Certified Nurse Midwife and award-winning author of Optimal Care in Childbirth: The Case for a Physiologic Approach, Amy Romano, joins us today to share dramatic trends ranging from physiologic to sociologic, which are contributing to poor outcomes in the U.S., especially for black women. What are the risk factors for preterm birth, and do those risk factors impact black and white women differently?  What mental and emotional factors are contributing to preterm babies? Finally, Amy discusses the provider/client benefits of a Yale model of care involving group midwifery care.* * * * * * * * * *If you enjoyed this episode of the Down To Birth Show, please share with your pregnant and postpartum friends!Between episodes, connect with us on Instagram @DownToBirthShow to see behind-the-scenes production clips and join the conversation by responding to our questions and polls related to pregnancy, childbirth and early motherhood. You can reach us at Contact@DownToBirthShow.com or call (802) 438-3696 (802-GET-DOWN). We are always happy to hear from you and will strive to feature your questions and comments on upcoming shows.You can sign up for online and in-person HypnoBirthing childbirth classes for pregnant couples taught by Cynthia Overgard, as well as online breastfeeding classes and weekly postpartum support groups run by Cynthia & Trisha at HypnoBirthing of Connecticut. Please remember we don’t provide medical advice, and to speak with your licensed medical provider related to all your healthcare matters. Thanks so much for joining in the conversation, and see you next week!Support the show