Cardiovascular disease and maternal mortality: perceptions in a Midwest birthing population

Area of Science:

• Public Health
• Maternal Health
• Health Disparities

Background:

• Missouri faces high maternal mortality rates, with limited research on public perception of causes.
• Understanding population knowledge is crucial for designing effective interventions.
• This study addresses a gap in understanding birthing individuals' perceptions of maternal mortality in Missouri.

Purpose of the Study:

• To examine the knowledge and understanding of maternal mortality among birthing individuals in Missouri.
• To identify perceptions of disproportionately affected groups and perceived causes of maternal death.
• To inform targeted public health campaigns and interventions.

Main Methods:

• A cross-sectional survey with 46 questions was administered to a random sample of birthing individuals in Missouri.
• The survey assessed awareness of local maternal mortality rates, affected demographics, and perceived causes.
• Descriptive statistics were analyzed and stratified by age, race, and region.

Main Results:

• Over 78% of respondents were aware of pregnancy-related death risks, with 14.7% knowing someone who died.
• Respondents identified Black, uninsured, poor, substance-using, and Native American birthing individuals as disproportionately affected.
• Severe bleeding was perceived as the leading cause of death, and the second stage of labor as the highest-risk period.

Conclusions:

• Missouri birthing individuals recognize social determinants of maternal mortality but lack awareness of leading causes like cardiovascular disease and mental health conditions.
• Public awareness campaigns should focus on cardiovascular and mental health risks during and after childbirth.
• Monitoring early warning signs post-delivery is essential for reducing maternal mortality.