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tory bowie death could not be in vain and the medical community must do its part. since her traumatic pregnancy, tiana earned a social work degree so that she could help other women. but she decided that she wanted to expand her own family. >> the choice to have children is not necessarily because we do not want any, it is because we are scared of the system and this desist six. >> antonia hylton nbc news, new york. >> joining me now is dr. ebony hilton, she's a associate professor of anesthesiology and critical care medicine at the university of virginia, and an siv medical contributor. dr. hilton, explain this to us. these women are elite athletes, and if you consider that beyoncé and serena williams with unbelievable access to top medical care also experienced potentially deadly pregnancy complications. what is that telling us about black women and childbirth? >> well, what it is telling us unfortunately is that america has not put forward the effort