Addressing rural Michigan's high infant mortality and poor maternal health
Michigan’s rural areas have high infant mortality and poor maternal health, fueled in part by substance abuse, lack of access to healthy food, and dwindling birthing hospitals and OB-GYNs. The root causes may be different from those in Michigan's urban communities, but the results are the same: Michigan's African-American and American Indian babies are three times likelier than white babies to die in their first year of life. Addiction is one of the biggest challenges for Michigan's rural mothers and infants. In Michigan’s rural areas, more pregnant women smoke cigarettes and abuse opioids than pregnant women in urban areas. "Cigarettes are the most commonly used substance during pregnancy and are at least as powerful a contributor to infant mortality as any of the other substances," says Dr. Steven Ondersma, a professor in Wayne State University's departments of psychiatry and behavioral neurosciences and obstetrics and gynecology.