Case Study The number of infants who die before their first birthday is much higher in the United States than in other countries, and for African Americans the rate is nearly twice as high as for white Americans. Even well- educated African American women have birth outcomes worse than white women who haven't finished high school. Why? We meet Andrea Jackson, a successful lawyer, executive, and mother. When Andrea was pregnant with her first child, she, like so many others, did her best to ensure a healthy baby; she ate right, exercised, abstained