Jun 4, 2025

It's Not Just a Gap. It's a Decision.

The headlines hit. The stats shock. And then—nothing changes. Black women are still dying at the highest rates during childbirth, not because of medical complexity, but because of medical neglect. This isn’t about rare complications. It’s about routinely ignoring pain, delaying interventions, and trusting bias over instinct. And the most dangerous moment? It’s not always the birth itself. It’s what happens in the hours, days, and weeks after, when the system goes silent—and the consequences are fatal.

Tyle Lloyd, MD

Physician Founder

Jun 4, 2025

It's Not Just a Gap. It's a Decision.

The headlines hit. The stats shock. And then—nothing changes. Black women are still dying at the highest rates during childbirth, not because of medical complexity, but because of medical neglect. This isn’t about rare complications. It’s about routinely ignoring pain, delaying interventions, and trusting bias over instinct. And the most dangerous moment? It’s not always the birth itself. It’s what happens in the hours, days, and weeks after, when the system goes silent—and the consequences are fatal.

Tyle Lloyd, MD

Physician Founder

Black women are still dying at 2–3x the rate of white women during childbirth.vAnd it’s not because of biology. It’s because of bias, neglect, and systems built for efficiency, not equity.

The numbers aren’t new. The outrage isn’t new.

But the silence after the headline hits? That’s still deafening.


This isn’t about access to hospitals.

It’s about how you’re treated once you get inside one.


PBS just released a new article that makes it plain: Black women are most at risk around the time of delivery—the moment they should be held most tightly. Instead, they’re brushed off, labeled “noncompliant,” told they’re overreacting while hemorrhaging, contracting, or advocating for themselves through pain no one takes seriously.


And here’s the most devastating part:

Many of these deaths happen after delivery.

Not because something went “wrong.”

But because no one stayed long enough to notice something was going wrong.


At thrē, we reject the narrative that this is too big to fix. This isn’t about needing another awareness month. It’s about design, accountability, and ownership.


We designed our care model around what should have already existed:

  • Longer visits, so concerns aren’t rushed

  • Provider continuity, so patterns get caught

  • Deep postpartum care, so patients aren’t abandoned at 48 hours

  • Trauma-informed communication, so women don’t have to shout to be heard

  • Explicit cultural humility training for every person who touches your care


Because we believe racism is a clinical risk factor—and if your care doesn’t address that, it isn’t complete.

Until the system sees Black women as worth protecting before, during, and after birth—

it’s not healthcare. It’s managed risk.

And at thrē, we don’t manage people.

We honor them.

Let’s keep in touch.

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