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Maternal health

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Table of Contents

Overview

Importance of Maternal Health

is a critical component of , significantly influencing the of both mothers and their children. A healthy pregnancy is essential for the proper growth and development of the fetus, which in turn reduces the risks of infant and morbidity.[1.1] The importance of maternal health extends beyond individual ; it serves as a vital marker of a country's and has profound societal impacts. Improved maternal health leads to healthier children, economically prosperous communities, and enhanced overall .[2.1] Addressing maternal health is imperative, as it presents an opportunity to eliminate preventable deaths among women, children, and adolescents, thereby improving their health and well-being.[3.1] However, the current landscape reveals alarming rates of maternal mortality and severe morbidity, necessitating a comprehensive approach that addresses health needs before, during, and after pregnancy.[4.1] In the United States, approximately 700 women die annually due to complications related to pregnancy or delivery, with over 80% of these deaths deemed preventable.[5.1] factors play a significant role in maternal health outcomes. Lower (SES) is consistently linked to adverse pregnancy outcomes, including , , and congenital anomalies.[8.1] The interplay between socioeconomic factors and access to maternal health services is crucial, as in health outcomes are often exacerbated by limited access to quality care.[9.1] Targeted interventions are necessary to address these disparities, including improved healthcare access, educational initiatives, and policy enhancements.[10.1] Recent policy changes, such as the expansion of Medicaid eligibility under the Affordable Care Act, have shown promise in improving access to maternal health services for women of childbearing age. States that adopted these changes reported better health outcomes, including reduced maternal mortality and significant decreases in disparities among different .[11.1] Raising awareness about maternal health issues is also vital. Events like Maternal Health Awareness Day provide platforms for legislators, healthcare professionals, and families to discuss critical topics such as maternal mortality, access to quality healthcare, and for improving outcomes for mothers.[12.1] Effective strategies, including data-driven approaches and efforts, are essential for enhancing maternal health .[13.1] In recent years, advancements in have contributed to improved maternal health outcomes. Initiatives by health centers have expanded access to early prenatal care and enhanced services for new mothers and their infants.[17.1] Furthermore, significant funding from the U.S. Department of Health and aims to address the maternal health crisis, reflecting a commitment to reducing the high rates of maternal mortality in the nation.[18.1]

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History

Traditional Practices in Maternal Health

Traditional practices in maternal health have evolved significantly over time, particularly with the transition from traditional to modern medical practices. Historically, midwives played a crucial role in maternal care, especially in low-income and middle-income countries (LMICs), where they provided essential interventions that could reduce maternal and newborn deaths and stillbirths by 30-80%, depending on the level of intervention coverage.[67.1] The Lancet Series on Midwifery highlighted the effectiveness of midwifery care in improving maternal and infant outcomes, underscoring its unique value across different communities.[68.1] In the United States, however, the role of midwives has diminished, with midwives attending only about 10 percent of births, in stark contrast to many other nations where midwives provide the majority of first-line maternity care.[68.1] This decline can be attributed to several factors, including a lack of support and funding for midwifery , inconsistent Medicaid reimbursement for midwifery services, and restrictive state practice that limit midwives' ability to practice to the full scope of their competencies and education.[68.1] The late 20th century marked a pivotal moment in the recognition of maternal health as a public health issue, particularly with the launch of the International Safe Motherhood Initiative in 1987, which significantly advanced programs, interventions, and aimed at reducing maternal mortality worldwide.[55.1] Prior to this initiative, the of public health in the United States involved various efforts to improve maternal and infant health, notably through the work of Dr. Sara Josephine Baker. She established numerous programs to assist impoverished mothers in New York City, leading teams of nurses into crowded neighborhoods and educating mothers on essential practices such as dressing, feeding, and bathing their infants.[57.1] This historical context underscores the importance of targeted public health initiatives in addressing maternal health challenges and highlights lessons that can inform contemporary policies.

Evolution of Medical Practices

The evolution of medical practices in maternal health has undergone significant transformations over the centuries, marked by key milestones and advancements that have improved outcomes for mothers and infants. In the pre-20th century era, maternal and infant mortality rates were alarmingly high, and medical interventions were limited, primarily relying on traditional .[51.1] The transition from these traditional practices to modern medical approaches began to take shape in the early 20th century, driven by a combination of societal changes and medical innovations. One of the pivotal moments in this evolution was the introduction of the Apgar Score in 1953 by Dr. Virginia Apgar, which provided a standardized method for assessing the health of newborns immediately after birth.[80.1] This scoring system has become a critical tool in neonatal care, allowing for timely interventions that can significantly improve infant outcomes. Throughout the 20th century, the United States experienced a remarkable public health achievement with a significant decline in maternal mortality rates (MMR), which decreased from over 800 deaths per 100,000 live births in 1900 to a low of 6.6 in 1987.[82.1] This decline can be attributed to various factors, including environmental interventions, improvements in , enhanced surveillance and monitoring of diseases, better access to healthcare, and advancements in .[82.1] Key developments during this period included the shift from home to hospital births in the 1940s and the implementation of Medicaid in the 1960s, which played crucial roles in improving maternal health outcomes.[82.1] However, after 1987, maternal mortality rates began to rise again, doubling to 12.1 by 2003, indicating a concerning reversal in progress.[82.1] This resurgence has been linked to several factors, including disparities in healthcare access and quality, increasing maternal age, and a high of comorbid conditions surrounding pregnancies.[82.1] Furthermore, disparities in maternal mortality have persisted since 1935, highlighting ongoing challenges in maternal health that continue to women today.[50.1] The evolution of midwifery has been significant, with modern midwifery models of care demonstrating the potential to address up to 90% of the global need for essential sexual, reproductive, maternal, newborn, and interventions throughout the lifespan.[65.1] These models highlight the role of midwives as primary healthcare providers for women and babies during pregnancy, childbirth, and the postnatal period, functioning within interdisciplinary teams to optimize health outcomes.[66.1] Transitioning to these midwifery care models represents a cost-effective in the pursuit of universal health coverage, aiming to enhance the quality of care for women and newborns while minimizing resource use.[65.1] In recent years, the integration of (AI) into maternal healthcare has emerged as a transformative force, enabling of pregnancy complications and personalized care.[54.1] By leveraging AI , healthcare systems can address significant gaps in maternal health services, ultimately leading to improved health outcomes for mothers and infants.

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Recent Advancements

Innovations in Prenatal Care

Innovations in prenatal care have significantly evolved in recent years, driven by advancements in and a growing understanding of maternal health challenges. One notable area of progress is the integration of artificial intelligence (AI) in maternal healthcare. AI technologies are being utilized for early detection of pregnancy complications, personalized care, and , which collectively enhance the quality and of maternal health services. These AI-driven predictive models help identify risk factors for maternal conditions, enabling healthcare providers to intervene early and prevent severe outcomes.[104.1] has also emerged as a transformative tool in prenatal care, particularly in addressing disparities faced by mothers in rural and underserved communities. The accelerated the adoption of telemedicine, allowing healthcare providers to deliver essential services remotely. This shift not only improves access to care but also supports routine monitoring that is crucial for reducing pregnancy complications.[98.1] For instance, telehealth can facilitate timely consultations for conditions such as mastitis, which can often be managed effectively without the need for in-person visits.[90.1] Moreover, the establishment of initiatives like the Maternal Health Data Innovation and Coordination Hub by Johns Hopkins, funded by the NIH, aims to advance knowledge of effective interventions to improve maternal outcomes in the U.S. This hub is part of a broader effort to enhance maternal health research and implement .[103.1] Despite these advancements, challenges remain. The maternal mortality rate in the United States is notably high compared to other high-income nations, with many deaths being preventable.[91.1] Therefore, ongoing efforts to innovate and improve prenatal care are essential to ensure better health outcomes for mothers and infants alike.

Policy Changes and Initiatives

In recent years, significant policy changes and initiatives have emerged to address the escalating maternal health crisis in the United States, particularly focusing on the disparities faced by Black women. The Black Maternal Health Caucus has introduced a comprehensive legislative package known as the Momnibus, which consists of 12 standalone bills aimed at addressing various socio- factors impacting pregnancy outcomes. This initiative emphasizes the importance of investing in , diversifying the perinatal workforce, and enhancing data collection related to maternal health.[100.1] The disparities in maternal mortality rates among Black women in the United States underscore the critical need for systemic change. Non-Hispanic Black women are 2.6 times more likely to die from pregnancy-related complications compared to their white counterparts, with pregnancy-related mortality being approximately four times higher for Black women aged 25 and older than for white women of similar ages.[99.1] Furthermore, Black women are more likely to experience delays in accessing prenatal care or to be inadequate users of such care, which contributes to the rising rates of maternal morbidity and mortality in the U.S..[102.1] Addressing these disparities requires a comprehensive understanding of the structural racism that exacerbates adverse outcomes among Black women. Public health and healthcare systems are encouraged to adopt community-engaged approaches that consider various social determinants of health, including access to healthy food, neighborhood , conditions, and healthcare access and quality.[101.1] By tackling these underlying factors, it is possible to improve maternal health outcomes and reduce the racial disparities that persist in maternal mortality rates.[101.1] Moreover, the policy landscape is evolving to include measures that improve postpartum care and support for midwives, doulas, and freestanding birth centers.[124.1] These changes are part of a broader strategy to enhance the quality of maternal care and ensure that it is evidence-based, as poor quality of care is linked to increased health risks and negative outcomes.[110.1] Advocates are mobilizing support for these critical policy changes by focusing on provider training and implementing race-explicit strategies to improve maternal health outcomes.[125.1] The Centers for and Prevention (CDC) reported that over 800 women died due to pregnancy or childbirth-related complications in 2020, with at least 80 percent of these deaths deemed preventable.[123.1] This alarming underscores the necessity for comprehensive policy reforms and community-based initiatives to ensure that all families have the right to a safe and healthy pregnancy and birth.[100.1] play a crucial role in addressing systemic inequalities in maternal health through targeted initiatives. The FIGO LOGIC Initiative, for instance, has three primary objectives: to strengthen the capacity of organizations focused on maternal and newborn health, to influence national policies in this area, and to enhance related to maternal and newborn health.[108.1] Additionally, funding for maternal and (MCH) programs is facilitated through the International Organizations & Programs account at the State Department, which supports U.S. contributions to UNICEF, as well as through the CDC's global immunization programs.[109.1] To effectively reduce healthcare disparities, it is essential to understand the systemic causes of maternal mortality, particularly in underserved communities. A multifaceted approach is required, which includes improving access to care, enhancing the quality of services, and addressing the social determinants of health.[111.1]

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Causes Of Maternal Mortality

Direct Causes

Direct causes of maternal mortality are primarily linked to severe medical complications that arise during pregnancy, childbirth, and the postpartum period. According to the World Health Organization (WHO), the leading causes of maternal deaths globally include haemorrhage, which accounted for approximately 80,000 fatalities in 2020, and hypertensive disorders such as preeclampsia, responsible for around 50,000 deaths in the same year.[158.1] These conditions highlight the critical need for effective and timely intervention during obstetric emergencies. Obstetric complications necessitate prompt action from skilled healthcare providers, as any delay in treatment can lead to severe consequences, including loss of life and poor maternal health outcomes.[155.1] Training in Emergency Obstetric Care (EmOC) is essential in many countries to ensure that healthcare providers working in maternity care can effectively recognize and manage complications during pregnancy and childbirth, thereby reducing maternal and perinatal morbidity and mortality.[154.1] Midwives play a pivotal role in this context, particularly in managing obstetric emergencies and complications.[156.1] Furthermore, Continuous (CPD) programs are crucial for midwives, as they help maintain their skills and knowledge, ensuring high-quality maternal care.[156.1] Moreover, a significant portion of pregnancy-related deaths—over 80%—is deemed preventable, emphasizing the importance of early prenatal care and consistent follow-up visits postpartum.[157.1] Key interventions to improve maternal health outcomes include integrating for women with high-risk conditions, addressing social determinants of health, and implementing hospital-wide safety protocols.[159.1] These strategies aim to enhance the quality of maternal care and ultimately reduce the incidence of direct causes of maternal mortality.

Indirect Causes

Indirect causes of maternal mortality encompass a range of factors that may not be directly related to pregnancy complications but significantly influence maternal health outcomes. These factors include socioeconomic conditions, access to healthcare, and nutritional deficiencies. Social determinants such as geographic location, socioeconomic status, , and play crucial roles in determining maternal health outcomes. In the United States, systemic racism and healthcare access issues contribute to disproportionately high maternal mortality rates among Black, Indigenous, and rural women. Addressing these disparities is essential for improving maternal outcomes for marginalized populations, as systemic barriers and inequities in healthcare access can exacerbate risks associated with pregnancy and childbirth.[135.1] Moreover, the maternal mortality rate for non-Hispanic Black women in the U.S. is notably higher, being 2.5 times that of non-Hispanic white women. This highlights the critical role that healthcare services and coverage play in maternal health, particularly for Black women.[137.1] Despite alarming trends in maternal mortality, it is estimated that 60% of pregnancy-related deaths in the U.S. are preventable, often due to clinician and systemic factors such as inadequate training and poor .[138.1] Nutritional deficiencies also represent a significant indirect cause of maternal mortality. Women in low-income countries frequently enter pregnancy malnourished, which can exacerbate micronutrient deficiencies during gestation, leading to adverse health consequences for both the mother and fetus.[143.1] Specific deficiencies, such as anemia, are particularly concerning; in India, for instance, 40% of maternal mortality incidences are directly or indirectly related to anemia, with severe cases increasing mortality risk significantly.[140.1] Furthermore, maternal undernutrition before and during pregnancy can lead to poor pregnancy outcomes, including and fetal growth retardation.[141.1]

Disparities In Maternal Health

Racial and Ethnic Disparities

Racial and ethnic disparities in maternal health are significant and multifaceted, contributing to alarming trends in maternal mortality and severe morbidity rates. has been identified as the leading cause of death during pregnancy and within 42 days postpartum in the United States, highlighting a critical area of concern for maternal health outcomes, particularly among racial and ethnic minority groups.[172.1] Research indicates that systemic factors such as racism, social and economic determinants, and chronic stress are pivotal in exacerbating these disparities, leading to poorer maternal and infant health outcomes, including higher rates of perinatal and preterm birth among Black women.[173.1] Despite the troubling , it is estimated that approximately 60% of pregnancy-related deaths and severe maternal morbidities in the United States are preventable. A review by the Centers for Disease Control and Prevention (CDC) identified clinician, facility, and systemic factors—such as inadequate training, missed or delayed diagnoses, and poor communication—as contributors to these preventable deaths.[174.1] Furthermore, studies have shown that even after adjusting for various risk factors, significant racial disparities persist, indicating that factors such as higher prevalence of , lower socioeconomic status, and limited access to prenatal care do not fully account for the elevated rates of severe maternal morbidity and mortality among racial and ethnic minority women.[175.1] Efforts to address these disparities have included policy changes, such as the expansion of Medicaid eligibility under the Patient Protection and Affordable Care Act, which has been associated with improved health outcomes for women of childbearing age and significant reductions in Black-White disparities in adverse birth outcomes.[176.1] Additionally, initiatives like the Momnibus, introduced by The Black Maternal Health Caucus, aim to tackle the socio-economic factors impacting maternal health by investing in the social determinants of health and diversifying the perinatal workforce.[177.1] The surrounding mental health, particularly perinatal depression, further complicates the landscape of maternal health for marginalized communities. Many women experience internal and external stigma, fearing judgment and feeling like "bad" mothers if they disclose their mental health struggles.[179.1] This stigma can deter them from seeking necessary help, underscoring the need for community-based mental health programs that are accessible and culturally sensitive.[180.1] Addressing these racial and ethnic disparities in maternal health requires a comprehensive approach that includes improving clinician training, enhancing communication, and fostering equitable healthcare environments.[185.1]

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Preventative Measures

Access to Healthcare

Access to healthcare is a critical determinant of maternal health outcomes, significantly influenced by socioeconomic factors. The Grassroots Maternal and Child Health Initiative emphasizes the importance of community engagement in improving maternal and child health (MCH) outcomes, particularly in marginalized communities. This initiative aims to build the capacity of individuals and organizations to foster systems change that enhances health outcomes for mothers and infants.[189.1] Community-based strategies have been shown to effectively raise awareness of pregnancy danger signs and prepare for emergencies, thereby improving birth preparedness and complication readiness among pregnant women.[223.1] Trusting relationships between healthcare institutions and communities are foundational for delivering high-quality, culturally centered care, which is essential for achieving optimal maternal health outcomes.[224.1] Engaging local structures, such as community leaders and providers, facilitates greater acceptance of community engagement activities and allows for tailored messaging that meets local needs.[225.1] Socioeconomic status (SES) plays a significant role in maternal health, with research indicating that low SES is associated with adverse pregnancy outcomes, including increased risks of gestational diabetes, preterm birth, and congenital anomalies.[245.1] The adoption of the Patient Protection and Affordable Care Act (ACA) has led to substantial improvements in access to health coverage for women of childbearing age, particularly through expanded Medicaid eligibility. This expansion has resulted in better access to preventive care, reduced adverse health outcomes, and a notable decrease in maternal mortality rates.[246.1] Furthermore, states that expanded Medicaid eligibility experienced significant reductions in disparities in adverse birth outcomes, particularly among Black and African American infants.[246.1]

Education and Awareness

Education and awareness play a crucial role in improving maternal health outcomes and preventing maternal mortality. , such as the for Women's, Children's and Adolescents' Health (2016-2030) and the Every Newborn Action Plan, emphasize the importance of the postnatal period, which extends up to six weeks after childbirth, in maternal health initiatives.[217.1] By increasing awareness of risk factors associated with pregnancy, healthcare providers and pregnant women can collaborate effectively to monitor health before, during, and after pregnancy, thereby identifying and addressing potential complications early.[218.1] Access to antenatal health visits and education about their importance is crucial for reducing maternal mortality, particularly from conditions such as hypertensive disorders and infections.[219.1] Workers (CHWs) play a transformative role in enhancing maternal and child health outcomes by serving as essential links between healthcare systems and under-resourced communities. They assist mothers in accessing care and navigating complex healthcare systems, which ultimately leads to improved health outcomes.[226.1] CHWs are equipped to advocate for and educate women, encouraging healthy practices that contribute to successful pregnancies.[228.1] Additionally, they provide and screen for maternal health conditions, which are vital components of effective maternal and newborn health services.[227.1] Effective community engagement strategies, such as utilizing local structures and leaders, have proven beneficial in addressing maternal health barriers. These strategies foster greater acceptance of health initiatives and allow for tailored messaging that resonates with local needs.[230.1] Additionally, community-based midwifery has emerged as a powerful tool in bridging healthcare gaps, enhancing access to skilled care, and fostering within communities.[231.1] Furthermore, health education initiatives that extend into the postpartum period have shown promise in improving outcomes related to and overall maternal health.[232.1] By employing diverse , including group-based methodologies and home visits, health professionals can effectively promote practices that lead to better maternal and infant health outcomes.

Global Perspectives

Maternal Health in Developing Countries

Maternal health in developing countries is significantly impacted by various socio-economic and cultural barriers that hinder access to quality care. Minority ethno- or often experience poorer access to maternity care services compared to other populations, which is linked to adverse maternal health outcomes. Factors such as cultural insensitivity among healthcare providers and the lack of encouragement to seek care exacerbate these disparities.[273.1] In low- and lower-middle-income countries, a prevalent barrier to the utilization of maternal health services is women's poor knowledge of maternal health, which includes a lack of awareness of risk factors, danger signs, and available health services.[278.1] Additionally, attitudes and preferences, access barriers, and family structure dynamics further complicate the provision of maternal health services in these regions.[280.1] To address these challenges, targeted interventions are essential. Recommendations include improving healthcare access, implementing educational initiatives, providing workplace support, and enhancing policies to tackle socio- in maternal health.[277.1] Community engagement plays a crucial role in these efforts, as demonstrated by programs like the Maternal Health Community Implementation Program (MH-CIP), which focuses on community-based strategies to improve health outcomes before, during, and after pregnancy.[276.1] Furthermore, integrating cultural competence into maternal health practices is vital. Healthcare providers must acknowledge and respect the cultural beliefs and practices that shape women's experiences of pregnancy and childbirth. This approach can foster trust, improve communication, and ultimately enhance health outcomes.[271.1] By employing culturally sensitive strategies and engaging communities in the implementation of maternal health initiatives, it is possible to reduce disparities and improve maternal health outcomes in developing countries.

International Initiatives and Collaborations

International initiatives and collaborations are essential in tackling global maternal health challenges. The World Health Organization (WHO) has identified improving maternal health as a key priority, emphasizing a approach that is closely linked to efforts aimed at achieving universal health coverage.[265.1] Despite significant progress over the past two decades, approximately 287,000 women died during and following pregnancy and childbirth in 2020, highlighting the urgent need for continued international collaboration and effective health interventions.[265.1] The most common direct causes of maternal injury and death include excessive blood loss, infection, high , unsafe , and obstructed labor, while indirect causes such as anemia, , and heart disease also contribute significantly.[265.1] Addressing these issues through global partnerships is crucial for enhancing maternal health outcomes and ensuring that most maternal deaths, which are preventable with timely management by skilled health professionals, can be avoided.[265.1] The Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030) includes a comprehensive monitoring framework with 60 indicators designed to promote in ending preventable deaths and ensuring health and well-being for these populations.[268.1] This strategy aims to create enabling environments that allow women, children, and adolescents to reach their full potential, ensuring that no one is "Left Behind".[268.1] Moreover, innovative approaches have emerged from various countries to enhance maternal health outcomes. For instance, the Early Detection and Management of (E-MOTIVE) protocol in northern Nigeria and Ethiopia’s community engagement campaign, “No woman should die while giving life,” exemplify successful local initiatives.[294.1] Additionally, programs like the Janani Express and Janani Suraksha Yojana in India aim to eliminate financial barriers to accessing maternal care.[294.1] Despite these efforts, challenges remain, particularly in low-resource settings where uneven access to affordable, high-quality healthcare continues to impede improvements in maternal and newborn survival rates.[295.1] In response to emerging threats, such as epidemics, WHO has launched a Roadmap for research on maternal and perinatal health, providing a strategic framework to address the unique challenges faced by pregnant women and infants during such crises.[296.1] The collective commitment of governments, stakeholders, and communities is essential for driving progress in maternal health. Evidence indicates that strong collaborative efforts can lead to significant improvements, as demonstrated by the historic low in global child deaths recorded in 2022.[297.1] Thus, international organizations like WHO are pivotal in galvanizing support and fostering innovative solutions to enhance maternal health worldwide.

Future Directions

Research and Development

Research and development in maternal health is increasingly focused on integrating innovative technologies and evidence-based practices to enhance care quality and accessibility. A significant area of exploration is the application of artificial intelligence (AI) in maternal healthcare, which has shown promise in early detection of pregnancy complications, personalized care, and remote monitoring through AI-driven technologies. These advancements aim to address critical gaps in maternal health services, ultimately improving outcomes for mothers and their infants by enabling healthcare providers to intervene early and effectively.[307.1] technologies are also playing a transformative role in maternal health. They enhance communication and access to services, facilitate , and support the treatment of specific . By improving the exchange of critical health information, digital innovations help mitigate biases in access to maternal healthcare services, thereby reducing healthcare disparities among .[306.1] The integration of these technologies is seen as a crucial step towards revolutionizing maternal health, expanding access, and empowering expectant mothers.[306.1] The disparities in perinatal and obstetric outcomes, particularly among different racial and ethnic groups, have been a significant concern for clinicians, researchers, and community members for years.[309.1] In response to this issue, the National Perinatal Information Center (NPIC) launched the Race & Ethnicity Dashboard in 2020, which aims to provide valuable insights into these disparities.[309.1] For Medicaid plans, addressing maternal health is recognized as the next frontier of care management, especially from a perspective.[308.1] can serve as a crucial tool for health plans, providers, and members to collaborate effectively in reducing and improving outcomes for mothers and their babies.[308.1] By leveraging , stakeholders can identify deficiencies and prioritize actions to enhance maternal health outcomes.[310.1] As the landscape of maternal health continues to evolve, the commitment to research and development must focus on holistic care, community engagement, and the integration of technology to ensure that every mother has access to high-quality, culturally sensitive healthcare.[305.1] This multifaceted approach is essential for addressing the complex web of factors influencing maternal health outcomes and for fostering a future where maternal mortality rates are significantly reduced.

Community Engagement and Support

Community engagement is essential in addressing the maternal health crisis in the United States, as it ensures that diverse communities have a voice in . The integration of community voices and culturally sensitive practices can significantly influence policy changes in maternal health, as it allows for a better understanding of what each community needs to meet the universal goal of improving maternal health.[312.1] By employing the targeted universalism framework, more communities and individuals are afforded a seat at the table during policy development, fostering a more inclusive process that addresses the specific needs of each community.[312.1] This approach is crucial in the context of the ongoing maternal health crisis, where disparities in health outcomes necessitate a concerted effort to incorporate the perspectives of those directly affected by maternal health issues.[312.1] In states like Washington and Virginia, cross-sector teams are forming partnerships to leverage local data, identify service gaps, and improve the alignment of health programs with community needs. These efforts are designed to ensure that parents and infants can lead healthier lives by addressing social determinants of health, such as access to childcare, nutritious food, and housing.[313.1] By strengthening collaborations between hospitals and community organizations, these teams aim to create a more integrated approach to maternal and infant health.[313.1] Culturally sensitive practices have been shown to improve maternal and infant health outcomes significantly. Healthcare providers who recognize and respect cultural differences in their care for pregnant individuals and their families contribute to better health results.[314.1] Moreover, addressing adverse social determinants of health is essential for mitigating risks associated with maternal mortality and morbidity, as these factors are deeply intertwined with systemic inequities.[328.1] Grassroots organizations are instrumental in empowering local communities to take charge of their health outcomes, particularly in the realm of maternal and child health. By collaborating with healthcare providers, policymakers, and community leaders, these organizations can create comprehensive strategies that address barriers to care and promote equitable access to services.[329.1] Engaging policymakers is crucial for developing policies and practices that tackle racial and social inequities in maternal and child health, ensuring that the diverse voices of families, healthcare providers, and community partners are aligned in advocacy efforts.[331.1] Effective strategies for grassroots organizations include making a strategic priority, acknowledging the impact of racism on health outcomes, and fostering collaboration with health departments, hospitals, and community stakeholders.[332.1] These approaches are essential for building a more equitable maternal health system that serves all populations effectively.

References

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https://www.longdom.org/open-access/importance-of-maternal-health-ensuring-safe-and-healthy-pregnancies-for-all-women-98699.html

[1] Importance of Maternal Health: Ensuring Safe and Healthy Pregnanc - Longdom The importance of maternal health. Maternal health plays a vital role in ensuring the health and well-being of both the mother and the child. A healthy pregnancy is essential for the healthy growth and development of the fetus, and it can reduce the risk of infant mortality and morbidity. A healthy pregnancy also helps to reduce the risk of

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hitlab

https://www.hitlab.org/why-is-maternal-health-crucial-to-global-health-and-development/

[2] Why is Maternal Health Crucial to Global Health and Development? Summing up, maternal health is an incredibly important marker of a country's public health system. More important than its role as a global development indicator is the impact positive maternal health has on societies. Physically and psychologically healthier children, more economically prosperous people, and happier livelihoods.

apha.org favicon

apha

https://www.apha.org/topics-and-issues/maternal-and-child-health

[3] Maternal and Child Health - American Public Health Association Maternal and child health is an important public health issue because: * we have the opportunity to end preventable deaths among all women, children and adolescents and to greatly improve their health and well-being. * far too many women, infants and children worldwide still have little or no access to essential, quality health services and

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nih

https://www.ncbi.nlm.nih.gov/books/NBK568218/

[4] Strategies and Actions: Improving Maternal Health and Reducing Maternal ... Given the importance of maternal health for our families, communities, and nation, addressing the unacceptable rates of maternal mortality and severe maternal morbidity calls for a comprehensive approach that addresses health from well before to well after pregnancy. A singular focus on the perinatal period would ignore upstream health factors associated with chronic conditions as well as

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regiscollege

https://online.regiscollege.edu/blog/maternal-health-care/

[5] The Importance of Maternal Health Care | Regis College Online Despite its importance, maternal health care has no shortage of challenges. According to the Centers for Disease Control and Prevention (CDC), each year in the U.S. approximately 700 women die due to complications associated with pregnancy or delivery. Additionally, more than 80% of deaths associated with pregnancy are preventable.

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[8] How does high socioeconomic status affect maternal and neonatal ... These studies establish an association between low SES and adverse pregnancy outcomes, specifically an increased risk of gestational diabetes (GDM), , preterm birth (PTB) , small for gestational age (SGA) and congenital anomalies . Therefore, the purpose of our study is to assess the effect of high SES on multiple maternal, fetal and pregnancy outcomes, in the hopes that this knowledge will aid in recognizing health disparities for American pregnant patients in a very large database of deliveries. To the best of our knowledge, this is the largest population-based study to examine the effect of SES on multiple pregnancy outcomes, which allowed us to determine statistically significant differences in risk amongst different SES pregnancies when using estimated income based on ZIP code as a measure of SES.

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https://www.icliniq.com/articles/parenting-and-childrens-health/impact-of-social-determinants-on-maternal-and-child-health

[9] The Impact of Social Determinants of Health on Maternal and Child ... Introduction. The influence of social determinants of health on maternal and child health outcomes is significant. Social determinants of health encompass a broad spectrum of factors, including but not limited to socioeconomic status, employment, education, housing, healthcare access, and social support systems, and they pertain to the circumstances in which individuals are born, raised

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tandfonline

https://www.tandfonline.com/doi/full/10.1080/10911359.2024.2310272

[10] Examining socioeconomic factors influencing maternal health in ... These disparities contribute to varying maternal health outcomes, emphasizing the critical need for targeted interventions. The study recommends tailored strategies, encompassing improved healthcare access, educational initiatives, workplace support, and policy enhancements to address socioeconomic inequalities in maternal health effectively.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC8020519/

[11] Social and Structural Determinants of Health Inequities in Maternal ... Substantial new research shows significant improvements in access to health coverage for women of childbearing age achieved through the adoption of the Patient Protection and Affordable Care Act's (ACA) provisions for expanded Medicaid eligibility to adults earning up to 138% of the federal poverty level.31 A review of emergent research found that states that expanded Medicaid eligibility improved the health of women of childbearing age by increasing access to preventive care; reducing adverse health outcomes before, during, and after pregnancies; and reducing incidence of maternal mortality.31 Moreover, expansion states experienced significant reductions in Black–White disparities in adverse birth outcomes shortly after the policy went into effect32 and a 50% reduction in infant mortality, with the greatest declines among Black/African American infants.33 Am J Public Health 2015;105:1681–1688 [DOI] [PMC free article] [PubMed] [Google Scholar] Am J Public Health 2018;108:565–567 [DOI] [PMC free article] [PubMed] [Google Scholar]

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https://about.ascension.org/news/2025/01/charting-the-nations-path-toward-stronger-maternal-health

[12] Charting the nation's path toward stronger maternal health On Maternal Health Awareness Day (January 23), legislators, health care professionals and families alike can raise awareness about maternal health issues, including maternal mortality and morbidity, access to quality health care and improving the outcomes for mothers before and after pregnancy.

ncbi.nlm.nih.gov favicon

nih

https://www.ncbi.nlm.nih.gov/books/NBK568218/

[13] Strategies and Actions: Improving Maternal Health and Reducing Maternal Mortality and Morbidity While states, tribes, and local communities help to ensure infrastructure and programmatic support for maternal health, individual healthcare professionals provide education, support, and care for women before, during, and after pregnancy. Utilize data to inform strategies for improving maternal health and support provider participation in quality improvement efforts in states and local communities, such as PQCs. Track trends in quality of care and health care utilization and develop approaches that may reduce identified disparities. Conduct research to identify, develop, and rigorously test clinical interventions to address risk factors; identify healthcare factors (e.g., quality of care); and provide insights into healthcare delivery approaches (e.g., care coordination, innovative models of care) for improving access to high-quality maternal health care.

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hrsa

https://mchb.hrsa.gov/about-us/mission-vision-work/four-years-maternal-child-success

[17] Four Years of Progress on Maternal and Child Health | MCHB Advancing maternal health through health centers. HRSA launched new community health center maternal health care innovations to improve early access to prenatal care and expand care services for new moms and their babies; health centers have delivered high quality prenatal care to more than two million patients over the last four years.

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cdc

https://www.cdc.gov/media/releases/2024/p0827-maternal-health.html

[18] Biden-Harris Administration Awards Over $558 Million to Improve ... Today, the U.S. Department of Health and Human Services (HHS) announced more than $558 million in funding to improve maternal health, building on the Biden-Harris Administration's commitment to reducing the nation's high maternal mortality rate through the White House Blueprint for Addressing the Maternal Health Crisis.The Health Resources and Services Administration (HRSA), an agency of HHS

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nih

https://pubmed.ncbi.nlm.nih.gov/33211590/

[50] U.S. Maternal Mortality Within a Global Context: Historical Trends ... In the United States, despite significant investment and the efforts of multiple maternal health stakeholders, maternal mortality (MM) has reemerged since 1987 and MM disparity has persisted since 1935. This article provides a review of the U.S. MM trajectory throughout its history up to its current …

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studocu

https://www.studocu.com/en-us/document/prince-georges-community-college/maternity/1030-intro-to-maternity-self-study/102487085

[51] 1030 Intro to Maternity. Self Study - Key Milestones in the History and ... Key Milestones in the History and Evolution of Maternal and Newborn Healthcare - Pre-20th Century: Traditional midwifery, high maternal and infant mortality rates, limited medical interventions.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC11484738/

[54] Revolutionizing Maternal Health: The Role of Artificial Intelligence in ... This review explores the transformative role of AI in maternal healthcare, focusing on its applications in the early detection of pregnancy complications, personalized care, and remote monitoring through AI-driven technologies. By leveraging AI technologies, healthcare systems can address significant gaps in maternal health services, thereby improving the quality and reach of care. AI-Driven Predictive Models Identifying risk factors for maternal mental health conditions Helps healthcare providers intervene early to prevent severe conditions Predictive models analyzing risk based on social and clinical data By validating these technologies through clinical trials, the maternal healthcare community can establish evidence-based practices that enhance care quality and accessibility, ultimately leading to improved health outcomes for mothers and their infants .

ncbi.nlm.nih.gov favicon

nih

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2649451/

[55] Using human rights to improve maternal and neonatal health: history ... It was not until the late 20th century that maternal mortality started to be recognized as a public-health concern. The International Safe Motherhood Initiative, launched in 1987, gave a huge impetus to programmes, interventions and advocacy aimed at reducing maternal mortality worldwide.

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wikipedia

https://en.wikipedia.org/wiki/History_of_public_health_in_the_United_States

[57] History of public health in the United States - Wikipedia The history of public health in the United states studies the US history of public health roles of the medical and nursing professions; scientific research; municipal sanitation; the agencies of local, state and federal governments; and private philanthropy. Since the mid-19th century there has been an emphasis on laboratory science and training professional medical and nursing personnel to handle public health roles, and setting up city, state and federal agencies. In the United States, a representative public health worker was Dr. Sara Josephine Baker who established many programs to help the poor in New York City keep their infants healthy, leading teams of nurses into the crowded neighborhoods of Hell's Kitchen and teaching mothers how to dress, feed, and bathe their babies.

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who

https://pmnch.who.int/news-and-events/events/item/2024/10/16/default-calendar/transitioning-to-midwifery-models-of-care-launch-of-the-world-health-organization-s-global-position-paper

[65] Transitioning to midwifery models of care: Launch of the World Health ... Midwives, with the support of interdisciplinary teams, could meet up to 90% of the global need for essential sexual, reproductive, maternal, newborn and adolescent health interventions throughout the life span. In the pursuit of universal health coverage, transitioning to midwifery models of care represents a cost-effective strategy to optimize outcomes for women and newborns with minimal use

who.int favicon

who

https://www.who.int/news/item/16-10-2024-who-urges-expansion-of-lifesaving-midwifery-care-for-women-and-babies

[66] WHO urges expansion of lifesaving midwifery care for women and babies The publication, Transitioning to midwifery models of care: A global position paper, outlines the benefits and key components of midwifery care models, where midwives serve, within broader teams, as the main healthcare provider for women and babies during pregnancy, childbirth and the postnatal period.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC7758876/

[67] Potential impact of midwives in preventing and reducing maternal and ... The 2014 Lancet Series on Midwifery showed that interventions provided by the midwifery workforce could reduce maternal and newborn deaths and stillbirths in low-income and middle-income countries (LMICs) by 30-80%, depending on the level of intervention coverage. 2 The Series showed that more efficient use of resources and improved outcomes

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC9584105/

[68] Improving Our Maternity Care Now Through Midwifery - PMC This report outlines the evidence that supports midwifery’s unique value across different communities, the safety and effectiveness of midwifery care in improving maternal and infant outcomes, the interest of birthing people in midwifery care, and the current availability of, and access to, midwifery services in the United States. Yet in the United States, midwives attend only about 10 percent of births; in nearly all other nations, midwives provide the majority of first-line maternity care to childbearing people and newborns, with far better outcomes. These include: Lack of support and funding for midwifery education, inconsistent Medicaid reimbursement for midwifery services, lack of state-level recognition of all nationally recognized midwifery credentials, and restrictive state practice laws that prohibit midwives from practicing to the full scope of their competencies and education.

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govnpc

https://govnpc.org/influential-figures-in-maternal-and-infant-health/

[80] Influential Figures in Maternal and Infant Health Dr. Virginia Apgar was an obstetrical anesthesiologist whose work transformed infant health, most notably her contribution of the Apgar Scoring system in 1953. Dr. Apgar created the Apgar Score as a means of quickly assessing newborns' health after birth based on their heart rate, breathing, reflex response, muscle tone, and skin color.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC8020556/

[82] U.S. Maternal Mortality Within a Global Context: Historical Trends ... One of the greatest public health achievements of the 20th century in the United States was the decline of MMR from >800 in 1900 to its lowest point of 6.6 in 1987 (Fig. 1).17 The steady decline of MMR over these 8.5 decades might be attributed to several factors: environmental interventions; improvements in nutrition, surveillance and monitoring of diseases, access to health care, and standard of living; advances in clinical medicine; increases in education; and technical and political changes implemented over time (e.g., MM reviews in the 1930s, shift from home to hospital births in the1940s, use of antibiotics and transfusions in the 1950s, and implementation of Medicaid in the 1960s).13,27,28 However, MMR gradually reversed course and doubled from 6.6 in 1987 to 12.1 in 2003.17 Similarly, an ascending trend for PRMR from 7.2 in 1987 to 16.9 in 2016 was observed (Fig. 1).25 Contributing factors to the increasing trend of U.S. MMR may include poor data quality due to the lack of interoperability of MM measures and harmonization of reporting artifacts over time (e.g., the evolution of cause-of-death codes for maternal death from ICD-1 to ICD-10 and use of the pregnancy checkbox on the death certificate); disparities in health care access and quality; increasing maternal age, coupled with high prevalence of comorbid conditions surrounding pregnancies and pregnancy-associated conditions (e.g., gestational diabetes, preeclampsia); and other social determinants of health (SDOH).3,29–34

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harvardpublichealth

https://harvardpublichealth.org/reproductive-health/how-to-reverse-the-decline-in-u-s-maternal-health/

[90] How to reverse the decline in U.S. maternal health Technology. Using remote monitoring and telehealth technology for postpartum care would help avoid costly and dangerous rehospitalizations. For example, 10 percent of breastfeeding mothers develop mastitis infections and visit the emergency room, when the condition can be easily diagnosed through a telehealth appointment and treated with antibiotics at home.

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progenyhealth

https://www.progenyhealth.com/news-post/progenyhealth-releases-2025-key-trends-and-insights-report-on-maternal-infant-health/

[91] ProgenyHealth Releases 2025 Key Trends and Insights Report on Maternal ... The state of maternal and infant health in America remains precarious. By now, the sobering data has become all too familiar - The United States' mortality rate is the highest of all high-income nations. Tragically, as many as 80% of maternal deaths, many of which occur in the first 42 days after giving birth, are preventable.

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whijournal

https://www.whijournal.com/article/S1049-3867(24

[98] Inequities in Adequacy of Prenatal Care and Shifts in Rural/Urban ... By delivering essential services to pregnant people in underserved areas, telehealth supports routine care that is essential for reducing pregnancy complications and bolstering maternal and infant health (Lin et al., 2022). Therefore, embracing virtual care solutions can be instrumental in ensuring more equitable health care provision across

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mayoclinic

https://mcpress.mayoclinic.org/pregnancy/black-maternal-mortality-rate/

[99] Why are Black maternal mortality rates so high? Maternal mortality rates: Black vs. white in the U.S. Based on most recent estimates, non-Hispanic Black women are 2.6 times more likely to die from pregnancy-related complications than white women. For Black women 25 and older, pregnancy-related mortality is about four times higher than it is for white women of similar ages, according to data

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jhu

https://publichealth.jhu.edu/2023/solving-the-black-maternal-health-crisis

[100] Solving the Black Maternal Health Crisis - Johns Hopkins Introduced by The Black Maternal Health Caucus, the package proposes big changes in maternal health through 12 standalone bills that address the full slate of socio-economic factors that impact a pregnancy, including investing in the social determinants of health, growing and diversifying the perinatal workforce, and improving data collection for maternal health.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC9914526/

[101] Listen to the Whispers before They Become Screams: Addressing Black ... We explore how structural racism contributes to a greater risk of adverse obstetric outcomes among Black women in the U.S. We also propose public health, healthcare systems, and community-engaged approaches to decrease racial disparities in maternal morbidity and mortality. The stark racial disparities in adverse pregnancy outcomes in the U.S. requires a deeper exploration into the role of social determinants and how structural racism contributes to a greater risk of adverse obstetric outcomes among Black women in the U.S. These social determinants include, but are not limited to, neighborhood environments such as access to healthy food, neighborhood safety, housing, air pollution, pest, and mold exposure; environmental exposures including experiences of racism, discrimination, acculturation, and immigration; socioeconomic status factors such as income, education, and occupation; housing conditions; and health care access and quality.

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nih

https://pubmed.ncbi.nlm.nih.gov/28625554/

[102] Exploring the social determinants of racial/ethnic disparities in ... Black women are also more likely to be late to prenatal care or be inadequate users of prenatal care. Prenatal care … Rates of maternal morbidity and mortality are rising in the United States. Non-Hispanic Black women are at highest risk for these outcomes compared to those of other race/ethnicities. ... social determinants of health, and

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jhu

https://publichealth.jhu.edu/2023/johns-hopkins-receives-nih-award-to-strengthen-maternal-health-in-the-us

[103] Johns Hopkins Receives NIH Award to Strengthen Maternal Health in the U ... Johns Hopkins has been awarded a grant from the NIH to establish a Maternal Health Data Innovation and Coordination Hub with the aim of advancing knowledge of effective interventions to improve outcomes for mothers in the U.S. The Data Hub is a component of the newly established Maternal Health Research Centers of Excellence, part of NIH's Implementing a Maternal Health and PRegnancy

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC11484738/

[104] Revolutionizing Maternal Health: The Role of Artificial Intelligence in ... This review explores the transformative role of AI in maternal healthcare, focusing on its applications in the early detection of pregnancy complications, personalized care, and remote monitoring through AI-driven technologies. By leveraging AI technologies, healthcare systems can address significant gaps in maternal health services, thereby improving the quality and reach of care. AI-Driven Predictive Models Identifying risk factors for maternal mental health conditions Helps healthcare providers intervene early to prevent severe conditions Predictive models analyzing risk based on social and clinical data By validating these technologies through clinical trials, the maternal healthcare community can establish evidence-based practices that enhance care quality and accessibility, ultimately leading to improved health outcomes for mothers and their infants .

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wiley

https://obgyn.onlinelibrary.wiley.com/doi/10.1016/j.ijgo.2015.02.007

[108] The role of health professional organizations in improving maternal and ... The FIGO LOGIC Initiative had three clear objectives to support the mission of these associations: (1) to strengthen their capacity to be effective organizations; (2) to influence national policies on maternal and newborn health; and (3) to work to improve clinical practice in the area of maternal and newborn health. 2.1 Capacity building

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kff

https://www.kff.org/global-health-policy/fact-sheet/the-u-s-government-and-global-maternal-and-child-health-efforts/

[109] The U.S. Government and Global Maternal and Child Health Efforts MCH funding is also provided through the International Organizations & Programs account at the State Department for the U.S. contribution to UNICEF and through CDC's global immunization programs

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC5405944/

[110] Global initiatives in maternal and newborn health - PMC The latter are often determined by education, residence, economic status, and/or age, as well as race and ethnicity. 4,7 In addition, the quality of maternal and newborn care has not always been optimal or evidence-based. 8-10 Poor quality of care is associated with increased health risks and poor health outcomes, including higher maternal

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chwcentral

https://chwcentral.org/wp-content/uploads/Maternal-Mortality-and-Healthcare-Disparities-Addressing-Systemic-Inequities-in-Underserved-Communities.pdf

[111] PDF Understanding the systemic causes of maternal mortality, particularly in underserved communities, is critical to reducing the number of preventable deaths (Sanyaolu et al., 2023). Addressing healthcare disparities requires a multifaceted approach that includes improving access to care, enhancing the quality of services, and tackling the social determinants of health. This will explore the

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naco

https://www.naco.org/news/recent-federal-action-advances-key-maternal-health-policies

[123] Recent federal action advances key maternal health policies This policy change is one of several key policy measures aimed at mitigating the worsening maternal health crisis across the United States. In 2020, over 800 women died due to pregnancy or childbirth related complications, of which at least 80 percent of deaths were preventable, according to the Centers for Disease Control and Prevention (CDC).

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commonwealthfund

https://www.commonwealthfund.org/blog/2023/state-policy-trends-improve-perinatal-health-outcomes

[124] State Policy Trends to Improve Perinatal Health Outcomes The perinatal health policy landscape is undergoing significant changes in response to the country's escalating maternal mortality rate and fractured state of maternal care delivery. States are exploring and implementing policies that affect postpartum care, midwives, doulas, and freestanding birth centers.

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chcs

https://www.chcs.org/resource/improving-maternal-health-outcomes-state-policy-actions-and-opportunities/

[125] Improving Maternal Health Outcomes: State Policy Actions and ... Improving Maternal Health Outcomes: State Policy Actions and Opportunities - Center for Health Care Strategies In addition to policy efforts, such as provider bias training, there are other early examples of states implementing race explicit strategies to impact maternal health outcomes, including community-based approaches. Focus Areas Adults with Complex Health & Social Needs Child & Family Health Community & Family Engagement Cross-Sector Partnership Delivery System & Payment Reform Health Equity Leadership & Capacity Building Long-Term Services & Supports Medicare & Medicaid Integration Population Health & Prevention Trauma-Informed Care

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chwcentral

https://chwcentral.org/wp-content/uploads/Maternal-Mortality-and-Healthcare-Disparities-Addressing-Systemic-Inequities-in-Underserved-Communities.pdf

[135] PDF Factors such as geographic location, socioeconomic status, race, ethnicity, and access to healthcare play crucial roles in determining maternal health outcomes (Okpokoro et al., Maternal Mortality and Healthcare Disparities: Addressing Systemic Inequities in .. In the U.S., systemic racism, healthcare access issues, and social determinants of health contribute to disproportionately high maternal mortality rates among Black, Indigenous, and rural women. While addressing maternal health disparities presents significant challenges, overcoming structural barriers and implementing sustainable solutions is critical to improving maternal outcomes for marginalized populations (Bond et al., 2021; Taylor and Weerasinghe, 2020) By addressing systemic racism within healthcare institutions and investing in reducing socioeconomic and geographic disparities, healthcare systems can make meaningful progress in reducing maternal mortality and morbidity.

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harvard

https://projects.iq.harvard.edu/files/isl/files/the_effect_of_healthcare_on_maternal_mortality_rates.pdf

[137] PDF The maternal mortality rate for non-Hispanic black women in the US was 2.5 times the rate for non-Hispanic white women in the US. We wanted to determine how healthcare services and insurance coverage play a role in the high maternal mortality rates in the United States, with a focus on the maternal mortality of black women. Due

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC6822100/

[138] Eight steps for narrowing the maternal health disparity gap Despite these alarming trends in maternal mortality and severe maternal morbidity rates and entrenched racial and ethnic disparities in such outcomes, 60% of pregnancy-related deaths and severe maternal morbidities in the United States are thought to be preventable.6, A recent Centers for Disease Control and Prevention (CDC) review of maternal deaths across nine states found that the deaths were related to clinician, facility and system factors, such as inadequate training, missed or delayed diagnosis of complications, poor communication and lack of coordination between clinicians.6,7 These findings and others reinforce the fact that any efforts to reduce maternal mortality must focus on ensuring quality and safety of maternity care for all women.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC3575894/

[140] Maternal Nutritional Deficiencies and Interventions - PMC Apart from dietary deficiency, malaria, hookworm, and other helminthic infestations also require treatment to reduce anemia. Forty percent of maternal mortality incidences in India are directly or indirectly related to anemia. Maternal mortality rate (MMR) increases 8-10 times when hemoglobin is less than 5 g %.

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nutrition

https://jn.nutrition.org/article/S0022-3166(22

[141] The Risk of Maternal Nutritional Depletion and Poor Outcomes Increases ... An adequate supply of nutrients is probably the single most important environmental factor affecting pregnancy outcome. Women with early or closely spaced pregnancies are at increased risk of entering a reproductive cycle with reduced reserves. Maternal nutrient depletion may contribute to the increased incidence of preterm births and fetal growth retardation among these women as well as the

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nih

https://pubmed.ncbi.nlm.nih.gov/27032981/

[143] Micronutrient deficiencies in pregnancy worldwide: health effects and ... Micronutrient deficiencies in pregnancy worldwide: health effects and prevention - PubMed Search in PubMed Micronutrient deficiencies in pregnancy worldwide: health effects and prevention Micronutrient deficiencies in pregnancy worldwide: health effects and prevention Women in low-income countries often enter pregnancy malnourished, and the demands of gestation can exacerbate micronutrient deficiencies with health consequences for the fetus. While extensive mechanistic and association research links multiple antenatal micronutrients with plausible materno-fetal health advantages, hypothesized benefits have often been absent, minimal or unexpected in trials. Multiple-micronutrient supplementation for women during pregnancy. Multiple-micronutrient supplementation for women during pregnancy. Micronutrient Supplementation for Pregnant and Lactating Women to Improve Maternal and Infant Nutritional Status in Low- and Middle-Income Countries: Protocol for a Systematic Review and Meta-analysis.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC6661541/

[154] The effectiveness of training in emergency obstetric care: a systematic ... Training in EmOC is provided in many countries to ensure healthcare providers working in maternity care are able to recognize women who have complications during pregnancy or at the time of birth, and to prevent and manage these complications effectively such that maternal and perinatal morbidity and mortality is reduced.

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sciencedirect

https://www.sciencedirect.com/science/article/pii/S1521693415000668

[155] 6 Making It Happen: Training health-care providers in emergency ... Obstetric complications require prompt action by skilled health-care providers/birth attendants; any delay - including at the health facility level - can result in loss of life and/or poor maternal health outcomes . Poor quality of maternal and newborn care (NC) is associated with poor implementation of evidence-based interventions

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biomedcentral

https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-025-06830-7

[156] A scoping review on continuing professional development programs for ... Midwives play a pivotal role in ensuring safe childbirth, particularly in the management of obstetric emergencies and complications (EmONC). Continuous Professional Development (CPD) programs are essential to keep midwives updated with the latest skills and knowledge, ensuring high-quality maternal care. The study aimed to map and synthesize evidence on continuing professional development for

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cdc

https://www.cdc.gov/maternal-mortality/preventing-pregnancy-related-deaths/index.html

[157] Preventing Pregnancy-Related Deaths | Maternal Mortality Prevention | CDC Preventing Pregnancy-Related Deaths What is a pregnancy-related death? More than 80% of pregnancy-related deaths are preventable.‎ What factors contribute to pregnancy-related deaths? For more information on health disparities, which are preventable differences in the burden of disease, injury, and violence, please visit CDC's Health Equity website. Starting prenatal care early, seeing a health care provider throughout the pregnancy, and being sure to attend postpartum visits can help to prevent and treat severe pregnancy-related complications. What is CDC doing to prevent pregnancy-related deaths? CDC is committed to preventing pregnancy-related deaths and ensuring the best possible birth outcomes. Pregnancy-related deaths can occur during and up to a year after pregnancy. CDC's Division of Reproductive Health is committed to preventing pregnancy-related deaths and ensuring the best possible birth outcomes.

who.int favicon

who

https://www.who.int/news/item/08-03-2025-many-pregnancy-related-complications-going-undetected-and-untreated--who

[158] Many pregnancy-related complications going undetected and untreated - WHO Haemorrhage – severe heavy bleeding – and hypertensive disorders like preeclampsia are the leading causes of maternal deaths globally, according to a new study released today by the World Health Organization (WHO). In addition, most countries do not report on late maternal deaths (those that occur in the year following childbirth), although several conditions can lead to risks lasting much beyond the birth itself. Maternal causes of death are grouped into categories aligned with the International Classification of Diseases-Maternal Mortality (ICD-MM) coding: abortion (relating to miscarriage, ectopic pregnancy and induced abortion), embolism, haemorrhage, hypertensive disorders, pregnancy-related sepsis, other direct causes, and indirect causes described above.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC7377107/

[159] Maternal Mortality in the United States: Updates on Trends, Causes, and ... Key interventions to improve maternal health outcomes include 1) integrating multidisciplinary care for women with high-risk comorbidities during preconception care, pregnancy, postpartum, and beyond; 2) addressing structural racism and the social determinants of health; 3) implementing hospital-wide safety bundles with team training and simulation; 4) providing patient education on early warning signs for medical complications of pregnancy; and 5) regionalizing maternal levels of care so that women with risk factors are supported when delivering at facilities with specialized care teams. State-based maternal mortality review committees (MMRCs) are the gold standard in identifying and reviewing pregnancy-associated and pregnancy-related deaths because they are made of a multidisciplinary team that reviews all available data, including prenatal records, hospital records, and autopsy reports. Health care policy to improve funding and resources for standardized, state-based review of pregnancy-related deaths are important steps to reverse rising rates and close persistent inequities in maternal morbidity and mortality.

ncbi.nlm.nih.gov favicon

nih

https://www.ncbi.nlm.nih.gov/books/NBK587184/

[172] MATERNAL HEALTH - 2022 National Healthcare Quality and Disparities ... Homicide is the leading cause of death during pregnancy and within 42 days postpartum in the United States. 14. ... and resulting mistrust of the healthcare system contribute to systemic disparities in maternal health outcomes. 19, 28, 29, 30 ... For most maternal health measures included in the NHQDR, disparities are significant for

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kff

https://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-disparities-in-maternal-and-infant-health-current-status-and-efforts-to-address-them/

[173] Racial Disparities in Maternal and Infant Health: Current Status and ... These include efforts to expand access to coverage and care, increase access to a broader array of services and providers that support maternal and infant health, diversify the health care workforce, and enhance data collection and reporting. Research has documented that social and economic factors, racism, and chronic stress contribute to poor maternal and infant health outcomes, including higher rates of perinatal depression and preterm birth among Black women and higher rates of mortality among Black infants. These include efforts to expand access to coverage and care, increase access to a broader array of services and providers that support maternal and infant health, diversify the health care workforce, and enhance data collection and reporting.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC6822100/

[174] Eight steps for narrowing the maternal health disparity gap Despite these alarming trends in maternal mortality and severe maternal morbidity rates and entrenched racial and ethnic disparities in such outcomes, 60% of pregnancy-related deaths and severe maternal morbidities in the United States are thought to be preventable.6, A recent Centers for Disease Control and Prevention (CDC) review of maternal deaths across nine states found that the deaths were related to clinician, facility and system factors, such as inadequate training, missed or delayed diagnosis of complications, poor communication and lack of coordination between clinicians.6,7 These findings and others reinforce the fact that any efforts to reduce maternal mortality must focus on ensuring quality and safety of maternity care for all women.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC5915910/

[175] Reducing Disparities in Severe Maternal Morbidity and Mortality For instance, in one study, adjustment for maternal age, income, hypertension, gestational age at delivery, and receipt of prenatal care only reduced odds ratios for pregnancy-related mortality from 3.07 (95% CI 2.0–4.54) to 2.65 (95% CI 1.73–4.07).19 Another study found the largest racial disparity among women with the lowest risk of pregnancy-related disease.3 Data suggest that a web of factors including higher prevalence of comorbidities and pregnancy complications, lower socioeconomic status, and less access to prenatal care, contribute to but do not fully explain the elevated rates of severe maternal morbidity and mortality among racial and ethnic minority women.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC8020519/

[176] Social and Structural Determinants of Health Inequities in Maternal ... Substantial new research shows significant improvements in access to health coverage for women of childbearing age achieved through the adoption of the Patient Protection and Affordable Care Act's (ACA) provisions for expanded Medicaid eligibility to adults earning up to 138% of the federal poverty level.31 A review of emergent research found that states that expanded Medicaid eligibility improved the health of women of childbearing age by increasing access to preventive care; reducing adverse health outcomes before, during, and after pregnancies; and reducing incidence of maternal mortality.31 Moreover, expansion states experienced significant reductions in Black–White disparities in adverse birth outcomes shortly after the policy went into effect32 and a 50% reduction in infant mortality, with the greatest declines among Black/African American infants.33 Am J Public Health 2015;105:1681–1688 [DOI] [PMC free article] [PubMed] [Google Scholar] Am J Public Health 2018;108:565–567 [DOI] [PMC free article] [PubMed] [Google Scholar]

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jhu

https://publichealth.jhu.edu/2023/solving-the-black-maternal-health-crisis

[177] Solving the Black Maternal Health Crisis - Johns Hopkins Introduced by The Black Maternal Health Caucus, the package proposes big changes in maternal health through 12 standalone bills that address the full slate of socio-economic factors that impact a pregnancy, including investing in the social determinants of health, growing and diversifying the perinatal workforce, and improving data collection for maternal health.

pubmed.ncbi.nlm.nih.gov favicon

nih

https://pubmed.ncbi.nlm.nih.gov/27197516/

[179] A Thematic Analysis of Stigma and Disclosure for Perinatal Depression ... Results: Two major themes were identified: stigma and negative experiences of disclosure. Stigma had 3 subthemes: internal stigma, external stigma, and treatment stigma. Many women were concerned about feeling like a "bad" or "failed" mother and worried that if they disclosed their symptoms to a health care provider they would be stigmatized.

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biomedcentral

https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-18517-7

[180] Racial and ethnic disparities in access to community-based perinatal ... Background Perinatal mental health is a major public health problem that disproportionately affects people from racial and ethnic minority groups. Community-based perinatal mental health programs, such as peer support groups, are essential tools for the prevention and treatment of perinatal depression. Yet, little is known about racial and ethnic disparities in accessibility and utilization of

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC6822100/

[185] Eight steps for narrowing the maternal health disparity gap Despite these alarming trends in maternal mortality and severe maternal morbidity rates and entrenched racial and ethnic disparities in such outcomes, 60% of pregnancy-related deaths and severe maternal morbidities in the United States are thought to be preventable.6, A recent Centers for Disease Control and Prevention (CDC) review of maternal deaths across nine states found that the deaths were related to clinician, facility and system factors, such as inadequate training, missed or delayed diagnosis of complications, poor communication and lack of coordination between clinicians.6,7 These findings and others reinforce the fact that any efforts to reduce maternal mortality must focus on ensuring quality and safety of maternity care for all women.

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iu

https://medicine.iu.edu/pediatrics/specialties/health-services/grassroots-maternal-child-health

[189] Grassroots Maternal and Child Health Initiative The Grassroots Maternal and Child Health Initiative builds the capacity of individuals and organizations in marginalized communities to bring about systems change to improve maternal and child health (MCH) outcomes. Vision. Mothers, infants, and families live in communities that foster their health, well-being and development. Approach

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nih

https://www.ncbi.nlm.nih.gov/books/NBK579660/

[217] WHO recommendations on maternal and newborn care for a positive ... 1.1. Background. Global strategies, including the Global Strategy for Women's, Children's and Adolescents' Health (2016-2030) (), Strategies toward Ending Preventable Maternal Mortality (), the Every Newborn Action Plan and other initiatives (4, 5) recognize the postnatal period, defined here as beginning immediately after the birth of the baby and extending up to six weeks (42 days

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nih

https://www.nichd.nih.gov/health/topics/maternal-morbidity-mortality/conditioninfo/prevention

[218] Are maternal morbidity and mortality preventable? - NICHD Improving maternal health could prevent many maternal deaths. 1 Knowing about risk factors allows healthcare providers and pregnant women to work together to watch before, during, and after the pregnancy and birth; identify problems; and take steps to fix problems before they become serious. Doing so may reduce the risk of long-term problems

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC4145855/

[219] Essential interventions for maternal, newborn and child health ... Similarly, access to antenatal health visits and medicines can prevent death from hypertensive disorders, while death due to sepsis can be averted by screening for prenatal maternal infection and sexually transmitted infections (STIs) during antenatal visits and with hygienic infection control measures during birth provided by SBA.

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nih

https://pubmed.ncbi.nlm.nih.gov/34326995/

[223] Role of community engagement in maternal health in rural Pakistan ... Background: Community-based strategies to promote maternal health can help raise awareness of pregnancy danger signs and preparations for emergencies. The objective of this study was to assess change in birth preparedness and complication readiness (BPCR) and pregnant women's knowledge about pre-eclampsia as part of community engagement (CE) activities in rural Pakistan during the Community

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nationalpartnership

https://nationalpartnership.org/wp-content/uploads/2023/04/rtb-community-partner-role.pdf

[224] PDF Raising the Bar for Maternal Health Equity and Excellence 65 CoMMuNITY PARTNER RoLE 2. Build trusting relationships with the community to improve maternal health. Trusted relationships between healthcare institutions and the community are foundational to the high-quality, culturally centered, respectful care needed for the best possible outcomes

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plos

https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0001106

[225] The development and implementation of a community engagement strategy ... Through in-depth interview and focus group discussions with women of reproductive age (WRA), pregnant women, household decision makers, formal and informal health care providers, local health authorities, community leaders and other influencers, the feasibility study identified a number of maternal health barriers that formed topics to be addressed by our CE strategy. The use of a recognized local structure (community leaders, nurses, CHW and local activists) allowed greater acceptance of CE activities and understanding district differences, engaging household decision-makers and community leaders to build local support for maternal health and flexibility to tailor messages to local needs were important in developing sustainable forms of community engagement.

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pchi-hub

https://www.pchi-hub.org/post/community-health-workers-essential-to-advancing-health-equity-for-mothers

[226] Community Health Workers: Essential to Advancing Health Equity for Mothers A recent study from Bowling Green State University underscores the transformative role of Community Health Workers in improving maternal and child health outcomes. This research highlights how CHWs serve as vital links between healthcare systems and under-resourced communities, helping mothers access care, navigate complex systems, and achieve better health outcomes for themselves and their

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC6703286/

[227] The roles of community health workers who provide maternal and newborn ... The roles of community health workers who provide maternal and newborn health services: case studies from Africa and Asia ... provide health education and screen for maternal health conditions. Therapeutic care, skilled antenatal care, birth attendance and provision of long-acting reversible contraceptives are provided by Level 2

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chwtraining

https://chwtraining.org/maternal-child-health-program-chws/

[228] How Community Health Workers Can Support Your Maternal and Child Health ... A maternal and child health program can greatly improve pregnancy outcomes by helping women of all ages access preventive and curative healthcare. And community health workers are the perfect bridge between women and healthcare providers: They're equipped to advocate, educate, and encourage the habits that ultimately lead to successful

journals.plos.org favicon

plos

https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0001106

[230] The development and implementation of a community engagement strategy ... Through in-depth interview and focus group discussions with women of reproductive age (WRA), pregnant women, household decision makers, formal and informal health care providers, local health authorities, community leaders and other influencers, the feasibility study identified a number of maternal health barriers that formed topics to be addressed by our CE strategy. The use of a recognized local structure (community leaders, nurses, CHW and local activists) allowed greater acceptance of CE activities and understanding district differences, engaging household decision-makers and community leaders to build local support for maternal health and flexibility to tailor messages to local needs were important in developing sustainable forms of community engagement.

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empoweringmidwiferyeducation

https://empoweringmidwiferyeducation.com/bridging-healthcare-gaps-the-impact-of-community-based-midwifery/

[231] Bridging Healthcare Gaps: The Impact of Community-Based Midwifery Community-based midwifery is a powerful tool in bridging healthcare gaps and improving maternal and newborn health outcomes. By increasing access to skilled care, fostering cultural sensitivity and trust, and providing comprehensive and holistic care, community-based midwives play a crucial role in addressing healthcare disparities.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC6616517/

[232] Health education strategies targeting maternal and child health Only 1 included article did not report improved outcomes with the continuation of health education activities into postpartum. The educational strategy reported by Hoddinott et al was designed using a group-based methodology and delivered via 10 weekly meetings conducted by health professionals. Therefore, health education initiatives designed to increase such outcomes (initiation or continuation of exclusive breastfeeding) could be designed using different strategies, as presented by Burkhalter and Marin, Zimmerman, Rosen et al, Turan and Say, MacArthur et al, Hoddinott et al or Volpe and Bear. It is important to consider the different results of initiation and continuation of exclusive breastfeed presented, including negative results in some cases. The systematic review developed by Silva et al indicated that health education strategies conducted by group-based or home-based methodologies and guided by professionals or non-professionals have contributed to reduced prematurity, reduced low birth weights and increased prevalence of exclusive breastfeeding.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC10590715/

[245] How does high socioeconomic status affect maternal and neonatal ... These studies establish an association between low SES and adverse pregnancy outcomes, specifically an increased risk of gestational diabetes (GDM), , preterm birth (PTB) , small for gestational age (SGA) and congenital anomalies . Therefore, the purpose of our study is to assess the effect of high SES on multiple maternal, fetal and pregnancy outcomes, in the hopes that this knowledge will aid in recognizing health disparities for American pregnant patients in a very large database of deliveries. To the best of our knowledge, this is the largest population-based study to examine the effect of SES on multiple pregnancy outcomes, which allowed us to determine statistically significant differences in risk amongst different SES pregnancies when using estimated income based on ZIP code as a measure of SES.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC8020519/

[246] Social and Structural Determinants of Health Inequities in Maternal ... Substantial new research shows significant improvements in access to health coverage for women of childbearing age achieved through the adoption of the Patient Protection and Affordable Care Act's (ACA) provisions for expanded Medicaid eligibility to adults earning up to 138% of the federal poverty level.31 A review of emergent research found that states that expanded Medicaid eligibility improved the health of women of childbearing age by increasing access to preventive care; reducing adverse health outcomes before, during, and after pregnancies; and reducing incidence of maternal mortality.31 Moreover, expansion states experienced significant reductions in Black–White disparities in adverse birth outcomes shortly after the policy went into effect32 and a 50% reduction in infant mortality, with the greatest declines among Black/African American infants.33 Am J Public Health 2015;105:1681–1688 [DOI] [PMC free article] [PubMed] [Google Scholar] Am J Public Health 2018;108:565–567 [DOI] [PMC free article] [PubMed] [Google Scholar]

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who

https://www.who.int/health-topics/maternal-health

[265] Maternal health - World Health Organization (WHO) Select language Donate Donate Home Health Topics All topics A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Resources Fact sheets Facts in pictures Multimedia Podcasts Publications Questions and answers Tools and toolkits Popular Dengue Endometriosis Excessive heat Herpes Mental disorders Mpox Countries All countries A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Regions Africa Americas Europe Eastern Mediterranean South-East Asia Western Pacific WHO in countries Data by country Country presence Country strengthening Country cooperation strategies Newsroom All news News releases Statements Campaigns Events Feature stories Press conferences Speeches Commentaries Photo library Headlines Emergencies Focus on Cholera Coronavirus disease (COVID-19) Greater Horn of Africa Israel and occupied Palestinian territory Mpox Sudan Ukraine Latest Disease Outbreak News Situation reports Weekly Epidemiological Record WHO in emergencies Surveillance Operations Research Funding Partners Health emergency appeals International Health Regulations Independent Oversight and Advisory Committee Data Data at WHO Data hub Global Health Estimates Mortality Health inequality Dashboards Triple Billion Progress Health Inequality Monitor Delivery for impact COVID-19 dashboard Data collection Classifications SCORE Surveys Civil registration and vital statistics Routine health information systems Harmonized health facility assessment GIS centre for health Reports World Health Statistics UHC global monitoring report About WHO About WHO Partnerships Committees and advisory groups Collaborating centres Technical teams Organizational structure Who we are Our work Activities Initiatives General Programme of Work WHO Academy Funding Investment in WHO WHO Foundation Accountability External audit Financial statements Internal audit and investigations Programme Budget Results reports Governance Governing bodies World Health Assembly Executive Board Member States Portal Home/ Health topics/ Maternal health WHO/Yoshi Shimizu © Credits Maternal health Overview Maternal health refers to the health of women during pregnancy, childbirth and the postnatal period. Although important progress has been made in the last two decades, about 287 000 women died during and following pregnancy and childbirth in 2020. The most common direct causes of maternal injury and death are excessive blood loss, infection, high blood pressure, unsafe abortion, and obstructed labour, as well as indirect causes such as anemia, malaria, and heart disease. Most maternal deaths are preventable with timely management by a skilled health professional working in a supportive environment. WHO Response Improving maternal health is one of WHO’s key priorities, grounded in a human rights approach and linked to efforts on universal health coverage.

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who

https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/global-strategy-data

[268] Maternal, newborn, child and adolescent health and ageing Global Strategy for Women’s, Children’s and Adolescents’ Health Data Portal Global Strategy for Women’s, Children’s and Adolescents’ Health Data Portal This Global Strategy includes a monitoring framework with 60 indicators, (of which 16 are key) to help countries and their partners promote accountability in ending preventable deaths (“Survive”), ensuring health and well-being (“Thrive”), and expanding enabling environments, so that all women, children, and adolescents can reach their potential (“Transform”) and no one is “Left Behind”. Committing to implementation of the Global Strategy As part of the seventy-sixth WORLD HEALTH ASSEMBLY (WHA), The Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030), Report by the Director-General is available. Proportion of indicators at the national level with full disaggregation when relevant to the target (SDG 17.18.1)  (also, specifically as related to indicators of the Global Strategy for Women's, Children's and Adolescents' Health) 17.18.1)  (also, specifically as related to indicators of the Global Strategy for Women's, Children's and Adolescents' Health)

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mhtf

https://www.mhtf.org/2017/09/28/the-struggle-to-provide-culturally-appropriate-maternity-care/

[271] The Struggle to Provide Culturally-Appropriate Maternity Care A core component of high quality health care is ensuring that services are people-centered—that providers incorporate the "preferences and aspirations of individual service users and the culture of their community."The World Health Organization's "Standards for improving quality of maternal and newborn care in health facilities" released in 2016 recommend that practitioners

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC5577805/

[273] Interventions to provide culturally-appropriate maternity care services ... | Jewell et al., 2000 | USA, Indiana | Recognition of factors influencing minority women’s poorer utilisation of early ANC than non-minority women (e.g. cultural insensitivity of providers, lack of encouragement to seek care, and the importance of advice from family and friends) | Staff helping women to work through the decision-making process on how to resolve barriers to their cultural beliefs and practices, staff providing advocacy for women if barriers occurred in navigating the health and social service systems, involvement of grassroots community-driven coalitions in the provision of culturally relevant care, provision of social support, provision of transport service, referrals to community services, health education, use of minority professional and paraprofessional staff, project monitoring by the minority health coalition boards, staff engaging in cultural brokering |

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nihceal

https://nihceal.org/resources/partnering-communities-enhance-health-during-and-after-pregnancy

[276] Partnering With Communities to Enhance Health Before, During, and After ... The Maternal Health Community Implementation Program (MH-CIP) supports community-engaged implementation research, working with affected communities to improve heart, lung, blood, and sleep health before, during, and after delivery. MH-CIP develops and tests community-based implementation strategies to increase the adoption, uptake, and scaling up of evidence-based interventions to improve health before, during, and after pregnancy. Use implementation science to bring effective maternal health interventions into communities severely impacted by maternal health disparities. Empower disproportionately impacted communities across the U.S. to be full partners in community-engaged implementation research to reduce disparities in maternal mortality and severe maternal morbidity. Identify and disseminate effective implementation strategies that harness community strengths and knowledge to address facilitators or barriers affecting the adoption of evidence-based practices or interventions to improve maternal health. Maternal Health Community Implementation Program

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tandfonline

https://www.tandfonline.com/doi/full/10.1080/10911359.2024.2310272

[277] Examining socioeconomic factors influencing maternal health in ... These disparities contribute to varying maternal health outcomes, emphasizing the critical need for targeted interventions. The study recommends tailored strategies, encompassing improved healthcare access, educational initiatives, workplace support, and policy enhancements to address socioeconomic inequalities in maternal health effectively.

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biomedcentral

https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-024-03177-x

[278] Key barriers to the provision and utilization of maternal health ... Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review | BMC Women's Health | Full Text The results of this review showed that women’s poor knowledge of MH is the most frequent barrier (N: 56, 47.86%) to the utilization of MH services in LLMICs. The low level of specific knowledge on MH is reflected in three areas, including a lack of awareness of risk factors and danger signs , failure to receive special care and information in previous stages of care and lack of awareness of available health services . Exploring health care professionals’ and women’s perspectives on the barriers to maternal health services: a qualitative study in Eku Town of Delta State, Nigeria.

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nih

https://pubmed.ncbi.nlm.nih.gov/38840156/

[280] Key barriers to the provision and utilization of maternal health ... Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review BMC Womens ... attitudes and preferences, access barriers, and barriers related to family structure and power. Furthermore, the main barriers to the provision of MH services in these countries have been

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brookings

https://www.brookings.edu/articles/an-impact-hub-approach-to-transforming-global-maternal-health-outcomes-by-2030/

[294] An 'impact hub' approach to transforming global maternal health ... Room members and country-level practitioners consulted on the proposed metric generally agreed that a singular, positively-framed metric like community death-free days could help motivate maternal health practitioners, reframe mothers’ often negative perceptions around accessing formal care, galvanize political support (e.g., of national governments), and attract support from donors and funders globally. In this way, a global impact hub could provide the connective tissue necessary to identify and elevate innovative approaches that occur across local contexts, like the success of the Early Detection and Management of Postpartum Hemorrhage (E-MOTIVE) protocol in northern Nigeria, Ethiopia’s “No woman should die while giving life” community engagement campaign, and “zero-cost delivery strategies,” such as the Janani (Maternal) Express or Janani Suraksha Yojana programs in India, designed to address mothers’ financial barriers to accessing care.

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unicef

https://www.unicef.org/health/maternal-and-newborn-health

[295] Maternal and newborn health - UNICEF Uneven access to affordable, high-quality health care and services impedes many countries from improving maternal and newborn survival and reducing stillbirths.

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who

https://www.who.int/news/item/14-02-2025-guiding-maternal-and-perinatal-health-research-during-global-pandemics

[296] Guiding maternal and perinatal health research during global pandemics The newly launched Roadmap for research on maternal and perinatal health in the context of epidemic threats provides a comprehensive strategy to address the unique challenges pregnant women and babies face during epidemics.

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who

https://pmnch.who.int/our-work/focus-areas/maternal-newborn-and-child-health

[297] Maternal, newborn and child health (including stillbirths) We have the evidence and tools to change the course of history on maternal, newborn and child health (MNCH). Strong commitments of governments, stakeholders, communities and families can result in improved health. We know what works and we can be hopeful - the number of global child deaths reached a historic low in 2022, for instance.

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semanticscholar

https://pdfs.semanticscholar.org/2173/6945080ea7dfaa6424c5cfb1db6c2dbff1d9.pdf

[305] PDF World Journal of Advanced Research and Reviews, 2024, 21(02), 1770–1781 1771 Historically, maternal and child health policies have evolved in response to emerging healthcare challenges, scientific advancements, and shifting societal norms. The contemporary landscape of MCH policies is characterized by a diverse array World Journal of Advanced Research and Reviews, 2024, 21(02), 1770–1781 1773 of interventions, reflecting the recognition of the complex web of factors influencing maternal and child health outcomes (Dwivedi, et. In conclusion, these case studies offer valuable insights into effective maternal and child health policies, showcasing diverse approaches that prioritize holistic care, community engagement, and technology integration. The journey towards effective maternal and child health policies requires a commitment to balance, adaptability, and a shared vision of a future where every mother and child has access to high-quality, culturally sensitive healthcare.

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medium

https://medium.com/@TheImmersiveNurse/advancing-maternal-health-through-digital-innovation-62fe3cf83732

[306] Advancing Maternal Health Through Digital Innovation With maternal mortality rates remaining high, and limited access to healthcare for vulnerable populations digital health technologies show promise in improving maternal health outcomes and reducing healthcare disparities. In recent years, digital health technology has made significant strides in improving maternal health by enhancing communication and access to services, enabling patient monitoring, and facilitating the treatment of specific maternal complications. Digital health technologies have substantially improved communication and access to services in maternal healthcare. By facilitating the exchange of critical health information, digital technology helps mitigate biases in access to maternal healthcare services. In conclusion, digital innovation and emerging technologies are revolutionizing maternal health by expanding access, improving quality of care, and empowering expectant mothers.

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC11484738/

[307] Revolutionizing Maternal Health: The Role of Artificial Intelligence in ... This review explores the transformative role of AI in maternal healthcare, focusing on its applications in the early detection of pregnancy complications, personalized care, and remote monitoring through AI-driven technologies. By leveraging AI technologies, healthcare systems can address significant gaps in maternal health services, thereby improving the quality and reach of care. AI-Driven Predictive Models Identifying risk factors for maternal mental health conditions Helps healthcare providers intervene early to prevent severe conditions Predictive models analyzing risk based on social and clinical data By validating these technologies through clinical trials, the maternal healthcare community can establish evidence-based practices that enhance care quality and accessibility, ultimately leading to improved health outcomes for mothers and their infants .

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medeanalytics

https://medeanalytics.com/blog/data-analytics-to-combat-maternal-health-crisis/

[308] Using data analytics to combat the maternal health crisis For Medicaid plans in particular, maternal health is the next frontier of care management. Especially from a health equity lens, health plans need an avenue to address the maternal care crisis and improve outcomes for mothers and their babies. Analytics can offer a common platform for health plans, providers, and members to work together to reduce health disparities and achieve longer-term

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npic

https://npic.org/blog/topic/data-analytics/

[309] Data & Analytics Archives - National Perinatal Information Center For years, clinicians, researchers, and community members have been describing the disparities in perinatal and obstetric outcomes, particularly within race and ethnicity. In 2020 NPIC set forth an initiative to bring to life, a Race & Ethnicity Dashboard. Posted under: Data & Analytics, Maternal Health, Social Determinants of Health/Disparities

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aha

https://trustees.aha.org/digging-data-address-maternal-health-challenges

[310] Digging into data to address maternal health challenges Health Equity, Diversity and Inclusion Digging into data to address maternal health challenges Analytics can guide trustees in identifying deficiencies and prioritizing actions to improve outcomes By Priya Bathija Last place. That is where the United States currently ranks compared to other developed countries on maternal mortality. Maternal mortality rates have more than tripled since 1987 in

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familiesusa

https://familiesusa.org/wp-content/uploads/2023/10/2023-111_PolicyDevelopment_ImprovingMaternalHealthPolicy_2023_FINAL.pdf

[312] PDF about what each community needs to meet the universal goal of improving maternal health. Using the targeted universalism framework will mean that more communities and individuals have a seat at the table during policy development. The United States is in the midst of a maternal health crisis. Women* are dying at rates the U.S. has

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pewtrusts

https://www.pewtrusts.org/en/research-and-analysis/articles/2022/01/04/community-partnerships-are-critical-to-improving-maternal-infant-health

[313] Community Partnerships Are Critical to Improving Maternal, Infant Health The Washington state and Virginia teams are coordinating such partnerships and initiatives to leverage state and local data sources, identify gaps in services, and improve alignment and integration of partners and programs—efforts that can help parents and infants live their healthiest lives.

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contemporaryobgynassoc

https://www.contemporaryobgynassoc.com/the-impact-of-cultural-sensitivity-in-obstetrical-care.html

[314] The Impact of Cultural Sensitivity in Obstetrical Care Many healthcare providers, hospitals, and organizations have found success when they implement culturally sensitive practices, leading to improved maternal and infant health outcomes. Below are some examples where healthcare professionals recognized the significance of cultural differences while caring for pregnant individuals and their families.

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nih

https://pubmed.ncbi.nlm.nih.gov/33181043/

[328] Social and Structural Determinants of Health Inequities in Maternal ... Social and Structural Determinants of Health Inequities in Maternal Health - PubMed Social and Structural Determinants of Health Inequities in Maternal Health In this article, we will expand our review of social determinants of maternal health to include the terms "structural determinants of health" and "root causes of inequities" as we assess the literature on this topic. We hypothesize that the addition of structural determinants and root causes will identify racism as a cause of inequities in maternal health outcomes, as many of the social and political structures and policies in the United States were born out of racism, classism, and gender oppression. Re: "Social and Structural Determinants of Health Inequities in Maternal Health," by Crear-Perry et al.

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fundsforngos

https://www2.fundsforngos.org/articles-searching-grants-and-donors/11-women-led-foundations-supporting-maternal-and-child-healthcare/

[329] 11 Women-Led Foundations Supporting Maternal and Child Healthcare These organizations often focus on grassroots efforts that empower local communities to take charge of their health outcomes. By collaborating with healthcare providers, policymakers, and community leaders, women-led foundations can create comprehensive strategies that address barriers to care and promote equitable access to services.

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marchformoms

https://marchformoms.org/who-we-are/

[331] Who We Are - Ensuring That All Families Can Grow - March For Moms We align the diverse voices of families, healthcare providers, policymakers, and partners to advocate for the health, care, and well-being of moms and their families. As a non-partisan, solution-oriented, multi-stakeholder 501(c)3, we lead and elevate the lived experience of maternal health and outcomes as advocates, surviving birthing people

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nih

https://pmc.ncbi.nlm.nih.gov/articles/PMC10510807/

[332] Strategies to Promote Maternal Health Equity - PubMed Central (PMC) Approaches include making equity a strategic priority within the organization; acknowledging the effect of racism on health outcomes; investing resources to educate staff and implement perinatal QI initiatives; fostering collaboration with health departments, hospitals, and community stakeholders; and developing performance data systems that accurately capture and report inequities.5,23,31–34 In 2001, the Institute of Medicine named “equity” as an essential domain of quality, defining quality health care as safe, efficient, effective, timely, patient-centered, and equitable.35 One approach to establishing and monitoring a culture of equity within health systems is to create a multidisciplinary, departmental health equity committee within obstetrics that engages members of the communities served.34,36 Leadership-based, equity-focused strategies and tactics may be effective in increasing accountability, buy-in, communication, and collaboration, as well as improving data systems to monitor outcomes and experiences for all populations.