TEXAS (KXAN) — Thursday marks the fifth national Maternal Health Awareness Day, which is dedicated to bringing attention to unique health struggles faced by mothers, both physical and mental. It started in New Jersey in 2017 before becoming nationally recognized by the American College of Obstetricians and Gynecologists (ACOG). According to ACOG, 80% of maternal deaths are considered preventable. Women of color, especially Black women, face even higher mortality rates. One in seven women experience postpartum depression, according to family nurse practitioner Dr. Efrat "E" LaMandre. However, many do not seek treatment. "Too many feel alone, and think they should just power through," Dr. E said. "These are real medical concerns, and these are not personal failures or weaknesses. Acknowledging that mental health is part of maternal health actually saves lives." Physical warning signs like headaches, chest pains and heavy bleeding after delivery are often ignored as normal post-pregnancy symptoms and go unaddressed. "It's all about knowledge because knowledge saves lives," Dr. E said. "If you add a bias that downplays women's concerns, especially women of color, you've got a recipe for missed life-threatening complications." One of the most important things a mother can do is advocate for herself and build a strong support system both before and after delivery. This can reduce stress and even lower complications. "If something doesn't feel right, whether it's during pregnancy, labor, postpartum — don't hesitate to speak up," Dr. E said. "Your voice matters, and pushing for answers could make all the difference."