Which States Do Not Have Maternal Mortality Review Committees

In 2018, 658 women in the Us died during pregnancy, at delivery, or soon after delivery. According to a Jan study out of the Centers for Illness Command and Prevention's National Vital Statistics System, the 2018 maternal mortality charge per unit was 17.iv maternal deaths per 100,000 live births.

Of u.s.a. with accessible data, Illinois ranked the best with a charge per unit of 9.7 maternal deaths per 100,000 alive births, followed by Due north Carolina with x.ix and California with 11.seven. On the other hand, Arkansas ranked worst with a rate of 45.nine deaths per every 100,000 live births preceded by Kentucky with twoscore.8 and Alabama with 36.4.

But figures similar this only tell part of the story. While this latest data is a great place to start a conversation about maternal health care in our country, gaps exist due to the fact that at that place is not a standardized surveillance organisation of maternal bloodshed beyond the nation. Not every country has funded Maternal Bloodshed Review Committees (MMRCs)—or multidisciplinary committees in states and cities that perform comprehensive reviews of deaths among women within a year of the terminate of a pregnancy—and some states have launched MMRCs only within the by year. Also, because states might apply different definitions for "maternal mortality" in general, there is a big potential for variability in the quality of reported data. This makes "ranking" by whatever such numbers pretty tough.

To help create a more accurate state-by-state snapshot of maternal health care in the U.South., we worked with the American Association of Birth Centers (AABC) and Review to Action—a resource that promotes the state-based maternal mortality review process—to give you a more holistic expect at how your state measures upward. While the statistics can exist frightening for some states, it's important to talk most the facts so we can help solve the problem. And as part of that, we will be linking to resources for each country to help empower the women that live there.

Hither are a few more than definitions and facts to keep in mind:

What's a pregnancy-associated death? The death of a adult female from any cause while meaning or within one year of the end of pregnancy.
What's a pregnancy-related expiry? The expiry of a woman during pregnancy or within one yr of the finish of a pregnancy due to complications or wellness problems related to the pregnancy.
What'southward a maternal decease? The National Center for Health Statistics (NCHS) and the World Health System (WHO) ascertain maternal expiry as the expiry of a woman while pregnant or within 42 days of the end of a pregnancy, from whatever crusade—but not accidents or incidental causes—related to pregnancy.

Maternal deaths and mortality rates for 2018 for selected states are presented below, only circumspection should be taken in interpreting this data and comparing states for the post-obit reasons:

Some data is based on modest numbers. Indeed, the rates based on fewer than ten deaths in a state were withheld completely to protect confidentiality. This explains the North/As you volition see.
The quality of information varies. Differences in the reporting of state maternal mortality data may result in the underestimation or overestimation of maternal deaths.

Read more of Parents.com's maternal health investigation hither .

The Pacific Westward

Maternal Mortality Rates MAP of the PACIFICWEST

Credit: Graphic by Josh Goldwasser

Washington

• Maternal Deaths per 100,000 Births: 15.1
• Number of Birth Centers: xx
• Official Land Task Force: Washington Maternal Bloodshed Review Console, 2016

The Washington land review panel, funded past legislation in 2016, has a few recommendations for lowering the state'due south maternal bloodshed charge per unit: piece of work to prevent complications early on enough, educate wellness care providers on handling complications if they were to occur, and improve access to care for all women. While the state'due south maternal mortality rates have not increased over time, Native American and Alaska Native mothers in Washington are eight times more than likely to die than white women.

Oregon

• Maternal Deaths per 100,000 Births: N/A
• Number of Nascency Centers: 14
• Official State Task Force : Oregon Maternal Bloodshed and Morbidity Review Committee, 2019

Oregon'southward maternal mortality review was formed in 2019 subsequently legislation officially pased in 2018. While the state's maternal mortality charge per unit is relatively depression, "it is as well important to note that for every adult female who dies, there are approximately 50 who endure severe maternal morbidity—very severe complications of pregnancy, labor, and delivery that bring them close to death," according to the Oregon Wellness Dominance.

California

• Maternal Deaths per 100,000 Births: xi.seven
• Number of Nativity Centers: 53
• Official State Task Force : California Pregnancy-Associated Mortality Review, 2006

According to the California Department of Public Wellness, the land lowered its maternal mortality rate by 55 pct between 2006 and 2013. "And it's a state whose impact could make a big difference," NPR reports. "One in eight infants born in the United States is built-in there." And so how'd they practise it? With the implementation of early intervention checklists, drills, and carts—especially surrounding hemorrhage and preeclampsia, two of the biggest issues—which are now being adopted in hospitals across the country.

Idaho

• Maternal Deaths per 100,000 Births: N/A
• Number of Nascency Centers: 14
• Official State Chore Force : Idaho Maternal Mortality Review Committee, 2019

Though Idaho has tracked maternal bloodshed over the years, it was among the last states to formally establish a review console. The state's most recent recorded death rate was 27.i deaths per 100,000 births.

Nevada

• Maternal Deaths per 100,000 Births: Due north/A
• Number of Birth Centers: 0
• Official State Task Force : Nevada Maternal Mortality Review Committee, 2019

Between 2003 and 2014, Nevada experienced 156 pregnancy-associated deaths. The top causes of these deaths were related to pregnancy, childbirth, and the half-dozen weeks straight post-obit labor and commitment.

Montana

• Maternal Deaths per 100,000 Births: Due north/A
• Number of Birth Centers: 6
• Official Land Task Strength : Montana Fetal, Infant, Child & Maternal Bloodshed Review, 1997

"Maternal mortality is now a rare event in Montana," according to a 2011 report by the state's Section of Public Health and Human Services. "There was an boilerplate of 1 maternal death per yr between 1980 and 2009, and in 13 of those years in that location were no maternal deaths at all."

Wyoming

• Maternal Deaths per 100,000 Births: Northward/A
• Number of Birth Centers: 0
• Official State Task Force: North/A

"Wyoming does not currently have a Maternal Mortality Review Committee," says Ashley Busacker, Ph.D., senior epidemiology advisor for the Maternal and Kid Health unit in Wyoming's Department of Health, which she says is partnering with the Utah Department of Wellness to implement. "Wyoming cases will be reviewed as office of the Utah Perinatal Bloodshed Review procedure. The recommendations from the review volition be shared with the Wyoming Perinatal Quality Collaborative for implementation."

Utah

• Maternal Deaths per 100,000 Births: N/A
• Number of Nativity Centers: 16
• Official State Task Force : Utah Perinatal Mortality Review, 1995

Some hospitals in Utah take adopted the same prophylactic practices as California as well as the Alliance for Innovation on Maternal Wellness (AIM) Program—whose goal is to "eliminate preventable maternal mortality and astringent morbidity across the United States"—to reduce its own rate, which was recorded as 25.7 per 100,000 live births for 2016.

Colorado

• Maternal Deaths per 100,000 Births: Due north/A
• Number of Birth Centers: seven
• Official State Task Forcefulness : Colorado Maternal Mortality Review Committee, 1993

Co-ordinate to the Colorado Lord's day, "one-half of all deaths in this state amid pregnant women and those within the starting time year after giving nascency are the result of self-harm—divers as suicide and overdose." And when it comes to maternal mortality directly related to pregnancy, three main things are to arraign: heart weather condition, hemorrhage, and suicide tied to postpartum low.

Alaska

• Maternal Deaths per 100,000 Births: North/A
• Number of Birth Centers: 14
• Official State Task Force : Alaska Maternal Child Death Review, 1989

A await at pregnancy-associated mortality in Alaska in the past decade shows that Alaska Natives face up a much higher take a chance of death—more than five times that of white women, most often due to drug or alcohol overdose or other medical causes.

Hawaii

• Maternal Deaths per 100,000 Births: N/A
• Number of Birth Centers: 0
• Official State Job Force : Hawaii Maternal Mortality Review, 2017

Hawaii sees anywhere from five to 15 pregnancy-associated deaths each year—reviewed by a commission that meets semiannually—many of which follow trivial to no prenatal care. The Hawaii State Section of Wellness reports that women who were younger, less educated, unmarried, uninsured, or had an unintended pregnancy were less likely to receive early prenatal care.

The Midwest

Maternal Bloodshed Rates MAP of the MIDWEST

Credit: Graphic by Josh Goldwasser

Due north Dakota

• Maternal Deaths per 100,000 Births: N/A
• Number of Birth Centers: 0
• Official State Task Strength : North Dakota Maternal Bloodshed Review Commission, 1954

Created by the N Dakota Lodge of Obstetrics and Gynecology in 1954, North Dakota has one of the country'southward oldest Maternal Bloodshed Review Committees. Co-ordinate to North Dakota Medical Clan's ND Doc magazine, while hypertension, hemorrhage, and sepsis are among the leading causes of maternal death, cardiovascular events, thromboembolic episodes, and brain aneurysm were primarily to blame in North Dakota between 2008 and 2017.

Southward Dakota

• Maternal Deaths per 100,000 Births: Northward/A
• Number of Birth Centers: 0
• Official Land Task Strength : S Dakota Maternal Bloodshed Review Committee, 2020

There were reportedly 9 pregnancy-associated deaths in South Dakota in 2018 and, co-ordinate to experts, many of the state'southward deaths and complications may be attributed to high rates of obesity, diabetes, and smoking.

Nebraska

• Maternal Deaths per 100,000 Births: Northward/A
• Number of Birth Centers: ane
• Official Country Job Forcefulness : Nebraska Maternal Bloodshed Review Committee, 2019

The 2015 report out of Nebraska'southward Maternal Bloodshed Review Committee—mobilized in 2019 following the passing of the state'due south Kid and Maternal Death Review Act, which requires the review all maternal deaths during or subsequently 2014—noted three principal contributors to maternal complications: preeclampsia, diabetes, and placental abruption.

Kansas

• Maternal Deaths per 100,000 Births: North/A
• Number of Birth Centers: 4
• Official State Task Strength : Kansas Maternal Mortality Review Committee, 2018

Between 2016—when Kansas first began reviewing cases—and 2018, there was a ten percent decrease in maternal bloodshed. What'due south more than, virtually 97 pct of women received prenatal care earlier their third trimester.

Minnesota

• Maternal Deaths per 100,000 Births: North/A
• Number of Birth Centers: 8
• Official State Task Strength : Minnesota Maternal Bloodshed Review Project, 2012

The Minnesota Department of Health found that the state's leading causes of maternal death between 2011 and 2017 included obstetric hemorrhage, drug overdose, violence, and suicide. Their recommendations post-obit a review of cases include mental wellness, depression, and substance apply screenings at all prenatal visits, ensuring significant women accept support networks, and following up before the typical half dozen-week postpartum checkup.

Iowa

• Maternal Deaths per 100,000 Births: North/A
• Number of Birth Centers: 1
• Official Country Job Forcefulness : Iowa Maternal Mortality Review Committee, 1952

With only one.49 doctors per x,000 women, according to the American Higher of Obstetricians and Gynecologists (ACOG), there'due south a real shortage of health care in Iowa. Women are left to travel for prenatal care as well as to requite birth, particularly since some hospitals in the state have close downwardly their labor and commitment units altogether. Iowa's most recent Maternal Mortality Review Committee report points to cardiac bug, hemorrhage, preeclampsia, pulmonary embolism, and drug overdose as the main causes of pregnancy-related deaths.

Missouri

• Maternal Deaths per 100,000 Births: sixteen.4
• Number of Nascency Centers: 2
• Official Land Task Force : Missouri Pregnancy-Associated Mortality Review, 2011

While the leading causes of Missouri's maternal deaths from 1999 to 2008 were embolism and cardiovascular diseases, increased access to care and wellness insurance are ii ways the land could improve. According to October 2019 findings out of the Institute for Public Health at Washington University, "for many low-income women in Missouri, health needs are not met prior to pregnancy or by sixty days postpartum because of limited access to health care services."

Wisconsin

• Maternal Deaths per 100,000 Births: N/A
• Number of Birth Centers: x
• Official Land Task Strength : Wisconsin Maternal Mortality Review Team, 1997

Wisconsin'due south report for Jan 2006 through Dec 2010 showed that the land's maternal mortality ratio was 5.nine deaths per 100,000 alive births, with higher rates for Blackness women. As seen in other parts of the state, many deaths—nineteen percent, to be exact—were considered to be avoidable. Co-ordinate to the report, "chronic medical conditions" such every bit hypertension, diabetes, and depression were present in more than half of Wisconsin's pregnancy-related deaths, and when obesity was included among those conditions, that number jumped to 80 percent of cases examined.

Illinois

• Maternal Deaths per 100,000 Births: 9.vii
• Number of Birth Centers: 2
• Official State Task Strength : Illinois Maternal Bloodshed Review Committee, 2000; Illinois Maternal Mortality Review Committee on Tearing Deaths, 2015

The Illinois Maternal Morbidity and Mortality Report from Oct 2018 had several key findings: Between 2008 and 2016, well-nigh 73 women died each yr, 72 pct of the pregnancy-related deaths were deemed preventable, Blackness women were affected six times more than white women, and obesity contributed to 44 percent of all pregnancy-related deaths in 2015. With that, the committee has recommended expanding the state's Medicaid coverage for loftier-hazard women, an expansion of doula and other calm programs, and increased access to substance abuse and mental health services.

Michigan

• Maternal Deaths per 100,000 Births: 16.four
• Number of Birth Centers: 6
• Official State Task Force : Michigan Maternal Mortality Surveillance Injury Committee, 1950; Michigan Maternal Mortality Surveillance Medical Commission, 1950

Michigan may accept one of the longest-standing maternal mortality review committees, but legislation to make reporting on maternal deaths mandatory didn't pass until 2017. Racial disparity is at the forefront of cases in the state, where Black women are 3 times more probable to die during pregnancy and childbirth and Black infant mortality rates—especially in urban areas like Detroit and Flintstone—are higher than the national boilerplate.

Indiana

• Maternal Deaths per 100,000 Births: 24.five
• Number of Birth Centers: 6
• Official Land Job Force : Indiana Maternal Bloodshed Review Committee, 2017

"Based on data provided by the Indiana State Department of Health and the CIA's World Factbook, women in Iraq and the Gaza Strip accept a improve chance of surviving childbirth than women in the 33 Indiana counties where inpatient commitment service simply does non exist," the Indianapolis Star reports. Within those counties, which are often chosen "maternity deserts," women with lower incomes are underserved.

Ohio

• Maternal Deaths per 100,000 Births: 14.1
• Number of Nascence Centers: iii
• Official State Task Force : Ohio Pregnancy-Associated Mortality Review, 2010

More one-half of pregnancy-related deaths in Ohio betwixt 2012 and 2016 could have been prevented. Key findings in the 2019 Ohio Department of Wellness study—the state's first— included that the leading causes of maternal expiry included heart conditions, infections, severe bleeding, and preeclampsia and eclampsia.

The Southwest

Maternal Bloodshed Rates MAP of the SOUTHWEST

Credit: Graphic by Josh Goldwasser

Arizona

• Maternal Deaths per 100,000 Births: 22.3
• Number of Nascence Centers: 10
• Official State Task Force : Arizona Maternal Mortality Review Committee, 2011

Arizona's Maternal Mortality Review Committee found that, between 2012 and 2015, 89 pct of the land's maternal deaths were preventable. With about seventy deaths from causes like hypertension, hemorrhage, and suicide each year, Native American women are unduly affected—four times more than probable to die than white women.

New United mexican states

• Maternal Deaths per 100,000 Births: N/A
• Number of Nascence Centers: 3
• Official State Task Force : New United mexican states Maternal Mortality Review Committee, 2019

The review of maternal deaths in New United mexican states betwixt 2010 and 2015 found that teens and Ethnic women were the nigh at-risk groups, and the leading causes of death—27 pct of which occurred during pregnancy or inside eight days of childbirth—were drug overdose, suicide, car crashes, embolism, and hypertension.

Oklahoma

• Maternal Deaths per 100,000 Births: 30.1
• Number of Nascency Centers: two
• Official State Task Strength : Oklahoma Maternal Mortality Review, 2009

Over the past decade, the maternal bloodshed rate in Oklahoma has increased by nearly 50 percentage, and more than than half of the women who died were under thirty, The Frontier reports. According to the Oklahoma committee, leading causes of death included obesity, chronic hypertension, and cardiac problems.

Texas

• Maternal Deaths per 100,000 Births: 18.5
• Number of Nascency Centers: 92
• Official State Task Strength : Texas Maternal Mortality and Morbidity Review Committee, 2013

The Maternal Mortality and Morbidity job strength and Department of
Land Wellness Services'due south 2018 report on the 89 deaths from 2012—the year with the highest number of maternal deaths—plant that cardiovascular and coronary conditions, obstetric hemorrhage, infection/sepsis, and cardiomyopathy were the leading causes for 76 percent of all pregnancy-related deaths, followed by preeclampsia and mental health issues. Findings also showed that those most at run a risk of maternal death were forty years onetime or older, received late or no prenatal intendance, or had diabetes, hypertension, or were obese.

The Northeast

Maternal Mortality Rates MAP of the NORTHEAST

Credit: Graphic by Josh Goldwasser

Maine

• Maternal Deaths per 100,000 Births: N/A
• Number of Nascence Centers: 3
• Official Land Task Force : Maine Maternal, Fetal, and Infant Mortality Review Console, 2010

A review of pregnancy-associated deaths between 2014 and 2018 showed that more than i-third were "related to cardiovascular diseases, infection, hemorrhage, cardiomyopathy, and embolism." While chronic health atmospheric condition—hypertension, diabetes, and obesity—were cited equally adventure factors for maternal death like in many other states, the Maine review also listed misdiagnosis, inadequate training, and failure to screen or follow up as potential factors.

New Hampshire

• Maternal Deaths per 100,000 Births: N/A
• Number of Birth Centers: 4
• Official State Task Force : New Hampshire Maternal Mortality Review Committee, 2012

A 2018 Usa Today investigation found that 24 mothers died during or within a year of pregnancy in New Hampshire between 2012 and 2015, and the state'due south review commission's recommendations included improvements that can be fabricated by health care providers and hospitals.

Vermont

• Maternal Deaths per 100,000 Births: N/A
• Number of Birth Centers: 0
• Official Land Chore Forcefulness : Vermont Maternal Mortality Review Panel, 2011

According to the March of Dimes, "89.2 percent of alive births were to women receiving early on prenatal care, 8.9 percent were to women beginning care in the 2nd trimester, and i.9 pct were to women receiving late or no prenatal care" in Vermont in 2018.

Massachusetts

• Maternal Deaths per 100,000 Births: 17.iv
• Number of Nascence Centers: ii
• Official State Job Strength : Massachusetts Maternal Mortality & Morbidity Review Committee, 1998

According to a review of deaths in Massachusetts between 2012 and 2014, more than one-half of pregnancy-associated mortalities had at least ane documented mental health diagnosis—with low and anxiety the most common—91.4 percent of which were prevalent during pregnancy. With that, the Massachusetts Department of Public Health noted "opportunities for intervention by prenatal and primary care providers."

Rhode Island

• Maternal Deaths per 100,000 Births: North/A
• Number of Birth Centers: 0
• Official Land Chore Force : Rhode Island Maternal Mortality Review Commission, 2019

Rhode Island boasts the nation'due south first Maternal Mortality Commission, established in 1931, though information technology was just formally reinstated following legislation in 2019. Co-ordinate to the Rhode Island Department of Wellness, the maternal mortality rate for 2013 through 2017 was 11.2 deaths per 100,000 live births. What'south more, it was reported that 60 pct of these maternal deaths were accounted preventable.

Connecticut

• Maternal Deaths per 100,000 Births: N/A
• Number of Birth Centers: 1
• Official State Task Strength : Connecticut Maternal Bloodshed Review Program, 2018

"In Connecticut, there's talk that more than midwives, who tend to have more fourth dimension to spend with each client, tin can decrease deaths amidst mothers and infants," reports the Connecticut Health Investigative Team. "Currently, merely xi percent of Connecticut births are attended by a midwife."

New York

• Maternal Deaths per 100,000 Births: 20.viii
• Number of Birth Centers: 3
• Official Land Task Force : New York Maternal Mortality Review Initiative, 2010; New York State Taskforce on Maternal Mortality and Disparate Racial Outcomes, 2018; New York Maternal Mortality Review Lath, 2019

U.s.a. Today'southward 2018 investigation establish that "fewer than half of maternity patients were promptly treated for dangerous blood pressure level that put them at risk of stroke" at hospitals in New York, Pennsylvania, and the Carolinas. However, New York's "Taskforce on Maternal Mortality and Disparate Racial Outcomes builds on Governor Cuomo'due south Women's Calendar, which is a the multi-pronged initiative to target maternal bloodshed and eliminate persistent racial disparities in maternal outcomes," says Jeffrey Hammond, a spokesperson for the New York State Department of Wellness.

New Jersey

• Maternal Deaths per 100,000 Births: 26.7
• Number of Birth Centers: three
• Official Land Job Strength : New Jersey Maternal Bloodshed Review Committee, 1932

In the maternal mortality trends report for 2009 through 2013, the New Jersey review team found that over ane-third of cases were pregnancy-related and largely due to cardiac atmospheric condition, cardiomyopathy, embolism, septic stupor, and cerebral hemorrhage. In those pregnancy-related deaths, women ages 25 to 34 made up nearly 55 percent.

Pennsylvania

• Maternal Deaths per 100,000 Births: 14
• Number of Birth Centers: 5
• Official State Task Force : Pennsylvania Maternal Bloodshed Review Commission, 2019; Philadelphia Maternal Mortality Review, 2010

While Pennsylvania'south maternal mortality rate is below the national rate—with eleven.4 deaths per 100,000 for 2012 to 2016— the country'due south Department of Wellness notes opportunities for improvement: increased access to prenatal care, amend management of chronic weather condition, and the implementation of standardized, high-quality care during and after delivery, peculiarly for women who are considered high-risk.

The Southeast

Maternal Bloodshed Rates MAP of the SOUTHEAST

Credit: Graphic past Josh Goldwasser

Delaware

• Maternal Deaths per 100,000 Births: N/A
• Number of Nascency Centers: 1
• Official State Task Force : Delaware Maternal Mortality Review Committee, 2009

After spending 2 years recruiting new members and conducting enquiry on other states to develop policy and procedures, Delaware's review team met for the starting time time in 2011. Role of the team's standard protocol includes conducting voluntary interviews with grieving families to larn more almost their experiences to help shape their reports. In 2017, the team reviewed v maternal deaths and found that simply one was related to pregnancy.

Maryland

• Maternal Deaths per 100,000 Births: 14.1
• Number of Birth Centers: three
• Official State Task Forcefulness: Maryland Maternal Bloodshed Review Committee, 2000

According to the 2018 annual report, Maryland'due south maternal mortality ratio fell beneath the national average for the first time betwixt 2011 and 2015 and withal remains below the 2018 U.S. charge per unit of 17.4 maternal deaths per 100,000 live births. Even so, Blackness women in Maryland are nearly iv times more probable to die than white women and, while the state'southward rate has decreased, information technology'southward merely because less white women are dying.

Washington, D.C.

• Maternal Deaths per 100,000 Births: N/A
• Number of Birth Centers: 1
• Official Land Chore Force: District of Columbia Maternal Mortality Review Committee, 2018

According to a January 2018 study from the Committee on the Judiciary and Public Safety, Washington, D.C. "is ranked the worst, or near the worst, for maternal deaths when compared to other states." What's more than, "for many District women of color and depression-income women, admission to comprehensive preventative and prenatal care is inconsistent and insufficient, a situation made even more dire by the contempo closing of the labor and delivery units at Providence Hospital in Northeast D.C. and United Medical Middle in Southeast D.C."

Virginia

• Maternal Deaths per 100,000 Births: xvi
• Number of Birth Centers: 13
• Official State Task Strength : Virginia Maternal Mortality Review Squad, 2002

In 2016, at to the lowest degree two-thirds of the maternal deaths in Virginia were preventable. And, according to the CDC, Blackness women were iii times more than likely to dice than white women. "Many of these Black women lack access to stable health intendance and confront institutional biases and racism that create barriers to receiving appropriate care," reports the Washington Post. "Moreover, these increased rates of decease—and oftentimes grave pregnancy-related disabilities—occur regardless of the socioeconomic status, education, or Zip lawmaking of Blackness women. In turn, racial biases affect the wellness and well-beingness of their children, sometimes with the most devastating of consequences."

West Virginia

• Maternal Deaths per 100,000 Births: N/A
• Number of Birth Centers: 1
• Official State Chore Forcefulness : West Virginia Maternal Mortality Review Panel, 2008

According to the Baby and Maternal Mortality Review Annual Report, West Virginia had a pregnancy-related maternal mortality rate of 9.5 maternal deaths per 100,000 births for 2007 to 2013. And while simply 62 pct—or 48 of the deaths—had prenatal intendance starting in the first trimester, the review uncovered something more unsettling: "medical personnel, especially emergency room (ER) medical personnel, were not recognizing possible causes and were not always performing correct diagnostic procedures to rule out" pregnancy-related conditions such as hypertension or cardiomyopathy.

Kentucky

• Maternal Deaths per 100,000 Births: forty.8
• Number of Nativity Centers: 0
• Official State Task Force: Kentucky Maternal Bloodshed Review Committee, 2018

U.s.a. Today's maternal mortality investigation institute that one in eight hospitals that deliver babies in the U.S.—and ane in nine in Kentucky—have complication rates at least double the median. Hospital officials say they're working on grooming, safe practices, and reviewing cases in an effort to reduce risks and, mimicking that, key recommendations in the land's most recent Maternal Mortality Review report include improving health care, emergency care, and mental health care throughout a woman's pregnancy as well as expanding maternal education and rubber measures.

North Carolina

• Maternal Deaths per 100,000 Births: 10.ix
• Number of Nativity Centers: four
• Official Land Task Force : Due north Carolina Maternal Mortality Review Committee, 2016

While Blackness women are dying at alarming rates across the country, "North Carolina has managed to close its Blackness-white maternal death gap," reports Vox. "What'south unique about N Carolina, according to doctors, nurses, and researchers at that place, is a population health management programme, called Pregnancy Medical Home, for depression-income pregnant women. The program is run through Medicaid ... and 94 percentage of Medicaid doctors participate in the program. And it's just one of several initiatives in the state to make births safer for moms that seem to be saving more lives."

South Carolina

• Maternal Deaths per 100,000 Births: 24.7
• Number of Nascence Centers: 4
• Official Land Task Force : South Carolina Maternal Bloodshed and Morbidity Review Committee, 2016

Of the 64 maternal deaths that occurred in Southward Carolina between 2011 and 2015, nearly 44 per centum occurred during pregnancy or on the day of delivery—the bulk of which happened inside a hospital. According to an examination of maternal mortality from the South Carolina Department of Health and Environmental Control for that time period, not-Hispanic Black women—who had a maternal mortality rate almost four times higher that of not-Hispanic white women—and women over 35 were most at risk.

Tennessee

• Maternal Deaths per 100,000 Births: 26
• Number of Birth Centers: 1
• Official State Job Force : Tennessee Maternal Mortality Review and Prevention Committee, 2017

The Tennessee Maternal Mortality Review of maternal deaths in 2017 found that 78 women died while pregnant or within i year of pregnancy. And with pregnancy-related deaths—or a death that would not have occurred had the woman not been pregnant—making upward 28 percent of that grouping, 85 percent were deemed preventable. One of the key recommendations was that "clinics and hospitals should improve protocols, didactics and screening on several maternal wellness topics" including preeclampsia, hemorrhage, and the follow-upward of patients.

Georgia

• Maternal Deaths per 100,000 Births: 27.7
• Number of Nascence Centers: 3
• Official State Task Strength : Georgia Maternal Mortality Review Committee, 2012

When it comes to the 28 pregnancy-related deaths per 100,000 alive births in Georgia between 2012 and 2015, Black women were nearly three times more probable to die than white women, and 2 out of three deaths—the leading causes of which were cardiomyopathy, cardiovascular, hemorrhage, embolism, and preeclampsia—were preventable.

Alabama

• Maternal Deaths per 100,000 Births: 36.four
• Number of Birth Centers: 0
• Official State Chore Forcefulness : Alabama Maternal Mortality Review Committee, 2019

In 2017, Alabama had the 2d-highest maternal expiry rate in the U.S. While the country funds programs to review infant deaths, Alabama's newly-launched Maternal Mortality Review Commission operates largely as a volunteer-run organisation. In March 2020, U.Due south. Rep. Terri Sewell introduced the Black Maternal Health Momnibus Act in Congress to address and fund maternal wellness intendance for Black mothers, who are disproportionately affected.

Mississippi

• Maternal Deaths per 100,000 Births: N/A
• Number of Birth Centers: 0
• Official State Chore Force : Mississippi Maternal Mortality Review Committee, 2017

Mississippi's 2017 report on maternal mortality showed that between 2013 and 2016, there were 22.1 maternal deaths per 100,000 live births. Similar to the residuum of the nation, Black women are at an increased risk in Mississippi. And equally a state with a large Black population, Black women made up nearly 80 percent of pregnancy-related cardiac deaths—almost five times higher the rate in white women. The annual report concluded that this "dramatic disparity in pregnancy-related mortality between Black and white women in Mississippi demands urgent attention and acknowledgement of how factors similar social determinants of health and implicit bias tin bear on women's health and health care."

Arkansas

• Maternal Deaths per 100,000 Births: 45.9
• Number of Birth Centers: 0
• Official State Task Force : Arkansas Maternal Mortality Review Committee, 2019

Arkansas passed legislation in April 2019 to plant a maternal mortality review commission that will brainstorm investigating maternal deaths in 2020. While this official reporting has withal to be released, CDC information shows that the state's death rate is 1 of the highest in the nation. Amy Johnson, an OB-GYN in Arkansas, suggested that the state'southward obesity rates could exist playing a function. Obesity puts women at "a much higher risk of hypertension and infections, particularly if they had a C-section," says Johnson. In fact, the Arkansas Coalition for Obesity Prevention notes that the "developed obesity charge per unit is 34.5 per centum, up from 25.two percent in 2003 and from 17.0 percent in 1995."

Louisiana

• Maternal Deaths per 100,000 Births: 25.2
• Number of Nativity Centers: 2
• Official Land Task Force : Louisiana Pregnancy Associated Mortality Review Committee, 2010

The Louisiana Department of Health acknowledges that the state has one of the highest maternal mortality rates in the nation. The written report looking at 2011 through 2016 shows 45 percent of all pregnancy-related deaths—which were most often caused by hemorrhage, cardiomyopathy, and cardiovascular disease—were preventable. Black women were at four times the risk compared to white women, and women over historic period 35 were at three times the risk.

Florida

• Maternal Deaths per 100,000 Births: xv.8
• Number of Birth Centers: 34
• Official State Chore Strength : Florida Pregnancy-Associated Mortality Review, 1996

In 2017, the leading causes of pregnancy-related deaths in Florida were cardiovascular, hemorrhage, thrombotic embolism, infection, and cardiomyopathy. According to the country'south annual study, contributing factors to these deaths included a knowledge cess, care referrals and follow-ups, a lack or delay of treatment, and a lack or delay of diagnosis. Nearly 40 percent of pregnancy-related deaths in 2017 had a "good take a chance to alter the outcome."

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Source: https://www.parents.com/pregnancy/state-by-state-review-of-maternal-health-care/