Opinion
“The disparities in maternal mortality rates in the US are alarming – it’s time to act”
By Sharon Carothers, managing director at Sensis
The African American maternal health crisis is as systemic as the racism that has stained the United States since 1619.
It seems to be the only way to explain how Black women are more likely to die from pregnancy-related complications than their white counterparts at a rate three times higher.
The US has the worst maternal health outcomes of all high-income countries and this is driven primarily by Black maternal mortality. This shocking problem needs to be addressed urgently.
The recent article in The New York Times, “The Maternal Mortality Divide: Poor and Black Mothers Are at Higher Risk,” shines light on the significant gap in maternal mortality rates between rich and poor, and between Black and White women in the US.
The report shows that in 2020, the maternal mortality rate for Black women was 44.3 deaths per 100,000 live births, compared to 14.9 for White women.
Moreover, the article states that the Black maternal mortality rate is almost identical to that of some of the poorest countries in the world, such as Bangladesh and Sierra Leone.
The reasons for this alarming disparity are due to a history of structural racism in the US. For example, Black women are more likely to experience poverty, lack access to quality health care, and have limited resources to pay for essential medical services.
They are also more likely to suffer from chronic conditions such as hypertension, diabetes, and obesity, which increase the risk of pregnancy-related complications.
Racism and discrimination in the health care system play a significant role in this crisis.
Black women are often not taken seriously when they report symptoms and are more likely to be dismissed by health care professionals. As a result, they are often not diagnosed or treated appropriately, which can lead to serious, life-threatening complications.
Tennis legend Serena Williams has spoken openly about her near-death experience during childbirth, punctuating the need for action on this issue.
In a recent interview with the New York Times, she discussed her struggles with preeclampsia – a dangerous pregnancy-related condition that can lead to seizures, organ failure, and death.
Williams revealed that she was not taken seriously by her medical team when she reported her symptoms and was ultimately forced to undergo an emergency C-section to save her life.
Williams’ story is a stark reminder of the systemic failures that contribute to the African American maternal health crisis.
Fame, status, and wealth didn’t matter. She was another Black woman at a higher risk of developing preeclampsia and other life-threatening conditions.
According to the system, she was not due the same level of care and attention needed to stay healthy during pregnancy and childbirth. This neglect has real consequences, as evidenced by the numbers in the Times story.
To address this crisis, there needs to be a comprehensive approach focused on the economic, social, and systemic factors that contribute to the problem. For example, expanding access to quality healthcare, improving maternal and infant health education, and addressing racism and discrimination in the health care system are all essential steps.
Investing in programmes that support Black women before, during, and after pregnancy can also help to reduce the maternal mortality rate and improve health outcomes for both mothers and their babies.
A myriad of approaches are needed to fully address the Black maternal health crisis in America, including adequately funded, community-based programmes like home visiting, a diverse perinatal workforce inclusive of doulas, midwives and lactation consultants, as well as affordable, accessible, culturally responsible, high quality care.
Additionally, it is essential that systems level action, such as the Maternal Health Momnibus, takes place to address the root causes of racial disparities in maternal health.
Two innovative projects are the Abundant Birth Project in San Francisco, which provides Black mums with a guaranteed income to ultimately improve birth outcomes and the Irth App – they dropped the B for bias – that is sort of a green book for medical providers.
Medicaid expansion is also a critical piece — providing mums coverage for one year postpartum instead of six weeks.
Community organisations such as the Black Mamas Matter Alliance (BMMA) Advocacy groups are working to drive research, advocate and shift culture for Black maternal health, rights, and justice.
During National Minority Health Month, BMMA founded Black Maternal Health Week provides a platform to deepen the conversations surrounding Black maternal health.
Centering Pregnancy as well as Doulas and Midwives are providing extra support for mothers to reduce maternal and infant mortality.
Centering Pregnancy provides women with birth related information in a group environment. This provides an environment for expectant mothers to learn together and provide support during their pregnancies.
Technology could also play an important role in tackling these health inequalities. This includes utilising technology to facilitate data sharing amongst medical providers and other resources that are providing care for Black mothers.
A care coordination or centralised intake model in which all relevant stakeholders have access to up to date patient information could strengthen the patients support system, improve quality of care, and ensure providers aren’t doing things that work against one another.
It can also help make sure mums are connected to all of the services and resources they need to have healthy birth outcomes.
A more tangible example of utilising technology to improve health outcomes is the Irth App which links Black pregnant people to culturally relevant providers in their areas.
We are well past the awareness stage when it comes to the African American maternal health crisis. It is time for action.
The disparities in maternal mortality rates between Black and White women in the US are alarming and we can no longer sit idle.
It is time for policymakers, healthcare professionals, and society to move on this problem and work together to find solutions that improve maternal and infant health outcomes for women who have been targeted for far too long.
Wellness
The science behind the scar: What’s really in our period products
By Ruby Raut, founder and CEO, WUKA
Over the past year, headlines about “toxic period products” have been hard to ignore. Stories about PFAS, heavy metals, and hormone disruptors in pads, tampons, and underwear have sparked global concern, and for good reason. But behind the fear, there’s a scientific story worth understanding.
At the recent House of Lords event, “Have We Reached the Tipping Point for Toxic Period Products?”, researchers and policymakers came together to separate fact from panic. The truth is more nuanced: yes, chemicals and metals are present in some menstrual products, but understanding how much, where they come from, and what that means for our health is key to driving change that’s informed, not sensational.
What Scientists Have Found So Far
Dr Kathrin Schilling, an environmental health scientist at Columbia University, shared new research that tested 16 metals in menstrual products, including arsenic, cadmium, lead, and antimony, all known toxic substances linked to long-term health effects such as cardiovascular disease, kidney problems, and hormonal disruption.
The findings were striking:
- Non-organic products showed higher levels of lead and cadmium than organic ones.
- Some reusable and single-use products exceeded 30,000 nanograms per gram (ng/g) of antimony, a toxic metal commonly used in plastics manufacturing.
- Lead levels varied dramatically, some products contained 100× more than others.
To put this in perspective, even very small doses of lead can cause harm. The World Health Organization confirms there is no safe level of lead exposure. Chronic, low-level contact can gradually affect the nervous system and fertility. The same applies to arsenic, where countries have tightened drinking water limits from 10 µg/L to as low as 1 µg/L after learning that long-term exposure causes disease.
So while the numbers in menstrual products might sound tiny, what matters most is frequency and route of exposure. Menstrual products are used regularly and in contact with one of the body’s most absorbent tissues — the vaginal wall — where absorption is estimated to be 10–80× higher than through skin. Over decades of use, even low concentrations can add up.
Understanding PFAS — The “Forever Chemicals”
Alongside metals, PFAS (per- and polyfluoroalkyl substances) have become another major concern. These synthetic compounds are used for absorbency and stain resistance — but they don’t break down easily, earning the name “forever chemicals.”
They accumulate in soil, water, and the human body, and have been linked to reproductive issues, thyroid disease, and immune dysfunction. California recently became the first state to ban PFAS in menstrual products, while New York is pushing for broader restrictions that include heavy metals and hormone disruptors.
These international shifts signal a clear message: the world is moving towards stricter, transparency-first regulation — something the UK could soon follow.
Why It Matters for Our Bodies
It’s important to remember that our world is already filled with background exposure, from air pollution, processed food, and household plastics. We all live in a chemically complex environment. The key isn’t to fear every product but to understand which exposures matter most and how to minimise them.
Menstrual products are unique because of their intimate and repeated contact with the body. Even trace chemicals can bypass the body’s natural detox systems when absorbed vaginally. This doesn’t mean every product is dangerous, but it underscores why regular, independent testing and clear ingredient disclosure are essential.
Internal vs. External Exposure: Why It Makes a Difference
One of the least understood parts of this debate is the difference between internal and external products. A pad or period underwear sits on the skin; it can only transfer chemicals through surface contact. But products like tampons or menstrual cups are inserted directly into the vagina, an environment that absorbs substances 10–80 times more efficiently than normal skin.
That’s because the vaginal wall is highly vascular, full of small blood vessels, and it bypasses the liver, the organ that usually filters and detoxifies harmful substances. So when a chemical is absorbed vaginally, it goes straight into the bloodstream.
Yet, most testing and regulation still treat all menstrual products as if exposure happens through skin contact. There’s very little research separating the risk profiles of internal (tampons, cups, discs) versus external (pads, underwear) products. That’s why scientists like Dr Schilling emphasised the need for new safety standards that actually reflect how the body interacts with these materials, not just how a fabric performs in a laboratory test.
How Responsible Brands Are Responding
Some brands are already ahead of regulation.
At WUKA, we take this responsibility seriously. We are one of the very few period underwear brands with no PFAS detected in our products. Every batch is tested rigorously, both at source (in China) and again in the UK by Eurofins laboratories, an independent global testing agency.
We also screen for toxic chemicals, metals, and harmful finishes, ensuring that what touches your body is as safe as it is sustainable. As a founder, I always remind our team: I use our products myself. If I wouldn’t wear it, I wouldn’t make it for anyone else.
Our philosophy is simple, transparency builds trust. Consumers shouldn’t need a chemistry degree to choose a safe period product.
The Path Ahead
The science is clear: menstrual product safety deserves the same rigour as drinking water, cosmetics, or food. But we can also take heart, awareness is growing, data is expanding, and governments are beginning to act.
As policymakers push for international standards (through bodies like the ISO TC338 on menstrual products), and as responsible brands lead by example, the future of menstrual care looks safer, smarter, and far more transparent than the past.
This isn’t just about fear of toxins, it’s about empowering everyone who menstruates with knowledge and choice. Because understanding the science is the first step toward changing it.
Find out more about WUKA at wuka.co.uk
Features
How Westminster is finally talking about toxic period products
By Ruby Raut, founder and CEO, WUKA
For years, campaigners, scientists, and brands like ours have been calling attention to a hidden issue: the chemicals, metals, and toxins found in everyday menstrual products.
At last, that conversation reached one of the most powerful rooms in the country.
In October 2025, the House of Lords hosted “Have We Reached the Tipping Point for Toxic Period Products?”, part of Environmenstrual Week led by the Women’s Environmental Network (WEN).
Bringing together politicians, scientists, NGOs, and advocates, the event asked one central question: if the evidence is already clear, what’s stopping us from protecting people who menstruate?
The Political Will Is Growing, Slowly
Baroness Natalie Bennett, former Green Party leader and long-time environmental campaigner, opened the event with characteristic honesty: progress in Westminster is real, but painfully slow.
She spoke candidly about the challenges of turning concern into regulation.
“Politics is a process, not an event,” she reminded the room. Amendments fail, votes are lost, and yet each attempt builds pressure for change.
Her remarks reflected the growing cross-party awareness that chemical safety in menstrual products is a public health issue, not a niche concern.
In the UK, these products are still classified as consumer goods, unlike in the US, where they fall under medical devices.
That distinction matters; it shapes what’s tested, what’s disclosed, and ultimately how safe products are allowed to be.
A Four-Year Window for Change
Bennett called the current moment a “rare window of opportunity.” With Emma Hardy now serving as Secretary of State at the Department for Environment, Food and Rural Affairs , there’s a chance to align environmental, health, and equality goals, something that hasn’t happened before.
She urged everyone in the room to act decisively over the next four years, while the government is receptive and the public momentum is strong.
This is a political sweet spot: the science is mounting, public awareness is rising, and even large brands can see that consumer trust depends on transparency.
Her message was clear: don’t let this window close without action.
Regulations for period products could mirror those for cosmetics or drinking water, where safe thresholds are continually lowered as research reveals new risks.
From Stigma to Policy
Bennett also reflected on how far the conversation has come.
She recalled going on BBC Radio 4’s Women’s Hour in 2015 to talk about the tampon tax, when hearing party leaders say the word tampon on air was considered revolutionary.
A decade later, Westminster is not only saying the words but debating what’s inside those products.
For Bennett, normalising the language is part of dismantling the stigma. “Just use the words,” she said. “Put it out there.”
That cultural shift is as powerful as any policy change.
When menstruation is treated as a normal part of life, not a taboo, it becomes easier to discuss safety, sustainability, and rights — openly and without shame.
Coalition Building: The Real Engine of Progress
One of the most practical takeaways from the session was Bennett’s emphasis on coalition-building.
Regulation won’t happen through Parliament alone; it needs the force of public demand.
She pointed to the Women’s Institute, which has already campaigned for over a decade on microplastics, and encouraged collaboration with trade unions, community organisations, and campaign groups like WEN, PAN UK, and Natracare.
Her point was simple: the communities most affected by chemical exposure — lower-income groups, industrial workers, those living near polluted areas — are often least represented in policy rooms.
Building a coalition across environmental, feminist, and labour movements is how systemic change takes root.
Momentum, Awareness, and Responsibility
The House of Lords event marked a shift from awareness to accountability.
After years of grassroots activism and scientific evidence, from toxic metal testing to pesticide exposure studies, the discussion has finally reached the people who can make change possible.
For those of us in the menstrual equity movement, the message was energising. We’ve come a long way since the days when period poverty was barely discussed, let alone period safety.
But as Bennett reminded everyone, politics moves at a glacial pace, and every window of opportunity must be used wisely.
Change won’t come from Parliament alone.
It will come from pressure, from consumers, campaigners, and companies who believe that safe periods are a basic human right.
Learn more about WUKA at wuka.co.uk
Mental health
Acceptable data use vs exploitation when women receive ‘free’ digital health tools
By Wolfgang Hackl, CEO, OncoGenomX Inc., Allschwil, Switzerland
In women’s health, “free” digital tools occupy an especially sensitive space. Period trackers, fertility apps, pregnancy platforms, menopause programs, pelvic-floor wearables, contraception reminders, mental-health chatbots and symptom diaries have become essential resources for millions worldwide. For many, these tools fill longstanding gaps in clinical care, offering information, monitoring and community.
Yet women’s health data are uniquely intimate, politically vulnerable and commercially valuable. The same apps that help a woman identify a fertility window or track post-partum mood changes may also collect sexual history, location, device IDs, hormonal patterns, and behavioral clues that can be monetized or repurposed – sometimes without meaningful transparency.
The core ethical question is urgent: When does the data exchange that underpins “free” women’s health tools empower individuals, and when does it exploit them?
Across research and policy commentary, the fault lines remain the same – transparency, proportionality, control, fair value sharing, and protection from harm – but their stakes are heightened in women’s health.
The high-risk profile of women’s health data
The sensitivity of women’s health data is not abstract. It becomes dangerous in real-world contexts:
- Reproductive rights volatility – In jurisdictions with restrictive reproductive laws, menstrual cycle data, geolocation patterns around clinics, search histories and communication logs can be weaponized.
- Stigma and discrimination – Data related to miscarriage, abortion, infertility, menopause symptoms, mental health, sexual function or domestic violence can lead to insurance denial, unfair pricing, employment impacts or social vulnerability.
- Relationship and safety risk – Some apps collect or expose data that partners or third parties could misuse, from mood logs to location traces.
- Commercial targeting – Women are historically targeted with exploitative advertising around fertility supplements, weight loss, anti-aging and alternative therapies, often amplified by intimate behavioral data.
These risks transform the ethics of “free.” When a tool’s business model depends on collecting sensitive reproductive or behavioral attributes at scale, the user is no longer the beneficiary – the user is the product.
What women expect when sharing health data
Studies consistently show broad support among women for sharing data when it drives tangible health benefits—research, better care pathways, early diagnosis, or community insights. Trust collapses when data are:
- shared with advertisers, data brokers or insurers
- used for profiling, risk scoring or targeted pricing
- stored indefinitely or without clarity
- accessible to third parties unknown to the user
Women expect three things above all:
- Radical transparency
Not euphemisms, not hidden trackers, not 30-page terms. Women want to know who sees what, why and how it will be protected.
- Meaningful agency
Granular control – “yes” to sharing anonymized cycle data for research, “no” to targeted ads; “yes” to contributing to public-good datasets, “no” to third-party data inference.
- Safety guarantees
Technical and legal safeguards that explicitly prohibit uses exposing women to legal, financial, physical or psychological risk.
Women’s health is not a sandbox for broad, open-ended data collection. When platforms request permissions unrelated to their core health function – photos, contacts, continuous location, device fingerprinting – alarm bells ring.
Exploitation patterns in “free” women’s health tools
Technical audits of menstrual and fertility apps show that many collect extraordinarily detailed data: cycle length, symptoms, sexual activity, pregnancy intentions, test results, mood logs, sleep, stress, location, device IDs, email metadata, and “other information.” Some share with dozens of third parties.
The exploitation signals are increasingly well understood:
- Opaque data pipelines to marketers, analytics firms and profiling engines
- Unbounded storage of sensitive reproductive histories
- Engagement-driven design that nudges users toward disclosing more
- Commercial re-use of intimate behavioral patterns unrelated to health
- Minimal or performative governance despite high-risk categories
When a woman logs cramps or sexual activity, the ethical baseline is higher than in general wellness apps. The potential harms – legal, social, relational – are uniquely gendered and often irreversible.
Value capture and the “women pay twice” problem
Women’s health technologies have become a multi-billion-dollar market. But the value chain often flows upward, not back to the users:
- Women supply intimate, high-granularity data – Immense value for R&D, precision marketing, and investor storytelling.
- Companies monetize the insights – Through partnerships, advertising, risk scoring or AI model development.
- Women then purchase the resulting products – Including paid upgrades, supplements, or premium diagnostics whose innovation was subsidized by their data.
Without mechanisms that guarantee affordability, open reporting or reinvestment into women’s health services, the model becomes extractive. Women contribute the raw material, then buy back the finished product at retail price.
Pathways to acceptable – and truly empowering – data use
Responsible data practice in women’s health requires stricter standards than generic “digital health ethics.” The following markers – derived from current scholarship—are especially critical in women’s health contexts:
- Purpose-bound data practices
Tools should collect only what is strictly necessary for the health purpose. Fertility predictions do not require contact lists or persistent location tracking.
- Prohibitions on harmful secondary uses
Contracts and code must explicitly block:
- insurance scoring
- law enforcement access without due process
- targeted advertising linked to reproductive data
- cross-platform tracking
- sale to data brokers
- High-security architecture
Women’s health data should be treated like genomic or mental health data:
- encryption at rest and in transit
- zero-trust design
- independent security audits
- strict third-party access regimes
- Governance designed for vulnerable contexts
Oversight bodies should include women’s health experts, legal scholars, and patient advocates, reviewing not just privacy compliance but real-world harm potential.
- Fair value and reciprocity
If population-level reproductive or maternal health data fuel AI models, companies should commit to:
- affordability of products derived from those models
- investment in community health infrastructure
- transparency in data-driven improvements
This is not charity. It is ethical reciprocity.
The way forward: trust as a differentiator
Women’s health is evolving from niche to mainstream. With this visibility comes responsibility. Investors and innovators who treat data stewardship as a strategic asset – not a compliance hurdle—will define the next era of digital women’s health.
The future belongs to tools that:
- put safety ahead of scale
- align business models with women’s interests
- eliminate dark patterns
- prove that “free” does not mean “exploitative”
- create value with, not from, women
Ultimately, the line between acceptable data use and exploitation is shaped by one question:
Does this tool treat women as partners—or as data sources?
The companies that choose the former will earn the trust that defines the next generation of global women’s health innovation.
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