Maternal Deaths Spiked In US During First Year of the Pandemic, Study Finds

The first yr of the pandemic in America noticed a startling and disproportionate rise in maternal mortality, in keeping with new analysis launched Tuesday. In 2020, the research discovered, deaths throughout or quickly after being pregnant rose even greater than the spike in mortality seen nationwide. This leap in mortality was felt hardest amongst Black and Hispanic moms.

The study, carried out by researchers on the University of Maryland and Boston University, discovered a 33% improve in maternal deaths relative to the pre-pandemic period.

The analysis follows on a research by the CDC’s National Center for Health Statistics (NCHS), reported this February, which discovered that maternal deaths rose by about 18% in 2020 in comparison with the earlier yr, which was barely greater than the general 17% improve in U.S. deaths reported in 2020. But the Maryland and Boston researchers wished to take a more in-depth have a look at how a lot the pandemic contributed to this rise. So utilizing this similar knowledge, they in contrast maternal deaths within the U.S. over a 3 yr interval from 2018 to 2020.

They discovered that the rise in maternal mortality was much more pronounced after March 2020, when the pandemic started to unfold broadly all through the nation. There had been 684 deaths (25.1 per 100 000 dwell births) reported throughout the months of April to December 2020, making for a 33% improve in deaths relative to the pre-pandemic period. And because the CDC had discovered, this improve was even greater than the rise in mortality seen total within the U.S. throughout the first yr of the pandemic.

“In the US, maternal deaths increased substantially (33%) after March 2020, corresponding to COVID-19 onset, a figure higher than the 22% overall excess death estimate associated with the pandemic,” the authors wrote of their analysis letter, published in JAMA Network Open.

As many different research have proven, the harms of the pandemic on moms weren’t equally distributed both. The will increase had been largest for Hispanic and Black moms, with the loss of life charge rising by 40% in non-Hispanic Black moms and by 74% in Hispanic moms.

“For the first time in more than a decade, the maternal mortality rate for Hispanic women during the pandemic was higher than that for non-Hispanic white women, a shift that may be related to Covid and deserves greater attention moving forward,’ said study author Eugene Declercq, a researcher at Boston University’s School of Public Health, in a statement.

Many studies have found that covid-19 during pregnancy can raise the risk of life-threatening illness and serious complications for both mother and child. And excess mortality data can provide a more accurate picture of the toll caused by large scale disasters like a pandemic, especially early on when deaths are more likely to be miscounted. But this data alone can’t tell us how many of these deaths were directly caused by infection from the coronavirus.

Some of these added deaths may have been indirectly linked to the pandemic, for instance, such as those caused by disruptions to the healthcare system. That said, the authors did find that the largest increases in maternal mortality were attributable to conditions often caused by covid, such as respiratory failure, or to conditions known to be worsened by infection, such as diabetes and cardiovascular disease. Doctors also recorded covid-19 as a secondary cause of death in 14.9% of maternal deaths in the last nine months of 2020, and listed it as a contributing factor in 32% of deaths among Hispanic people, 12.9% of deaths among Black people and 7% of deaths among non-Hispanic white women.

The development of vaccines by late 2020 has undoubtedly saved many lives (over 20 million worldwide in 2021, according to one recent estimate). So there is reason to hope that these trends in maternal mortality have improved since 2020. But vaccination rates in the U.S. have been lower for pregnant people compared to the general population, and the country has continued to experience large waves of death even after vaccines were made widely available. The authors say it will take more research to figure out whether mothers have remained at higher risk for death than before the pandemic.

“We need more detailed data on the specific causes of maternal deaths overall and those associated with COVID-19,” stated research creator Marie Thoma, an assistant professor of household science on the University of Maryland’s School of Public Health, in an announcement. “Potentially we could see improvements in 2021 due to the rollout of vaccines, as well as the extension of postpartum care provided for Medicaid recipients as part of the American Rescue Act of 2021 in some states. We’re going to continue to examine this.”