Reducing Maternal Mortality in the United States.

  title={Reducing Maternal Mortality in the United States.},
  author={Michael C Lu},
  volume={320 12},
Every year in the United States, more than 700 women die of complications related to pregnancy and childbirth and more than 50 000 women experience a lifethreatening complication (severe maternal morbidity).1 Maternal mortality in the United States more than doubled between 2000 and 2014, from 9.8 to 21.5 maternal deaths per 100 000 live births, at a time when 157 of 183 countries in a World Health Organization study reported decreases in maternal mortality.2 Among 31 countries in the… 
Targeting bias to improve maternal care and outcomes for Black women in the USA
Preventing maternal mortality in the United States: lessons from California and policy recommendations
This scoping review identifies four problems that may contribute to the maternal mortality burden in the US: inadequately investing in women’s health, poor quality of care, increasing disparities, and poor data collection and monitoring of maternal health issues.
Vital Signs: Pregnancy-Related Deaths, United States, 2011–2015, and Strategies for Prevention, 13 States, 2013–2017
Pregnancy-related deaths occurred during pregnancy, around the time of delivery, and up to 1 year postpartum; leading causes varied by timing of death.
The Intersection of Maternal Morbidity and Mortality and Intimate Partner Violence in the United States
This work sought to understand the intersection of MMM and IPV in the United States, particularly data issues that hinder research in this area and the resulting knowledge gaps, and identified major articles of interest and drafted a mini review based on relevant information.
Assessing Perinatal Insurance Coverage at Time of Death: A National Survey of Maternal Mortality Review Committees.
Information on insurance status in the postpartum period is more difficult to ascertain and less often determined, and MMRCs primarily focus on identifying insurance status during pregnancy and at childbirth.
A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality
Black mothers and infants fared the worst in terms of mortality rates, likely due to the accumulation of SDoH experienced as a result of structural racism across the life course.
Using the Ecological Systems Theory to Understand Black/White Disparities in Maternal Morbidity and Mortality in the United States
Interventions are applied to identify interventions that would most likely reduce disparities in MMM by race, such as revising the educational curricula of health care professionals, enhancing utilization of alternate prenatal care providers, and reforming Medicaid policies.
Rural Focus and Representation in State Maternal Mortality Review Committees: Review of Policy and Legislation.


Recent Increases in the U.S. Maternal Mortality Rate: Disentangling Trends From Measurement Issues
Despite the United Nations Millennium Development Goal for a 75% reduction in maternal mortality by 2015, the estimated maternal mortality rate for 48 states and Washington, DC, increased from 2000 to 2014; the international trend was in the opposite direction.
Prepregnancy Obesity and Severe Maternal Morbidity: What Can Be Done?
In conclusion, while there were statistically significant increases in severe maternal morbidity and mortality in women with low and high prepregnancy BMI compared with women of normal BMI, these absolute increases were small.
Racial and Ethnic Disparities in Birth Outcomes: A Life-Course Perspective
Future research on racial disparities in birth outcomes needs to examine differential exposures to risk and protective factors not only during pregnancy, but over the life course of women.
Association Between Prepregnancy Body Mass Index and Severe Maternal Morbidity
Low and high prepregnancy BMI, compared with normal BMI, were associated with a statistically significant but small absolute increase in severe maternal morbidity or mortality among pregnant women in Washington State.
Reducing Maternal Mortality and Severe Maternal Morbidity Through State-based Quality Improvement Initiatives
  • E. Main
  • Medicine
    Clinical obstetrics and gynecology
  • 2018
California’s experience with its PQC, data center, quality improvement efforts, and promising results for reduction of maternal mortality and morbidity from hemorrhage are presented.