Maternal Mortality and MorbidityT ask Force and Department of State Health Services Joint Biennial Report As Required by Chapter 34, Texas Health and Safety Code, Section 34.015 Maternal Mortality and Morbidity Task Force September 2018 0000005379 00000 n {M��(�tk�xl4p��l�!���R)�?J�����M �$a�{�4��D��`1b��8�)� ��'�m��Ju����Qr盠�� c�v�۸�+���u&So�`�I��i�y^�&�~��.��jk5lT��Y`,���T44���'�� ZS���VA��]�^C��]�oW8���*&���E���ٗri�ڦ���+����RF � 51l����������L﫪ro,0]�6�����7�oI9�H�S��� disparities in maternal mortality rates for black women. Massachusetts’s maternal death review has been around for more than 20 years. Additionally, some doctors entering into maternal-fetal medicine were able to complete their training without training in a labor-delivery unit. <]/Prev 195260/XRefStm 1125>> According to the Centers for Disease Control and Prevention (CDC), between 800 and 900 women in the United States die each year from pregnancy-related complications, illnesses or events. The U.S. maternal mortality rate has more than doubled from 10.3 per 100,000 live births in 1991 to 23.8 in 2014. Which states have the highest maternal mortality. 0000050433 00000 n The number of reported maternal mortalities in New York increased over time from 15.4 deaths per 100,000 live births in 2001-2003 to 19.6 deaths per 100,000 live births in 2014-2016. Objective details Measure: Maternal mortality rate per 100,000 live births Goal: Less than or equal to 11.4 by 2020 Data years: 2009-2013 through 2013-2017 In the United States from 2000-2015, maternal death rates increased, while globally rates fell by more than one third. 0000002942 00000 n Despite Nevada’s low maternal mortality rate, the state ranks poorly for women and children’s health overall. The overall maternal mortality rate was 17.4 deaths per 100,000 live births. 0000001125 00000 n Massachusetts’s maternal death review has been around for more than 20 years. Number of births: 63,178 Death rate: 58.1 per 100,000 births How the state handles it: Louisiana has had a maternal mortality review program since 1992 but updated its process in 2010. The rate of reported pregnancy-related maternal deaths has been rising in the United States. Massachusetts’s maternal mortality rate of 8.4 per 100,000 births makes it the state with the second-lowest maternal mortality rate in the United States. The team is composed of a multidisciplinary expert panel that is tasked to review maternal deaths and report recommendations for changes to any law, rule, or policy that would promote the safety and well-being of women and prevention of maternal deaths. The maternal mortality rate for 2018 is 17.4 deaths per 100,000 live births. ��ꛦU�5��L(4x�O:$�Q�w�A������c.�']PE�U���� �P����,aMАH��Q&���idR/�9H�G� � ��I��0��!y�N�~��O�l�X#�wբ'%H�"H�)D�bZF�'m̊ˬ��"b�%!�����m�*;ҥ�9"��sa��2���ʽMD�����}2���V��?k� H��W�n�}߯� �g8}� �('�aI8ȋ��"�KR&W��S���Y-eA @ܝ����:u��韞w�����z����w������Rg�*�k����F���VV}�3�3w/�_WFU�Ϩ�*�jM_���yX��UmL�[��]]������V�5��������t�yYr��y\�:nW�a�M�j[�:;x|�le:=���8�[ Midwives are linked to higher rates of physiologic birth and fewer adverse neonatal outcomes. Maternal mortality is devastating for families and communities worldwide. This is attributed to a few findings in an NPR report, including that hospitals are generally unprepared or underprepared for maternal emergencies during childbirth. There are 33 counties in Indiana that have no hospital or that have a hospital but the hospital has no OB-GYN services. 0000005524 00000 n 0000008175 00000 n To date, in August 2018, the rate of maternal mortality in New York State is 20.9 maternal … Caution should be taken in interpreting these data and comparing states for the following reasons. Every mom deserves a safe pregnancy and healthy birth experience, but in the United States, every year at least 700 to 900 women die and at least 50,000 women experience life-threatening complications from pregnancy, according to the Centers for Disease Control and Prevention (CDC). %%EOF The Maternal Mortality Review is carried out by the Department of Health (DOH) as directed in the Maternal Mortality Review Law (RCW 70.54.450). New York State has one of the highest maternal mortality rates in the country, and over the past decade, the state has experienced a 60 percent increase in maternal mortality. Researchers have reported that in more than one-third of cases, they were unsure of when prenatal care began for mothers and confirmed that some who died received more prenatal care at all. HB1440 was passed in Arkansas to create a maternal mortality review committee to help understand pregnancy-related deaths and to help improve maternal health and prevent these deaths in the future. Almost all maternal deaths (99%) occur in developing countries. HB 4133: Maternal Mortality and Morbidity Review Committee Oregon’s maternal death rate, measured as the number of maternal deaths per 100,000 live births, varies from year to year due to the overall small number of deaths but is typically at or below that of the U.S. overall. In January 2019, a package of 14 bills was advanced by state lawmakers that included awareness, education, evaluation protocols, and Medicaid coverage to help combat the alarming maternal mortality rate. Based on the most recent data from 2018 the maternal mortality rate in the U.S. is 17.4 deaths per 100,000 births. In 2016, New York State was ranked 30th in the nation for its maternal mortality rate, with clear racial disparities. 0 Arkansas has the fifth-highest maternal mortality rate in the United States of 37.5 per 100,000. Georgia has the second-highest rate of maternal mortality of 48.4 per 100,000. Massachusetts’s maternal mortality rate of 8.4 per 100,000 births makes it the state with the second-lowest maternal mortality rate in the United States. It launched in 2014 with the national goal to reduce maternal mortality in the United States by 1,000 cases and severe maternal morbidity by 100,000 instances over a four-year period. Maternal Mortality Review in Maryland The Maryland Department of Health’s (MDH) Maternal and Child Health Bureau (MCHB) collaborates with the Department’s Office of the Chief Medical Examiner and the Vital Statistics Administration to identify maternal death cases and to obtain vital records information for case reviews. 0000023944 00000 n Recently, states have passed legislation leading to stricter abortion laws, which opponents worry could result in higher maternal mortality rates. Georgia, which has the second-highest maternal mortality rate in the nation, is one of the most dangerous states to be pregnant in today. Black mothers in Georgia are more likely to die from pregnancy, as they are in the rest of the United States, and especially in the state’s rural areas. Indiana’s maternal mortality rate is 43.6 per 100,000, making it the third-highest in the country. Issue: Most maternal deaths are preventable, but they have been increasing in the United States. 0000003055 00000 n Unfortunately, mortality is just the tip of the iceberg: for every woman who dies, there are more women who just barely survive. The U.S. maternal mortality rate measures the rate of deaths from any cause related to or aggravated by pregnancy childbirth, or within 42 days of termination of pregnancy. 1070 27 Georgia’s maternal mortality review issued a 2017 report that said the areas of highest concern include inadequate follow-up of cardiovascular symptoms in pregnant women and failure to recognize and treat hypertension or hemorrhages soon enough. California has the lowest maternal mortality rate of 4.0 deaths per 100,000 births. Panel members are invited to participate in a variety of ways during the multi-level, maternal mortality review process. Additionally, the state will hire nurses, midwives, and advanced practice nurses to go into some of Indiana’s rural hospitals to help provide prenatal care. As an industrialized nation, the U.S. is the only nation to see rising maternal mortality rates. Nevada has one of the lowest family medicine, pediatric, and obstetrician/gynecological physicians per capita, as well as a high percentage of women who are uninsured during pregnancy. 0000024465 00000 n There are two alarming health trends on the rise affecting women across the United States: maternal mortality, a death resulting from pregnancy or delivery complications, and severe maternal morbidity-- characterized as short- or long-term mental and physical health consequences resulting from a woman’s pregnancy or delivery. Key Findings: • In 2016, New York State (NYS) was ranked 30th in the nation for its maternal mortality rate, with clear racial disparities.2 • The number of reported maternal mortalities in NYS increased over time from 15.4 deaths In Connecticut, midwives may be the answer to decreasing the rate since they are often more attentive throughout pregnancy than OB-GYNs. �V�9Û�f/m��m9��(��gM褎��B4��H��{miB���b��h\o{Ğ. Colorado doctors, midwives, and mental health experts are focusing on reviewing medical files, prescriptions, coroners’ reports, and even suicide notes to help saves lives from pregnancy-related complications, drug abuse, and suicide. 0000002903 00000 n 0000008246 00000 n African-American women are roughly four times more likely to die from pregnancy-related causes than women in all other racial/ethnic 1096 0 obj <>stream Infographic: Racial/Ethnic Disparities in Pregnancy-Related Deaths — United States, 2007–2016 Half of all deaths in Colorado among pregnant women and those within the first year after giving birth are the result of self-harm, such as suicide and overdose. divided by total resident live births for the Other high-income countries with success in preventing maternal deaths offer potential lessons for the U.S. The Secretary of Health appoints participants to the Maternal Mortality Review Panel. 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maternal mortality rate by state 2021