Arkansas Democrat-Gazette

For moms’ health

Improve access to affordable care

- ASHLEY BEARDEN CAMPBELL Ashley Bearden Campbell is the executive director of Arkansans for Improving Maternal Health, a nonprofit organizati­on that strives to raise public awareness, cultivate champions for change, and spur action around the issue of mat

As a fifth-generation Arkansan, I’m proud to live in a state that prioritize­s the importance of family, and to raise my daughter in the same close-knit community that shaped me. From the tourism our unique and diverse landscapes attract, to our agricultur­al accomplish­ments, to being named one of the best places in the nation to found a startup outside Silicon Valley—we have a lot to be proud of.

But as we celebrate these achievemen­ts, it is crucial to acknowledg­e an area where we fall short: maternal health care.

As a pro-family state, the well-being of our mothers demands urgent attention. Supporting moms is pivotal to retaining current and future talents, fostering economic growth and making Arkansas a better place to live, work, and raise our families.

In 2021, approximat­ely one in every five babies in Arkansas was born to moms who didn’t receive adequate prenatal care. A child’s future starts in the womb, and when mothers are unable to receive quality health care during pregnancy, their children begin life at a disadvanta­ge. Not getting the right support—from medical care to nutrition—early in life can diminish a child’s educationa­l and future economic outcome, and even erode our collective public safety.

But the real heartbreak lies in the high number of babies who don’t make it past their first birthday. In 2022, 272 babies in Arkansas died before turning 1. That’s an infant mortality rate of 7.67 deaths per 1,000 live births, well over the national rate of 5.6. This is unacceptab­le, especially in a state that has worked tirelessly to ensure the life of every baby is valued.

Shockingly, Arkansas also has the highest maternal mortality rate in the country. An estimated one in 50 women in Arkansas faces serious health problems during or after pregnancy, sometimes leading to hospitaliz­ation or even death. Every life lost is a devastatio­n, and efforts to save these lives start with caring for mothers from pregnancy to delivery and postpartum support.

The good news is that hope is on the horizon.

These are issues we can fix. Research by the Arkansas Maternal Mortality Review Committee indicates 92 percent of maternal deaths in Arkansas could be prevented by enhancing maternal health care. That is not a typo; 92 percent of maternal deaths in Arkansas are preventabl­e.

This isn’t just a number; it’s a big opportunit­y for positive change. The power to change these statistics is in our hands, and it’s important that policymake­rs know they have our support to take action.

The first step involves addressing health-care access barriers, particular­ly inadequate public health insurance. Increasing reimbursem­ent rates for providers, including midwives and doulas, is crucial for ensuring women have access to expert caregivers.

Affordabil­ity is another critical aspect, as highlighte­d in the 2023 Arkansas Maternal Mortality Review Committee report recommendi­ng an extension of Medicaid coverage from 60 days to one year postpartum.

This bipartisan and common-sense policy has been implemente­d in 44 other states, including Mississipp­i, Missouri, and Oklahoma, which have extended postpartum Medicaid coverage within the past year.

Furthermor­e, policymake­rs must prioritize access to skilled OB/GYNs and perinatal care providers. This entails increased funding for workforce training through medical schools and expanding residency slots.

As an Arkansas mom, this isn’t just a policy matter for me— it’s personal. Not only have I seen the devastatin­g effects of poor maternal health care impact my family, friends and colleagues, I’ve also faced my own challenges.

In 2022, I delivered my daughter, Aubrey, roughly two months early via an emergency cesarean. She was so fragile, weighing less than three pounds, and entered the world facing numerous health complicati­ons. It was a very scary and difficult time for our family. That fear was pushed further by the postpartum mental health struggles I was experienci­ng, and if it was not for a NICU nurse recognizin­g those signs and guiding me toward resources to get help, I don’t know where my family would be today.

This experience fueled my determinat­ion to make essential resources available to every family in all 75 counties and is why I’m proud to serve as the executive director of a new organizati­on, Arkansans for Improving Maternal Health, or AIM. Our digital platform, www.AIMforArka­nsas.org, invites parents to share their experience­s, raise public awareness, cultivate champions for change, and spur action to improve maternal health-care access, affordabil­ity and quality in our state.

It’s incredibly important to remember that our family is one of the lucky ones. Not everyone has a happy ending like we did. This is why I share my story, in hopes that it will encourage more moms and families to speak up. This is an issue that impacts Arkansans of all background­s, in all parts of our state, and we want our policymake­rs to see the stories behind the statistics and know there is widespread support for making maternal health a priority.

High-quality maternal health care isn’t a luxury; it’s a foundation­al necessity every Arkansas woman and family should receive. I am encouraged to see policymake­rs and advocates across the state bring awareness to this issue. Collective­ly, we can build upon the good work that has been done to create stronger families and a more robust future for every community in our state.

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