Childbirth Deaths on Rise in U.S.

Although still very small, the risk of dying in childbirth is rising in the U.S. Between 2003 and 2004, maternal mortality rates rose from 12 deaths in 100,000 live births to 13 in 100,000 (Fewer than 600 American women giving birth in 2004 died in the process.) Infant mortality is actually more common than death of the mother. In 2004, the rate of infant deaths was 679 per 100,000.

Compared to a century ago, when about 1 in every 100 live births resulted in the mother’s death, the small rise may seem insignificant. But, with our modern technology and outstanding medical care, we should be concerned that the maternal mortality rate has risen at all.

Looking at possible causes for deaths related to childbirth, three factors may be at least partially responsible:  the rising rates of Caesarean-section births (now accounting for about 29% of all births); increasing maternal obesity, and more women giving birth in their late 30s and into their 40s.

Today, C-section births are far higher than what public heath experts consider appropriate. As with other surgeries, Caesarean births carry risks from anesthesia, infection, and blood clots. Mothers with several previous C-sections may also be at risk of excessive bleeding or blood vessel blockages.


Women who are heavier can develop diabetes and other complications. In addition, they may have excess tissue. Generally, their babies are larger, making a vaginal birth more difficult. This factor, in turn, can lead to more C-sections.

More women are waiting longer to have their babies than even a few decades ago. Risks of complications to mother and baby are greater to a woman in her late-30s and 40s.

Studies show than at least 40% of maternal deaths could have been prevented had quality of care been better. Sometimes, despite excellent prenatal care and a healthy pregnancy, the mother dies for no apparent reason.

The woman’s race and economic status may also be factors. Maternal deaths are at least three times higher for Black women than for white women. Because they often do not get adequate prenatal care, Black women are more susceptible to complications such as high blood pressure.

Getting risk factor – especially diabetes, obesity and high blood pressure – under control before becoming pregnant and obtaining good prenatal care will help to ensure a healthy outcome for both mother and baby.

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