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U.S. Maternal Mortality Within a Global Context: Historical Trends, Current State, and Future Directions
Regine A Douthard1, Iman K Martin2, Theresa Chapple-McGruder3
1Office of Research on Women's Health, Office of the Director, National Institutes of Health, Bethesda, Maryland, USA.
Journal of Women'S Health (2002)
|November 19, 2020
Summary
Maternal mortality (MM) in the US has risen since 1987, with persistent disparities since 1935. This review examines historical MM trends, global context, and strategies to reduce maternal deaths.
Area of Science:
- Public Health
- Maternal Health
- Health Policy
Background:
- US maternal mortality (MM) rates have paradoxically increased since 1987.
- Significant racial and ethnic disparities in MM have persisted since 1935.
- Despite investments, the US faces a worsening maternal health crisis.
Purpose of the Study:
- To review the historical trajectory of US maternal mortality.
- To analyze MM trends and contributing factors in a global context.
- To outline recommended strategies for reducing maternal mortality.
Main Methods:
- Longitudinal review of US maternal mortality data.
- Comparative analysis of global maternal mortality trends.
- Synthesis of stakeholder-recommended interventions.
Main Results:
- US maternal mortality has shown an upward trend since the late 1980s.
- Persistent disparities highlight systemic issues in maternal healthcare access and quality.
- Global comparisons reveal varied approaches and outcomes in maternal health.
Conclusions:
- Addressing the complex factors driving US maternal mortality requires a multi-faceted approach.
- International strategies offer valuable insights for improving domestic maternal health outcomes.
- Urgent, evidence-based interventions are needed to reverse current negative trends.
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