The Myth of the ‘Perfect Birth’: What America Gets Wrong About Pregnancy, Birth and Maternal Care

Project 2026’s pronatalist vision insists that America needs more babies—but largely ignores the conditions that make pregnancy and childbirth unnecessarily dangerous in the first place. In this interview with Ms., The Perfect Birth Myth co-authors Avital Norman Nathman and Deborah Wage argue that improving maternal health requires more than rhetoric about “family values.” It demands investments in midwives, doulas, paid family leave, prenatal and postpartum care, and policies that address the racial and economic inequities driving the nation’s maternal mortality crisis.

Drawing on surveys of nearly 3,000 parents and healthcare providers, Nathman and Wage dismantle persistent myths about birth while exposing the structural failures of the U.S. maternity care system—from hospital closures and Medicaid cuts to the medical establishment’s resistance to alternative models of care. They explain why Black women continue to face disproportionately poor outcomes regardless of income or education, why conservative pronatalist policies fall short, and what it would take to build a maternal healthcare system that truly supports families.

Keeping Score: Feminists Denounce Supreme Court Anti-Trans Ruling; Trump Tries to Hijack America 250; Camp Mystic Will Not Reopen; Birthright Citizenship Safe for Now

In every issue of Ms., we track research on our progress in the fight for equality, catalogue can’t-miss quotes from feminist voices and keep tabs on the feminist movement’s many milestones. We’re Keeping Score online, too—in this biweekly roundup.

This week:
—The Supreme Court upheld birthright citizenship, but also allowed discrimination against trans student athletes. “When politicians convince the public that any girl could be ‘the wrong kind of girl,’ they invite harassment, intimidation, invasive questioning or even an inspection of their body by a total stranger,” warns Kelley Robinson, president of the Human Rights Campaign.
—Feminists mark four years without Roe.
—Trump continues to push voter suppression tactics through any means necessary.
—Young women who receive the HPV vaccine are at almost zero risk of dying from cervical cancer.
—A weekend of action on voting rights will take place from July 17-19.
—Olivia Rodrigo launches all-women music festival to raise money for organizations centered on women and girls.
—Ninety-seven percent of single moms experienced housing hardships in the past year, and 85 percent reported food insecurity.
—Federal agents shot and killed Joan Sebastián Guerrero in Maine and Lorenzo Salgado Araujo in Texas, during traffic stops by ICE. Both men had been living in the U.S. for years with their partners and children.
—Feminist Majority Foundation president and publisher of Ms. Ellie Smeal won the National Organization for Women Lifetime Achievement Award, honoring her decades of feminist activism and organizing.
—The inhumane “Alligator Alcatraz” immigration detention center has closed.
—Camp Mystic in central Texas won’t reopen this summer, a year after the tragic flood that killed 28 people, primarily young girls.
—Ahead of their wedding, Taylor Swift and Travis Kelce donated a total of $26 million to 20 charities, including food banks, children’s hospitals, Dolly Parton’s Imagination Library and other education nonprofits.
—Aviator Wally Funk died at age 87. She was the first female flight inspector for the Federal Aviation Administration and taught more than 3,000 people how to fly.

… and more.

The Blueprint to Save America’s Moms 

American healthcare was fundamentally reshaped a year ago with the passage of H.R. 1. The sweeping federal budget reconciliation bill President Donald Trump called the One Big Beautiful Bill was signed into law on July 4, 2025.

One year later, the country’s sexual and reproductive health system is in crisis, and we are at a devastating inflection point, leading all high-income countries in a statistic that should shame every lawmaker: maternal mortality. 

To truly save the lives of American moms, we must adopt a policy framework rooted in medical expertise, research and human rights. Here’s what we propose.

Looking to Black and Indigenous Foremothers to Resist Erasure

Free Black women and Indigenous women are the foremothers of generations of African Americans. Yet they remain largely absent from the official story of American freedom. Their lives, contributions and descendants have been systematically erased—from colonial records and legal classifications to public memory itself.

That erasure began in the earliest colonial records. The 1620 Virginia census recorded “four Indians in the service of several planters,” alongside 15 Negro men and 17 Negro women, reducing people to categories that obscured their identities, families and histories. Over the centuries, laws, court decisions and public institutions repeatedly reinforced that disappearance.

The best celebration of 250 years of American freedom—after the fireworks and celebrations by a newly blue-painted Lincoln Memorial Reflecting Pool are over—could be a visit to a cool, air-conditioned archive. In the quiet, anyone can search the records for the full story, of the enslaved and freeborn, Indian and African. Anyone can defy censorship and erasure with an open mind and a pencil, no fees required. 

Four Years After Dobbs, Women’s Healthcare Is a Scarce Resource

This week marks four years since the Supreme Court revoked the federal right to abortion, catapulting the nation into an era of state-sanctioned deprivation of bodily autonomy for American women.

On this anniversary, we write to take stock of one of the underreported outcomes of Dobbs: the growing number of individuals and families for whom access to healthcare is diminishing because of a rise in medical deserts.

It’s common sense—there is no reason for highly mobile professionals to remain in places where they find themselves increasingly facing the prospect of personal risk for practicing medicine.

Not surprisingly, medical deserts are prevalent in conservative and rural states; the downstream pressure suggests it soon will become an issue for blue states, too.

The impact on America’s unconscionable maternal and infant mortality rates cannot be overstated. The United States has the highest maternal mortality rate of any wealthy country; as rates continue to drop worldwide, they climb higher here, with Black women more than three times more likely than white women to die in childbirth. Infant mortality has risen specifically in states that enacted abortion restrictions since 2022, again with impacts worse among Black infants.

‘Access to Reproductive Choices Gave Me the Freedom To…’: 12 Answers We Can’t Stop Thinking About

Four years after Dobbs, it’s clear that reproductive freedom is not an abstract political issue. It is the freedom to build a life.

This week, we’re launching The Majority campaign—and we want you in it. The ask is simple: Finish the sentence, “Access to reproductive choices gave me the freedom to …”

The responses so far are from women and men, parents and nonparents, abortion patients and birth control users, people who needed miscarriage care, gender-affirming healthcare, fertility treatment, or simply the ability to decide their own future.

These are some of the stories we can’t stop thinking about.

‘Nope, You’re Fine’: This Black Doctor Nearly Died After Giving Birth in Reno

A first-person account from Dr. Bayo Curry-Winchell, a Black family physician and the medical director for Saint Mary’s Urgent Care Group in Reno, Nevada. Curry-Winchell nearly died after giving birth by C-section at her own hospital after repeated warnings that something was seriously wrong were dismissed. Her story—shared with writer Bonnie Fuller—underscores the stark realities of America’s maternal mortality crisis, which disproportionately endangers Black women regardless of education or income.

“I was 38 and had just delivered my second baby, a little girl, at the Reno hospital where I was a medical director at the time. …

“I remember holding my new daughter in the recovery room, then being wheeled into my hospital room. That’s when I started feeling like something wasn’t right. I didn’t feel like myself. I was having a hard time talking, and I was in a lot of pain. …

“I wasn’t capable of using my medical training in that moment. But I had to do something. I handed my phone to my husband, James, and told him to call my OB-GYN right away. … Dr. Jack believed him and came right back to the hospital. …

“It turned out that I still had retained products, including placenta and fetal tissue, in my uterus. Unfortunately, this can happen sometimes, especially after a prior C-section. I also was bleeding internally. I had lost so much blood, I had to have a transfusion. …

“American Black women have a very high maternal mortality rate, and I lived it myself. If my doctor had not believed my husband and me and returned to care for me, I would have been like other Black women you hear about passing away after giving birth.”

Texas May Eliminate a Critical Tool for Preventing Maternal Deaths

Texas is considering whether to continue one of its most important tools for preventing maternal deaths.

The state’s Maternal Mortality Review Committee (MMRC), which investigates pregnancy-related deaths and identifies ways to prevent them, is currently undergoing Sunset review—a routine process that determines whether state programs will continue operating. If lawmakers fail to reauthorize the committee, Texas will lose a critical source of information about why mothers are dying and what can be done to save lives.

The stakes are especially high for Black women. In Texas, Black women are nearly four times more likely than white women to die from pregnancy-related causes. Texas’ maternal mortality rate also exceeds the national average, and approximately 80 percent of pregnancy-related deaths are considered preventable.

As public health researchers who have studied women’s health and health disparities in Texas for decades, we know that meaningful progress depends on understanding what is driving these deaths and holding systems accountable for addressing them.

Maternal mortality review committees are one of the most effective tools states have for doing exactly that.

Keeping Score: Threats Against Abortion Clinics Doubled in 2025; Sounding the Alarm on ‘Horrible Conditions’ of Delaney Immigration Center; Pride Celebrations Around the U.S.

In every issue of Ms., we track research on our progress in the fight for equality, catalogue can’t-miss quotes from feminist voices and keep tabs on the feminist movement’s many milestones. We’re Keeping Score online, too—in this biweekly roundup.

This week:
—”Trump only seems to have the capability to fire female secretaries,” observes AOC.
—Two-thirds of abortion clinics reported violence or harassment in 2025.
—The TAKE IT DOWN Act (Tools to Address Known Exploitation by Immobilizing Technological Deepfakes on Websites and Networks Act) took effect last month. It requires social media sites to take down non-consensual sexual imagery within 48 hours.
—Members of Congress visited the Delaney Hall Immigration Detention Center after detainees started a hunger strike to protest inhumane conditions.
—The Trump administration announced an investigation into E. Jean Carroll, who Trump sexually abused and defamed.
—Harvey Weinstein’s New York rape trial resulted in another mistrial.
—A North Carolina bill would allow deadly force against patients seeking abortion care.
—Healthcare premiums have skyrocketed, forcing 21 percent of HealthCare.gov enrollees to lose coverage.
—Women freelancers charge an average of 19 percent less per hour than men.
—Americans are struggling to access disability benefits after cuts to the Social Security Administration.
—Social media platforms are enabling anti-LGBTQ hate and censorship.
—Rep. Ayanna Pressley (D-Mass.) and Sen. Dick Durbin (D-Ill.) reintroduced the Federal Death Penalty Prohibition Act to ban the death penalty at the federal level. Last month, the DOJ announced they would bring back firing squads and potentially electrocution and lethal gas for executions.
—A comprehensive calendar shows all the Pride parades this month, across the country and globe.

… and more.

Latin American Feminists Train U.S.-Based Doulas on New Mifepristone Protocol for Second-Trimester Abortions

As Republicans create ever higher barriers to abortion that push abortion seekers later into pregnancy, U.S.-based activists are learning from Latin American feminists who have developed protocols to make second-trimester medication abortion easier and safe: using a double-dose mifepristone protocol for pregnancies 17 weeks of gestation and longer.

For second-trimester abortions, taking two mifepristone means needing less misoprostol, which eases painful contractions and shortens the time to uterine expulsion.

Whereas mifepristone’s side effects are mild—mainly headaches and some nausea that can be treated with medications—misoprostol causes diarrhea, chills and vomiting, which are much harder to experience. Using two mifepristone also significantly reduces the period of painful contractions—from 15 to 18 hours, to often less than six hours, which is critical for women who have to work or care for children or relatives.

Supported women have expressed great satisfaction with the process.

People seek abortion care later in pregnancy for the same reasons they do early in pregnancy, said Erika Christensen, cofounder of Patient Forward, which works to eliminate barriers to abortion care later in pregnancy and provides resources on how find later abortion care—but many are not able to access care as soon as they would like. “This could be because they learned a piece of new information later in their pregnancy, like a health threat to themselves or to the fetus, a new extenuating life circumstance, or it could be the new information could be that they’re pregnant.”