value for children starting at around 18 months of age, but it's critically important that this be high-quality programming, such as the content offered by Sesame Workshop and PBS."

Researchers looked at the impact of watching PBS KIDS' series, Daniel Tiger's Neighborhood, and the results were pretty inspiring. Children who watched the show for 30 minutes each day for two weeks demonstrated improved empathy, the ability to recognize emotions and increased social confidence.

But, here's the catch: In order to experience this growth, children needed to have recurrent conversations about what they saw with their parents.

Nicole Dreiske, Executive Director of the International Children's Media Center and author of The Upside of Digital Devices: How to Make Your Child More Screen Smart encourages parents to utilize screen time "in the same way that they would use story time: to build trust, emotional intelligence, and empathy." By spending just 10 minutes discussing what happened in a show, children can experience significant benefits.

Knowing the science behind the benefits of screen time is great. But when that afternoon struggle hits, it can be hard to remember exactly what to do, so DeWitt encourages parents to make a plan—here's how.

How to make a screen time plan for your family

Ask yourself the following two questions:

1. What do I want my kids to get out of their digital media time?

Do you want them to have an opportunity to be creative and think outside the box? Pull up PBS KIDS ScratchJr. Is there something going on at home or in school that requires learning about sharing? Share the "Daniel Shares his Tigertastic Car" episode of Daniel Tiger's Neighborhood with them.

Consider your goals, and then choose media accordingly.

2. What do I want my kids to get out of their digital media time? How can it support our family schedule and priorities?

It is okay to factor your needs into the equation, mama. Deriving benefit from your child's screen time is no need to feel guilty. Go ahead and start dinner, or send that email, or yes (gasp), put your feet up and relax for a bit.

Once you've figured out your 'why,' it's time to consider the 'how.'

1. Communicate the plan to your kids (and be clear about limits).

Kids do best with clear boundaries and expectations. This will be especially important if you are implementing changes to how screen time is done in your home.

You could say, "You can play the Wild Kratts game for 30 minutes while I work on dinner, and then we are going to go outside and flap our wings as bats do! Do you think we should eat mosquitos for dinner like they do?!"

Before you start the show, Dreiske recommends planting the communication seed: "Today we're going to notice what we're feeling and what the characters are feeling."

2. Discuss what your kid played or watched.

When screen time is over, strike up a conversation. Dreiske suggests open-ended questions that help to "[create] a special space in which your child feels safe enough emotionally to confide in you about their experiences. Let the child's emotion or feelings 'lead' the talk rather than being obscured by your feelings." You can try the following starters:

  • How did you feel when… ? Why?
  • How do you think that character felt?
  • What if that happened to one of your friends?

3. Find a balance of activities.

Like everything in life, screen time is best in moderation. It is important that children know that screen time is one of the many options they have for activities. Exercise, outdoor play, reading, coloring and more are also incredibly important.

If there is a show or game your child particularly loves, DeWitt suggests finding the non-screen time version of it. "For example, if the kids in Dinosaur Train start a nature collection, suggest a nature walk through your neighborhood after they've watched. If your child likes Ready Jet Go!, use the Ready Jet Go Space Explorer app to look at the stars together and then continue exploring the night sky away from the screen. In other words, we can make digital media as a jumping off point for family fun!"

Sara DeWitt writes, "It helps to remember digital media is simply a tool, just like books, toys and art supplies. As parents, we have the power to decide how and when to use these tools with our kids."

When used thoughtfully, and with love, high-quality screen time is an incredibly powerful way to foster empathy and kindness in the next generation.

This article is sponsored by PBS KIDS. Thank you for supporting the brands that support Motherly and mamas.

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On Tuesday Connecticut became the eighth state (including D.C.) to pass and enact a paid family and medical leave program when Governor Ned Lamont signed the Paid Family and Medical Leave bill into law.

Today was a win for family leave advocates in Connecticut, as it's been a long road to getting this bill passed. At one point it was even suggested that Lamont would veto the bill, but in the end, lawmakers came to a consensus that it is in the best interest of parents, babies and basically everyone in Connecticut.

"We all agreed on the need to pass this landmark support for working families so they don't have to choose between the job they need and the family they love, or their own health," Lamont said earlier this month.

On Tuesday, he spoke again about how this was a victory for lawmakers and workers.

"Adopting this program means that workers who need to take time off for a new baby or recover from illness are not punished financially, and businesses do not risk losing good workers during those emergencies," he said.

Connecticut's plan is widely regarded as the most generous in the United States because workers will get 12 paid weeks of work to take care of a new baby, sick family member or take care of themselves. The benefits cover 95% of lower wage earner's pay, up to $900 a week.

Oh, and anyone experiencing complications from pregnancy can take an extra two weeks of paid leave to recover from that.

👏👏👏

Workers in the state will be able to start collecting these benefits in 2021 and the plan is funded through a 0.5% payroll tax, much like what other states and countries do.

In a statement to Motherly, Catherine Bailey the Deputy Director or Campaign for Paid Family Leave at Connecticut Women's Education and Legal Fund explained the campaign (a coalition of more than 75 organizations that has fought for paid family and medical leave) applauds the paid family and medical leave plan.

"Paid leave is a critical step forward for women's economic security, especially for low-wage workers and women of color who are an increasing number of primary breadwinners to their families."

She believes the plan will "provide economic stability when women and families need it most - when they need to care for themselves or a loved one, or welcome a new child."

Good job, Connecticut.

[Correction: A previous version of this post said 12 weeks is 4 months, it's not quite 3 months. We regret the error.]

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News

There are many heartwarming stories out there about people with different disabilities defying the odds. So many that Leigh Merryday Porch, mom to a 10-year-old autistic boy from Florida, felt the need to share her story—which paints a different perspective—on Facebook.

Merryday Porch told People in an interview "the accomplishments are beautiful, what's disturbing are the lessons people try to take away—that if you just follow the formula someone else did, that any child with a disability can do the same. It's oversimplified and ultimately hints that any other outcome is less worthy."

The facebook post, which has been shared over 250 times, reads:

"If you have an autistic child, you've seen the stories. Friends tend to tag you in them or PM you to share. They're stories of autistic kids who didn't talk but do now, children who sing the national anthem, young women who compete in beauty pageants, and those on the spectrum who graduate from college. And you don't mind the stories, because human beings persevering in the face of adversity is a beautiful thing.

But invariably, somewhere in the story is a quote that goes something like this:

"When experts told her her son would never talk, never have friends, never graduate, she declared 'Over my dead body.'"

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Those quotes are all sorts of inspirational—for some. But if you have a child whose disability is severe, such quotes are felt like a slap. Because some disabilities cannot be overcome. They can be accepted, worked with, planned for, and accommodated, but no amount of parental love and determination can erase them. Callum is not going to go to law school. He's simply not wired for that, and I can't rewire him. The fact that I can accept that and love him unconditionally does not reflect him having not been raised by someone willing to try harder.

Because—over my dead body—will he be relegated as somehow less worthy for not doing the unexpected and unrealistic. The presence of an autistic adult in the world who doesn't make the newspaper is not a statement of failure. Not of society, not of his family, and certainly not of himself. And other than steadfastly insisting he be given every reasonable opportunity any other person has to live, learn, and grow, no other declarations need be made—and no dead bodies required."

Thank you for your honesty mama.

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Life

You can write up a birth plan and pack your hospital bags well in advance, but here's the truth: Having a baby doesn't always go according to plan. You can anticipate a vaginal delivery and wind up having a C-section, go into labor before you've completed your nursery, find yourself very pregnant days after your due date has passed...or, in rarer cases, you could end up having your baby before you've made it to the hospital or birthing center where you'd planned to deliver.

Take Jessa Duggar Seewald, for example. The Counting On star recently gave birth to her third child, a little girl named Ivy Jane Seewald. But while the TV personality didn't plan on having a home birth, that became her reality when she went into labor ahead of her due date.

"My water broke right here in the kitchen," Jessa explains in a video from TLC. "Our birth plan through this whole pregnancy was that we would deliver at a birthing suite at the hospital with a midwife there. However, the morning that my water broke was the morning that my midwife had left town for a week."

Jessa and her husband, Ben, go on to explain that she was about 10 days ahead of her due date and wasn't expecting to have the baby early at this point. When Jessa and Ben realized they'd inevitably deliver before they could proceed with their plan, they decided to call another midwife in and go for a home birth. At that point, Jessa opted to speed up her labor with the help of a castor oil smoothie (note: You should chat with a medical professional before trying this at home) and some light exercise.

The video follows the mother of three through much of her labor and, eventually, the birth of her baby girl... which happened right there on the Seewald's couch. Don't worry: The sofa was covered with pads before the big moment!

Home births are totally an option for some moms 

Unfortunately, Jessa encountered something pretty scary after she delivered: Her bleeding wouldn't stop, which prompted the family to call 911. Luckily, all appears to be well with both the mama and her sweet daughter now.

Jessa's home birth wasn't like most home births, which can be a totally viable option in specific situations.

"Home births are a wonderful option for women with low-risk pregnancies, who want to have low intervention births in the comfort of their own home," says Diana Spalding, Digital Education Editor for Motherly, who is also a pediatric nurse and midwife. "ACOG [the American College of Obstetricians and Gynecologists] states that while they believe hospitals and in-hospital birthing centers to be the safest place to have a baby, women should be supported when they choose home birth in the presence of [a qualified midwife]. If you are considering a home birth, a bit of research is involved. Reach out to local home birth midwives to have in-depth conversations about your specific scenario. And don't forget to contact your insurance company—it's not always covered."

As wild as her birth experience was, Jessa isn't the only celeb mom to have had a home birth—she follows in the footsteps of fellow mamas like Hilary Duff. It just goes to show that delivering a baby looks different for each mama, but whether it goes according to plan or not, it's all pretty beautiful.

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News

Some women are more at risk than others when it comes to being pregnant. Black moms are up to four times more likely to die from complications of pregnancy and childbirth and another group, Native American and Alaska Native women, are also dying from complications in childbirth at a disproportionate rate.

Native American and Native Alaskans make up just 2% of the total U.S. population but account for the second highest number of maternal deaths in the only industrialized country where maternal deaths, overall, are rising. They are approximately 3.3 and 2.5 times more likely, respectively, to die while pregnant or as new moms than white women are.

Alarming statistics released by the Centers for Disease Control and Prevention (CDC) in May 2019 show that between 2011–2015, black women had the highest maternal death rate at 43 deaths per 100,000 live births, followed by American Indian and Alaska Native women at nearly 33 deaths. Thirteen white mothers died in the same time period.

"Racial disparities in maternal mortality are staggering" 

"More women die in the US from pregnancy-related complications than in any other developed country," the American College of Obstetricians and Gynecologists (ACOG) states on its website. According to the ACOG, the "racial disparities in maternal mortality are staggering…"

According to the CDC, 60% of maternal deaths are preventable. The leading causes of deaths during pregnancy, birth and the first year after childbirth include cardiovascular conditions, infection, and hemorrhage, but preventative strategies—including improving access to care and how it is coordinated and delivered—could save lives.

And in order to save lives, we have to acknowledge that Native American and Native Alaskan moms are dying because the health care system is failing them.

Meet Nicolle Gonzales 

Nicolle Gonzales is a Dine' Nurse-Midwife and the founder of the non-profit Changing Woman Initiative (CWI), in Santa Fe, New Mexico. A Native American-centered women's health collective, CWI aims to improve the health of expectant mothers, but Gonzales tells Motherly that she's been frustrated by a lack of information around native women's health available to medical professionals.

"When I attended conferences where they claimed to focus on Native American women's health, I found them sharing data that did not tell the full story about why our health outcomes were so bad," said Gonzales. "Further, blames seemed to be placed on native women and that it was their behavior that was the cause. I also saw the same old health frameworks being used to address known health disparities and then they would sit back and wonder why the outcomes were still terrible."

Gonzales witnessed many Native American women struggling with navigating the western medical healthcare system throughout her career. She saw assimilation practices from birth and on, that stopped Native American families from "bringing their loved ones into this world in a culturally supported and ceremonial way."

The disconnect helped inspire Gonzales to launch CWI in the fall of 2018.

Prenatal care can be culturally centered and accessible

It's on a mission to renew cultural birth knowledge, promote reproductive wellness, to support healing through holistic approaches and to strengthen women's bonds to family and community. The non-profit organization also provides training to increase the number of Indigenous midwives and encourage policy advocacy related to native women's health.

Gonzales believes some of the reasons behind the higher rates of birth mortality in Native American women are socio/economically and culturally linked. There are longer wait times to see obstetricians and/or midwives in native communities because of the remoteness of some reservations, she explains. Sometimes it's a lack of having a Medicaid card at the time of appointment, having no transportation or not making prenatal care a priority, Gonzales continues.

She believes taking the initial steps to seek medical care are crucial and wants to see moms better supported to do so. "First-trimester prenatal visits are very important. They identify health risks early, genetic screenings can be done sooner, and social circumstances and resources can be brought in," Gonzales says.

According to Gonzales' expertise, native women are at higher risk for adverse birth outcomes due to higher rates of gestational diabetes, hypertension, obesity, blood clotting disorders, drug addictions and limited access to healthcare education.

A less talked about cause of birth mortality rates for Native American women is intimate partner violence, she added. "There are limited places Native American women can go for safety and they are more likely to experience this or die from violence during their pregnancy."

The Changing Woman Initiative

The CWI also provides expectant mothers with access to healthy foods, plants and traditional medicines and time with a traditional doctor commonly called 'a medicine person.' It's a one-of-a-kind approach to a serious problem and the CWI is working to change the statistics from within its own community.

In the next three years, it aims to provide an Indigenous doula and peer counselor training to over 100 women in New Mexico.

The CDC study states that reducing pregnancy-related deaths requires reviewing and learning from each death, improving women's health, and reducing social inequities across the life span, as well as ensuring quality care for pregnant and postpartum periods, and for providers and patients to work together to optimally manage chronic health conditions.

America cannot save the lives of Native mothers if it doesn't understand why they are at risk, and supporting women who can provide culturally appropriate care—and listening to them—is vital.

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