Black Babies Matter

Clin Perinatol. 2022 Mar;49(1):93-101. doi: 10.1016/j.clp.2021.11.017. Epub 2022 Jan 21.


Despite dramatic advancements in neonatal intensive care since the 1960s, African-American infants still have more than a two-fold higher first-year mortality rate than non-Latinx White infants. Our essay examines the impact of upstream factors closely linked to the historical and contemporary context of structural racism in the United States on the African-American women's birth outcome disadvantage. In the process, we propose a paradigm to address the racial health inequity in adverse birth outcome by considering the interplay of racism and social class.

Keywords: African–American; Infant mortality; Preterm birth; Racial discrimination; Racial disparity; Social class.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Black or African American
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Pregnancy
  • Premature Birth*
  • Racism*
  • United States / epidemiology