At the heart of Frontier Nursing University is a talented and diverse community of students, alumni, faculty, staff, couriers and preceptors. Spotlight blogs feature members of our FNU community who are focused on the mission of educating nurse-midwives and nurse practitioners to deliver quality healthcare to underserved and rural populations.
For 15 years, FNU Psychiatric-Mental Health Nurse Practitioner (PMHNP) student Ifeyinwa “Ify” Obi, RN, MSN, CNM, has provided antepartum, intrapartum, and prenatal care as a nurse-midwife in tribal health, Federally Qualified Health Centers (FQHCs), and rural areas throughout Alaska, the Navajo Nation, and Arizona. Obi is currently practicing in Fort Defiance, Arizona, at Tsehootsooi Medical Center, where the population is predominantly Native American. In serving these underserved populations, Obi has made a tremendous impact in caring for women who typically endure higher rates of maternal complications, infant mortality, and teen births.
Throughout her career, Obi noticed how behavioral and mental health problems in women seeking reproductive care were more likely to go unaddressed in rural areas – the very places where women already faced an increased risk of developing perinatal mental illness, like depression and anxiety, as compared to their suburban and urban counterparts. These disparities were even more pronounced among rural women of color. For this reason, after graduating as a PMHNP, Obi would like to continue practicing in underserved populations.
According to 2022 data from the CDC, mental health conditions and hemorrhage were the most common underlying causes of death among American Indian or Alaska Native (AI/AN) people, accounting for 50% of deaths with a known underlying cause. Research supported by the Commonwealth Fund in 2023 found that maternal mortality rates are rising across all races and ethnicities in the U.S. — Black women are dying at nearly triple the rate of white women, and Native American women at double the rate.
“The issue goes beyond inadequate resources,” Obi said. “Women in rural areas have inadequate knowledge and awareness of the importance of seeking perinatal mental health care services.”
Obi recognized that many mothers were unfamiliar with the signs of mental illness, such as low self-esteem and mood, or they attributed their symptoms to hormones or tiredness. Other women withheld negative feelings because they feared their babies might be taken away, while some grappled with being labeled as a “bad mum” for seeking help. Moreover, of the extremely limited mental health services available to Obi’s patients, none of them were mother-centered.
“I believe that practitioners must work to identify and address all of these barriers,” Obi said. “Living and working in rural areas has allowed me to connect with women from diverse backgrounds and empower them to take charge of their health, and to reduce the stigma associated with mental health.”
As a Psychiatric-Mental Health Nurse Practitioner student at FNU, Obi is expanding her knowledge to better help the women she serves. Once certified, Obi will continue educating childbearing women on subjects like postpartum depression, mood disorders, anxiety, breastfeeding, overall mental well-being, and more.
“Pregnancy is a stressful event for mothers that can either worsen existing mental illnesses or cause new mental health disorders,” Obi said. “As a PMHNP, I can help these patients overcome their daily obstacles, which I find rewarding.”
“Nearly 25% of pregnancy-related deaths in the U.S. are related to mental health issues such as suicide or overdose related to addiction. It is critical that health care providers are educated to treat these issues. Data also overwhelmingly demonstrate that culturally congruent care improves patient outcomes by emphasizing interactions between patients and practitioners based on empathy and respect,” FNU President Dr. Susan Stone said. “That is the type of care that nurse practitioners and nurse-midwives are trained to provide. It is vital that we increase the number and diversity of the nurse practitioner and nurse-midwifery workforce to combat the tragically high rates of maternal mortality and morbidity in our country. I congratulate Ify for seeking further education to treat these conditions.”
“FNU’s dedication to amplifying underrepresented voices is truly commendable,” Obi said. “Together, we can make a difference and create a more equitable healthcare system.”
Thank you Ify for your dedication to better mental health for underserved mothers. Learn more about Ify in FNU’s upcoming CNEP documentary, in which her story is featured. Here’s a preview:
Learn more about advanced nursing degrees and specialties at Frontier Nursing University. Subscribe to our blog for the latest news and events at FNU and to get inspired with stories featuring our alumni, students, faculty, preceptors and staff!