The Heart of the Matter: Why Black Mothers Need to Know More About Cardiovascular Health

Provider Spotlight | Based on insights from Dr. Ashley Carmenia, MPH, Community Impact Director – American Heart Association, Charlotte

When we talk about pregnancy and postpartum care, conversations often center on the baby—how to prepare, what to expect, and how to navigate those early newborn days. But thanks to the knowledge and leadership of Dr. Ashley Carmenia, MPH, we’re shifting the spotlight to something equally important: the mother’s heart. As a public health professional and the Community Impact Director for the American Heart Association in Charlotte, Ashley brings deep expertise to a topic that’s often overlooked—cardiovascular health in pregnancy and postpartum, especially for Black women who face increased risks and often go unheard when something feels off. This blog post is grounded in the guidance and insights Ashley shared with us, and we’re honored to pass along her wisdom to our community.

Dr. Ashley Carmenia, MPH, Community Impact Director – American Heart Association, Charlotte

Ashley explains that during pregnancy, the body undergoes massive changes, and the heart is front and center. Blood volume increases by nearly 50%, and the cardiovascular system works harder to support both parent and baby. If someone already has a history of high blood pressure or heart conditions—or if they’re unaware of underlying risk factors—this can become serious, fast. According to Ashley, heart-related complications remain a leading cause of maternal mortality in the U.S., yet many of these issues are preventable through education, early care, and informed advocacy.

One of Ashley’s most powerful messages is that heart health and mental health are deeply interconnected. When someone is experiencing symptoms like chest pain, fatigue, or shortness of breath, it naturally takes an emotional toll. That stress can lead to anxiety or depression. But the relationship also works in reverse. Prolonged stress, trauma, or untreated mental health conditions can raise blood pressure, increase inflammation, and put additional strain on the heart. Ashley emphasizes the importance of whole-person care—care that sees both the body and the emotions behind the symptoms.

Ashley encourages pregnant and postpartum people to “know their normal”—to understand their baseline blood pressure, energy levels, and overall sense of well-being. Why? Because when something feels off, that internal awareness can help you speak up with confidence. Some signs to watch closely during pregnancy and up to a year postpartum include chest pain or pressure, unexplained shortness of breath, sudden swelling in hands or legs, dizziness or fainting, rapid weight gain, and extreme or unfamiliar fatigue. She also reminds us that these symptoms don’t always show up immediately—many heart-related complications can occur weeks or even months after delivery.

Informed questions can lead to early intervention and stronger provider relationships. Ashley recommends asking your provider: Am I at risk for heart-related issues during pregnancy or postpartum? What symptoms should I report immediately? Should I be referred to a cardiologist? How can I reduce stress in a way that supports my heart? She encourages people to approach their health as a shared responsibility: you deserve a provider who listens, informs, and partners with you.

Ashley’s public health work often highlights the systemic barriers Black women face in healthcare. Delayed diagnoses, dismissed symptoms, and a lack of culturally responsive care are far too common. Her advice? Track your symptoms. Know your family history. Speak up—even when it’s uncomfortable. And never hesitate to seek a second opinion. She also emphasizes the importance of building a support team that affirms your lived experience—whether it’s a doula, case manager, community health worker, or a culturally sensitive therapist.

Ashley shares a few simple habits that can promote both heart and mental health: gentle movement like walking or stretching, eating nourishing foods such as whole grains, fruits, and lean proteins, prioritizing sleep (and asking for help when you need it), practicing mindfulness, and staying socially connected and emotionally supported. These may seem small, but they create powerful shifts over time—especially during the ups and downs of motherhood.

If you’re looking for tools and support, Ashley suggests exploring the American Heart Association’s Go Red for Women and Know Your Numbers initiatives, community health centers with maternal care services, support groups for maternal heart health, telehealth platforms for mental health and stress management, and doulas or community health workers who can bridge care gaps.

Ashley Carmenia’s work reminds us that maternal health is not complete without heart health—and that Black women deserve care that honors both their physical and emotional experiences. At Raising Resilience, we’re grateful to amplify her wisdom and continue the conversation about what true maternal wellness looks like: being seen, being heard, and being supported in body and mind.