The number of Black mothers in Ohio who die during or following pregnancy continues to climb and health advocates said they hope to shine a light on the issue during Black History Month.
A 2023 study published in the Journal of the American Medical Association found Black women in Ohio are more than five times as likely to die from pregnancy-related complications compared with women in other states and overall, maternal mortality is on the rise in the U.S.
Adarsh Krishen, chief medical officer for Planned Parenthood of Greater Ohio, said having a health advocate can help patients better navigate the system.
"That advocate can be a family member, a friend, a spouse, someone who can be there to listen for you and help ask questions on your behalf," Krishen explained.
He also encouraged women to establish a relationship with a trusted health care provider, ideally before or as soon as possible during pregnancy. According to a report by the Ohio Department of Health, 57% of the state's 186 pregnancy-related deaths between 2012 and 2016 were preventable.
According to the health care advocacy group KFF, pregnant Black women report significantly higher rates of mistreatment by health professionals, including shouting, scolding and ignoring or refusing requests for help.
Krishen urged patients to not ignore gut feeling and be firm in asking for care.
"Trust your body, trust your feelings and make sure that you're getting your concerns and questions addressed," Krishen emphasized.
After large-scale protests last month, a grand jury decided it would not prosecute a 34-year-old Black woman for her handling of a miscarriage at her home. Brittany Watts would have faced criminal charges of abusing a corpse. Krishen added the case could prevent more pregnant women in Ohio from seeking medical attention during an emergency.
Reporting by Ohio News Connection in association with Media in the Public Interest and funded in part by the George Gund Foundation.
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In 2019, Colorado lawmakers set goals for cutting climate pollution by at least half by the year 2030, and by 90% by 2050 - compared with 2005 levels.
Sen. Faith Winter, D-Broomfield, said Colorado is not making enough progress, so she's introduced a new bill that aims to cut fossil fuel emissions by giving Coloradans more transportation options. Winter said when people have safe and reliable alternatives, and leave their car at home, everyone benefits.
"And even if you are a person that never wants to get on a bus - or a train, or ride an e-bike - when others have that easy choice, and make that choice, it reduces congestion and traffic for you," she explained.
In addition to helping address the effects of a changing climate, Winter says SB25-030 would also benefit public health. The transportation sector and oil and gas production are the biggest contributors to dangerous and persistent ground-level ozone pollution across the Front Range.
Winter has also introduced SB25-004, a bill to help more Colorado families access child care by limiting application, waiting list, and other fees. She contends that good child care policies can help families, in part by ensuring that both parents have an opportunity to build careers.
"The children are more likely to be ready for kindergarten, and they are more likely to do well in school and make more money once they graduate as well," she continued.
For the first time in state history, the majority of Colorado lawmakers in the 2025 session are women. Winter, who has served in the legislature since 2015, believes democracy works best when it includes a rich assortment of legislators that bring their best problem-solving skills to the table.
"So being at 525 women means that more ideas are going to be at the table, more backgrounds, more experiences. And that leads to better solutions, versus governments that look more homogenous."
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A lack of reliable transportation for some women veterans in Maine is preventing them from getting the services they need.
The Sisters in Arms Center in Augusta provides these homeless veterans with counseling to heal from the sexual abuse some have suffered in the military.
It's the only center of its kind in the U.S. - but without a vehicle, medical or job interview appointments are often missed.
Executive Director Rebecca Cornell du Houx said one veteran was recently stranded at the hospital when no volunteer drivers were available.
"They're in the parking lot just crying," said Cornell du Houx, "because they can't go from point A to point B, and they had already walked there."
Cornell du Houx said public transportation is limited and can sometimes trigger a veteran's trauma.
She said the Sisters in Arms Center is seeking a donated vehicle, or funds to purchase one to help ensure these women veterans can get back on their feet.
While the number of homeless veterans is down slightly, the number of homeless veterans who are women grew by nearly 24% between 2020 and 2023.
Experts say the high rates of sexual abuse they suffer is one reason. One in three female servicemembers says they experienced sexual trauma while enlisted.
Cornell du Houx said this also puts the women the center serves at a heightened risk for suicide.
"They have tried so hard in order to be able to make a life for themselves through serving this country - and put their country first, put their community, their state first," said Cornell du Houx. "I mean, it doesn't seem like that's happening right now in reverse."
She said local volunteers showered a veteran and her children with gifts during the holiday, and she appreciated those who support the center's mission.
She said she'll soon deploy to the Middle East herself, and said hopes to hire some part-time staff to keep the center open while she's away.
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Voters in Arizona overwhelmingly supported and approved Proposition 139 last week, which enshrines abortion rights into the state's constitution.
The measure will allow abortions up to fetal viability, which is about 24 weeks.
But Fatima Goss Graves - president and CEO of the National Women's Law Center - said while ballot measures expanding access to abortion won in seven of the ten states this election, she contended there are still countless ways to restrict and upend abortion access even further, including nationwide.
"There is a long list of ways to target birth control, to target fertility treatments, to target our ability to control our own bodies, and to be fully equal in this society," said Graves. "We know that road will be long and hard."
Over the weekend Arizona was officially called for former President Donald Trump, awarding him the state's 11 electoral college votes.
Graves said Trump has promised to veto a national abortion ban, and to distance himself from the conservative playbook Project 2025.
She said reproductive rights advocates, like herself, expect the next administration to deliver on those campaign promises.
The state has a number of abortion restrictions and laws that directly conflict with Prop 139.
Until the election results are officially certified by Gov. Katie Hobbs later this month, pro-choice advocates say they'll likely file legal challenges to deem those current restrictions unconstitutional.
In a statement, the It Goes Too Far Campaign - a group opposing the measure - says "the fight against extreme abortion laws will continue."
Monica Simpson is the executive director of the SisterSong Women of Color Reproductive Justice Collective.
She said while all eyes need to stay on the Trump administration, advocates must also continue to lift up "powerful programs."
"I want us to be able to find a balance in doing that," said Simpson, "and work together as the organizations and entities that we are, to be able to make sure that we give ourselves the power and the fuel that we need over these next four years."
Simpson said while it is crucial to keep an eye out at the policy level, advocacy will also be a key part of the fight moving forward.
Support for this reporting was provided by the Carnegie Corporation of New York.
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