Maternal mortality is on the rise in the United States, increasing from 7.2 deaths per 100,000 births in 1987 to 17.3 in 2013. These rates are higher than expected for a developed country and research suggests several causes, including demographic changes and the rise of chronic disease among women of reproductive age. Maternal mortality is an indicator of maternal morbidity and overall quality of women’s healthcare. Pregnancy-related maternal mortality has not increased over time in Washington State as it has nationally, but Washington residents of color experience similar racial disparities as in other states.

The Department of Health’s Maternal Mortality Review Committee identified 16 pregnancy-related deaths between 2014 and 2015. 75% of these women had received Medicaid benefits while pregnant. The Committee’s recommendations to prevent maternal mortality include expanding Medicaid to cover all physical and mental health needs through the first year of pregnancy and ensuring all people have access to reproductive health counseling and contraception of choice.