Black Maternal and Infant Health: Historical Legacies of Slavery

The legacies of slavery today are seen in structural racism that has resulted in disproportionate maternal and infant death among African Americans. The deep roots of these patterns of disparity in maternal and infant health lie with the commodification of enslaved Black women’s childbearing and physicians’ investment in serving the interests of slaveowners. Even certain medical specializations, such as obstetrics and gynecology, owe a debt to enslaved women who became experimental subjects in the development of the field. Public health initiatives must acknowledge these historical legacies by addressing institutionalized racism and implicit bias in medicine while promoting programs that remedy socially embedded health disparities. Link to free online copy via PubMed Centra

Black Maternal and Infant Health: Historical Legacies of Slavery

The legacies of slavery today are seen in structural racism that has resulted in disproportionate maternal and infant death among African Americans. The deep roots of these patterns of disparity in maternal and infant health lie with the commodification of enslaved Black women’s childbearing and physicians’ investment in serving the interests of slaveowners. Even certain medical specializations, such as obstetrics and gynecology, owe a debt to enslaved women who became experimental subjects in the development of the field. Public health initiatives must acknowledge these historical legacies by addressing institutionalized racism and implicit bias in medicine while promoting programs that remedy socially embedded health disparities. Link to free online copy via PubMed Centra

‘Lives of living death’: The reproductive lives of slave women in the cane world of Louisiana

This paper examines the seasonality of childbirth among slave women and addresses the relationship between seasonal workloads, nutrition, and pregnancy on large sugar plantations in nineteenth-century Louisiana. Unlike the rest of the American South, where the slave population grew, bondspeople in southern Louisiana experienced natural population decrease. This derived in part from imbalanced sex ratios, but as this article shows, conceptions peaked during the annual harvest season but fell away at other times due to nutritional stress, overwork, heat, and exhaustion. By combining plantation sources with contemporary scholarship on reproductive physiology, the article places Louisiana's reproductive history in contest and establishes the limits sugar production imposed on the slave women's capacity for childbirth