Pregnant people in almost half of the counties in Texas don鈥檛 have adequate access to health care. That鈥檚 according to , which measures maternity care in the United States.
More than 46% of Texas counties are defined as maternity care deserts, which means those counties have no maternity care centers or obstetricians. People seeking care had to travel an average of 30 miles to find a doctor in a maternity care desert, with some traveling up to 70 miles to find the nearest birthing hospital.
Lisa Adams, executive director for March of Dimes in , said of the issues highlighted in the report, distance stood out to her as one of the biggest.
鈥淲e have a lot of areas within Texas that are just really hard to reach,鈥� she said. 鈥淲hat are we doing to implement increased access to care鈥攚ays to reach them that might not be traditional methods of going to a clinic?鈥�
In Texas, about 20% of pregnant people receive inadequate or no prenatal care, according to the report. That鈥檚 higher than the national rate, which is close to 15%.
Access to maternal health care has far-reaching impacts for pregnant people and their infants.
A 2019 brief from the Centers for Medicare and Medicaid Services reported a lack of access to maternal health care leads to
鈥淭his is a need we need to address immediately in order to improve some of these statistics for moms and babies,鈥� Adams said. 鈥淭his is an urgent health care crisis for Texas, and in order to increase care and the overall well-being, we need to start talking about this now.鈥�
Beyond the health outcomes, traveling far distances to find care is a financial strain on families, and, according to the report, can increase 鈥減renatal stress and anxiety.鈥�
Maternity care outcomes in Texas
Dr. Carla Ortique is an who serves on the Texas Medical Association鈥檚 Council on Science and Public Health. She鈥檚 also the chair of the state鈥檚 , which releases reports on outcomes for pregnant people in Texas.
鈥淚t鈥檚 not as straightforward as saying, 鈥極h, if you have insurance, you have access,鈥欌�� Ortique said. 鈥淭here are all of the factors that impact your ability to achieve the best health possible.鈥�
A 2020 study out of Louisiana compared , and found the 鈥渞isk of death during pregnancy and up to 1 year postpartum鈥� was significantly higher in people living in maternity care deserts.
Ortique said this is also true for Texas.
鈥淲e鈥檝e noticed those health care deserts seem to be concentrated in the same areas that鈥ave the highest maternal mortality,鈥� Ortique said. 鈥淚 don鈥檛 think it鈥檚 a coincidence.鈥�
Both the March of Dimes report and Ortique suggested expanded telehealth options as one way to address health disparities for pregnant people.
鈥淭he pandemic taught us a lot,鈥� she said. 鈥淚t taught us that you can still take care of people, you can provide care without being in person. Prenatal care can largely be accomplished by telehealth. You can certainly do a lot with the technology that is available, and I think [people] who are in rural areas need to be prioritized in that way.鈥�
Overall, Ortique said prioritizing the health of new parents helps everybody.
鈥淢aternal health outcomes are the intersection of health, gender and economic concerns,鈥� she said. 鈥淚t鈥檚 critical that we improve our outcomes there, because we鈥檒l improve outcomes in other areas.鈥�
Got a tip? Email Elena Rivera at erivera@kera.org. You can follow Elena on Twitter .
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