American Delivery: A Much Needed Look Into the Heroes Making A Difference
American Delivery, directed by Carolyn Jones, is a timely documentary focusing on the women at the forefront of labor and delivery, who work tirelessly to help improve the lives of women, and put an end to the preventable high maternal mortality rate that plagues the United States.
From nurses, especially midwives, to the hospitals and clinics that care, the film highlights these she-roes protecting women’s health, who also fight the systemic racism that is complicit in the high percentage of black women who die in this country, giving birth every year.
Fighting the good fight
The statistics of maternal mortality in America are bleak, but there are those in the trenches who are working, across the nation, to make the stats get better. These special souls and more are highlighted throughout the film.
In Cleveland, Ohio, Dr. Airica Steed, a registered nurse, has become the first black and female CEO in MetroHealth hospital’s 200 year history. She is a staunch advocate for women of color in the area, and her mission is to create a health system that is fair and equal for everyone, including the staff that works there.
According to the film, Cleveland ranks lowest in the nation in livability for black women. Dr. Steed, and many of the nurses at MetroHealth work together, both in and out of the hospital, educating through outreach and taking steps to ensure the safety of a woman’s right to choose how they give birth.
Their midwives offer at home services both before and after the baby is delivered, educating new moms on all that they need to know about this new transition and, to help them find better outcomes for their own health, the baby’s health, nursing and mental health.
The film states that 1/3 of American cities fall under areas called “maternity care deserts”, where access to healthcare, food and other basic necessities don’t exist. These ghost towns house people, mostly people of color, that are all but forgotten.
Dayton, Ohio is one of these deserts, and the Five Rivers Health Center is a federally funded center, where women can get access to all stages of maternity care, regardless of ability to pay. This clinic, also led by a black, female CEO, Gina McFarlane-El, envisions it to be a “one stop” place for all things maternity and child care.
They service a wide variety of women that are homeless, in jail, and those who suffer with mental illnesses, with the quality of care so desperately needed there.
One of their midwives, Toni Tipton, is the only black midwife in all of southern Ohio. She heads a black women’s nursing group, while seeing patients, to help lower the number of infant mortalities, as black babies here are four times more likely to die than white babies.
With systemic racism, low education, food and housing insecurity, and widespread poverty among the people of color who live here, this clinic is a literal lifesaver in the midst of the crisis.
Most of the focus of the film is centered on the importance of midwives in labor and delivery, who are able to take a lot of the burden off of the hospital system. Midwives provide one to one care, both before and after birth, that is generally not available to mothers who take the traditional hospital route. They also provide more birthing options, allowing women more control.
These nurses provide lifesaving treatment, education, outreach and baby supplies to those who normally don’t have access to any of it.
In all honesty…
American Delivery is an essential film, not just because of its enlightening information, but because it sheds a positive perspective amidst the normalized media frenzy of the grim and disastrous.
Many documentaries I’ve seen tell us what the problems are, but don’t always offer solutions, or show us those who are already making the change happen. The negative perspectives can leave audiences baffled, with no way to know what they can do to help.
Many of the nurses and midwives featured have a history with subpar care from doctors and hospitals during their own pregnancies, that could have been avoided if this country would get their healthcare system together. They took their own trauma, and turned them into hope for other women.
Racism, of course, is the at the core of US society, that leaves way too many people of color without basic human needs and services. The noxious judgments about those in need, steeped in white supremacy and capitalism, is a brutal system that has plagued this country from the very beginning.
People of color are purposefully blocked from access to a good education, well paying work, and kept in poverty so they never reach true equity.
Women are still second class citizens, so we do not benefit from a toxic masculine society based on power and greed. Women of color, especially black women, suffer the most from the lack of care by affluent white ideology and pay with their lives in many respects.
The fact that they are three times more likely to die in childbirth compared to any other race is a blatant disregard of their lives stemming from hateful structures like slavery and Jim Crowe, that continue to poison our society today.
The essential work that these midwives and nurses do, is on the forefront of dismantling the nefarious structures of power that harm and kill black people at alarming rates.
Tanzania, which, according to the film, had the worst maternal mortality rate in the world, has cut their crisis in half by the hard work of nurses and midwives there. Why would one of the richest countries in the world even have this issue? Just take a look at our history to see how much it hates women and people of color.
Jones’s choice to allow these women a platform for their personal stories, trauma, joys and tears, gives a voice to those who might not otherwise have one, and also shows the audience a perspective not seen in other documentaries of its like. It is positivity, dedication and love in motion.
At such a crucial time in America, when women’s rights are being cruelly eliminated, this is the type of film we need when looking for hope. There are so many unsung heroes and she-roes, bringing light to the dark on Earth, that we never hear about.
Filmmakers like Jones pave a way for these lightworkers to be seen, and help bring us the promise that, working together, maybe we can solve the systemic poisons woven into our society, and let love and light prevail.