The United States has the highest maternal mortality rate among developed nations, with deaths increasing rather than decreasing. Racial disparities are stark, prompting urgent calls for systemic healthcare reforms.
Black women are three times more likely to die from pregnancy-related causes than white women, even after controlling for income and education. The disparity reflects systemic racism in healthcare delivery.
Postpartum care gaps are a major factor. Many complications occur after hospital discharge, but only 60% of women attend postpartum visits. Extended Medicaid coverage from 60 days to 12 months postpartum has shown promise in pilot programs.
"Most maternal deaths are preventable with proper care," said obstetrician Dr. Joia Crear-Perry. "We need to listen to women, especially Black women, when they report symptoms rather than dismissing their concerns."
Doula programs are expanding. Community health workers provide support, advocacy, and education throughout pregnancy and postpartum. Studies show doula care reduces cesarean rates and improves maternal satisfaction.
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