A Call to Action: Cardiovascular-Related Maternal Mortality
Pregnancy-related mortality has been steadily increasing in the United States, with cardiovascular disease (CVD) leading as the major cause of maternal mortality. Black and Indigenous (American Indian/Alaska Native) women experience the greatest disparities in maternal mortality and postpartum disease progression, largely because of increased risk for the onset and progression of CVD during and after pregnancy. The most recent statistics (2014–2017) of the pregnancy-related mortality ratio by race/ethnicity show that non-Hispanic Black women experience 41.7 deaths per 100 000 live births as compared with 13.4 deaths per 100 000 in non-Hispanic White women, representing nearly a 4-fold higher risk of death. Indigenous women in the United States experience 29.7 deaths per 100 000, representing more than a 2-fold higher risk of death compared with the non-Hispanic White referent group.