Exploration of Maternal Health Access and Quality of Care Among African American and Latinx Women in the South

Maternal and child health (MCH) disparities remain a critical public health concern in the United States, with the Southern region experiencing some of the nation’s highest maternal mortality rates. Black and Latinx women are disproportionately affected, reflecting persistent structural and systemic inequities. This review examines maternal health disparities among Black and Latinx women in the Southern United States and identifies structural, social, and policy-related contributors to these inequities. A narrative review approach was used to synthesize epidemiological data, policy reports, and peer-reviewed literature published between 2000 and 2025, drawing on national surveillance systems such as CDC WONDER and the National Center for Health Statistics, as well as state-level reports and policy analyses relevant to maternal health in Southern states. Across the region, maternal mortality rates frequently exceeded the national average of 23.2 deaths per 100,000 live births, with several states reporting rates above 38 deaths per 100,000. Structural contributors included limited access to maternity care, rural hospital closures, Medicaid non-expansion, chronic disease burden, and experiences of discrimination within healthcare systems, while social determinants such as poverty, housing instability, language barriers, and immigration-related fears further compounded risks for Black and Latinx women. In the post-Roe context, restrictive reproductive health policies intensified existing inequities. Overall, maternal health disparities among Black and Latinx women in the Southern United States are driven by interconnected structural, social, and policy factors, underscoring the need for coordinated policy reforms, expansion of culturally responsive care models, and targeted investment in Southern communities disproportionately affected by maternal mortality.