Women 40 years and over have the highest rates of maternal mortality in the United States. In 2023, the rate of maternal mortality among this age group was around 60 per 100,000 live births. This statistic presents maternal mortality rates in the United States from 2018 to 2023, by age group.

United States US: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data was reported at 14.000 Ratio in 2015. This stayed constant from the previous number of 14.000 Ratio for 2014. United States US: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data is updated yearly, averaging 13.000 Ratio from Dec 1990 (Median) to 2015, with 26 observations. The data reached an all-time high of 15.000 Ratio in 2009 and a record low of 11.000 Ratio in 1998. United States US: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Maternal mortality ratio is the number of women who die from pregnancy-related causes while pregnant or within 42 days of pregnancy termination per 100,000 live births. The data are estimated with a regression model using information on the proportion of maternal deaths among non-AIDS deaths in women ages 15-49, fertility, birth attendants, and GDP.; ; WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2015. Geneva, World Health Organization, 2015; Weighted average; This indicator represents the risk associated with each pregnancy and is also a Sustainable Development Goal Indicator for monitoring maternal health.

This data presents national-level provisional maternal mortality rates based on a current flow of mortality and natality data in the National Vital Statistics System. Provisional rates which are an early estimate of the number of maternal deaths per 100,000 live births, are shown as of the date specified and may not include all deaths and births that occurred during a given time period (see Technical Notes).

A maternal death is the death of a woman while pregnant or within 42 days of termination of pregnancy irrespective of the duration and the site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes. In this data visualization, maternal deaths are those deaths with an underlying cause of death assigned to International Statistical Classification of Diseases, 10th Revision (ICD-10) code numbers A34, O00–O95, and O98–O99.

The provisional data include reported 12 month-ending provisional maternal mortality rates overall, by age, and by race and Hispanic origin. Provisional maternal mortality rates presented in this data visualization are for “12-month ending periods,” defined as the number of maternal deaths per 100,000 live births occurring in the 12-month period ending in the month indicated. For example, the 12-month ending period in June 2020 would include deaths and births occurring from July 1, 2019, through June 30, 2020. Evaluation of trends over time should compare estimates from year to year (June 2020 and June 2021), rather than month to month, to avoid overlapping time periods. In the visualization and in the accompanying data file, rates based on death counts less than 20 are suppressed in accordance with current NCHS standards of reliability for rates. Death counts between 1-9 in the data file are suppressed in accordance with National Center for Health Statistics (NCHS) confidentiality standards.

Provisional data presented on this page will be updated on a quarterly basis as additional records are received. Previously released estimates are revised to include data and record updates received since the previous release. As a result, the reliability of estimates for a 12-month period ending with a specific month will improve with each quarterly release and estimates for previous time periods may change as new data and updates are received.

Infant mortality rates in the United States reveal significant disparities among racial and ethnic groups. In 2023, Black mothers faced the highest rate at nearly 11 deaths per 1,000 live births, more than double the rate for white mothers. This stark contrast persists despite overall improvements in healthcare and highlights the need for targeted interventions to address these inequalities. Birth rates and fertility trends While infant mortality rates vary, birth rates also differ across ethnicities. Native Hawaiian and Pacific Islander women had the highest fertility rate in 2022, with about 2,237.5 births per 1,000 women, far exceeding the national average of 1,656.5. In 2023, this group maintained the highest birth rate at 79 births per 1,000 women. Asian women, by contrast, had a much lower birth rate of around 50 per thousand women. These differences in fertility rates can impact overall population growth and demographic shifts within the United States. Hispanic birth trends and fertility decline The Hispanic population in the United States has experienced significant changes in birth trends over recent decades. In 2021, 885,916 babies were born to Hispanic mothers, with a birth rate of 14.1 per 1,000 of the Hispanic population. This represents a slight increase from the previous year. However, the fertility rate among Hispanic women has declined dramatically since 1990, dropping from 108 children per 1,000 women aged 15-44 to 63.4 in 2021. This decline aligns with broader trends of decreasing fertility rates in more industrialized nations.

Sources:a National Institute for Population Research and Training, MEASURE Evaluation, International Centre for Diarrhoeal Disease Research (2012) Bangladesh Maternal Mortality and Health Care Survey 2010. Available: http://www.cpc.unc.edu/measure/publications/tr-12-87. Accessed October 15, 2012.b World Health Organization (ND) WHO Maternal Mortality Country Profiles. Available: www.who.int/gho/maternal_health/en/#M. Accessed 1 March 2015.c Lozano R, Wang H, Foreman KJ, Rajaratnam JK, Naghavi M, Marcus JR, et al. (2011) Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis. Lancet 378(9797): 1139–65. 10.1016/S0140-6736(11)61337-8d UNFPA, UNICEF, WHO, World Bank (2012) Trends in maternal mortality: 1990–2010. Available: http://www.unfpa.org/public/home/publications/pid/10728. Accessed 7 October 2012.e Bangladesh Bureau of Statistics, Statistics Informatics Division, Ministry of Planning (December 2012) Population and Housing Census 2011, Socio-economic and Demographic Report, National Series–Volume 4. Available at: http://203.112.218.66/WebTestApplication/userfiles/Image/BBS/Socio_Economic.pdf. Accessed 15 February, 2015.f Mozambique National Institute of Statistics, U.S. Census Bureau, MEASURE Evaluation, U.S. Centers for Disease Control and Prevention (2012) Mortality in Mozambique: Results from a 2007–2008 Post-Census Mortality Survey. Available: http://www.cpc.unc.edu/measure/publications/tr-11-83. Accessed 6 October 2012.g Ministerio da Saude (MISAU), Instituto Nacional de Estatística (INE) e ICF International (ICFI). Moçambique Inquérito Demográfico e de Saúde 2011. Calverton, Maryland, USA: MISAU, INE e ICFI.h Mudenda SS, Kamocha S, Mswia R, Conkling M, Sikanyiti P, et al. (2011) Feasibility of using a World Health Organization-standard methodology for Sample Vital Registration with Verbal Autopsy (SAVVY) to report leading causes of death in Zambia: results of a pilot in four provinces, 2010. Popul Health Metr 9:40. 10.1186/1478-7954-9-40i Central Statistical Office (CSO), Ministry of Health (MOH), Tropical Diseases Research Centre (TDRC), University Teaching Hospital Virology Laboratory, University of Zambia, and ICF International Inc. 2014. Zambia Demographic and Health Survey 2013–14: Preliminary Report. Rockville, Maryland, USA. Available: http://dhsprogram.com/pubs/pdf/PR53/PR53.pdf. Accessed February 26, 2015.j Centers for Disease Control and Prevention (2014) Saving Mothers, Giving Life: Maternal Mortality.Phase 1 Monitoring and Evaluation Report. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services. Available at: http://www.savingmothersgivinglife.org/doc/Maternal%20Mortality%20(advance%20copy).pdf. Accessed 26 February 2015.k Central Statistical Office (CSO), Ministry of Health (MOH), Tropical Diseases Research Centre (TDRC), University of Zambia, and Macro International Inc. 2009. Zambia Demographic and Health Survey 2007. Calverton, Maryland, USA: CSO and Macro International Inc.Comparison of Maternal Mortality Estimates: Zambia, Bangladesh, Mozambique.

Estimates based on District hospital discharge data. Counts of and rates based on fewer than 10 births are suppressed for privacy reasons.

Source: Center for Policy Planning and Evaluation, DC Department of Health

Why This Matters

In recent decades, pregnancy-related deaths have risen in the United States. Although relatively rare and mostly preventable, the numbers are high relative to other high-income countries.

Leading underlying causes of pregnancy-related deaths include severe bleeding, cardiac and coronary conditions, and infections. Individual, social, and structural factors contribute to maternal death risk and trends, including maternal age, preexisting medical conditions, access to quality care, insurance, and longstanding racial and ethnic inequities.

Maternal mortality rates are disproportionately higher among birthing people who are Black, Indigenous, and people of color.

The District Response

Enhancements to District healthcare programs. Medicaid expansion provides greater access to prenatal care, extended postpartum Medicaid coverage for a full year, and reimbursement for doula services through all District programs. For a list of local and national resources on pregnancy and related topics, click here.

Paid family leave program providing 12 weeks to bond with a new child or care for a serious health condition, and 2 weeks specifically for prenatal care.

The District established the Maternal Mortality Review Committee, which investigates the causes of maternal deaths, and develops strategic frameworks to improve maternal health.

Maternal mortality is widely considered an indicator of overall population health and the status of women in the population. DOHMH uses multiple methods including death certificates, vital records linkage, medical examiner records, and hospital discharge data to identify all pregnancy-associated deaths (deaths that occur during pregnancy or within a year of the end of pregnancy) of New York state residents in NYC each year. DOHMH convenes the Maternal Mortality and Morbidity Review Committee (M3RC), a multidisciplinary and diverse group of 40 members that conducts an in-depth, expert review of each pregnancy-associated death of New York state residents occurring in NYC from both clinical and social determinants of health perspectives. The data in this table come from vital records and the M3RC review process. Data are not cross-classified on all variables: cause of death data are available by the relation to pregnancy (pregnancy-related, pregnancy-associated but not related, unable to determine), race/ethnicity and borough of residence data are each separately available for the total number of pregnancy-associated deaths and pregnancy-related deaths only.

Maternal mortality ratio is defined as the number of female deaths due to obstetric causes (ICD-10 codes: A34, O00-O95, O98-O99) while pregnant or within 42 days of termination of pregnancy. The maternal mortality ratio indicates the likelihood of a pregnant person dying of obstetric causes. It is calculated by dividing the number of deaths among birthing people attributable to obstetric causes in a calendar year by the number of live births registered for the same period and is presented as a rate per 100,000 live births. The number of live births used in the denominator approximates the population of pregnant and birthing people who are at risk. Data are not presented for geographies with number of maternal deaths less than 11.Compared to other high-income countries, women in the US are more likely to die from childbirth or problems related to pregnancy. In addition, there are persistent disparities by race and ethnicity, with Black pregnant persons experiencing a much higher rate of maternal mortality compared to White pregnant persons. Improving the quality of medical care for pregnant individuals before, during, and after pregnancy can help reduce maternal deaths.For more information about the Community Health Profiles Data Initiative, please see the initiative homepage.

In 2022, the infant mortality rate in the United States was 5.4 out of every 1,000 live births. This is a significant decrease from 1960, when infant mortality was at around 26 deaths out of every 1,000 live births. What is infant mortality? The infant mortality rate is the number of deaths of babies under the age of one per 1,000 live births. There are many causes for infant mortality, which include birth defects, low birth weight, pregnancy complications, and sudden infant death syndrome. In order to decrease the high rates of infant mortality, there needs to be an increase in education and medicine so babies and mothers can receive the proper treatment needed. Maternal mortality is also related to infant mortality. If mothers can attend more prenatal visits and have more access to healthcare facilities, maternal mortality can decrease, and babies have a better chance of surviving in their first year. Worldwide infant mortality rates Infant mortality rates vary worldwide; however, some areas are more affected than others. Afghanistan suffered from the highest infant mortality rate in 2024, and the following 19 countries all came from Africa, with the exception of Pakistan. On the other hand, Slovenia had the lowest infant mortality rate that year. High infant mortality rates can be attributed to lack of sanitation, technological advancements, and proper natal care. In the United States, Massachusetts had the lowest infant mortality rate, while Mississippi had the highest in 2022. Overall, the number of neonatal and post neonatal deaths in the United States has been steadily decreasing since 1995.

United States US: Number of Maternal Death data was reported at 550.000 Person in 2015. This records a decrease from the previous number of 560.000 Person for 2014. United States US: Number of Maternal Death data is updated yearly, averaging 530.000 Person from Dec 1990 (Median) to 2015, with 26 observations. The data reached an all-time high of 600.000 Person in 2009 and a record low of 440.000 Person in 1998. United States US: Number of Maternal Death data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. A maternal death refers to the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.; ; WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2015. Geneva, World Health Organization, 2015; Sum;

UNICEF's country profile for United States, including under-five mortality rates, child health, education and sanitation data.

United States US: Lifetime Risk Of Maternal Death data was reported at 0.026 % in 2015. This records a decrease from the previous number of 0.026 % for 2014. United States US: Lifetime Risk Of Maternal Death data is updated yearly, averaging 0.025 % from Dec 1990 (Median) to 2015, with 26 observations. The data reached an all-time high of 0.028 % in 2009 and a record low of 0.021 % in 1998. United States US: Lifetime Risk Of Maternal Death data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Life time risk of maternal death is the probability that a 15-year-old female will die eventually from a maternal cause assuming that current levels of fertility and mortality (including maternal mortality) do not change in the future, taking into account competing causes of death.; ; WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2015. Geneva, World Health Organization, 2015; Weighted average;

United States US: Lifetime Risk of Maternal Death: 1 in: Rate Varies by Country data was reported at 3,800.000 NA in 2015. This stayed constant from the previous number of 3,800.000 NA for 2014. United States US: Lifetime Risk of Maternal Death: 1 in: Rate Varies by Country data is updated yearly, averaging 3,950.000 NA from Dec 1990 (Median) to 2015, with 26 observations. The data reached an all-time high of 4,700.000 NA in 1998 and a record low of 3,500.000 NA in 2009. United States US: Lifetime Risk of Maternal Death: 1 in: Rate Varies by Country data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Life time risk of maternal death is the probability that a 15-year-old female will die eventually from a maternal cause assuming that current levels of fertility and mortality (including maternal mortality) do not change in the future, taking into account competing causes of death.; ; WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2015. Geneva, World Health Organization, 2015; Weighted average;

Historical dataset showing Virgin Islands (U.S.) maternal mortality rate by year from N/A to N/A.

Maternal mortality ratio of United States of America sank by 15.00% from 20.0 deaths per 100,000 live births in 2022 to 17.0 deaths per 100,000 live births in 2023. Since the 40.91% jump in 2021, maternal mortality ratio plummeted by 45.16% in 2023. Maternal mortality ratio is the number of women who die during pregnancy and childbirth, per 100,000 live births. The data are estimated with a regression model using information on fertility, birth attendants, and HIV prevalence.

United States US: Maternal Mortality Ratio: National Estimate: per 100,000 Live Births data was reported at 28.000 Ratio in 2013. This records an increase from the previous number of 13.000 Ratio for 2007. United States US: Maternal Mortality Ratio: National Estimate: per 100,000 Live Births data is updated yearly, averaging 13.000 Ratio from Dec 1996 (Median) to 2013, with 3 observations. The data reached an all-time high of 28.000 Ratio in 2013 and a record low of 7.600 Ratio in 1996. United States US: Maternal Mortality Ratio: National Estimate: per 100,000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s USA – Table US.World Bank: Health Statistics. Maternal mortality ratio is the number of women who die from pregnancy-related causes while pregnant or within 42 days of pregnancy termination per 100,000 live births.; ; UNICEF, State of the World's Children, Childinfo, and Demographic and Health Surveys.; ;

This statistic depicts the maternal mortality rate (per 100,000 live births) for developed nations in Europe, Australia and North America in 2015. According to the data, the United States had a maternal mortality rate of 26.4, compared to Finland with a maternal mortality rate of just 3.8. The U.S. has by far the highest maternal mortality rate among developed countries.

Historical dataset showing Central America maternal mortality rate by year from N/A to N/A.

Historical dataset showing U.S. maternal mortality rate by year from 1985 to 2023.

Maternal Mortality Review Committees (MMRCs) are multidisciplinary committees that convene at the state or local level to comprehensively review deaths during or within a year of pregnancy (pregnancy-associated deaths). MMRCs have access to clinical and non-clinical information (e.g., vital records, medical records, social service records) to more fully understand the circumstances surrounding each death, determine whether the death was pregnancy-related, and develop recommendations for action to prevent similar deaths in the future.