The United States is facing a concerning maternal mortality crisis, with rates much higher than other wealthy nations, especially among Black moms. Research indicates that the majority of pregnancy-related deaths can be prevented. Factors contributing to the high maternal death rates in the U.S. include disparities in healthcare access, systemic racism, substandard medical care, and an increase in chronic conditions among women of reproductive age.
To address this issue, health experts suggest looking to successful approaches implemented in other countries, particularly in Europe, where many nations have significantly lower maternal mortality rates. For instance, Norway boasts the lowest maternal mortality rate worldwide, at zero. The country’s universal healthcare system ensures free prenatal appointments for pregnant individuals in conveniently located health centers, contributing to early problem detection and treatment.
One essential aspect in reducing maternal mortality is providing regular prenatal check-ups, necessitating an adequate number of healthcare providers. Norway, with 13 OB-GYNs and 54 midwives per 1,000 live births, outperforms the U.S., which has 12 OB-GYNs and four midwives. By focusing on basic healthcare and early intervention, Norway exemplifies how maternal deaths can be entirely preventable.
Furthermore, the post-delivery period plays a crucial role in maternal health outcomes. Norway’s low national cesarean section rate (16% compared to the U.S.’s 32%) and mandatory generous paid leave contribute to better postpartum health. In the U.S., initiatives like Commonsense Childbirth in Florida are modeled after successful European care practices. Founded by British immigrant Jennie Joseph, the program emphasizes access, connection, knowledge, and empowerment, welcoming vulnerable patients and prioritizing respectful care.
Commonsense Childbirth, which has not experienced any maternal deaths in its 26-year history, relies on philanthropy to offer care to underserved communities. Research indicates that midwifery-led care is cost-effective and results in fewer medical interventions compared to OB-GYN-led care for women without major health issues. Collaborations with hospitals for patients requiring specialized care and strong postpartum support further contribute to positive maternal health outcomes.
By observing successful European models and adopting principles of accessible, respectful, and comprehensive maternal care, the U.S. could work towards addressing its alarming maternal mortality crisis.
