COVID had a dramatic and tragic effect on maternal mortality rates, but we cannot let that fact obscure the reality that structural racism, systemic discrimination, and health inequities compounded the crisis. Until issues related to income inequality, family planning, education, and racial injustice are addressed, pregnancy-related deaths will continue to soar in the country and disproportionately effect the most vulnerable.
These results are disheartening, but not surprising considering the myriad of external facts causing them such as the COVID pandemic and the influence of higher rates of diabetes and obesity. While the US must address these crucial issues, pregnant women also have agency and could take steps to lower their mortality risk, including by maintaining a healthy weight, eating a balanced diet, and ceasing the use of any substances.