Despite knowing what we do about this challenge, the uptick in losses continues at national and local levels , and disproportionately for some groups. At Penn, experts are studying and addressing maternal mortality head on.
And the Office of Inclusion and Diversity is working to address health inequity and racial bias baked into the system. Around the turn of the 20th century, the Hospital of the University of Pennsylvania HUP opened its maternity pavilion on the site of what is today the Rhoads Pavilion at the intersection of Hamilton Walk and 36th Street. Two graduating seniors cared for each woman, taking her history and watching her while she—and eventually, her baby—remained on site.
To understand how giving birth has changed in the United States requires looking back to a time when most women did so at home rather than at a hospital, before the turn of the 20th century. There were no antibiotics. There was also a growing understanding that safe birth meant more than just safe delivery conditions, that the health of mother and baby required monitoring throughout the gestational period. That meant a change in thinking about the birthing process, she adds.
Eventually the shift took hold, bolstered by the widespread use of antibiotics after World War II and technological advances in health care. In fact, black women are three to four times more likely to die from childbirth than white women from complications related to cardiovascular disease, preeclampsia, and eclampsia.
Case in point: One study conducted by the New York City Department of Health and Mental Hygiene found that black women with a college degree had higher rates of maternal mortality than white high-school dropouts. Even Serena Williams, despite her high profile as an athlete, experienced this, speaking out about how her postpartum team did not take seriously her concerns about potentially lethal blood clots.
For the past three years, scores of faculty and staff have attended workshops put on by the Penn Medicine Office of Inclusion and Diversity focused on increasing self-awareness regarding unconscious bias, Higginbotham notes. Such concerns are part of the reason Srinivas and Penn maternal fetal medicine physician Adi Hirshberg created a program at Penn called Heart Safe Motherhood. Heart Safe Motherhood started sending each patient home with her own blood pressure cuff, asking her to text in blood pressure readings twice daily for 10 days post-discharge through a custom-developed messaging platform.
To that end, Driscoll says that all staff go through postpartum hemorrhage training and the Health System also has a center of excellence for opioid use in pregnancy. If you think you have a mental health condition, tell your health care provider. You can get treatment to make you feel better. You and your provider can work together to decide about treatment options. A near-miss is when a birthing parent has unexpected and severe complications from labor and childbirth.
Between and , the rate of SMM increased 45 percent. You may feel like you should be happy or grateful. Or you may have trouble dealing with what happened. You may feel sad, upset, worried, scared or angry. This is a severe form of anxiety strong feelings of worry or fear. PTSD may happen when you go through something shocking, scary or dangerous. Get expert tips and resources from March of Dimes and CDC to increase your chance of having a healthy, fully-term pregnancy and baby.
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Saving Just a moment, please. You've saved this page It's been added to your dashboard. In This Topic. Maternal death and maternal mortality mean the same thing. Pregnancy-related death is when a pregnant or birthing person dies during pregnancy or within 1 year after the end of their pregnancy from health problems related to pregnancy. These deaths may be caused by: A health condition such as heart disease that someone had before pregnancy that gets worse because of pregnancy A pregnancy complication, such as preeclampsia a serious blood pressure condition that can happen after the 20th week of pregnancy or after giving birth Treatment provided during pregnancy The differences between pregnancy-related death and maternal death are important to health care providers and researchers who study this topic to help us understand more about why moms die from conditions related to pregnancy.
Who is at risk for pregnancy-related death? About moms die each year in the United States from complications during or after pregnancy. Race and pregnancy-related death In the United States, Black pregnant people are 3 to 4 times more likely to die from pregnancy-related causes than white pregnant people are. This control means that people in the dominant group are more likely to: Have better education and job opportunities Live in safer environmental conditions Be shown in a positive light by media, such as television shows, movies, and news programs.
Be treated with respect by law enforcement Have better access to health care In contrast, people from racial or ethnic minority groups who live in a racist culture are more likely to: Experience chronic stress Live in an unsafe neighborhood Live in areas that have higher amounts of environmental toxins, such as air, water, and soil pollution Go to a low-performing school Have limited access to healthy foods Have little or no access to health insurance and quality medical care Have less access to well-paying jobs Being a person of color is not a cause for pregnancy-related death.
Age, health and pregnancy-related death The risk of pregnancy-related death also increases with age. What can you do to reduce your risk of pregnancy-related death?
Pregnancy-related death can be caused by health conditions you have before pregnancy. Finding out about them and getting treatment before you get pregnant can help prevent death. Tell your provider about any medicines you take.
Protect yourself from infections. For example, talk with your provider about vaccinations such as the flu shot that can help protect you from certain diseases. Wash your hands with soap and water after using the bathroom or blowing your nose. Stay away from people who have infections.
Use a condom to protect yourself from sexually transmitted infections also called STIs. If you have a cat, ask someone else to change the litter box. Get to a healthy weight. Eat healthy foods and do something active every day. Tell your provider if you need help to quit. This can help your health care provider spot and treat any health problems that may affect your pregnancy.
Preeclampsia is a serious condition that condition that can cause pregnancy-related death. For example, talk to your provider about vaccinations like the flu shot that can help protect you from certain diseases.
Use a condom to protect yourself from STIs. And if you have a cat, ask someone else to change the litter box. If you are not receiving the care you deserve, find a new provider. After pregnancy Tell your provider right away if you have you have any of the following signs or symptoms: Chest pain Dizziness Fever and chills temperature of What causes pregnancy-related death? The leading causes can be different depending on timing: During and after pregnancy: Heart conditions and stroke cause more than 1 in 3 pregnancy-related deaths.
During birth: Emergencies, such as heavy bleeding and amniotic fluid embolism, cause the most deaths during birth. The week after giving birth: Heavy bleeding, high blood pressure and infection cause the most deaths in the week after giving birth.
One week after birth to 1 year after birth: Cardiomyopathy weakened heart muscle causes the most deaths during this time. Getting early treatment for conditions that can cause complications during and after pregnancy may help prevent death. Privacy Policy Terms of Use. Twitter Facebook. This Issue. Views , Citations 4. View Metrics. Anita Slomski, MA. Audio Clinical Review Subscribe to Podcast.
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