“The biggest concern of course is access to care for women, and I think it means that both infant mortality rates run the risk of going up and maternal mortality rates run the risk of going up.River health assessment (RHA) is a robust methodology for ascertaining the health of riverine ecosystems, and offering solutions for river conservation and management. “We already know that we have huge disparities in ob-gyn care for pregnant women,” he said. “It’s quite concerning, and then on top of that, we know that that’s only likely to get worse as the baby boom generation that’s practicing medicine begins to go away, and I think everybody’s predicting some kind of physician shortage,” Benjamin said. Georges Benjamin, executive director of the American Public Health Association, who was not involved in the new report. The March of Dimes report is “eye-opening” and “quite frightening,” said Dr. “But we’re already seeing some signs that there are concerns that care providers have about moving into places where their care may be misconstrued as violating a law.” “We need to monitor this to see if this is really what will occur,” Stewart said. One of the things that we are absolutely certain of is that we have to make sure that in these places where care is already limited, we should not be doing things to further limit the care that women need,” Stewart said, adding that for maternity care deserts in need of more obstetricians, restrictive laws around abortion access could be a disincentive for attracting providers.
“We at the March of Dimes are monitoring the effects of the Dobbs decision. Wade, holding that there is no longer a federal constitutional right to an abortion and paving the way for states to ban abortions. Jackson Women’s Health Organization, which overturned Roe v. In June, the Supreme Court ruled on Dobbs v. How outlawing abortion could worsen America's maternal mortality crisis “Ironically, there is a bit of an overlap when you look at the maps of the maternity care deserts and when you look at some of the states that have passed these very restrictive laws,” she said.
While the new report does not include any mention or analysis of abortion access, research shows correlations between maternity care deserts and states where abortion access is limited, Stewart said. “Then on the flip side, a state like Georgia, which has some of the worst outcomes of maternal mortality and morbidity in the country, actually improved a little bit in terms of access to care.” “Texas has some of the highest amounts of maternity care deserts in a state, and in fact, between our 2020 report and this year, Texas has actually gotten even worse, where there are 12 counties in the state of Texas that have actually gotten worse in terms of access to maternity care,” she said. “We have seen a trend of the most of these maternity care deserts really existing in large parts of the South and some in the Midwest,” Stewart said. Why a woman's doctor warned her not to get pregnant in Texas The researchers noted that much of the data analyzed in the report reflects information collected before the Covid-19 pandemic and should not be interpreted as a direct result of Covid-19. In the new report, March of Dimes researchers defined a maternity care desert as any county without a hospital or birth center offering obstetric care and without any obstetric providers, such as obstetricians, gynecologists and certified midwives or nurse midwives. And part of the problem with that, and part of the reason for that, is because of these huge gaps in access to care.” “Today, the US is considered, among all highly industrialized countries, one of the most dangerous developed nations in the world in which to give birth. “They live in places where there is either no or limited obstetric care – counties that don’t have a hospital that offers obstetric services, no ob-gyns, no certified nurse midwives, no birthing centers,” March of Dimes President and CEO Stacey Stewart said. Overall, about 6.9 million women of all ages live in areas with little to no access to maternity care.
More than 2.2 million US women of childbearing age – 15 to 44 – live in maternity care deserts, the report found. Maternity care deserts can be associated with a lack of adequate prenatal care during pregnancy or treatment for pregnancy complications, and even an increased risk of maternal death. US sees continued rise in maternal deaths - and ongoing inequities, CDC report shows
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