User:Md0386/Maternal mortality in the United States

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Prevention

Inconsistent obstetric practice, increase in women with chronic conditions, and lack of maternal health data all contribute to maternal mortality in the United States. According to a 2015 WHO editorial, a nationally implemented guideline for pregnancy and childbirth, along with easy and equal access to prenatal services and care, and active participation from all 50 states to produce better maternal health data are all necessary components to reduce maternal mortality. The Hospital Corporation of America has also found that a uniform guideline for birth can improve maternal care overall. This would ultimately reduce the amount of maternal injury, c-sections, and mortality. The UK has had success drastically reducing preeclampsia deaths by implementing a nationwide standard protocol. However, no such mandated guideline currently exists in the United States.

To prevent maternal mortality moving forward, Amnesty International suggests these steps:


 * 1) Increase government accountability and coordination
 * 2) Create a national registry for maternal and infant health data, while incorporating intersections of gender, race, and social/economic factors
 * 3) Improve maternity care workforce
 * 4) Improve diversity in maternity care

According to the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, out-of-hospital births (such as home births and birthing centers with midwifery assistance) "generally provided a lower risk profile than hospital births."

Procedures such as Episiotomies and cesareans, while helpful in some cases, when administered unnecessarily increase the risk of maternal death. Midwifery and mainstream obstetric care can be complementary, which is commonly the case in Canada, where women have a wide arrange of pregnancy and birthing options, wherein informed choice and consent are fundamental tenants of their reformed maternity care. The maternal mortality rate is two times lower in Canada than the United States, according to a global survey conducted by the United Nations and the World Bank.

Gender bias, implicit bias, and obstetric violence in the medical field are also important factors when discussing maternal wellness, care, and death in the United States.

It is clear that the U.S. has one of the highest maternal mortality rates in the Western Hemisphere. The U.S. is to be considered one of the wealthiest and most developed countries on the globe but seems to lack in some areas in the health system. In the U.S., hospital bills for maternal healthcare costs over $98 billion, and concerns about the degradation of the maternal resulted in a state-by-state breakdown. In the United States, Maternal Mortality has been increasing in the South for the past couple of years, specifically in Georgia. The lack of health professionals has limited access to healthcare, especially in communities where they lack knowledge of prevention. Maternal mortality is one of the health issues that can be prevented if it’s addressed appropriately. This is a gap in healthcare that needs to be addressed for further prevention. It is clear that Georgia lacks prevention because they do not have access to care and providers in their community. The Spotlight in Poverty states 730,000 Hispanics and Blacks are below 200% level. Less than a quarter of Georgia’s population lives in poverty and they are minorities. Living in poverty does increase the chances of maternal mortality because women and children do not have finances to travel to areas in Georgia that have healthcare access. As of 2018, only 79 counties have OBGYN, within the past two years this has declined especially under the Trump Administration.