Tonya Lewis Lee's Hulu Documentary 'Aftershock' Investigates How To Reduce Black Maternal Mortality
Black women take center stage in April, celebrating International Black Women's History Month. In addition, April 11-17 sheds light on Black Maternal Health Week to raise awareness of the disparity of mortality rates among Black women compared to their non-Hispanic white counterparts. The discussions surrounding Black maternal mortality are becoming more mainstream with Baby Dove joining Sista Midwife Productions, "a birth advocacy, training, and consulting agency," to comprise a comprehensive list of the Black Doula Directory.
Tonya Lewis Lee has become a staunch advocate of ensuring that the American public is cognizant of alarming statistics that show "Black women are three times more likely to die from a pregnancy-related cause than White women" even though 80% of "pregnancy-related deaths in the U.S. are preventable," according to the Centers for Disease Control and Prevention. Bias, racial and gender inequities are prevalent in the American healthcare system, including other disparities such as "quality healthcare, underlying chronic conditions, and structural racism," all impair marginalized patients from having the same opportunities to receive care to uphold their "economic, physical, and emotional health," the CDC reports.
According to the organization's report, approximately 700 women die in the U.S. from pregnancy or various other pregnancy-related complications. Recently, in Detroit, Michigan, Alona White, a 25-year-old mother, died after giving birth to her second daughter; White succumbed to an emergency craniotomy that caused her brain to bleed. As a patient at Ascension St. John Moross, White underwent a C-section, a medical procedure that Lee’s documentaryAftershock also explores and shows the financial benefits hospitals and doctors reap from this particular surgery, even though it may not be conducive to the birthing process.
Lee, who co-directed and co-produced with Paula Eiselt, discusses through her documentary Aftershock about Black maternal health and places several human faces to those victimized by this growing health crisis. The Hulu doc, which is a part of the streaming service's Onyx Collective, initially premiered at the 2022 Sundance Film Festival in the U.S. Doc Competition and was awarded the Special Jury Award: Impact for Change. Aftershock follows Omari Maynard and Bruce McIntyre, who both lost their partners, Shamony Makeba Gibson and Amber Rose Isaac, during childbirth, and how the two men, along with other family members, are in the streets providing advocacy and activism to eradicate this epidemic.
Using her background as a former human rights attorney, a spokesperson for the U.S. Department of Health and Human Services Office of Minority Health, and an author of the children's book Please, Baby, Please—which she co-wrote with her Academy awarding-winning husband, Spike Lee, she uses her platform to heighten the conversation of Black maternal health.
L-R Omari Maynard and Bruce McIntyre
Photo courtesy of Onyx Collective
xoNecole: Based on your research, what are the factors causing Black women's death in most hospitals? The documentary did expound on it, but if you can say it in your own words.
Tonya Lewis Lee: First, I want to say that most of these deaths happening with Black women from childbirth complications are preventable. When we were making the film, 65% of these deaths were preventable. Since then, a new statistic has come out that says 85% of these deaths are preventable. When you asked me what we discovered in our research about why this is happening? First and foremost, what keeps coming through is very clear that Black women are being dismissed and ignored when they express pain or discomfort or something is not right. A lot of these deaths are postpartum.
It's frustrating because it's not like women aren't seeking help, as you see in Aftershock. The two families that we cover, the two women who passed away, each of them were seeking help from their healthcare providers. Unfortunately, their calls for help were dismissed, minimized, and ultimately led to their death. I will say that what tends to happen is there is either too little intervention too late, or there tends to be too much intervention done too soon, which, unfortunately, often causes these deaths.
xoN: Is this something that residents are taught in medical school because, like the doc pointed out, the founder of gynecology J. Marion Sims, believed Black women don't feel pain? Is this ideology still continually introduced in medical schools?
TLL: My understanding, and I've heard, anecdotally, that it is still taught in med schools today that Black people do not suffer or have the same kind of pain that white patients do, which is insane to me that we're still having these conversations. I empathize with doctors because I think they are trained in such a way--it's a patriarchal, technocratic system. They go through rigorous training, which is great, but they're also kind of dehumanized doctors, when they're going through a process so that by the time they get to their patients, they often inadvertently treat their patients in the way they have to rush, let's get through to the problem. What's the problem? Let's solve it.
I'll go back to the question you asked before about what's causing these deaths also, is that [birthing] is not woman-centered, and what I mean by that is, when a woman is giving birth, as opposed to listening to her desires and how she wants to give birth and who she needs in the room, what is she doing and how is it working for her? Unfortunately, a lot of times, it's more on the doctor's schedule, what works for the doctor, and what's efficient for the doctor. Why do we lay on our backs and put our legs up? Well, because it's easier for the doctor to get in there than allowing a woman to move around during her labor to help the baby work its way down. So the baby gets in position, and she's able to do what she wants to do. I think that a lot of education works against the natural birthing process.
xoN: Regarding the medical schools, is there any way we can change how they're instructed? How can we upgrade their curriculum on how they handle Black maternity?
TLL: I agree with you, and I will say, at least some of the good news; I see that with Aftershock, we've been invited by medical schools to bring the film. We were at Harvard and Columbia [to show the film] to their residents and converse with me, my co-director, and the film's protagonist. To your point, they need to be educated; differently, they're beginning to understand that and are looking at it [but] it's going to take a little bit of time to turn the ship. But at least there's a conversation that is starting to happen, but I completely agree with you that med schools need to start thinking about how they teach maternal care.
And again, even the midwifery programs, too, because I am a big advocate for midwives. Yet, they're not enough midwives in general in the United States, and they're certainly not enough Black midwives. So, to that point, we also need to work on the pipeline of doctors, obstetricians, and gynecologists, because there's a shortage of doctors. There's a shortage of nurses, and certainly Black nurses and doctors. We want to think about who's going to med school and how we cultivate them so that we have a workforce that can care for all of us.
Photo courtesy of Onyx Collective
xoN: To add to that point, maybe there should be a movement to have Black owned hospitals. Many Jewish communities have their own doctors and ambulances. Is that also something we need to start putting on our agenda to start creating Black-owned hospitals in these cities with a high Black population?
TLL: I think we can [have] Black hospitals; we're talking about education in general. Our issue as a community is whether we need more resources or we need to focus the resources in that way. It's worth thinking about. Looking to our HBCUs, our Black students, bringing them through to get us to a place where we could create that kind of thing. I don't think it's a bad thing. A study showed that when Black doctors treat Black infants, they have better outcomes. So I think a movement towards ensuring that we have more Black doctors, more Black nurses, a robust Black health care system to begin with, or at least doctors. Having an awesome Black hospital that's important for us would be amazing because we do not have the resources to do that.
xoN: How can we change policy as it relates to the health of Black women when they're giving birth? What can we do?
TLL: Well, the good news is policies are moving through Congress right now, the Momnibus bills, its pieces of legislation, a group of bills. One in particular that is great that I believe recently passed is making sure that women have Medicaid coverage through their first year of birthing; I think it's important that we deal with women a year postpartum because, again, as I said earlier, most of these deaths do happen postpartum. Many women who don't have coverage get lost, and they don't see doctors thereafter or are not seen. We need to ensure policies that make sure that women have the support they need. For example, doulas get covered by insurance companies and Medicaid as well.
I think midwives are really important to this process; the United States is the only industrialized nation that does not have midwifery care at the center of women's health care. So we need to ensure that when women go to midwives, they can get reimbursed. So those are some policies that can have an impact. I will say voting matters because our politicians, locally at the federal level, but particularly locally, and our state and local governments are the ones that drive the policies and our communities around birthing. I think, as individuals, we need to be out there voting, ensuring women can get the support they need.
Also, to the voting piece because many hospitals in the Black communities have been divested from [offering] the services, if they do have maternal health care at all. They don't have a lot of services. So we want to make sure that our hospitals and our communities are well-resourced so that they can provide the care they need for people, especially when they're in distress.
Photo courtesy of Onyx Collective
xoN: What was your experience when you gave birth to your children?
TLL: I appreciate that question. It's interesting. When I gave birth to my children, my daughter is now 27; my son is 25. I didn't know about midwives. So I had a wonderful doctor who was a friend of the family. But even then, I look back with a little frustration because my water broke, I went to the hospital, my family was there, and it was like, 'We can just move this thing along, let's get you on Pitocin get you going,' and I did that and stayed in the hospital overnight. Then the contractions were coming hard, as they do, especially when you're on Pitocin.
They suggested that I have an epidural, which I had. Then, my lips started to numb because they told me I was only supposed to be numb from the waist down. But I was beginning to feel numb over my entire body. I told my anesthesiologist to turn it down, my lips were numb, and she kept saying, 'Well, no, if I turn it down, I have to turn it off, and you're gonna feel pain.' I was like, I need to feel something because I'm now not feeling anything. I had to get nasty with her and didn't want to do it. Because you're laying there, you're vulnerable; I couldn't move. My mother and sister were there, and then they started noticing my oxygen levels were getting weird. I was like, 'You need to turn it off, and I had to get nasty for [the nurse to] finally turn down the anesthesia so that I can at least feel something. Thank God everything was fine, and my daughter was fine. Similarly with my son, a different doctor this time, by the way, both Black women, lovely people, but in a system, right?
With my son, the same thing happened; similarly, my water began to leak, and I was saved in a way by the nurse because at one point I was pushing, and the doctor was like, 'Okay, his umbilical cord is around his neck, his shoulders are stuck,' and she just stopped. The nurse said, 'This may hurt a little bit,' She put her hands on my stomach and pushed my son out. Again, I was fine, thank God, and the children are fine, but in retrospect, I wish I had allowed my body time to do what it wanted to do, and I think I would have been fine. I don't think I needed Pitocin. I don't think I needed the epidural if I had done it that way. But that's the way I did it back then.
But I joke with my daughter that by the time she's ready, I'm ready, and we're going to get it right this time because I don't think that surviving birth is what it should be. I think we should thrive in our births and be able to have beautiful birthing experiences that are not with trauma. And I'm not saying they don't have pain, but I believe that the pain that one goes through is what we're supposed to go through. I don't think women should suffer. But as Helena Grant, the midwife in our film, says that when a woman is birthing a baby, she's not just birthing a baby, she's birthing a mother, and it's a rite of passage that we have to go through to get on that other side. So we are prepared to take care of this young life we've just brought here.
xoN: How can women protect themselves when pregnant or about to give birth in this environment?
TLL: First of all, shop around for your healthcare provider. If you go to a health care provider and you don't connect with them, then keep looking for that health care provider that is right for you. First and foremost, ask as many questions as you can ask. Remember that you're in the power seat, you should be empowered; you're about to go through something amazing. Make sure you get the support you need. No [woman] can be doing everything in the moment of labor and birthing.
So make sure you have the right energy and people around you who can advocate for you and support you the way you need during your birthing process. I was with these people through the process of this documentary. I was able to be up close and personal with people grieving from a loss but activated by the loss. I was able to be up close and personal with people going through the birthing process themselves, trying to figure it out for themselves as well. So it's been quite a journey.
Aftershock is now streaming on Hulu.
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Feature image by Keith Williams
There’s just something about HBCU Homecoming that just hits different. Whether it’s your first time stepping onto the yard since graduation or you’re a regular at every Homecoming tailgate, HBCU pride is undeniable. It’s a vibrant celebration that unites the legacy of excellence and tradition with the energy and resilience of Black culture.
The experience goes beyond a typical college reunion; HBCU Homecoming is a family reunion, a fashion show, a cultural festival, and a week-long turn-up that embodies what it means to be unapologetically Black and educated. For HBCU alumni, the journey back to the yard each year is rooted in a love and pride that’s hard to put into words but impossible to deny.
From statement pieces to tech must-haves, every item represents the intersection of Black pride and HBCU love, ensuring that you show up to the yard in style and with intention. So whether you’re repping your alma mater for the first time since graduation or looking for fresh pieces to express your HBCU pride, these essentials will have you standing out, because, at HBCU Homecoming, it’s not just about showing up—it’s about showing out.
Thread Goals
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Renowned
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HBCU Love FUBU
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Join us in celebrating HBCU excellence! Check out our Best In Class hub for inspiring stories, empowering resources, and everything you need to embrace the HBCU experience.
Featured image by Visual Vic/Getty Images
Mastering The Art Of Talking Your Partner Through Orgasm: A Guide To Confidence And Connection
I have never been particularly good at dirty talk, but I love, love, love hearing it. Whenever I am getting close to “finishing,” I cue my partner, breathlessly stating, “Talk to me” or “Tell me you want it.” What I didn't know until more recently is that I am asking them to “talk me through it.” But what exactly does that mean? How can you learn to do it, or better yet, how can you get your partner to do it for you? (Go ahead and send them a link to this article, sis!)
In today’s world, the conversation around sex and intimacy is evolving rapidly. Platforms like TikTok have brought once-taboo topics around sex and intimacy into the mainstream. Recently, some of the men on TikTok have been sharing tips on "talking your partner through orgasm"—using verbal cues to guide your partner to and through their climax. It’s not just about talking dirty, but about being in tune with your partner’s emotions and body, enhancing both the physical and emotional aspects of the experience.
For Black women, who often find themselves at the intersection of societal expectations and personal desires, the need for open communication in sexual relationships is especially important. Many of us aren’t sure how to ask for the verbal affirmations that excite us. So let's dive into how you can master this art form.
What Does It Mean to "Talk Your Partner Through It"?
Talking your partner through orgasm can look (or sound) like a few different things. It involves using words and verbal cues to guide them to climax. Unlike regular dirty talk, which may be more about fantasy or teasing, talking your partner through orgasm is about being present in the moment, offering guidance, affirmation, or even instructions as your partner reaches their peak.
Marcqwuan, a sex educator and relationship expert, explains it perfectly:
“For me, talking her through it is a moment within a sexual experience where your partner is climaxing, and you use that special moment to communicate with your partner. Every moment is different.”
But this form of dirty talk isn’t one size fits all. It should be tailored to your partner’s desires, kinks, and needs in the moment.
But why do people go wild for this type of dirty talk? Whitni Miller, Sex Educator and Pleasure Coach, emphasizes, “For starters, it creates a sense of emotional closeness. A little positive reinforcement can make her feel like a goddess. Plus, words have power, and when you turn up the volume on verbal cues, feelings of pleasure can get cranked to 11. And who doesn’t want a bit more oomph as they approach the finale?”
Our senses play an important role when it comes to sexual satisfaction, and hearing your partner whisper sweet nothings while you approach your “O” can help make a lasting impression that keeps you coming back again and again.
Why Dirty Talk Feels Awkward (And How to Get Over It)
For some of us, the idea of dirty talk, especially in a moment as intimate as orgasm, can feel awkward or unnatural. We may not be able to think of the right thing to say or even hesitate for fear of sounding corny. The concern of saying the wrong thing or ruining the mood often holds people back. But most of these barriers are all in our heads.
Dakota Ramppen, certified sex educator, acknowledges these challenges, stating, “Some people get stuck in their heads wondering if what they’re saying is sexy enough or if they sound ridiculous. That hesitation kills the vibe.” But, be aware, your partner may not always want to hear your voice when getting close to their big “O.” Dakota continues, “If she’s in a zone and you’re too forceful or not saying the right things, you could break her rhythm.”
Part of talking your partner through it requires conversation outside of the bedroom, so you can be clear and confident about what they want. The other piece is intuitive and takes watchful practice.
Overcoming that awkward feeling involves communication and repetition. Before diving into talking your partner through orgasm, have an open conversation about what kinds of phrases or cues your partner likes. Witni says, “Adjust your approach based on her responses…find out together what makes her tick!” Start with words or phrases that feel comfortable to you and build from there. It also doesn’t hurt to have a few key phrases memorized (more on this in a few.)
After all, your partner won’t know if your sweet words are preplanned or improvised.
For Him: Tips on Talking Her Through Orgasm
Fellas, this part is for you! When it comes to talking your woman through orgasm, the key is to be present and attentive to her needs and body language. It’s not just about saying something sexy—it’s about creating a connection and supporting her as she reaches her peak. Here are a few tips to guide you:
- Be Affirming: Use phrases that affirm her pleasure, such as “You’re so close” or “You feel amazing.” These words can reassure her that she’s in control and that you’re fully engaged in her experience.
- Stay in Tune: Pay attention to her body language and sounds. If she’s speeding up, match her energy with your words, encouraging her to follow through. As Marcqwuan suggests, “If she can’t hear you, get closer to her ear and speak louder.”
- Use Sensory Language: Highlight the physical sensations she’s experiencing. Try saying something like, “I love how your body feels right now.” Describing what you’re feeling can heighten her own sensory awareness.
- Be Encouraging: Reassure her that her pleasure is your priority. Phrases like “Let go for me” or “I want to feel it” help her feel supported and free to enjoy the moment.
For Her: Talking Him Through Orgasm
Women can also take the lead in talking to their male partners through orgasm. The key is confidence and being in tune with your partner’s preferences. Whitni walks us through some tips:
- Confidence is Key: Own the moment and don’t shy away from guiding him through his orgasm. Your partner will likely appreciate your assertiveness, which can enhance his experience.
- Tailor to His Preferences: Use what you know he enjoys most. If he likes teasing or encouragement, lean into that. Dakota suggests: “It’s about creating a verbal map that gets him exactly where he wants to go.”
- Compliment & Tease: Build anticipation with compliments like “You feel so good” or “I love the way you move.” This will increase his arousal and bring him closer to orgasm.
- Encourage Surrender: Use encouraging phrases like “Come for me” or “Give me everything.” This can help your partner let go and fully enjoy the moment.
Universal Best Practices
No matter your gender or role in the relationship, there are universal tips that can help you master the art of talking your partner through orgasm:
- Positive Reinforcement: Affirm your partner’s pleasure with words like “You’re doing so good” or “Don’t stop.” Positive reinforcement helps build confidence and trust.
- Read the Room: Adjust your approach based on your partner’s reactions. If they’re responding well to your words, keep going. If not, switch things up. As Dakota says, “It’s about feeling where they are and matching that energy.”
- Be Genuine: Your words don’t need to be performative. Speak from a place of genuine connection, and your partner will feel that authenticity.
- Experiment and Have Fun: Don’t be afraid to try new phrases or approaches. Every experience is different, and what works today might evolve tomorrow.
Talking your partner through orgasm is a powerful way to deepen intimacy and create a lasting emotional connection. But it's not all about just talking! As Whitni shared, “And don’t forget your listening ears; tuning in to your partner’s needs will keep the experience flowin' and growin'.” It’s about more than just dirty talk—it’s about being present, engaged, and in tune with your partner’s needs.
So the next time you’re in the heat of the moment, don’t be afraid to use your words. You might just find that they’re the key to unlocking a deeper, more satisfying connection.
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