An observed difference in maternal mortality rates between black and white females is not strong evidence that black females are mistreated or not believed by healthcare providers.
Many factors contribute to the likelihood of death at childbirth prior to receiving healthcare. For example, factors such as stress level, weight, age or presence of chronic disease. Other social determinants of health such as educational attainment, living conditions, income level, quality of social support networks, and awareness of care options also have a bearing on health outcomes.
All these factors, among others, should be included in an analysis of differences between black and white maternal mortality rates, to avoid the risk of reaching an inaccurate conclusion about mistreatment of black women by healthcare professionals.