ニューヨーク・タイムズのインスタグラム(nytimes) - 8月25日 12時54分

Over the last 2 decades, childbirth has become more dangerous for women across much of the U.S.; maternal death rates have doubled since the late 1980s, according to federal figures. Rural places — in Alaska and across the lower 48 states — are among the hardest hit. And Native populations are often on the very edge of that disparity. In Alaska, a baby born to an Alaska Native mother is 4 times as likely to die in the first year of life as a white baby. But caregivers on the state’s far western end are trying to change the equation. Their goal is not to send more doctors out, but to bring more women in. When pregnant women first visit the hospital in Bethel, Alaska (population 6,400), doctors assign a due date for the baby and a “be in Bethel,” date 30 days earlier. That’s when expectant mothers begin to stay at a prematernal home, which the hospital operates nearby. An added stern warning makes most women comply: If they don’t come, they might give birth without a doctor’s care at all. Some women said the separation from loved ones was terrible. But others saw the experiences as calming and peaceful, a respite from their hard-working lives at home. @fremson took this photo of Stacey Panruk, 23, and her daughter Kayla on their way to a 6-month checkup at the hospital that runs the prematernal home. Visit the link in our profile to read more.

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