21/11/2020
Maternal Mortality Smart Facts
Gregory Briddick, MSHI, BSN, RN
Sepsis Program Coordinator
SUNY Upstate University Hospitals
What Is Maternal Mortality?
Maternal mortality is when a woman dies while pregnant or within 1 year of the termination of the pregnancy (delivery, abortion, miscarriage, etcetera), except for accidental or incidental causes of death (I.e. motor vehicle accidents, etcetera) (CDC, 2020). Maternal Mortality indexes are often used to measure the availability and quality of medical care available to the population of interest, and is often used to compare states and nations against each other. All other developed nations have similar measurements, with the differences being how long after the termination of pregnancy do they gather mortality data.
What is our current Maternal Mortality Index?
The United State of America places 20th compared to other developed nations. Zephyrin and Declercq (2020) found two concerning findings which they documented in their report:
• Maternal mortality rates in the U.S. are unacceptably high (17.4 deaths per 100,000 births) and exceed those in other developed countries. Global maternal mortality rates are declining in most countries but are unchanged in the U.S. and even increasing for some groups. https://www.pop.org/definitions-of-maternal-mortality/
• Stark and unacceptable racial and ethnic disparities persist: 37.1 deaths for non-Hispanic blacks compared to 14.7 for non-Hispanic whites and 11.8 for Hispanic women.
Not only are there unacceptable racial and ethnic disparities, the overall maternal mortality rate is increasing over the last fifty (50) years. What should be a happy and joyous time for these families is increasingly ending in sorrow.
Centers for Disease Control and Prevention, (2020). Reproductive health: pregnancy mortality surveillance system. https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance-system.htm
Zephyrin, Laurie and Declercq, Eugene. (2020). Measuring maternal mortality. To the Point (blog), Commonwealth Fund. https://doi.org/10.26099/c14w-nq52