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Women's Health: Empowered Care, Informed Choices

Encouraging Patients to Demand Their Doctors Have Reproductive Justice Training

What providers won't tell you. What the law can't prove. What the next administration plans to dismantle.

The Labora Collective's avatar
Yamicia D. Connor's avatar
Dr. Yamicia Connor's avatar
The Labora Collective, Yamicia D. Connor, and Dr. Yamicia Connor
Apr 28, 2026
Cross-posted by The Labora Collective by Diosa Ara
"There is no medical test that can definitively distinguish a spontaneous miscarriage from an induced one — yet women in states with restrictive abortion laws are now being investigated and prosecuted over pregnancy outcomes their own clinical evidence cannot prove. When you add race to that calculus, the same communities already carrying the highest maternal mortality absorb the additional legal exposure too. This piece names what reproductive justice training actually requires of providers, what every patient should know about miscarriage and the law, and what the proposed dismantling of public education infrastructure means for the people least protected from any of it."
- The Labora Collective

As a patient navigating today’s healthcare system, you deserve a provider who not only cares for you medically but also understands the full spectrum of factors that impact your reproductive health. Unfortunately, not all doctors are equipped with the knowledge and skills to address these deeper, often systemic issues. That’s why it’s essential for you to demand reproductive justice training from your providers — and to use it as a screening tool when selecting your care team.


⚕️ Why Reproductive Justice Matters in Your Care

Reproductive justice goes beyond medical care; it’s about ensuring that your rights, choices, and well-being are respected throughout your reproductive journey. This framework acknowledges that race, class, gender, immigration status, and other social determinants of health significantly impact healthcare outcomes. When your doctor is trained in reproductive justice, they are better equipped to provide you with care that addresses not just your medical needs but also the broader context of your life.

This training enables doctors to:

  • Recognize and confront implicit bias that can influence care decisions.

  • Understand the social and economic barriers that may affect your health.

  • Advocate for your rights, even in the face of restrictive reproductive laws.

  • Provide culturally competent and respectful care, regardless of your background.


🚨 The Impact of Untrained Providers

Doctors who lack training in reproductive justice may not be fully aware of how their unconscious biases or gaps in knowledge affect patient care. This can lead to:

  • Inadequate pain management for women of color, who are often believed to have higher pain tolerances.

  • Delayed or misdiagnosed complications, as seen in the maternal health crisis where Black women are three times more likely to die from pregnancy-related causes.

  • Dismissal of patient concerns, which can prevent life-saving interventions.

Without this essential training, your doctor may not fully understand the unique challenges you face, leading to substandard care.


🔍 How to Use Reproductive Justice Training as a Screening Tool

When choosing an obstetrician, midwife, or other birth professional, it’s important to ask them directly about their reproductive justice training. Here are some ways to do that:

Ask About Their Training: When meeting a potential provider, ask if they have undergone reproductive justice training and if they actively integrate it into their practice. You deserve a provider who is not only aware of these issues but is committed to addressing them in your care.

Evaluate Their Awareness: Pay attention to how they talk about disparities in maternal health outcomes and their approach to providing care for diverse populations. A provider who is trained in reproductive justice will likely mention it as part of their philosophy of care.

Assess Their Cultural Competency: During consultations, notice if your provider listens to your concerns, respects your preferences, and explains your care in a way that aligns with your values. A good reproductive justice-trained provider will take the time to understand you holistically, not just medically.

Use Patient Reviews: If you’re unsure where to start, look for online reviews or ask other patients about their experiences. Providers who are trained in reproductive justice are often noted for their compassionate, thoughtful, and culturally competent care.


📣 Why Your Voice Matters

By demanding that your healthcare provider has reproductive justice training, you’re not only advocating for yourself but also for all patients who may face barriers to equitable care. Your actions can encourage more doctors and birth workers to prioritize this essential training, ultimately raising the standard of care for everyone.

In today’s healthcare climate, where reproductive rights are under threat, your doctor’s ability to understand and advocate for your rights has never been more important.

Make sure your provider is not only medically qualified but also committed to the principles of reproductive justice. After all, you deserve nothing less.

By being proactive and screening for this training, you can empower yourself and others to receive the best possible care — care that is just, equitable, and aligned with your rights as a patient.

These articles aim to highlight the importance of reproductive justice training for both providers and patients, empowering birth workers and individuals to prioritize equitable, comprehensive care.


📋 Survey: What Do You Want to Learn More About?

Here’s a complete list of survey questions for LinkedIn on topics related to reproductive justice, reproductive rights, and abortion care:

  1. Are you interested in learning more about how the Comstock law could be leveraged to establish a national abortion ban?

  2. Would you like to understand the potential future implications of a Trump presidency on healthcare access and health insurance coverage?

  3. How important is it for you to learn about the impact of restrictive state abortion laws on maternal health outcomes?

  4. Do you want to explore how healthcare providers navigate conflicting state and federal regulations on reproductive healthcare?

  5. Would you be interested in understanding the intersections between reproductive rights and racial disparities in maternal mortality rates?

  6. Would you like to learn more about the role of the Supreme Court in shaping and protecting individual liberties, particularly in the context of reproductive rights?

  7. Are you interested in learning about the types of complications in pregnancy that may require abortion care to protect maternal health?

  8. Would you like to learn more about best practices and considerations for effective contraception counseling and its role in reproductive health?

  9. Are you interested in exploring the implications of climate change and environmental pollution on maternal and neonatal health outcomes?


🛡️ What Every Woman Should Know About Miscarriage and the Law

In a world where reproductive rights and health decisions are increasingly under scrutiny, understanding the facts is essential for protecting your safety and well-being. One important fact that many people don’t know is that when it comes to miscarriage — whether it happens naturally (spontaneous) or is induced — there is no medical test that can definitively tell the difference between the two. This can be a critical point to know, especially for women living in areas where reproductive choices are questioned or even criminalized.

What does this mean?

Miscarriage, or the loss of a pregnancy before 20 weeks, can happen naturally for many reasons, often related to chromosomal abnormalities or health issues. Induced abortions, which are intentional terminations of pregnancy, can be done using medications or surgical procedures. While the causes behind these events are different, the way the body responds to a miscarriage and an induced abortion often overlaps. The symptoms, such as cramping, bleeding, and passing tissue, are similar. Medically, this makes it very difficult — if not impossible — to tell if a miscarriage was spontaneous or induced based on clinical findings alone.

Why is this important to know?

In some places, women may face harsh questioning or even legal action over pregnancy outcomes, particularly in areas where strict abortion laws are enforced. Knowing that there is no specific medical test that can differentiate between a spontaneous miscarriage and an induced one can be empowering information. It highlights the complexities involved in managing pregnancy losses and underscores the need for empathy and understanding, not judgment or punishment.

Why do we need to protect ourselves?

Laws that penalize women for their reproductive health choices can put those experiencing pregnancy loss in vulnerable situations. Even when no laws are broken, a simple miscarriage can be misinterpreted, leading to stressful investigations and questions. This can be traumatic and adds to the already emotional and physical toll of losing a pregnancy.

What can you do if you’re in a vulnerable situation?

  1. Know your rights: If you live in an area with restrictive laws, make sure you understand your rights when it comes to your healthcare.

  2. Find trusted support: There are organizations and support networks designed to protect and advocate for women’s health and rights. These groups can offer resources, legal support, and emotional guidance.

  3. Protect your privacy: Keep your personal medical information private and share it only with trusted healthcare providers or advocates who are aligned with your best interests.

  4. Stay informed: Awareness is power. Knowing that no medical test can conclusively determine whether a miscarriage was spontaneous or induced can help you respond confidently if questions arise.

Where to find help:

There are organizations like the If/When/How Repro Legal Helpline, which provides legal information and resources related to reproductive health. Other support systems include reproductive justice advocates and local women’s health groups that focus on ensuring that women receive the care and support they need without fear of repercussions.

No woman should face punishment for a medical issue that can occur naturally or for making the choice that’s best for her health and well-being.

Pregnancy, miscarriage, and reproductive health are deeply personal matters that should be met with compassion, not suspicion or legal threats. Remember, you are not alone. There are resources and people who care and will stand by you.

If you’re in a position where your reproductive rights feel uncertain or threatened, reach out, stay informed, and know that there are safe spaces where your voice, your choices, and your well-being are protected. Your health is yours to safeguard, and understanding these critical points can make all the difference.


📚 Racial Disparities in Education: What’s at Stake

Racial disparities in educational attainment and literacy rates continue to be a pressing issue in the United States, particularly for K-12 students. These disparities are influenced by socioeconomic factors, access to resources, systemic biases, and other barriers that disproportionately impact Black, Hispanic, and other marginalized communities.

Racial Disparities in K-12 Educational Attainment

Achievement Gaps: Nationwide data consistently shows that Black and Hispanic students score lower on standardized tests in math and reading compared to their White counterparts. According to the National Assessment of Educational Progress (NAEP), significant achievement gaps persist across grade levels and subjects, with Black and Hispanic students often scoring 20–30 points lower than White students.

Graduation Rates: The national high school graduation rate varies significantly by race. For example, in 2022, the graduation rate for White students was approximately 89%, while it was 81% for Hispanic students and 79% for Black students. These disparities highlight the systemic challenges these communities face.

Resource Allocation: Schools with predominantly Black or Hispanic students often receive less funding compared to schools with predominantly White students. This results in fewer resources, outdated materials, and larger class sizes, all of which can negatively impact educational outcomes.

Literacy Rates

Lower Literacy in Minority Communities: Literacy rates among Black and Hispanic adults lag behind those of White adults, and this trend often begins during the K-12 years. According to the U.S. Department of Education, around 21% of Black adults and 25% of Hispanic adults in the U.S. have low literacy skills compared to about 12% of White adults.

Geographical Disparities: The rural South, which has a significant Black population, reports some of the lowest literacy rates in the country. For example, states like Mississippi and Louisiana have literacy scores below the national average, with systemic poverty and under-resourced schools contributing to these outcomes.

The Potential Impact of Dismantling the Department of Education

The proposed dismantling of the Department of Education as outlined in Project 2025 could have profound consequences for K-12 education, especially in underfunded and rural communities. Federal funding plays a crucial role in supporting programs that aim to reduce class sizes, provide special education services, and hire school counselors and social workers. Without this support, schools in low-income areas may struggle to maintain operations and educational quality, exacerbating existing racial disparities.

Consequences for Rural and Poor Communities

Limited Funding and Support: Federal funding often supports special education services, school social workers, and tutoring programs. Without this financial assistance, rural and low-income schools may face difficulties maintaining adequate staffing and educational resources.

Data and Research Loss: The Department of Education’s research arm collects and disseminates data on student achievement, providing guidance on best practices. Eliminating this resource could hinder schools’ ability to address achievement gaps and adopt effective educational strategies.

Proposed Educational Policies and Their Implications

Trump has expressed intentions to reshape the educational landscape by implementing policies that would penalize schools recognizing transgender identities, defund those teaching critical race theory, and promote a strictly patriotic curriculum. These measures could disproportionately affect students from marginalized backgrounds by narrowing the scope of education and limiting the teaching of diverse perspectives and American history’s complex truths.

Fighting Back: Advocating for Educational Equity

To protect educational equity and ensure comprehensive learning experiences for all students, it is essential to:

  • Promote Inclusive Curricula: Advocate for educational content that reflects the full scope of American history, including significant progress and challenges such as the Reconstruction era — a period marked by both monumental steps forward and significant backsliding.

  • Support Policies That Uphold Funding and Access: Encourage local and state leaders to prioritize education policies that maintain or increase funding for public schools, particularly in low-income and racially diverse areas.

  • Engage Communities: Collaborate with parents, educators, and community leaders to support initiatives that promote literacy and close educational attainment gaps.

These efforts are vital in ensuring that educational disparities do not widen and that all children, regardless of race or socioeconomic status, have access to quality education and opportunities for academic success.


References

  1. SisterSong Women of Color Reproductive Justice Collective. Reproductive Justice. Accessed April 28, 2026. https://www.sistersong.net/reproductive-justice

  2. Ross L, Solinger R. Reproductive Justice: An Introduction. Berkeley, CA: University of California Press; 2017.

  3. Ross LJ. Reproductive justice as intersectional feminist activism. Souls. 2017;19(3):286-314.

  1. Hoyert DL. Maternal Mortality Rates in the United States, 2022. NCHS Health E-Stats. Hyattsville, MD: National Center for Health Statistics; 2024. Accessed April 28, 2026. https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2022/maternal-mortality-rates-2022.htm

  2. Centers for Disease Control and Prevention. Working Together to Reduce Black Maternal Mortality. CDC Office of Minority Health and Health Equity. Accessed April 28, 2026. https://www.cdc.gov/healthequity/features/maternal-mortality/

  3. Petersen EE, Davis NL, Goodman D, et al. Racial/ethnic disparities in pregnancy-related deaths — United States, 2007–2016. MMWR Morb Mortal Wkly Rep. 2019;68(35):762-765.

  4. Howell EA. Reducing disparities in severe maternal morbidity and mortality. Clin Obstet Gynecol. 2018;61(2):387-399.

  1. Hoffman KM, Trawalter S, Axt JR, Oliver MN. Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Proc Natl Acad Sci U S A. 2016;113(16):4296-4301.

  2. FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19.

  3. Institute of Medicine (US) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care; Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academies Press; 2003.

  1. American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 200: Early Pregnancy Loss. Obstet Gynecol. 2018;132(5):e197-e207. Reaffirmed 2021.

  2. Grossman D, Blanchard K, Blumenthal P. Self-induction of abortion among women in the United States. Reprod Health Matters. 2008;16(31):136-146.

  3. Aiken ARA, Romanova EP, Morber JR, Gomperts R. Safety and effectiveness of self-managed medication abortion provided using online telemedicine in the United States: a population based study. Lancet Reg Health Am. 2022;10:100200.

  1. Comstock Act of 1873. 18 USC §§1461-1462.

  2. Ziegler M. The Comstock Act Lives. Yale Law J Forum. 2024;134:1-22. Accessed April 28, 2026. https://www.yalelawjournal.org/forum

  3. Goodwin M. Policing the Womb: Invisible Women and the Criminalization of Motherhood. Cambridge, UK: Cambridge University Press; 2020.

  4. National Advocates for Pregnant Women. Arrests and Forced Interventions on Pregnant Women in the United States, 1973–2020. New York, NY: NAPW; 2021.

  5. If/When/How: Lawyering for Reproductive Justice. Repro Legal Helpline. 1-844-868-2812. Accessed April 28, 2026. https://reprolegalhelpline.org/

  1. National Center for Education Statistics. The Nation’s Report Card: NAEP 2022 Reading and Mathematics Assessments. Washington, DC: US Department of Education; 2022. Accessed April 28, 2026.

  1. National Center for Education Statistics. Public high school graduation rates. In: Condition of Education. Washington, DC: US Department of Education; 2024. Accessed April 28, 2026. https://nces.ed.gov/programs/coe/indicator/coi

  2. National Center for Education Statistics. Status and Trends in the Education of Racial and Ethnic Groups. Washington, DC: US Department of Education; 2019.

  1. National Center for Education Statistics. Adult Literacy in the United States. PIAAC Data Point. NCES 2019-179. Washington, DC: US Department of Education; 2019. Accessed April 28, 2026. https://nces.ed.gov/pubs2019/2019179.pdf

  2. Organisation for Economic Co-operation and Development. Skills Matter: Additional Results from the Survey of Adult Skills. Paris, France: OECD Publishing; 2019.

  3. Barbara Bush Foundation for Family Literacy. Adult Literacy in America: State-Level Estimates. Accessed April 28, 2026. https://www.barbarabush.org/literacy-map/

  1. EdBuild. $23 Billion: Nonwhite School Districts Get $23 Billion Less Than White Districts Despite Serving the Same Number of Students. 2019. Accessed April 28, 2026. https://edbuild.org/content/23-billion

  2. Morgan I, Amerikaner A. Funding Gaps 2018: An Analysis of School Funding Equity Across the U.S. and Within Each State. Washington, DC: The Education Trust; 2018.

  1. Heritage Foundation. Mandate for Leadership: The Conservative Promise. Project 2025. Washington, DC: Heritage Foundation; 2023. Chapter 11: Department of Education. Accessed April 28, 2026. https://static.project2025.org/2025_MandateForLeadership_FULL.pdf

  2. Donald J. Trump for President 2024. Agenda 47: Protecting Students from the Radical Left and Marxist Maniacs Infecting Educational Institutions. Accessed April 28, 2026. https://www.donaldjtrump.com/agenda47/

  3. US Department of Education. Programs and Services. Accessed April 28, 2026. https://www.ed.gov/about/ed-overview

  1. Foner E. Reconstruction: America’s Unfinished Revolution, 1863–1877. New York, NY: Harper & Row; 1988.

  2. Du Bois WEB. Black Reconstruction in America, 1860–1880. New York, NY: Harcourt, Brace and Company; 1935.


Dr. Yamicia Connor, MD, PhD, MPH

Founder & CEO, Diosa Ara | Creator & Editor-in-Chief, The Labora Collective

The Labora Collective publishes at the intersection of clinical care, policy, and innovation — because only 10% of your health outcomes come from the exam room. The other 90% is what we cover.

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