In 2023, non-Hispanic Black women had the highest rates of maternal mortality among select races/ethnicities in the United States, with 50.3 deaths per 100,000 live births. The total maternal mortality rate in the U.S. at that time was 18.6 per 100,000 live births, a decrease from a rate of almost 33 in 2021. This statistic presents the maternal mortality rates in the United States from 2018 to 2023, by race and ethnicity.

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.

Maternal mortality rates can vary significantly around the world. For example, in 2022, Estonia had a maternal mortality rate of zero per 100,000 live births, while Mexico reported a rate of 38 deaths per 100,000 live births. However, the regions with the highest number of maternal deaths are Sub-Saharan Africa and Southern Asia, with differences between countries and regions often reflecting inequalities in health care services and access. Most causes of maternal mortality are preventable and treatable with the most common causes including severe bleeding, infections, complications during delivery, high blood pressure during pregnancy, and unsafe abortion. Maternal mortality in the United States In 2022, there were a total of 817 maternal deaths in the United States. Women aged 25 to 39 years accounted for 578 of these deaths, however, rates of maternal mortality are much higher among women aged 40 years and older. In 2022, the rate of maternal mortality among women aged 40 years and older in the U.S. was 87 per 100,000 live births, compared to a rate of 21 among women aged 25 to 39 years. The rate of maternal mortality in the U.S. has risen in recent years among all age groups. Differences in maternal mortality in the U.S. by race/ethnicity Sadly, there are great disparities in maternal mortality in the United States among different races and ethnicities. In 2022, the rate of maternal mortality among non-Hispanic white women was about 19 per 100,000 live births, while non-Hispanic Black women died from maternal causes at a rate of almost 50 per 100,000 live births. Rates of maternal mortality have risen for white and Hispanic women in recent years, but Black women have by far seen the largest increase in maternal mortality. In 2022, around 253 Black women died from maternal causes in the United States.

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.

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.

This comprehensive dataset provides a detailed state-wise analysis of maternal health indicators in the United States from 2016 to 2021. It covers a broad spectrum of metrics such as maternal mortality rates, prenatal vitamin usage, insurance coverage during pregnancy, and numerous other critical health indicators. Each state is represented with data that includes both weighted percentages and confidence intervals, offering a nuanced view of maternal health across different regions. The dataset is an invaluable resource for understanding the dynamics of maternal health in the U.S., identifying trends, and pinpointing areas that require attention or intervention. It is particularly useful for healthcare researchers, policy analysts, and public health officials seeking to develop targeted strategies to improve maternal health outcomes and reduce disparities among different states and communities.

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.

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

Context

The Maternal Mortality Ratio (MMR) is a crucial indicator within the Gender Inequality Index (GII), an encompassing measure designed to assess gender disparities and inequities within a society. The GII, an extension of the Human Development Index (HDI), focuses on three primary dimensions: reproductive health, empowerment, and economic activity. Reproductive health, one of the key dimensions, sheds light on the challenges faced by individuals based on their gender. Within this context, the Maternal Mortality Ratio specifically gauges the number of maternal deaths per 100,000 live births, providing insight into the disparities in health outcomes experienced by women. This indicator reflects the state of maternal health and underscores the importance of addressing reproductive rights to mitigate gender inequalities.

Content

This dataset encompasses extensive historical information regarding gender development indicators on a global scale. Key columns include ISO3 (the ISO3 code assigned to each country/territory), Country (the name of the country or territory), Continent (the continent of the country's location), Hemisphere (the hemisphere in which the country is positioned), Human Development Groups, UNDP Developing Regions, HDI Rank (2021) representing the Human Development Index Rank for the year 2021, and Maternal Mortality Ratio (deaths per 100,000 live births) spanning from 1990 to 2021.

Dataset Glossary (Column-wise)

• ISO3 - ISO3 for the Country/Territory
• Country - Name of the Country/Territory
• Continent - Name of the Continent
• Hemisphere - Name of the Hemisphere
• Human Development Groups - Human Development Groups
• UNDP Developing Regions - UNDP Developing Regions
• HDI Rank (2021) - Human Development Index Rank for 2021
• Maternal Mortality Ratio (deaths per 100,000 live births) from 1990 to 2021 - Maternal Mortality Ratio from 1990 to 2021

Data Dictionary

• UNDP Developing Regions:
  • SSA - Sub-Saharan Africa
  • LAC - Latin America and the Caribbean
  • EAP - East Asia and the Pacific
  • AS - Arab States
  • ECA - Europe and Central Asia
  • SA - South Asia

Structure of the Dataset

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Acknowledgement

This Dataset is created from Human Development Reports. This Dataset falls under the Creative Commons Attribution 3.0 IGO License. You can check the Terms of Use of this Data. If you want to learn more, visit the Website.

Cover Photo by: Image by gstudioimagen1 on Freepik

Thumbnail by: Baby icons created by Victoruler - Flaticon

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.; ;

From 2019 to 2021, overall infant mortality rates in the U.S. were highest among infants of women who received late or no prenatal care and lowest among infants of women who received it in the first trimester. This statistic depicts the infant mortality rate in the United States from 2019 to 2021, by initiation of prenatal care and maternal race/ethnicity.

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.

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.

This data package includes data about nonmarital childbearing, estimation of morbidity levels related to mother and child shared by the Big Cities Health Coalition members, infant, neonatal, postneonatal, fetal, late fetal and perinatal mortality rates, information over the Pregnancy Risk Assessment Monitoring System (PRAMS), low birth weight and very low birth weight and Breastfeeding among mothers aged between 15 and 44.

Data by medical encounter for the following conditions by age, race/ethnicity, and sex (gender): Congenital Anomalies Maternal Complications

Visit https://www.sandiegocounty.gov/content/sdc/hhsa/programs/phs/maternal_child_family_health_services/MCFHSstatistics.html to view MCFHS perinatal health indicators, including: Live Births Teen Births Early Prenatal Care Preterm Birth Low Birth Weight Fetal Mortality Infant Mortality Maternal Deaths

Rates per 100,000 population. Age-adjusted rates per 100,000 2000 US standard population. Blank Cells: Events less than 11 are suppressed. Starting with data year 2022, geographies with less than 20,000 population contain no age-adjusted rates and all rates based on events <20 are suppressed due to statistical instability. Rates not calculated in cases where zip code is unknown. SES: Is the median household income by Subregional Area (SRA) community. Data for SRA only.

Data sources: California Department of Public Health, Center for Health Statistics, Office of Health Information and Research, Vital Records Business Intelligence System (VRBIS), 2022. California Department of Health Care Access and Information (HCAI), Emergency Department Discharge Database and Patient Discharge Database, 2022. SANDAG Population Estimates, 2022 (v11/23). 2022 population estimates were derived from the 2020 decennial census. Comparison of rates to prior years may not be appropriate. Prepared by: County of San Diego, Health and Human Services Agency, Public Health Services, Community Health Statistics Unit, May 2024.

2022 Community Profile Data Guide and Data Dictionary Dashboard: https://public.tableau.com/app/profile/chsu/viz/2022COREDataGuideandDataDictionary/Home

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;

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.

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.

BackgroundWhile the high prevalence of preterm births and its impact on infant mortality in the US have been widely acknowledged, recent data suggest that even full-term births in the US face substantially higher mortality risks compared to European countries with low infant mortality rates. In this paper, we use the most recent birth records in the US to more closely analyze the primary causes underlying mortality rates among full-term births.Methods and findingsLinked birth and death records for the period 2010–2012 were used to identify the state- and cause-specific burden of infant mortality among full-term infants (born at 37–42 weeks of gestation). Multivariable logistic models were used to assess the extent to which state-level differences in full-term infant mortality (FTIM) were attributable to observed differences in maternal and birth characteristics. Random effects models were used to assess the relative contribution of state-level variation to FTIM. Hypothetical mortality outcomes were computed under the assumption that all states could achieve the survival rates of the best-performing states. A total of 10,175,481 infants born full-term in the US between January 1, 2010, and December 31, 2012, were analyzed. FTIM rate (FTIMR) was 2.2 per 1,000 live births overall, and ranged between 1.29 (Connecticut, 95% CI 1.08, 1.53) and 3.77 (Mississippi, 95% CI 3.39, 4.19) at the state level. Zero states reached the rates reported in the 6 low-mortality European countries analyzed (FTIMR < 1.25), and 13 states had FTIMR > 2.75. Sudden unexpected death in infancy (SUDI) accounted for 43% of FTIM; congenital malformations and perinatal conditions accounted for 31% and 11.3% of FTIM, respectively. The largest mortality differentials between states with good and states with poor FTIMR were found for SUDI, with particularly large risk differentials for deaths due to sudden infant death syndrome (SIDS) (odds ratio [OR] 2.52, 95% CI 1.86, 3.42) and suffocation (OR 4.40, 95% CI 3.71, 5.21). Even though these mortality differences were partially explained by state-level differences in maternal education, race, and maternal health, substantial state-level variation in infant mortality remained in fully adjusted models (SIDS OR 1.45, suffocation OR 2.92). The extent to which these state differentials are due to differential antenatal care standards as well as differential access to health services could not be determined due to data limitations. Overall, our estimates suggest that infant mortality could be reduced by 4,003 deaths (95% CI 2,284, 5,587) annually if all states were to achieve the mortality levels of the best-performing state in each cause-of-death category. Key limitations of the analysis are that information on termination rates at the state level was not available, and that causes of deaths may have been coded differentially across states.ConclusionsMore than 7,000 full-term infants die in the US each year. The results presented in this paper suggest that a substantial share of these deaths may be preventable. Potential improvements seem particularly large for SUDI, where very low rates have been achieved in a few states while average mortality rates remain high in most other areas. Given the high mortality burden due to SIDS and suffocation, policy efforts to promote compliance with recommended sleeping arrangements could be an effective first step in this direction.

Severe maternal morbidity (SMM) refers to life-threatening complications of labor and delivery that result in significant short- or long-term health consequences. SMM data are derived from linking NYC birth certificates for births occurring at NYC facilities with the mother's delivery hospitalization record from the New York Statewide Planning and Research Cooperative System. SMM is identified using an established algorithm developed by the Centers for Disease Control and Prevention that comprises 21 indicators that represent diagnoses of serious complications of pregnancy or delivery or procedures used to manage serious conditions. Each record represents the aggregated number and rate of SMM events in the population group specified for the year specified.