A A new study found that pregnancy -related death rates in the United States increased by approximately 28 % between 2018 and 2022, with significant variations based on state, race and race.
The study, published in Jama open network On April 9, four years of patriotism were analyzed Data One of the United States centers to control and prevent diseases. The researchers found that there are 6,283 deaths related to pregnancy during that time. The study decided that the rate increased from 25.3 pregnancy -related deaths per 100,000 live births in 2018 to the peak of 44.1 in 2021, before decreasing slightly to 32.6 in 2022. The increase occurred in all age groups in which the researchers analyzed, but people between the ages of 25 and 39 suffered from the highest increase, according to the study.
The study was not looking for the reason for increasing pregnancy -related death rates during a four -year period. But the researchers noticed in the study that the Covid-19 pandemic could have had an impact on the health of the mother and the health care system in general, especially in 2021.
Dr. Rose Molina, one of the authors of the study and OB-GYN at the Beth Israel Medical Center, says that she noticed a “great variation by state” in the death rates associated with pregnancy. Alabama had the highest rate in 59.7 deaths per 100,000 live births, followed by Mississippi at 58.2. Meanwhile, California had the lowest rate at 18.5 deaths per 100,000 live births, followed by Minnesota in 19.1. Molina says that some interpretations of disparities can be the contrast to pre -child access, delivery, and postpartum care, as well as to cover government medical aid.
“There should not be this level of contrast throughout the states, and we need to do better in all states,” Molina says. “One of the points we took in this article is that if all the states in addition to the highest performance state, such as California, we could have avoided 2,679 pregnancy -related deaths” in that four -year period.
The study also found that the rate of pregnancy -related deaths was 3.8 times higher among Indian American women and Alaska, compared to the rate among white women. Likewise, the rate was 2.8 times higher among non -Latin black women compared to the rate among white women. Molina says that many other studies have found that the differences in access to income or geography, as well as biases in the health care system, can all contribute to ethnic and ethnic inequality in the results of the mother’s health.
The number of pregnancy deaths between 2018 and 2022 1891 includes late mothers of mothers, which are deaths “of any reason related to study or exacerbation”, which is done slightly over a month until the end of pregnancy after the end of pregnancy, according to the study. The researchers wrote: “The death of the late mother occurs in what might be a gap in providing health care between obstetric care and the transition to primary care,” the researchers wrote.
The indigenous indigenous women and Alaska were the highest rate of late mothers’ death, followed by non -Latin black women, according to Moulina. The study said that this indicates that “these groups may face differences in reaching postpartum care, as well as other social and economic challenges that affect the results of the mother’s health.”
The study found that cardiovascular disease was, in general, the main cause of pregnancy -related deaths. Cancer, mental disorders, behavior, and death caused by drugs or alcohol were factors that contribute to the death of the late mother.
The United States has The highest mothers mortality rate within High income countriesMolina says the study “shows why we cannot take our eyes from the health of the mother.”
“It is important not to lose sight of how the mother’s health needs to be the investment axis in the coming years – that we still have a job to do,” Molina says. “We need to continue investing in infrastructure [and] Policies that guarantee high -quality pregnancy care for everyone. “
