Maternal deaths fall across globe but rise in US, doubling in Texas

Story highlights

  • US maternal mortality trends are up, unlike in the rest of the world
  • The rate of US pregnancy-related deaths has especially gone up in Texas

This story, published in 2016, highlighted Texas statistics on maternal deaths, which surged between 2010 and 2012. In 2018, a separate study found that the 2016 study's figures were inflated by nearly two-thirds.

(CNN)The good news is that maternal mortality rates are declining worldwide. The bad news? The situation for women in the United States is a glaring exception. And in Texas, where clinics serving women have shuttered and their health interests have been battled all the way up to the US Supreme Court, the rate of pregnancy-related deaths more than doubled over the course of two years.

These are some of the findings in a new study (PDF) in the September issue of Obstetrics & Gynecology. The authors set out to analyze maternal mortality trends in part because the United States government has not published official data on this subject since 2007, they said, calling that fact an "international embarrassment."
    One of the eight United Nations Millennium Development Goals sought a 75% reduction in pregnancy-related deaths from 1990 to 2015. Just as the world turned its attention to this matter with marked success, the United States stopped offering data and began moving backward. Funding challenges and a tangled mess of inconsistent measurements may have been to blame for the lack of information, the authors said.
    The United States performs worse than any other developed nation when it comes to maternal death, according to State of the World's Mothers 2015, the most recent comprehensive report compiled by Save the Children, a 90-year old global organization advocating for kids' needs. In the United States, a woman faces a one in 1,800 chance of dying from a pregnancy-related cause during her reproductive years, that report says. She's 10 times more likely to die this way than a woman living in Poland, Austria or Belarus.
    Pregnancy-related deaths are still rare in the United States, certainly in comparison with less-developed nations. But the estimated rate of maternal mortality in 48 states and Washington grew by about 27% between 2000 and 2014, said the authors of the newer study.
    The two most populous states, California and Texas, had enough data to allow for more analysis. Research showed that California succeeded in decreasing numbers, the researchers said, but Texas death rates climbed like no other state in the nation.

    The trouble with Texas

    From 2006 through 2010, numbers from the National Center for Health Statistics show that the rate of maternal deaths in Texas wavered little. There were as few as 69 deaths in 2009 and as many as 82 in 2008. But from 2010 to 2012, those numbers shot up from 72 deaths to 148. In 2013, deaths fell slightly to 140, and there were 135 in 2014, the last year analyzed by the study's researchers.
    Advocates for reproductive rights -- including the right to legal and safe abortions -- were quick to seize upon the news with their analysis about the trend in Texas.
    The uptick is no coincidence, they say. In this same window of time, Texas politicians voted to defund Planned Parenthood and slashed family planning dollars, reducing access to more than abortions. Other services provided by Planned Parenthood, which often caters to underserved communities, include breast and cervical cancer screenings, contraceptive counseling, STD testing and treatment, and multiple forms of preventive women's care.
    "For many of our patients, Planned Parenthood and other family planning clinics are their gateway to the health care system," said Sarah Wheat, chief external a