A new study highlights significant health disparities faced by Puerto Rican women during childbirth, revealing some of the worst birth outcomes among all Hispanic groups. Published in the American Journal of Public Health Latino Health supplement, the paper “Social Justice Is Overdue for Puerto Rican Mothers” calls attention to the systematic societal and economic conditions plaguing the island.
Lead author Cynthia Lebron (above), assistant professor at the University of Miami School of Nursing and Health Studies, emphasizes that while Latinas are often portrayed as “good birthers,” Puerto Rican women on the island experience alarmingly poor birth outcomes. These include high rates of preterm deliveries, increased infant mortality, and a staggering 50.5 percent cesarean section rate – more than double that of some U.S. states.
The study identifies several contributing factors, including a severe shortage of obstetricians, limited resources, and insufficient Medicare and Medicaid funding. With over 65 percent of the population reliant on these programs, Puerto Rico faces severe funding caps that result in inadequate maternal and child health services.
Natural disasters, epidemics, and a troubled history with reproductive rights have further exacerbated the situation. The paper suggests potential solutions, such as telemedicine consults and the use of health advisers or doulas to improve maternal care.
Lebron stresses the urgency of addressing these disparities, stating, “These are U.S. citizens who are receiving subpar health care.” The study serves as a call to action, highlighting the need for education and legislation to improve healthcare conditions for Puerto Rican mothers and infants.
See “Puerto Rican birth outcomes spark concern” (September 10, 2024)
