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Maternal Mortality in the Twenty-First Century
John A Ozimek1, Sarah J Kilpatrick1
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Cedars-Sinai Medical Center, 8635 West 3rd Street, Suite 160-W, Los Angeles, CA 90048, USA.
Obstetrics and Gynecology Clinics of North America
|May 12, 2018
Summary
Maternal mortality remains a global concern, with increasing rates in the US. Standardized case reviews are recommended to address disparities and reduce preventable maternal deaths.
Area of Science:
- Public Health
- Epidemiology
- Women's Health
Background:
- Global maternal mortality remains high, with 303,000 deaths in 2015.
- The US experienced a decline in maternal mortality until 1987, followed by a rise.
- Significant racial disparities exist in US maternal mortality rates.
Observation:
- Maternal death disproportionately affects Black women compared to White women in the US.
- There is a concerning upward trend in the US maternal mortality ratio since 1999.
Findings:
- The global maternal mortality ratio was 216 deaths per 100,000 live births in 2015.
- Racial disparities highlight inequities in maternal healthcare access and outcomes.
- Increasing maternal mortality trends necessitate urgent public health interventions.
Implications:
- Standardized review of maternal morbidity and mortality cases is crucial for identifying systemic issues.
- Addressing racial disparities is essential for achieving equitable maternal health outcomes.
- Implementing evidence-based strategies can help reduce preventable maternal deaths globally and in the US.
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