Maternal Mortality in the US: The Numbers May Surprise You

Maternal Mortality in the US: The Numbers May Surprise You


When we talk about sky-high maternal mortality rates we tend to look more closely at low-income countries like Afghanistan, Chad and Somalia that have the world’s highest maternal mortality rates in the world according to the World Bank. And, of course, sub-Saharan African countries need to desperately bring their numbers down. But when you look at rich, developed countries the United States has the highest maternal mortality rates among them and the rates are not declining. In fact, maternal mortality rates in the United States have doubled over the past 25 years. African-American women are 3x more likely to die during childbirth in the United States. And, Caucasian women are more likely to die during childbirth than women in 24 other industrialized countries. 21 mothers die per 100,000 live births in the United States. Compare that to Greece (3), Finland (5), and even the United Kingdom (12) deaths per 100,000 live births.

This year as we report on maternal mortality we will also include the United States in our news reporting because the numbers are high, increasing, and are baffling researchers and doctors. They do not know concretely what is causing the doubled maternal mortality ratios although they suspect obesity, high blood pressure, heart disease, health care disparities, and older mothers may be causing the steady spike in numbers in the United States.

According to Amnesty International the five main reasons women die in childbirth in the United States are:

  1. Embolism 20% – A blood clot that blocks an essential blood vessel, for example in the lungs
  2. Hemorrhage 17% – Severe blood loss
  3. Pre-eclampsia and eclampsia 16% – Disorders associated with excessively high blood pressure
  4. Infection 13%
  5. Cardiomyopathy 8% – Heart muscle disease

And, according to Merck for Mothers, a woman nearly dies in childbirth every two minutes, that is more than 50,000 women annually. See infographic. Around 650 women die during childbirth or shortly thereafter based on numbers from the CDC.

UNited States

As we continue to report on maternal mortality around the world where the rates are in the hundreds per 100,000 we will not forget about the mothers who are also dying here in the United States, a country that spends the most in the world on health care.

Photo: Fotolio

Comments

  1. I notice all the reasons listed for possible causes of the high maternal mortality rate in the US are largely of the “blame the mothers” variety, rather than focussing on the excessive induction/augmentation rate as well as the sky high cesarean rate, not to mention dangerous, routine practices like pulling on the cord to try to force the placenta out & “pit to distress”, both of which great increase the chance of hemmorage. Maybe before blaming mothers for things which have little to no bearing on mortality rates the medical profession needs to take a good hard look at it’s beliefs and practices.

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