B1 Intermediate US 107 Folder Collection
After playing the video, you can click or select the word to look it up in the dictionary.
Loading...
Report Subtitle Errors
>> Sreenivasan: IF YOU'RE AN
AMERICAN WOMAN, YOUR CHANCES OF
DYING FROM PREGNANCY-RELATED
CAUSES ARE HIGHER THAN SOMEONE
WHO LIVES IN SWEDEN, POLAND OR
LIBYA.
IN AN HISTORIC MOVE THIS PAST
DECEMBER, PRESIDENT TRUMP
ALLOCATED $50,000,000 IN FUNDING
TO DECREASE MATERNAL MORTALITY
OVER THE NEXT FIVE YEARS.
TEXAS INADVERTENTLY BECAME AN
EMBLEM ON THE HEALTH CRISIS WHEN
IT MISTAKENLY OVERSTATED THE
NUMBER OF MATERNAL DEATHS IN
THEIR STATE, BUT THE ERROR DREW
ATTENTION TO THE NUMBER OF
AFRICAN AMERICAN WOMEN WHO STILL
HAD HIGHER MATERNAL DEATH RATES
THAN OTHER POPULATIONS.
NEWSHOUR WEEKEND SPECIAL
CORRESPONDENT KIRSTY JOHANSEN
TRAVELED TO TEXAS TO MEET THE
WOMAN WHO HELPED PUT THIS ISSUE
IN THE SPOTLIGHT AND IS FIGHTING
FOR CHANGE ACROSS THE COUNTRY.
>> Reporter: MORNINGS IN THE
THIERRY HOUSEHOLD ARE LIKE THOSE
IN MANY OTHER AMERICAN HOMES.
SHAWN THIERRY, A SINGLE MOTHER,
IS GETTING HER DAUGHTER, KLAIRE,
READY FOR SCHOOL AND HAS A JAM-
PACKED DAY HERSELF.
THIERRY TRIES NOT TO TAKE ANY OF
THEIR TIME TOGETHER FOR GRANTED,
REMEMBERING SAGE WORDS FROM HER
GRANDMOTHER.
>> SHE WOULD ALWAYS SAY, I
REMEMBER WHEN I WAS A LITTLE
GIRL, "WELL, WHEN A WOMAN HAS A
BABY, THAT'S THE CLOSEST SHE'S
EVER GOING TO GET TO DEATH."
BUT THAT WAS TRUE BACK IN THE...
AS THEY SAY, THE OLD DAYS.
WOMEN DIED IN CHILDBIRTH.
AND SO, I FIND IT JUST BOGGLING
THAT IN 2019 WE'RE STILL HAVING
THIS CONVERSATION.
I'M GOING TO GO GET YOUR
CLOTHES.
>> Reporter: TEXAS HAS ONE OF
THE MOST CONCERNING MATERNAL
MORTALITY RATES IN THE COUNTRY,
ESTIMATED AT 14.6 PER 100,000
LIVE BIRTHS.
FOR BLACK WOMEN, IT'S EVEN
WORSE: 27.8 PER 100,000.
SHAWN THIERRY ALMOST BECAME ONE
OF THE STATE'S STATISTICS
HERSELF WHILE GIVING BIRTH IN
2012 TO KLAIRE.
>> I STARTED TO TELL THE DOCTORS
IN THE ROOM, "SOMETHING'S NOT
RIGHT."
I ASKED THEM TO PUT ME UNDER, TO
GIVE ME FULL ANESTHESIA,
THINKING THAT IF SOMEHOW I
WASN'T CONSCIOUS AND AWAKE OF
THE LEVEL OF PAIN THAT I WAS IN,
THAT MAYBE I COULD SURVIVE.
AND THEY SAID, "WELL, THE
DOCTOR'S NOT EVEN IN THE ROOM.
HE... HE HAS TO MAKE THAT
ORDER."
AND I JUST SCREAMED, "GO GET
HIM."
>> Reporter: THIERRY DOESN'T
REMEMBER MUCH ELSE OTHER THAN
WAKING UP AND FINDING OUT SHE
HAD GIVEN BIRTH.
SHE SAYS HER DOCTOR NEVER
EXPLAINED WHAT HAD HAPPENED.
>> LATER, I FOUND OUT.
A COUPLE OF NURSES CAME IN, AND
THEY SAID THAT I HAD WHAT'S
CALLED A HIGH-BLOCK EPIDURAL.
AND THAT CAN BE AN ADVERSE
REACTION WHEN I BELIEVE IT'S PUT
TOO HIGH IN YOUR SPINE AND THE
MEDICINE GOES TO YOUR HEART
INSTEAD OF DOWN TO YOUR LEGS.
SO, IT WAS PARALYZING MY HEART.
>> Reporter: THIERRY BELIEVES
HER NURSES AND DOCTORS DIDN'T
TAKE HER PAIN LEVEL SERIOUSLY.
SHE SAYS A UNIVERSITY OF
VIRGINIA REPORT MAY HOLD THE KEY
AS TO WHY.
>> THEY SURVEYED MEDICAL
STUDENTS WHO ACTUALLY BELIEVED
THAT AFRICAN AMERICANS HAVE
THICKER SKIN.
THEY REVEAL THAT THEY THOUGHT
THAT AFRICAN AMERICANS HAD A
HIGHER PAIN THRESHOLD.
AND SO, FINDINGS ARE COMING OUT
THAT BLACKS ARE LESS LIKELY TO
RECEIVE PAIN MEDICATION IN THE
E.R.
>> Reporter: AS A BLACK WOMAN IN
TEXAS, THIERRY KNOWS ALL TOO
WELL HOW BIG THE PROBLEM IS.
SHE'S A TEXAS HOUSE
REPRESENTATIVE.
HER DISTRICT INCLUDES THREE OF
THE ZIP CODES WITH THE HIGHEST
MATERNAL MORTALITY RATES.
DRIVEN BY HER PERSONAL ORDEAL,
SHE'S PUSHING THE STATE TO STUDY
MATERNAL MORTALITY, AN ISSUE
THAT DR. CARLA ORTIQUE SAYS HAS
BECOME A CRISIS.
>> AT LEAST 50% TO 80% OF
DELIV... OF THESE DEATHS ARE
PREVENTABLE.
>> Reporter: ORTIQUE IS VICE
CHAIR OF THE TEXAS MATERNAL
MORTALITY AND MORBIDITY TASK
FORCE, WHICH WAS ESTABLISHED IN
2013 TO STUDY THE STATE'S
MATERNAL MORTALITY RATE.
>> WE KNOW THAT FOR EVERY
MATERNAL DEATH, THERE ARE
APPROXIMATELY 100 SEVERE
MATERNAL MORBIDITIES.
IN OTHER WORDS, BAD THINGS THAT
HAPPEN-- NEAR MISSES, NEAR DEATH
INSTANCES.
AND SO, IT'S REALLY IMPORTANT
THAT WE RECOGNIZE THAT THE
MORTALITY IS JUST THAT.
IT'S THE TIP OF THE ICEBERG.
>> Reporter: ORTIQUE SAYS 55% OF
WOMEN WHO GIVE BIRTH IN TEXAS
ARE COVERED BY MEDICAID.
MOST LOSE THAT COVERAGE 42 DAYS
AFTER DELIVERY.
>> AND SO, IT'S LIKELY NOT A
COINCIDENCE THAT YOU SEE A
HIGHER INCIDENCE OF DEATH AFTER
THAT 42-DAY MARK.
>> Reporter: TEXAS HAS THE
LARGEST UNINSURED RATE IN THE
COUNTRY IN PART BECAUSE IN 2012
THE STATE LEGISLATURE REJECTED
BILLIONS OF DOLLARS IN FEDERAL
AID TO EXPAND MEDICAID UNDER THE
AFFORDABLE CARE ACT.
DR. ORTIQUE SAYS THAT DECISION
COUPLED WITH POVERTY, OBESITY
AND INCREASES IN OPIATE ABUSE
HAS SERVED ONLY TO FURTHER
MARGINALIZE THOSE IN NEED.
>> SHE WAS ALWAYS EXPERIMENTING
WITH HAIR.
>> Reporter: CHERYL PERKINS'
DAUGHTER, CASSAUNDRA, HAD
INSURANCE WHEN SHE GAVE BIRTH TO
TWINS CAMILLE AND CATREYAL, NOW
FOUR YEARS OLD.
SHE ALREADY HAD AN OLDER
DAUGHTER, JOURNII, WHO IS NOW
SIX.
BUT EVEN WITH INSURANCE, DOCTORS
MISSED EARLY SIGNS OF TROUBLE.
>> SHE HAD WENT TO THE E.R. 22
TIMES WITH... WITH NO
RESOLUTION, WHICH... THAT NEVER
SHOULD HAVE HAPPENED BECAUSE,
YOU KNOW, IT WOULD SEEM LIKE THE
DOCTORS WOULD SAY, "WHY IS THIS
PERSON COMING BACK HERE?
WE'RE DOING... WE'RE NOT DOING
SOMETHING."
>> Reporter: CASSAUNDRA WAS
EVENTUALLY DIAGNOSED WITH AN
INFECTION, AND HER LABOR WAS
INDUCED JUST SIX MONTHS INTO HER
PREGNANCY.
HER TWINS WEIGHED ONLY TWO
POUNDS EACH.
SHE DIED A WEEK AND A HALF LATER
AFTER HER LIVER FAILED.
>> TRYING TO GET THESE LITTLE
HAIRS BACK IN PLACE.
>> Reporter: HER MOTHER IS NOW
RAISING THREE YOUNG CHILDREN
ALONE.
>> THERE.
>> NO, I WANT TO WASH IT.
>> CATREYAL, GO GET YOUR
BROTHER'S POLE SO HE CAN EAT.
>> Reporter: CATREYAL,
MEANWHILE, HAS BEEN DIAGNOSED
WITH CEREBRAL PALSY AND NEEDS
24/7 ASSISTANCE.
>> THAT'S LIKE...
THAT IS SO HARD.
>> Reporter: THREE YEARS AFTER
CASSAUNDRA'S DEATH, DR.
ORTIQUE'S TASK FORCE FOUND THAT
THE RATE OF RACIAL DISPARITY HAD
NOT CHANGED.
MORTALITY AMONG BLACK WOMEN WAS
MORE THAN DOUBLE THAT OF WHITE
WOMEN.
BUT THOUGH THE STATE HAS SINCE
DEVELOPED A BETTER METHOD THAT
FOCUSES ON TRACKING NUMBERS, IT
STILL DOES NOT INCLUDE WOMEN WHO
DIE OUTSIDE THE 42-DAY MEDICAID
CUT-OFF.
>> NOW, THIS ROOM HERE, THIS IS
OUR OBSTETRIC ROOM.
>> Reporter: SHAWN THIERRY HAS
ALSO PROPOSED A MATERNAL
MORTALITY AND MORBIDITY DATA
REGISTRY BILL WHICH WOULD
REQUIRE COLLECTING HEALTH DATA
AT THE TIME A PREGNANT WOMAN IS
ADMITTED FOR DELIVERY THROUGH
364 DAYS POSTPARTUM.
UNDER THE BILL, DATA WOULD BE
COLLECTED ON A DAILY BASIS AND
WOULD INCLUDE THE MOST HIGH-RISK
CONDITIONS, SUCH AS HEMORRHAGING
AND PREGNANCY-INDUCED
HYPERTENSION.
ONE OF THE REASONS THIERRY WANTS
TO INTRODUCE THE DATA REGISTRY
IS SO BROADER STATISTICS CAN
REINFORCE THE SEVERITY OF
MATERNAL DEATHS AND SET A NEW
STANDARD FOR STATES ACROSS THE
U.S.
THIERRY IS ALSO TRYING TO PASS
TWO MORE BILLS.
ONE WOULD EXTEND MEDICAID
COVERAGE FOR ELIGIBLE WOMEN UP
TO ONE YEAR AFTER THEY DELIVER
OR EXPERIENCE A MISCARRIAGE.
THE OTHER WOULD REQUIRE CULTURAL
COMPETENCY TRAINING FOR MEDICAL
PROFESSIONALS TO REMOVE BIAS IN
TREATMENT OF AFRICAN-AMERICAN
WOMEN, SOMETHING THE TASK FORCE
RECOMMENDED.
PHYSICIANS LIKE DR. CARLA
ORTIQUE SAY THAT'S FINE, BUT
ONLY AS LONG AS IT'S VOLUNTARY.
>> WHILE I DID SAY I ABSOLUTELY
SUPPORT HAVING TRAINING, I'M
NOT... I CAN'T SAY THAT I
TOTALLY SUPPORT MANDATES.
>> Reporter: MEANWHILE, THE
STATE HAS ALREADY MADE SOME
CHANGES TO ADDRESS MATERNAL
HEALTH ISSUES.
TEXAS CHILDREN'S HOSPITAL
WOMEN'S PAVILION HAS ITS OWN
INTENSIVE CARE WARD WITHIN THE
LABOR AND DELIVERY UNIT, THE
FIRST OF ITS KIND IN THE
COUNTRY.
AND THE TEXAS DEPARTMENT OF
STATE HEALTH SERVICES
INTRODUCED MATERNAL SAFETY
BUNDLES WHICH DETAIL TREATMENT
POLICIES, SAFETY EQUIPMENT,
TRAINING PROGRAMS AND INTERNAL
REVIEWS THAT EVERY HOSPITAL
SHOULD HAVE.
SO FAR, 85% OF BIRTHING
FACILITIES IN THE STATE HAVE
ROLLED OUT THE PROGRAM.
YOU'RE PUTTING THREE BILLS
FORWARD.
WHAT HAPPENS IF THEY DON'T PASS?
>> I'LL BE VERY DISAPPOINTED.
THAT'S THE FIRST THING THAT'S
GOING TO HAPPEN.
BUT I'M... THEN, AFTER THAT,
I'LL HAVE TO WAIT TWO MORE
YEARS.
>> Reporter: IN FACT, THIS
MONTH, HER DATA REGISTRY BILL
WAS PASSED BY THE TEXAS HOUSE,
BUT HER TWO OTHER BILLS WERE NOT
GRANTED A COMMITTEE HEARING.
BUT SHE VOWS TO KEEP UP THE
FIGHT EVEN IF SHE HAS TO WAIT
FOR THE NEXT BIENNIAL
LEGISLATIVE SESSION.
CAN TEXAS WAIT TWO MORE YEARS?
>> ONE OF THE THINGS I SAID IN
THE VERY BEGINNING IS, THE TIME
IS NOW.
WE CAN'T WAIT BECAUSE WE HAVE A
LIST OF NAMES OF WOMEN THAT HAVE
LOST THEIR LIVES BEHIND THIS.
    You must  Log in  to get the function.
Tip: Click on the article or the word in the subtitle to get translation quickly!

Loading…

The fight to end Texas' high maternal mortality rate

107 Folder Collection
Yi-Jen Chang published on May 26, 2019
More Recommended Videos
  1. 1. Search word

    Select word on the caption to look it up in the dictionary!

  2. 2. Repeat single sentence

    Repeat the same sentence to enhance listening ability

  3. 3. Shortcut

    Shortcut!

  4. 4. Close caption

    Close the English caption

  5. 5. Embed

    Embed the video to your blog

  6. 6. Unfold

    Hide right panel

  1. Listening Quiz

    Listening Quiz!

  1. Click to open your notebook

  1. UrbanDictionary 俚語字典整合查詢。一般字典查詢不到你滿意的解譯,不妨使用「俚語字典」,或許會讓你有滿意的答案喔