COVID-19 linked to increase in US pregnancy-related deaths

WASHINGTON — COVID-19 drove a dramatic increase in the number of women who died from pregnancy or childbirth complications in the U.S. last year, a crisis that has disproportionately claimed Black and Hispanic women as victims, according to a government report released Wednesday.

The report lays out grim trends across the country for expectant mothers and their newborn babies.

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It finds that pregnancy-related deaths have spiked nearly 80% since 2018, with COVID-19 being a factor in a quarter of the 1,178 deaths reported last year. The percentage of preterm and low birthweight babies also went up last year, after holding steady for years. And more pregnant or postpartum women are reporting symptoms of depression.

“We were already in the middle of a crisis with maternal mortality in our country,” said Karen Tabb Dina, a maternal health researcher at the University of Illinois at Urbana-Champaign. “This really shows that COVID-19 has exacerbated that crisis to rates that we, as a country, are not able to handle.”

The nonpartisan U.S. Government Accountability Office, which authored the report, analyzed pregnancy-related deaths after Congress mandated that it review maternal health outcomes in the 2020 coronavirus relief bill.

The maternal death rate in the U.S. is higher than many other developed nations and had been on the rise in the years leading up to the pandemic, but COVID-19 has only worsened conditions here for pregnant women.

Women who contract the virus while pregnant face elevated health risks. Staffing shortages and COVID-19 restrictions created more hurdles for expecting mothers to get in-person health care; And pandemic stress has intensified depression, a common condition during pregnancy.

Mental health issues likely contributed to the increase in pregnancy-related deaths, Tabb Dina said. Many women who experience depression and anxiety during or after their pregnancy struggle to get the care they need.

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