Ndome Essoka

The Project

Ndome (she/her/hers) will expand access to maternal healthcare for low-income pregnant people and women of color by addressing legal barriers to midwifery care through impact litigation, policy advocacy, legal research, and community education. 

The U.S. has the highest maternal mortality ratio among developed nations. Black women are nearly four times more likely than white women to die of pregnancy-related causes, and Indigenous women are more than twice as likely. Unlike many other wealthy nations where midwives care for most birthing people, the U.S. has imposed medically unnecessary legal and financial barriers to midwifery services. As the COVID-19 pandemic strains health systems and further endangers maternal health, addressing these barriers has become more urgent than ever. 

Midwifery care has the potential to address many barriers to safe and respectful maternal health care. Expanded access to midwifery care, including more midwives of color, can equitably improve maternal health outcomes and enable low-income pregnant people of color to make meaningful decisions about where, how, and with whom they will birth. 

Fellowship Plans

During her Fellowship, Ndome will explore bringing forth a proactive, constitutional challenge to laws that restrict midwives’ practice and birthing people’s access to midwives. Additionally, she will monitor, track, advocate, and analyze proposed legislation at the state and federal level that may impact the ability of low-income people to access midwifery care.