“about 900 Americans died in 2020 from complications related to childbirth. Another 50,000 or more women experienced severe pregnancy-related complications. Four of five of those deaths were from preventable causes. In terms of scale and rate, America’s maternal mortality dwarfs the issues of other wealthy countries, and these gaps in maternity care shoulder much of the blame.”
“Giving birth in the U.S. is already far more dangerous than in other wealthy countries. Ending the protections of Roe v. Wade — the 1973 decision that established the constitutional right to abortion — could make it even more so.
Multiple studies have found that the states that already have the tightest restrictions on abortion also have the highest rates of maternal and infant mortality. And that correlation stubbornly persists even after researchers account for some of the other differences between states, like racial demographics and health care policy. Some researchers think that abortion restrictions are part of the reason why pregnancy and childbirth are so much more dangerous in the U.S. — even for people who never wanted an abortion to begin with.
This data could just be a statistical red herring. But there are ways abortion restrictions could kill people, both directly and indirectly. And scientists say these correlations point toward dangerous disparities in health care access in the U.S. — not just in terms of who can get an abortion, but also in terms of who can get preventative care while pregnant, or even before.”
“Carrying an unplanned pregnancy involves shouldering increased risks of depression, preterm birth, lower birth weight and other complications.”
“Recently released government data shows that 861 women died from causes related to pregnancy and birth in 2020, up from 754 the year before. In population-level terms, the maternal mortality rate in 2020 was 23.8 deaths per 100,000 live births in the U.S., compared with 3.2 deaths per 100,000 live births in Germany in 2019 and 7.9 deaths per 100,000 live births in France in 2015. (The maternal mortality rate calculated by the CDC includes deaths from abortion-related complications, but the organization also calculates that subset separately. In 2019, the death rate from abortion in the United States was minuscule: 0.41 deaths per 100,000 legal abortions between 2013 and 2018.) Infants are also at higher risk of dying in the U.S. than in other wealthy countries. In 2020, the infant mortality rate in the U.S. was 5.4 deaths per 1,000 live births, compared with 1.9 infant deaths per 1,000 live births in Finland and 2.7 infant deaths per 1,000 live births in Spain.
Black Americans are nearly three times more likely than their white counterparts to die as a result of maternal complications, and the risk to Black babies is much higher as well. These disparities are so large that the states with the highest maternal mortality rates are also often states with large Black populations, and researchers have concluded that social factors like inequality and structural racism are playing a huge role in why pregnancy complications kill Americans.
But some researchers think that attempts to restrict abortion access are playing a part too.”
“The simplest explanation is just that giving birth is statistically more dangerous than having an abortion. If the states with the highest mortality rates are the also the ones banning abortion that means more births — and also more deaths.”
“efforts to reduce abortion access have often resulted in the closure of clinics like Planned Parenthood that offer a range of non-abortion-related services. Losing access to preventative health care puts people at a higher risk for all kinds of illnesses that can later cause pregnancy complications. And this effect means the impacts of abortion restriction can overlap and build on the social inequalities that are already harming Black people and babies.”
“the 2018 maternal mortality rate was 17.4 maternal deaths per 100,000 live births — meaning 658 women died in 2018. The figure includes deaths during pregnancy, at birth, or within 42 days of birth.
The rate once again put the US last among similarly wealthy countries”
“If you compare the CDC figure to other countries in the World Health Organization’s latest maternal mortality ranking, the US would rank 55th, just behind Russia (17 per 100,000) and just ahead of Ukraine”