Does Racism Really Affect Birth Weight?
It’s a question I’ve heard before—even from our own community:
“Isn’t low birth weight just about how you take care of yourself?”
The answer is: yes—and no.
Yes, nutrition, hydration, rest, and good prenatal care matter. But there’s something deeper going on—something more harmful, more invisible, and more dangerous. It’s called chronic stress from racism, and it’s one of the reasons Black mothers in the U.S. have the highest rates of low birth weight.
So What Is Low Birth Weight?
A baby is considered low birth weight (LBW) if they weigh less than 5 pounds, 8 ounces at birth. These babies are more likely to face health problems—especially if they’re born early.
Why Are Black Women More Affected?
It’s not genetics. It’s the impact of racism on our bodies.
Racial stress increases cortisol, a hormone that affects pregnancy and slows fetal growth.
Healthcare bias means Black women are more likely to have concerns ignored, delaying treatment.
Environmental injustice leads to poor housing, less access to healthy food, and increased toxins.
Systemic racism means even highly educated Black women face risks others don’t.
It’s called “weathering”—the physical toll of racism over time. Even when we eat right, show up to every appointment, and follow every rule, our bodies carry the burden of being Black in a system that wasn’t built for us.
What Can Doulas Do?
Help reduce stress through education, presence, and advocacy
Connect mothers to culturally safe care
Encourage rest, hydration, and a nourishing prenatal routine
Teach women to recognize warning signs and speak up
Build confidence and remind them: “You are not alone. This is not your fault.”
Together, we can protect our babies—not just with herbs and hydration, but with truth, support, and safe spaces to birth and breathe.
