Medicine:Death of Chaniece Wallace
Chaniece Wallace (1990 − October 22, 2020),[1] a black woman and physician, died at 30 years of age from complications of pregnancy two days after giving birth. Her death is seen as preventable and is viewed in the context of high rates of maternal mortality in the United States, particularly among the African American population.[2] It is cited as an example in medical and scholarly publications to call for improved health outcomes in the black U.S. population.[3][4] Wallace died despite several factors seen as protective: she was "highly educated, employed as a health care practitioner, had access to health care, and had a supportive family."[5]
Wallace was a fourth year pediatric chief resident at the Indiana University School of Medicine[6] and was working at Riley Children's Health Hospital at the time of her death.[1] She died from complications after an emergency caesarean section in the setting of pre-eclampsia.[6] Hypertensive disease of pregnancy (from pre-eclampsia) with liver rupture and kidney damage contributed to her death.[7]
Dr. Monique Rainford, an assistant professor of clinical obstetrics, gynecology, and reproductive sciences at the Yale School of Medicine,[8] wrote of the cause of Wallace's death in her book Pregnant While Black: Advancing Justice for Maternal Health in America. She wrote that "among Dr. Wallace's complications was a 'ruptured liver'—a known, but rare and severe, complication of preeclampsia/eclampsia and/or HELLP syndrome. 'Ruptured liver' can refer to spontaneous rupture of a subcapsular liver hematoma (collection of blood between the liver and a layer of tissue surrounding it) or of the liver itself. It is a rare incident occurring in 1 in 40,000 to 1 in 250,000 deliveries and in about 1% to less than 2% of the cases with HELLP syndrome."[9]
Lindsey Carr, associate editor of Contemporary OB/GYN, commented that Wallace's death "highlights the glaring racial disparities in maternal mortality and morbidity for Black women in the U.S. The pregnancy-related mortality rate for Black women is 5.2 times higher than for white women, and the rates of maternal mortality and severe maternal morbidity are 3 to 4 times higher in Black women than in white women."[7]
Wallace's death was honored at the 2020 meeting of American College of Obstetricians and Gynecologists by a moment of silence.[7] She was a native of Alabama and completed her undergraduate and medical doctor degrees at the University of Alabama.[4]
See also
- Implicit bias
- Death of Sha-Asia Washington
References
- ↑ 1.0 1.1 Burke, Minyvonne (November 6, 2020). "Death of Black mother after birth of first child highlights racial disparities in maternal mortality". NBC News. https://www.nbcnews.com/news/us-news/death-black-mother-after-birth-first-child-highlights-racial-disparities-n1246841.
- ↑ "Ndidiamaka Amutah-Onukagha: advancing maternal health justice". The Lancet 397 (10274): 571. February 2021. doi:10.1016/S0140-6736(21)00300-7. PMID 33581814.
- ↑ "Black Women and Babies Matter". The American Journal of Bioethics 21 (2): 93–95. February 2021. doi:10.1080/15265161.2020.1861384. PMID 33534674.
- ↑ 4.0 4.1 "One of Us". The New England Journal of Medicine 384 (6): e18. February 2021. doi:10.1056/NEJMpv2100228. PMID 33503341.
- ↑ Baiden D, Parry M, Nerenberg K, Hillan EM, Dogba MJ (2022). "Connecting the Dots: Structural Racism, Intersectionality, and Cardiovascular Health Outcomes for African, Caribbean, and Black Mothers". Health Equity 6 (1): 402–405. doi:10.1089/heq.2021.0077. PMID 35801154.
- ↑ 6.0 6.1 "US lags other rich nations in maternal health care". BMJ 371: m4546. November 2020. doi:10.1136/bmj.m4546. PMID 33219057.
- ↑ 7.0 7.1 7.2 Carr, Lyndsey (October 30, 2020). "Dr. Chaniece Wallace (1990-2020)". Contemporary OB/GYN. https://www.contemporaryobgyn.net/view/dr-chaniece-wallace-1990-2020-.
- ↑ "Pregnant While Black: An interview with Monique Rainford". Spring 2023. https://magazine.hms.harvard.edu/articles/pregnant-while-black.
- ↑ Rainford, Monique (2023). Pregnant While Black: Advancing Justice for Maternal Health in America. 1517 Media. p. 70. ISBN 978-1-5064-8761-8. https://books.google.com/books?id=pxW2EAAAQBAJ&pg=PP70.
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