In the United States, the maternal mortality rate—the number of women who die from pregnancy-related complications—has been on the rise for the last three decades. And while the rate is still relatively low (about 18 deaths per 100,000 live births), it's nearly double what it was in 1987. There are a number of factors that can contribute to maternal mortality, including obesity, chronic health conditions like diabetes and hypertension, and insufficient access to quality healthcare. But one of the most significant risk factors is simply being low-income. According to a new study published in the journal Obstetrics & Gynecology, nearly 60 percent of maternal deaths in the U.S. are preventable. And of those, a full third are related to poverty and a lack of social support. The study's authors used data from the Pregnancy Mortality Surveillance System to identify 3,417 maternal deaths that occurred between 2011 and 2013. They then looked at a variety of factors that might have contributed to those deaths, including the women's health status, access to care, and socio-economic status. They found that, after controlling for other factors, women who were living below the poverty line were nearly three times as likely to die from a pregnancy-related complication as women who were not poor. And those who lacked any kind of social support—whether it was a partner, family, or friends—were also at an increased risk of death. The findings underscore the importance of social support and access to quality healthcare for pregnant women, particularly those who are low-income. They also suggest that maternal mortality is not just a medical problem, but a social one as well.
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