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Updated: Jun 25, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

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Published on: January 12, 2018

Maternal death in the United States: a problem solved or a problem ignored?

Ina May Gaskin¹

¹INA MAY GASKIN is a certified professional midwife and the director of the Farm Midwifery Center in Summertown, Tennessee. She is the author of Spiritual Midwifery , now in its fourth edition, and Ina May's Guide to Childbirth , now in its fifth printing since its publication in 2003. She is the originator and curator of the Safe Motherhood Quilt Project.

The Journal of Perinatal Education

|March 3, 2009

Summary

The U.S. has a high maternal death rate despite high spending. Implementing a confidential review system for maternal deaths is crucial for improving maternal safety and preventing mortality.

Keywords:

maternal death maternal mortality rate medical errors

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Area of Science:

Public Health
Healthcare Policy
Maternal Health

Background:

The United States exhibits a higher maternal death ratio compared to at least 40 other nations.
Despite significant per capita spending on maternity care, the U.S. faces a critical maternal mortality issue.

Purpose of the Study:

To highlight the elevated U.S. maternal death rate.
To advocate for a comprehensive, confidential system for maternal death ascertainment and analysis.
To underscore the necessity of maternal death reviews for enhancing maternal safety.

Main Methods:

Analysis of the U.S. maternal death rate in comparison to other countries.
Examination of the existing system for maternal death ascertainment in the U.S.
Reference to the United Kingdom's Confidential Enquiry into Maternal and Child Health as a model for national professional self-evaluation.

Main Results:

The U.S. has a disproportionately high maternal death ratio relative to its healthcare expenditure.
The absence of a comprehensive, confidential maternal death ascertainment system contributes to preventable maternal mortality.
Maternal death reviews are identified as essential for improving safety.

Conclusions:

A robust, confidential system for reviewing maternal deaths is imperative to reduce preventable mortality in the U.S.
The Safe Motherhood Quilt Project aims to increase public awareness of this critical issue.
Adoption of best practices, such as those seen in the UK, is recommended to make motherhood safer.