In the last five years, many of the maternal deaths of the United States (almost one -third) have occurred when most of the new mothers thought they were clear, more than six weeks after giving birth, researchers reported on Wednesday.
research, Posted to Jama Network OpenIt is one of the first people who tracked maternity health complications during pregnancy and after delivery.
The US pregnancy-related mortality rate increased nearly 28 % from 2018 to 2022, and in 2021, the height of Covid-19 Pandemic was added somewhat before the height surge.
Dr. Rose L. Molina, an associate professor of obstetrics, gynecology, gynecology, and gynecology at Harvard Medical School, said, “Our research shows why we can’t cancel maternal health.
Women added, “We need to approach high quality treatment from the moment of concept to one year after birth.” We focus on treatment for one year after childbirth, but “We are not there yet.”
This study is based on data from the reproductive health department of the disease control and the prevention center that monitors maternity mortality. Since the so -called, we have confirmed the risk of maternal death. -At to occur from 6 weeks to 1 year after birth.
The Trump administration has closed the department in the restructuring of mass layoffs and institutions last week, despite the fact that the United States has a much higher industrial mortality rate than other developed countries, but has many imbalances among race and ethnic groups. The study of this department aimed to understand and narrow this health gap.
Cardiovascular disease was the main cause of pregnancy -related deaths and the main cause of the midwife death. Other main causes were deaths due to cancer, mental and behavioral disorders, drugs and alcohol. (Accident, murder and other deaths are not included in the analysis.)
The risk of women facing in the first year after delivery was not well understood until recently. Six weeks after giving birth, they are a time to pay attention to the new mother’s last recommendation, that is, the health of the new baby.
American gynecologists and gynecologists now see doctors within the first three weeks after all women have a baby, follow -up and continuous treatment as needed, and are recommended to visit post postpartum after 12 weeks after birth.
Dr. Tamika Auguste, chairman of the women’s and early childhood service chairman of Medstar Washington Hospital Center, said, “If you have hypertension disorders, we will see you after 3 to 5 days after delivery.
“We no longer say,” Wait for six weeks. ” “Even if you don’t have high blood pressure, I want to see others in two weeks.” Dr. Agarste said during this period, the patient should be carefully selected for depression and mental health problems.
Interest in alien death helped to extend Medicaid Insurance from 60 to one year after delivering Medicaid Insurance. Medicaid guarantees almost half of all pregnant women, but the proposed federal cuts can endanger reports, women’s health advisors say.
The study also recorded racial, ethnic and regional imbalances.
Native Americans and Alaska Aboriginal women died during pregnancy, and black women were killed at 3.8 times higher than white women in one year after childbirth, and black women died at 2.8 times higher. Hispanic women and Asian women died at the lowest rate.
The mortality rate was also three times more diverse every week. In the southeastern country, the mortality rate was generally high. Alabama was the highest, followed by Mississippi. California was the lowest in California, followed by Minnesota.
The deaths of pregnancy were killed at 44.1 per birth in 2021 by Covid-199 Pandemic, and decreased to 32.6 in 2022 after increasing to 25.3 in 2018.
After the rapid rise in 2021, the maternal deaths increased in 2022.
Overall, the surge in death in all ages was observed, but unbalanced increased among women between 25 and 39 and 39 years old. Cardiovascular disease played a major role.
Pregnancy can affect cardiovascular systems and can exacerbate fundamental conditions such as hypertension. Dr. Molina said at the same time that cardiovascular disease is spreading more to young adults.
Dr. Molina said, “This is why we see this in a specific age because we look like an early harsh society.