Episode 83: Eggs Over Easy Film: Advocacy and Change for Fertility in the Black Community

In the wake of the recent Black Lives Matter movement, companies, individuals, and institutions are taking a long, reflective look at their biases, policies, and inequalities, in an effort to stand together against systematic racism. The fertility industry is no different. 

Enter Chiquita Lockley who realized that none of her friends were ever talking about fertility, infertility, and fibroids, so she decided to make a documentary, Eggs Over Easy. Her upcoming film features interviews with black women and physicians who discuss the jarring racial disparity in healthcare, the stigma of infertility, and need for advocacy and change.  

In today’s episode, Chiquita shares some of her findings, like how black women have a 243% maternal mortality rate, and how doctors are quicker to dismiss black women’s concerns, sometimes fatally. 

Guest: Chiquita Lockley, filmmaker

Expert: Dr. Alan Copperman, Medical Director at Progyny 

Host: Dan Bulger 

You can watch the trailer for Eggs Over Easy here, and keep an eye on the website for upcoming screening dates.  

For more information visit Progyny’s Podcast page and Progyny’s Education page for more resources.  

Be sure to follow us on Instagram, @ThisisInfertilityPodcast and use the #ThisisInfertility.     

Have a question, comment, or want to share your story? Email us at thisisinfertility@progyny.com.  

Here are some highlights from this episode: 

The Shocking Statistics 
3:48 – 5:22 

Dan Bulger: In just about 90 minutes, the film manages to take a sincere and compassionate focus on a variety of issues facing black women today and throughout the years. There are parts about egg freezing, insemination, IVF, adoption, surrogacy and even childfree by choice. And while the film was initially meant to be a short film targeting black women of reproductive age, the target audience grew to include a completely different demographic. 

Chiquita Lockley: Once I realized the film was going to be bigger, I thought we had to use this to also educate doctors. Once we started looking at maternal mortality, that black women have a 243% maternal mortality rate, like we died three times more often than a white woman who’s having a baby, we realized that is a doctor’s issue. 

Dan Bulger: That statistic that black women die three to four times more often than white women while giving birth is absolutely jarring. But it’s not the only place where our health care system comes up significantly short for black women. And this film does a very good job of talking about many of the issues that need to be corrected. 

Chiquita Lockley: There are several reasons why a woman may not be able to have a baby or have some problems conceiving; one of the biggest issues in the black community is fibroids. 80% of black women will have fibroids by the age of 50. That number is astronomical. And just to be clear, 70% for white women will also have fibroids, so there’s not a huge gap. The difference is in the treatment of these fibroids, so when 80% of black women have fibroids, the default solution to that is hysterectomy. 

Health Professionals Dismissing Black Women 
6:21 – 9:07 

Dan Bulger: Why are black women treated differently in medicine? 

Chiquita Lockley: There was a 2016 study that examined this and found that not only are physicians not listening to black women, it’s like this unconscious bias, or this implicit bias. I’m just from living in, in this country living in the Western world, where when you look in a magazine or at a TV show, we’re not humanized in the same way, and traditionally, we have not been humanized the same way. So you could have a physician who is not a racist, but there’s an implicit bias there. 

An example of this is Serena Williams. She has millions of dollars, she has tons of followers on social media – she is a woman of influence! And when she had her baby, she was clotting, which was something that hadn’t happened to her before. So, she tells the doctors and nurses she is clotting and could possibly die, and they’re like “no, you’re okay”. But she was right and they eventually ran the tests and realized she was right. 

So, if this happening to a woman with such influence and wealth, what is happening to a regular woman? It means it doesn’t matter how much money you have, it doesn’t matter how much education you have, it doesn’t matter who you know, your skin is black and that’s what they’re going to see first, and you’re going to be treated horribly many times, and that is how we get to a 243% maternal mortality rate.  

Black Lives Matter. Black Fertility Matters. Black Mothers Matter. 
16:30 – 17:11 

Dan Bulger: I think all of us have some work to do in order to be better. But when it comes to medicine, fertility and maternity in the black community, lives are at stake. And we need to be better today, tomorrow. And every day after that. Black Lives Matter is being spoken about now more than perhaps ever before. But we can’t give lip service today and just move on from the conversation tomorrow. We have to stay dedicated and keep working for real, tangible change. You’ll know it when you see it. The numbers won’t lie.