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.

In 2020, some ** percent of pregnancy-associated deaths in the United States were among those aged 30 to 34 years of age. This statistic shows the distribution of pregnancy-related deaths in ** U.S. states in 2020, by age at death.

In 2020, the leading causes of pregnancy-related deaths in the United States were mental health conditions, cardiovascular conditions, and infection. These three leading underlying causes were responsible for over **** of all pregnancy-related deaths in 2020. Mental health conditions alone accounted for *********** of all pregnancy-related deaths in the U.S. showing how important it is to screen for postpartum depression. This statistic shows the percentage of pregnancy-related deaths in 38 U.S. states in 2020, by underlying cause.

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.

In 2020, the leading causes of pregnancy-related deaths in the U.S. were different for different races and ethnicities. For example, mental health conditions were the leading cause of pregnancy-related deaths among ****************** women, while ****************** women mostly died from cardiovascular conditions, and******************* women from amniotic fluid embolism. This statistic shows the distribution of pregnancy-related deaths in 38 U.S. states in 2020, by underlying cause and ethnicity.

In 2023, there were around 259 maternal deaths among non-Hispanic white women in the United States. This statistic presents the number of maternal deaths in the United States from 2018 to 2023, by race and ethnicity.

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.

In 2020, it was determined that 83.5 percent of pregnancy-related deaths in the United States were preventable. That is, there was at least some chance of the maternal death being averted by one or more reasonable changes to patient, community, provider, facility, and/or systems factors. The U.S. has one of the highest maternal mortality rates among developed nations, and maternal mortality is disproportionately high among non-Hispanic Black women. This statistic shows the percentage of pregnancy-related deaths in the U.S. that were preventable in 2020.

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.

The number of maternal deaths and maternal mortality rates for selected causes, 2000 to most recent year.

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;

Statistics on maternal mortality are produced based on the database of causes of death. "Maternal deaths" are selected from the database via a complex procedure, which takes into account the definition given by the WHO and is described in detail in the metadata. The tenth revision of the International Classification of Diseases (ICD-10) defines maternal death as "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." "Maternal deaths should be subdivided into two groups. Direct obstetric deaths: those resulting from obstetric complications of the pregnant state (pregnancy, labour and puerperium), from interventions, omissions, incorrect treatment, or from a chain of events resulting from any of the above. Indirect obstetric deaths: those resulting from previous existing disease or disease that developed during pregnancy and which was not due to direct obstetric causes, but which was aggravated by physiologic effects of pregnancy." Furthermore, the ICD-10 also defines late maternal death as "the death of a woman from direct or indirect obstetric causes more than 42 days but less than one year after termination of pregnancy." The "maternal mortality rate" is the ratio between the number of recorded direct and indirect maternal deaths over one year and the number of live birth in the same year, expressed per 100,000 live births. Late maternal deaths are not taken into account in the calculation of this ratio. Given the small and markedly variable number of cases recorded each year in Belgium, it has been decided to calculate this ratio based on the cumulated maternal deaths and live births of five consecutive years, with the ratio calculated being recorded in the middle year. When identifying these maternal deaths, the ad hoc working group, bringing together the Belgian statistical office and all data producing federated entities, did not exclude the risk of an underestimation of these deaths, based on the only statistical bulletin used as main source. It therefore asks for continued efforts to further improve the follow-up of maternal deaths, and supports the recent initiative of the College of physicians for Mother and Newborn to consider the creation of a maternal mortality register.

Between 2007 and 2016, the rate of pregnancy-related deaths in the U.S. for women aged 20 to 24 years was 12.2 per 100,000 live births. The statistic illustrates pregnancy-related death rates in the U.S. from 2007 to 2016, by age. Roughly 700 women in the U.S. die every year due to pregnancy or its resulting complications.

From 2017 to 2019, 13.2 percent of pregnancy related deaths occurred on the day of delivery, another 21.6 percent during pregnancy, and the rest occurred postpartum (after childbirth). This statistic shows the distribution of pregnancy-related deaths in 36 U.S. states from 2017 to 2019, by death timing in relation to pregnancy.

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.

In 2007-2008, the pregnancy-related death rate among American Indian/American Native women was nearly 27 per 100,000 live births. The statistic illustrates the pregnancy-related death rates in the U.S. from 2007 to 2016, by ethnicity and year.

Netherlands NL: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data was reported at 7.000 Ratio in 2015. This stayed constant from the previous number of 7.000 Ratio for 2014. Netherlands NL: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data is updated yearly, averaging 12.000 Ratio from Dec 1990 (Median) to 2015, with 26 observations. The data reached an all-time high of 14.000 Ratio in 2000 and a record low of 7.000 Ratio in 2015. Netherlands NL: 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 Netherlands – Table NL.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.

In 2020, an overwhelmingly large proportion of pregnancy-associated deaths in the United States were among non-Hispanic Black women. At that time, nearly one in three pregnancy-related deaths were among non-Hispanic Black women. This statistic shows the proportion of pregnancy-associated deaths in 38 U.S. states that were determined to be pregnancy-related in 2020, by race and ethnicity.

This report presents maternal mortality rates for 2020 based on data from the National Vital Statistics System. A maternal death is defined by the World Health Organization as, “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” (1). Maternal mortality rates, which are the number of maternal deaths per 100,000 live births, are shown in this report by age group and race and Hispanic origin.

Japan JP: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data was reported at 5.000 Ratio in 2015. This records a decrease from the previous number of 6.000 Ratio for 2014. Japan JP: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data is updated yearly, averaging 8.000 Ratio from Dec 1990 (Median) to 2015, with 26 observations. The data reached an all-time high of 14.000 Ratio in 1990 and a record low of 5.000 Ratio in 2015. Japan JP: 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 Japan – Table JP.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.