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The US maternal mortality rate may be lower than previously reported.

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Heavily pregnant female sitting by window, holding her bump with both hands.

Maternal Mortality

The Story

The US maternal mortality rate may be lower than previously reported.

What do you mean?

Earlier this week, a study published in the American Journal of Obstetrics and Gynecology suggested that federal data on maternal mortality could be inflated. The most recent CDC report put the rate at nearly 33 deaths per 100,000 births in 2021. Now, a group of researchers says the rate may be closer to 10 deaths per 100,000 births, may have largely held steady over the years, and appears to be closer to the rates seen in other wealthy countries. The findings have many revisiting how maternal mortality is reported.

Explain.

To better track maternal mortality, death certificates were updated to include a pregnancy checkbox about 20 years ago. Maternal deaths are those during pregnancy, at delivery, or soon after giving birth, according to the CDC. But over the years, health officials have found the checkbox has been ticked in instances when a death wasn’t tied to a pregnancy or giving birth. The study’s authors say this likely led to an overcount of pregnancy- and birth-related deaths. When they went back and reviewed the data, researchers tallied fewer pregnancy-related deaths. Experts say clarifying the checkbox’s meaning could help collect data more accurately. But even corrected, the stats confirm the magnitude of the US maternal health crisis.

Go on.

Racial disparities in pregnancy-related deaths are still rampant. The study found that Black pregnant patients are still three times more likely to die than white patients. That can be attributed, in part, to medical racism, bias, and inattentive care. In most cases, their deaths are preventable, according to health officials. While experts are pleased to see the rates aren’t as bad as previously thought, they’re hoping the new findings won’t lessen the urgency around addressing the issue in the US.

theSkimm

For years, US health officials have sounded the alarm about the rising maternal mortality rate across the country. While that number may be lower than previously thought, experts say the US still has more work to do when it comes to maternal health care.

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