Mississippi Today
Mississippi again ranks first in nation for stillbirths, new data shows
Mississippi continues to rank first in the nation in fetal deaths, according to 2021 data released by the Centers for Disease Control and Prevention last week.
The report examined deaths of fetuses in utero that occurred after 20 weeks’ gestation, also known as stillbirths, in the United States. Mississippi led the nation with a rate of 10 deaths per 1,000 live births, almost twice the national rate of 5.73.
Mississippi has also long led the nation in infant mortality, or the death of babies up to one year of age.
State Health Officer Dr. Daniel Edney said “the time for study and evaluation has passed,” and it is time for action.
“We’ve been working for the past year to implement the Healthy Moms, Healthy Babies program for high-risk moms and babies on Medicaid,” Edney continued. “We’ve also just been given the endorsement of the state Board of Health to develop the best OB system of care that we possibly can, following the models of national organizations and the other 10 states that have mandatory maternal levels of care for hospitals.”
Healthy Moms, Healthy Babies is a partnership between the state’s Health Department and the state Division of Medicaid that places registered nurse case managers in the homes of mothers undergoing high-risk pregnancies and who have recently given birth.
Similar to the Mississippi State Department of Health’s trauma, ST-Elevation Myocardial Infarction, and stroke systems of care, the OB system will facilitate transferring high-risk pregnant women and their babies to the right level of care at the right time. The system of care is not yet in place — the state Board of Health just authorized staff to start working on it at its board meeting earlier this month.
Nationally, more than 21,000 stillbirths occurred in 2021, or about six for every 1,000 live births.
For Black women nationally, the fetal mortality rate declined by 4% from 10.34 (2020) to 9.89 (2021). However, Black women still had the highest fetal mortality rate compared to other racial and ethnic groups in the U.S – nearly double the national rate of 5.74 per 1,000 live births.
According to the report, most fetal deaths were associated with an “unspecified cause.” Other common causes were complications of the placenta, cord and membranes; maternal conditions unrelated to pregnancy; maternal complications of pregnancy and congenital malformations.
The fetal mortality rate for women who smoked during pregnancy was almost twice that of nonsmokers – 9.62 compared to 5.08, respectively.
“The latest data from the National Center for Health Statistics confirms what we currently know, stillbirth prevention needs to remain a priority. While the stillbirth rate from 2020 to 2021 essentially remained unchanged, any fetal deaths that could have been prevented are unacceptable,” Dr. Christopher Zahn, interim CEO and chief of clinical practice and health equity and quality for the American College of Obstetricians and Gynecologists, told Mississippi Today.
Samantha Banerjee, executive director of PUSH for Empowered Pregnancy and a mom whose daughter Alana was born still in 2013, said the “numbers are shameful” but “not shocking to those of us in the stillbirth community.”
“We have fallen far behind our international peers when it comes to ending preventable stillbirth, and averting these tragedies has never been made a priority in the U.S. It is beyond time for change, and we hope that the recent CDC report serves as a wake-up call to our medical and public health leaders,” Banerjee told Mississippi Today.
PUSH for Empowered Pregnancy, a national nonprofit dedicated to reducing the rate of stillbirth in the U.S., empowers pregnant women and their providers to recognize warning signs of stillbirth. PUSH also closely coordinates with Black maternal health and maternal mortality communities on patient-centered solutions addressing stillbirth.
Ana Lepe Vick, co-director of communications at PUSH and the mother of Owen, who was stillborn in 2015, told Mississippi Today that it is critical that the organization raise awareness about stillbirth and share known preventive methods.
“Unacceptably, the rate of stillbirth remains stagnant because there has been no national sense of urgency or investment in addressing the failures of our healthcare system which allows even healthy, ‘low risk’ pregnancies to end is this catastrophic outcome,” Vick said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
On this day in 1871
Nov. 17, 1871
Edward Crosby stood before the congressional hearing and swore to tell the truth. By raising his right hand, Crosby put himself and his family at risk. He could be killed for daring to tell about the terrorism he and other Black Mississippians had faced.
Days earlier, he had attempted to vote in Aberdeen, Mississippi, asking for a Republican ballot. The clerk at the polling place said none was available. He waited. Dozens more Black men came to vote, and they were all told the same thing. Then he tried another polling place. Same result.
That day, white men, backed by a cannon, drove about 700 Black voters from the polls in Aberdeen. After nightfall, Crosby stepped out to retrieve water for his child when he saw 30 or so Klansmen galloping up on horses. He hid in a smokehouse, and when Klansmen confronted his wife, she replied that he was away. They left, and from that moment on, “I didn’t sleep more than an hour,” Crosby recalled. “If there had been a stick cracked very light, I would have sprung up in the bed.”
In response, Mississippi, which was under federal rule at the time, pursued an anti-Klan campaign. In less than a year, grand juries returned 678 indictments with less than a third of them leading to convictions.
That number, however, was misleading, because in almost all the cases, Klansmen pleaded no contest in exchange for small fines or suspended sentences. Whatever protection that federal troops offered had vanished by the time they left the state a few years later.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Supporters of public funds to private schools dealt a major blow after recent election results
Mississippians who are dead set on enacting private school vouchers could do like their counterparts in Kentucky and attempt to change the state constitution to allow public funds to be spent on private schools.
The courts have ruled in Kentucky that the state constitution prevents private schools from receiving public funds, commonly known as vouchers. In response to that court ruling, an issue was placed on the ballot to change the Kentucky Constitution and allow private schools to receive public funds.
But voters threw a monkey wrench into the voucher supporters’ plans to bypass the courts. The amendment was overwhelmingly defeated this month, with 65% of Kentuckians voting against the proposal.
Kentucky, generally speaking, is at least as conservative or more conservative than Mississippi. In unofficial returns, 65% of Kentuckians voted for Republican Donald Trump on Nov. 5 compared to 62% of Mississippians.
In Mississippi, like Kentucky, there has been a hue and cry to enact a widespread voucher program.
Mississippi House Speaker Jason White, R-West, has voiced support for vouchers, though he has conceded he does not believe there are the votes to get such a proposal through the House Republican caucus that claims a two-thirds supermajority.
And, like in Kentucky, there is the question of whether a voucher proposal could withstand legal muster under a plain reading of the Mississippi Constitution.
In Mississippi, like Kentucky, the state constitution appears to explicitly prohibit the spending of public funds on private schools. The Mississippi Constitution states that public funds should not be spent on a school that “is not conducted as a free school.”
The Mississippi Supreme Court has never rendered a specific ruling on the issue. The Legislature did provide $10 million in federal COVID-19 relief funds to private schools. That expenditure was challenged and appealed to the Mississippi Supreme Court. But in a ruling earlier this year, the state’s high court did not directly address the issue of public funds being spent on private schools. It instead ruled that the group challenging the expenditure did not have standing to file the lawsuit.
In addition, a majority of the court ruled that the case was not directly applicable to the Mississippi Constitution’s language since the money directed to private schools was not state funds but one-time federal funds earmarked for COVID-19 relief efforts.
To clear up the issue in Mississippi, those supporting vouchers could do like their counterparts did in Kentucky and try to change the constitution.
Since Mississippi’s ballot initiative process was struck down in an unrelated Supreme Court ruling, the only way to change the state constitution is to pass a proposal by a two-thirds majority of the Mississippi House and Senate and then by a majority of the those voting in a November general election.
Those touting public funds for private schools point to a poll commissioned by House Speaker White that shows 72% support for “policies that enable parents to take a more active role in deciding the best path for their children’s education.” But what does that actually mean? Many have critiqued the phrasing of the question, wondering why the pollster did not ask specifically about spending public funds on private schools.
Regardless, Mississippi voucher supporters have made no attempt to change the constitution. Instead, they argue that for some vague reason the language in the Mississippi Constitution should be ignored.
Nationwide efforts to put vouchers before the voters have not been too successful. In addition to voters in Kentucky rejecting vouchers, so did voters in ruby-red Nebraska and true-blue Colorado in this year’s election.
With those election setbacks, voucher supporters in Mississippi might believe their best bet is to get the courts to ignore the plain reading of the state constitution instead of getting voters to change that language themselves.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1972
Nov. 16, 1972
A law enforcement officer shot and killed two students at Southern University in Baton Rouge after weeks of protests over inadequate services.
When the students marched on University President Leon Netterville’s office, Louisiana Gov. Edwin Edwards sent scores of police officers in to break up the demonstrations. A still-unidentified officer shot and killed two 20-year-old students, Leonard Brown and Denver Smith, who weren’t among the protesters. No one was ever prosecuted in their slayings.
They have since been awarded posthumous degrees, and the university’s Smith-Brown Memorial Union bears their names. Stanley Nelson’s documentary, “Tell Them We Are Rising: The Story of Black Colleges and Universities,” featured a 10-minute segment on the killings.
“They were exercising their constitutional rights. And they get killed for it,” former student Michael Cato said. “Nobody sent their child to school to die.”
In 2022, Louisiana State University Cold Case Project reporters, utilizing nearly 2,700 pages of previously undisclosed documents, recreated the day of the shootings and showed how the FBI narrowed its search to several sheriff’s deputies but could not prove which one fired the fatal shot. The four-part series prompted Louisiana Gov. John Bel Edwards to apologize to the families of the victims on behalf of the state.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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