Today: May 30, 2024
Today: May 30, 2024

Risk of death related to pregnancy and childbirth more than doubled between 1999 and 2019 in the US, new study finds

Share This
August 18, 2023
The Los Angeles Post - The Conversation
Maternal death rates are higher in the U.S. than in other high-income countries. Tetra Images/Getty Images

Black women were more likely to die during pregnancy or soon after in every year from 1999 through 2019, compared with Hispanic, American Indian and Alaska Native, Asian, Native Hawaiian or other Pacific Islander, and white women. That is a key finding of our recent study published in the Journal of the American Medical Association. The risk of maternal death increased the most for American Indian and Alaska Native women during that time frame.

Maternal deaths refers to death from any cause except for accidents, homicides and suicides, during or within one year after pregnancy.

Notably, maternal mortality rates more than doubled for every racial and ethnic group from 1999 through 2019. Most maternal deaths are considered preventable because, in the U.S., maternal deaths are most often caused by problems that have very effective treatments, including bleeding after delivery, heart disease, high blood pressure, blood clots and infections.

Previous research has focused on high rates of maternal mortality in the Southern U.S., but our results showed that there are high-risk populations throughout the country.

For Black women in 2019, the states with the highest maternal mortality ratios – meaning the proportion of maternal deaths per 100,000 live births – were Arizona, New Jersey, New York and Georgia, along with the District of Columbia. Each had a maternal mortality ratio greater than 100 for Black women. In comparison, the national maternal mortality ratio for all women in the U.S. was 32.1 in 2019.

Among American Indian and Alaska Native women, the states with the largest increases in maternal mortality between the first half of the time period (1999-2009) and the second half (2010-2019) were Florida, Kansas, Illinois, Rhode Island and Wisconsin. In each of these states, risk of maternal death increased by more than 162%. Across the whole U.S., maternal mortality for American Indian and Alaska Native women was higher in 2019 than in all other years. Some individuals other than women, including girls, transgender men and people who identify as nonbinary, are also at risk of maternal death.

Why it matters

In order to prevent maternal deaths in the U.S., it’s crucial to understand who is most at risk. Prior to our study, estimates of maternal mortality for racial and ethnic groups within every state had never been released.

The U.S. has a high rate of maternal mortality compared to other high-income countries, despite spending more per person on health care. Disparities in maternal mortality have persisted for many decades.

Because most maternal deaths are preventable, interventions have the potential to make a significant difference. Better prevention of related events, such as preterm birth, is also necessary. We hope that our research continues to help policymakers and health care leaders put solutions in place to better prevent these deaths from happening.

Recently, U.S. Democratic Senators Cory Booker and Bob Menendez of New Jersey, Raphael Warnock of Georgia, and Alex Padilla of California reintroduced the Kira Johnson Act to improve maternal health outcomes for racial and ethnic minority groups and other underserved populations, citing our study.

What’s next

We would like to investigate how the most common causes of maternal death, such as blood clots, high blood pressure and mental health issues, are contributing to the overall estimates.

Understanding these trends will help clinicians and policymakers tailor solutions to be as effective as possible.

Our study did not include data from the pandemic years. So far, maternal mortality has only been reported at the national level for those years, but reports suggest that maternal mortality rates have increased since the start of the COVID-19 pandemic and that racial disparities have only gotten worse.

The Research Brief is a short take about interesting academic work.

The Conversation

Laura Fleszar receives funding from Gates Ventures, LLC.

Allison Bryant Mantha receives funding from Gates Ventures, LLC.

Catherine O. Johnson receives funding from the National Heart, Lung, and Blood Institute and Gates Ventures, LLC.

Greg Roth receives funding from the National Heart, Lung, and Blood Institute and Gates Ventures, LLC.

The post Risk of death related to pregnancy and childbirth more than doubled between 1999 and 2019 in the US, new study finds appeared first on The Los Angeles Post.

Popular

Snoop Dogg look-alike mannequin fools no one: CHP's latest traffic stop

Santa Fe Springs, CA- A driver in California was caught off guard when pulled over by the California Highway Patrol for driving in the carpool lane with a mannequin posing as a passenger in the front seat. According to the Santa Fe Springs division of the CHP, the driver’s attempt to bypass traffic by using a dummy resulted in the issuance of a ticket. The story surfaced after CHP’s Santa Fe Springs office shared the encounter on social media. The post showed a picture of the mannequin, sporting a black hoodie and sunglasses, seated in the front. Many are curious,

Snoop Dogg look-alike mannequin fools no one: CHP's latest traffic stop

“Just shells,” kids plead, as mom faces $88K fine

PISMO BEACH, CA- A mother from California was fined $88,000 after her children mistakenly collected clams from a beach without a fishing license, thinking they were seashells. Charlotte Russ was with her family on a trip to Pismo Beach, famously called the “Clam Capital of the World,” when the incident occurred, according to ABC 7. The Department of Fish and Wildlife approached Russ and informed her that her children had collected 72 clams illegally. She was issued a ticket for the violation. “Right before we went, that’s when I opened it, and that’s when I saw the amount,” Russ shared.

“Just shells,” kids plead, as mom faces $88K fine

US Supreme Court won't hear Maryland school district gender identity case

The U.S.

US Supreme Court won't hear Maryland school district gender identity case

Judge rejects gag order on Trump in Florida documents criminal case

By Sarah N.

Judge rejects gag order on Trump in Florida documents criminal case

Former intelligence chief Dick Schoof proposed as Dutch PM

By Stephanie van den Berg and Bart H.

Former intelligence chief Dick Schoof proposed as Dutch PM

Related

Richard M. Sherman, who fueled Disney charm in 'Mary Poppins' and 'It's a Small World,' dies at 95

Richard M. Sherman, who fueled Disney charm in 'Mary Poppins' and 'It's a Small World,' dies at 95

After firing, Cavs embark on coaching search with All-Star Donovan Mitchell's future bigger priority

After firing, Cavs embark on coaching search with All-Star Donovan Mitchell's future bigger priority

Fed's Waller ponders future path of underlying interest rates

Fed's Waller ponders future path of underlying interest rates

Cavaliers fire coach J.B. Bickerstaff despite back-to-back playoff appearances and steady progress

Cavaliers fire coach J.B. Bickerstaff despite back-to-back playoff appearances and steady progress
- Advertisement -
Advertisement: Limited Time Offer