Maternal Health 101
While maternal mortality was slowly on the rise across the US, Texas gained national attention (in a bad way) in 2016 when a number of reports indicated that maternal deaths in this state were not only increasing but on par with mortality rates in global south countries. Upon further investigation, reporting errors were discovered and the mortality numbers were lower than the original study suggested. However, the numbers were still significantly higher than they should be in a country that spends the most globally on healthcare. Here’s a quick rundown of the current state of affairs in maternal health:
Texas has the 6th highest maternal death rate in the US
In 2016, Texas had 34.5 maternal deaths per 100,000 live births. While this number doesn’t sound astronomical, it is significantly higher than the national average (23.8 deaths per 100,000 births) and higher than any other developed country.
causes of Maternal Death
According to the Texas Maternal Mortality and Morbidity Task Force, the top four leading underlying causes of pregnancy-related death were cardiovascular and coronary conditions, obstetric hemorrhage, infection/sepsis, and cardiomyopathy. Preeclampsia/Eclampsia, mental health conditions, and amniotic fluid embolus were tied for 5th.
Black women are 2-3 times more likely to be affected
Regardless of any other factors (socioeconomic status, age, education, insurance carrier, etc), black women are the most at risk population. The reasons behind this, like the issue itself, are multifaceted and complicated but the most easily identified reasons stem from implicit bias and institutional racism in the healthcare system. READ MORE…
80% of maternal deaths in Texas could’ve been avoided
The Maternal Mortality and Morbidity Task Force identified a multitude of ways to directly reduce the death and severe complication rate for women like extending Medicaid coverage after delivery and implementing AIM bundles in hospitals. Read their most recent report HERE.
Additional Resources
It’s time to recognize the damage of childbirth, doctors and mothers say - 5.7.21
The Extraordinary Danger of Being Pregnant and Uninsured in Texas - 12.6.19
Why Racial Gaps in Maternal Mortality Persist - 5.10.19
Lost Mothers, a series by NPR - Ongoing
FUMC Austin’s UMW Maternal Health Initiative Resource Page - Ongoing