The Village of Joy: A new birth for Birthing Beautiful Communities
Birthing Beautiful Communities (BBC) will soon open the only Black-led freestanding birthing center in Ohio under the leadership of its CEO, Jazmin Long in May 2025. BBC offers a doula program uniquely dedicated to supporting Black mothers and infants by addressing social, economic, and structural determinants of health, such as systemic racism, that cause poor birth outcomes. It provides labor support, mental health, transportation and other supportive services to individuals and families throughout pregnancy and up to the first year following childbirth.
Birthing Beautiful Community’s new facility in Hough
The new birth center will be in the Hough community, where BBC’s work first began because it is a neighborhood that is highly impacted with an infant mortality rate that is four times the national rate. Its location will be at the intersection of East 65th Street and Chester Avenue, a site intentionally chosen because of its cultural significance to the community.
This 10,000 square foot facility will offer a more natural birthing experience in a home-like environment. Like other freestanding birth centers, one important feature is holistic care being provided by midwives with the assistance of doulas. Providers at BBC’s freestanding birth center will utilize less medical interventions in the attempt to reduce the chances of using other procedures such as inductions, epidurals, or C-sections that are not always necessary for moms and infants.
Benefits such as improving access to more affordable care and fewer medical interventions can lead to more positive birthing experiences and improved mental health and birthing outcomes for Black women and infants in the community.
Birth centers and hospital partnerships
BBC will partner with hospitals to provide support for women who may eventually need more medical interventions. Other services at the new center will also include pre-and postnatal visits and gynecological care for all women. In addition to the center, BBC has partnered with Village of Healing since the summer of 2023 to offer a 2-year doula-midwife program to explore how combining the benefits of both can reduce infant mortality.
BBC and its collaboration with Village of Healing will allow both organizations to continue the amazing, lifesaving work they do in Cleveland and Northeast Ohio for those who are at the highest risk for maternal and infant mortality. Benefits such as improving access to more affordable care and fewer medical interventions can lead to more positive birthing experiences and improved mental health and birthing outcomes for Black women and infants in the community.
The Center for Community Solutions | Taneisha Fair, Associate, Racial Equity
Black women are at greater risk of dying from pregnancy and childbirth. These grants aim to change that
Columbus, Ohio (April 15, 2024) This April 11 through 17 marks the seventh annual observance of Black Maternal Health Week in the U.S. I don’t say “celebration” because the facts, unfortunately, are dire: Not only do Black women in America continue to be much more likely than women overall to die of pregnancy-related causes, but maternal mortality has actually grown much worse in the past quarter century. A study published in the journal JAMA last year found that maternal mortality — which the study defines as death during pregnancy or up to a year afterward — more than doubled between 1999 and 2019.
While the burden was borne by women of all racial and ethnic groups, there were disparities. Black women, in particular, had higher rates of maternal mortality than other races.
The rate at which Black women die during and after pregnancy calls for urgent action. That’s why I’m proud that the Anthem Blue Cross and Blue Shield Foundation is stepping up with $5.6 million in active grants in Ohio to improve pregnancy outcomes for Black women and address disparities that disproportionately impact Black women and their families.
Most recently, we awarded grants totaling $1.5 million to five organizations: two in Cleveland, one in Columbus, one in Cincinnati and one in Kent. These are community-based groups that have demonstrated the ability to make a difference in this critical challenge to the well-being of women of color and their families. Here’s a quick sketch of the grants and how they’ll be used:
- Spirit of Motherhood, Kent State University (three-year, $300,000): Working with community-based groups in Cleveland, Canton and Akron, the program uses cognitive-behavior interventions to reduce stress and trauma in pregnant mothers with post-traumatic stress disorder, which Black mothers are four times as likely to experience as non-Black mothers. The grant will help pay for more interventionists, allowing the program to serve 20 additional mothers and up to 40 of their preschool-aged children.
- Birthing Beautiful Communities, Cleveland (two-year, $500,000): The group’s Perinatal Support Program provides professional doulas to help mothers and their families through pregnancy, childbirth and the postpartum period. The doulas offer emotional support as well as physical and educational help, including lactation support, parenting workshops, healthy eating, life planning and more.
- The Centers, Cleveland (two-year, $250,000): Cuyahoga County has one of the nation’s highest rates of poverty and among the worst birth outcomes in the nation. The grant will bolster the organization’s comprehensive health and wellness services with additional supports to foster improved outcomes for mothers and babies.
- Homes for Families (formerly Homeless Families Foundation), Columbus (three-year, $300,000): The grant will create a Pregnancy Program Emergency Fund to provide services that aren’t typically funded by housing grants, such as access to food, transportation and child care.
- Every Child Succeeds, Cincinnati (three-year, $150,000): According to the March of Dimes, Cincinnati’s rate of preterm births, at 12%, is higher than that of Ohio and the nation, both at 10%. Every Child Succeeds provides evidence-based home visits to support maternal health equity and optimize child development from the prenatal stage to age three.
It should be clear from these programs that a newborn’s well-being is profoundly linked to that of its mother. The grants recognize that it’s extremely difficult for either to thrive amid the stress associated with poverty, housing insecurity, trauma from physical or sexual assault, and systemic racism.
While it’s unclear exactly why America has higher maternal mortality rates than other wealthy countries in spite of the fact that we spend far more on healthcare, research and experience tell us that inequities in the healthcare system lie at the root. We’re taking aim at those inequities, working to remove the barriers that Black women face and raise awareness of the need for change.
Every woman deserves the opportunity to experience pregnancy and childbirth as the joyful experiences they’re meant to be. No one should be afraid because her race or ethnicity stacks the cards against her and her baby. We at Anthem are excited to help these community partners make a vital and necessary difference.
Ohio Association of Health Plans | Dr. Bradley Jackson, Plan Performance Medical Director at Anthem BCBS Ohio Medicaid
Black babies, moms need more support in the first year of life: Jazmin Long
Cleveland, Ohio (April 14, 2024) For decades, babies born in Cuyahoga County have been dying at some of the highest rates in the country. This is especially true for Black babies, who are three times more likely than white babies to die before they turn a year old.
Healthy babies start with healthy moms, and there is a substantial body of research showing that, in Ohio and across the United States, we are failing to give those moms — especially Black moms —even the most basic of care.
Our current system is not working. Maternal mortality rates have more than doubled in the last 20 years, a recent study showed. Women in the U.S. are about 10 times more likely to die during childbirth or in the 42 days following childbirth than women in other high-income countries, including Australia, Japan and Spain — and the rates disproportionately affect Black women, who in the U.S. are three to four times more likely than white women to die during or shortly after childbirth. In Ohio, the rates are even worse: Black women here are more than five times as likely to die from pregnancy-related complications as compared with women from other states. In 2020 in Cleveland — the epicenter of our county — nearly 75% of the babies who died before they turned one were Black.
The most maddening thing, to me, is that these deaths are preventable.
Complications develop during pregnancy or following childbirth and go ignored or undiagnosed because we don’t provide moms with enough support while they are pregnant and in the immediate weeks, months and year following birth.
We have to do more to help moms, babies and families, not just in Northeast Ohio, but across our state and country. Black Maternal Health Week runs from April 11 to 17 and is an important time to have this conversation.
We should start with increasing and improving access to health care. We need better interventions to address pregnancy-related complications, from cardiovascular disease to postpartum depression to infection. And we must focus on dismantling implicit bias, racism and classism in our health care system, and on truly listening to women about their experiences.
Our organization, Birthing Beautiful Communities, is committed to providing intensive peer-to-peer support to families throughout pregnancy, during labor and birth, and up to a babies’ first year.
This fall, we are breaking ground on a new birthing center on Chester Avenue, supported by gifts from The Cleveland Foundation, George Gund Foundation and city of Cleveland.
The U.S. has less than 400 birthing centers, and only a small handful of those — about 5% — represent people of color. Once complete, ours will be the only Black-led center in Ohio.
Our birthing center will be staffed by midwives, providing holistic, wellness care and support to moms, babies and families. That includes perinatal support, that critical time immediately after birth and in the first year of a baby’s life. Our dedicated Perinatal Support Program, developed with a gift from Anthem Blue Cross Blue Shield, seeks to provide critical support. We believe that support is the first step to reducing infant and maternal mortality.
That is something each and every one of us should care about advancing, because while an infant’s death can shatter a family, it also harms our communities.
Infant and maternal mortality are barometers for a community’s overall health. And by this barometer, our region, state and country are failing.
This Black Maternal Health Week, I challenge all of us to learn more about the inequities in our health system, and about how to support all families—especially Black families—through pregnancy, childbirth and an infant’s first year of life. Healthy mothers, babies and families are the foundation of a thriving Cleveland. We must reduce Black infant and maternal mortality, so our city and community can truly soar.
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Event aims to support Cleveland doulas as a solution to high infant mortality rates
Cleveland, Ohio (April 4, 2024) A free event designed to bring attention to the role doulas can play in supporting childbirth and postpartum care — particularly among Black parents and parents of color — will take place in Cleveland Saturday.
Doulas are birthing professionals who provide information and counseling during pregnancy, comfort during labor and assistance with breastfeeding and newborn care.
The event, called the Doula and Community Expo, will provide more information about being a doula through panel discussions, interactive workshops and networking opportunities, as well as health screenings, dance breaks and a childcare space. It's organized by Birthing Beautiful Communities, a nonprofit dedicated to reducing the infant and maternal mortality rate in Cleveland.
"It's allowing doulas, birth workers, midwives, moms and community members to all come together and have this kind of trade show experience," said Krista Lumpkins-Howard of Birthing Beautiful Communities. "Then you're able to see what's working, what's not working, have engaging conversations."
Cuyahoga County's infant mortality rate in 2020 was 7.6 per 1,000 live births, compared with the national rate of 5.4 per 1,000. Statewide, Ohio also has higher-than-average infant mortality rates, and Black mothers are disproportionately affected. The rate for Black Ohioans is 164% higher than it is for white Ohioans.
Lumpkins-Howard said doulas are a critical component, for women of color especially, to have better labor and birth outcomes.
"Our goal is to connect the dots of those social determinants of health for our clients," she said. "We want to make sure that doulas have the tools that they need."
The event is open to new doulas, those already in the profession and anyone interested in becoming a doula, said Lumkins-Howard.
"Birth is sacred and we want to uphold that," she said. "So we want to make sure that when people are thinking about becoming a doula, they realize ... how much of an honor it is to be a part of someone's labor and birth experience."
The event takes place from 11 a.m. to 5 p.m. on Saturday, April 6 at BLDG17CLE, 4700 Lakeside Ave. Cleveland, on the second floor.
Ideastream Public Media | By Taylor Wizner