During a five-year period, a large part of the mother’s deaths occurred in America-nearly a third of more than six weeks after birth, at a time when most new mothers believe that they are in a clear condition.
the study , It was published on the Jama OpenIt is one of the first to follow the complications of the mother’s health during pregnancy and in the year after the birth.
The researchers found that pregnancy-related death rates in the United States increased by approximately 28 percent from 2018 to 2022, and the researchers rose at the height of the Covid-19 in 2021 before it declined to some extent.
Dr. Rose L. Molina, associate professor of obstetrics, gynecology and reproductive biology at Harvard Medical College and one of the authors of the study: “Our study shows the reason for our inability to remove our eyes from the health of the mother.”
Women need “access to high -quality care from the moment of pregnancy to a full year after birth.” While there was an increasing focus on care in the year following the birth, “We are not there yet.”
The study was based on data from the centers of diseases control and the division of reproductive health, which monitors mothers’ deaths Determine the risk of the so -called maternal mortality at a later time Those that occur from six weeks to one year after birth.
Trump administration The section closed last week Amid group hairstyles and the restructuring of the agency, although the United States has much higher maternal mortality rates than any other industrial country, with blatant differences between ethnic and ethnic groups. The department’s research aims to understand and narrow these sanitary gaps.
Cardiovascular disease was the main cause of pregnancy associated deaths in general, as well as the main cause of late mortality mortality. Other main causes were cancer, mental and behavioral disorders, and deaths caused by drugs and alcohol. (Incidents, crimes and some other deaths were not included in the analysis.)
The risks facing women in the first year after birth were not well understood until recently. They affect what is traditionally, the last recommended examination for the new mother, six weeks after birth – a period in which attention focuses mainly on the health of the new child.
The American College of Obstetricians and Gynecologists now recommends that all women see a doctor during the first three weeks after having a child, with continuous follow -up and care as needed, and a comprehensive visit after childbirth after birth.
“If you have any high blood pressure disorders, I will see you after three to five days of birth,” said Dr. Tamika Auguste, Head of Gynecology and infants at the Midstar Washington Hospital Center and author of the new guidelines.
“We no longer say,” Let’s wait six weeks. “Anyone else, even without high blood pressure, I want to see within two weeks.” Dr. Auguste said that patients should be carefully examined due to depression and mental health during that period.
Attention to the late death of the mother helped to push most of the states to extend medical aid coverage from 60 days to a full year after birth. Women’s health defenders say that medicaid guarantees nearly half of all pregnant women, but the proposed federal cuts may endanger the coverage.
The study also documented the bright ethnic, ethnic and regional discrepations.
The original original women and the original Alaska died during pregnancy and the year following the birth at 3.8 times like those between white women, while black women have died at a rate of 2.8 times. Latin women and Asian women died at the lowest rates.
Mortality rates also vary more than three times among countries. The southeastern states generally had pregnancy -related death rates: Alabama had the highest, followed by Mississippi. On the national level, California had the lowest rate, followed by Minnesota.
The deaths associated with pregnancy increased during the Covid-19 pandemic to 44.1 deaths per 100,000 live births in 2021, up from 25.3 deaths in 2018, before the number of deaths decreased in 2022-is still higher than the first years of item.
Mothers’ deaths also increased late during this period, as it was running out in 2022 after a sharp rise in 2021.
In general, an increase in deaths has been observed in all age groups, but an impartial increase was seen among women between the ages of 25 and 39. Cardiovascular diseases played a leading role.
Pregnancy can affect the cardiovascular system and exacerbate basic conditions such as high blood pressure. Dr. Molina said that at the same time, cardiovascular disease has become more prevalent in younger adults.
Dr. Molina said: “It seems that we are a society that gets worse early, and that is why we see this in that particular age group.”
