On Health for Women

On the Big Letdown: A Radical Conversation on Birth and Breastfeeding with Kimberly Seals Allers


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Content Warning: In this episode, we will be talking about maternal mortality, infant mortality, and the impact of racism on maternal health.

60% of all maternal deaths are fully preventable, and the complications women experience are not inherent to black or brown bodies. Yet Black and Brown women have been blamed for their "bad outcomes" instead of recognizing that these deaths all too often have to do with failures in the obstetric system. In the US today, a Black woman is 12 times more likely to die of childbirth than a white woman, despite socioeconomic factors.

Today on the On Health podcast, I am having a very real and much-needed discussion on the racial disparities in the business of birth, the demand for change, how we can better celebrate Black birthing people, and more, with Kimberly Seals Allers. She is an award-winning journalist, five-time author, international speaker, strategist, and advocate for maternal and infant health. A former senior editor at ESSENCE and writer at FORTUNE magazine, she is also a leading voice on the racial and socio-cultural complexities of birth, breastfeeding, and motherhood. Additionally, she is the founder of Irth, a new "Yelp-like" app for Black and Brown parents to address bias and racism in maternity and infant care. Kimberly also created Birthright, a podcast about joy and healing in Black birth that centres on positive Black birth stories.


  • In this episode, we discuss:
  • How weathering - the phenomenon of being exposed to ongoing racism - impacts Black pregnant and birthing women 
  • Kimberly's journey into breastfeeding and birth activism - and how it's a family affair for her 
  • The Irth app and how Kimberly is challenging medical bias and shining a light on much needed provider and birth space accountability 
  • Black birthing joy and how it is possible to hold both the reality of these statistics and the celebration for Black birthing people 
  • How we can push for change despite generations of struggle 
  • And so much more! 

Tune in for an incredibly raw conversation and a very real look into a black woman’s reality as an expecting mother and beyond. Your eyes will be further opened to the injustice that continues to exist in this country and you will feel more inspired than ever to do what you can to take action as an advocate.

Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Kimberly @iamksealsallers, get your copy of The Big Letdown: How Medicine, Big Business, and Feminism Undermine Breastfeeding, listen to the Birthright Podcast and check out the Irth App at www.kimberlysealsallers.com

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On Health for WomenBy Aviva Romm

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