Category: News & Press

(10/11/2022) Today, U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra issued the following statement on the Biden-Harris Administration’s final rule to strengthen implementation of the Affordable Care Act by fixing the “family glitch,” a step that will help about 1 million Americans either gain coverage or see their coverage become more affordable. “Protecting and […]

This month, I am happy to spotlight the What to Expect Project (WTEP), a PMNCH member of the NGO constituency that is holding its 8th annual #BumpDay initiative on 20 July.  Every day, more than 800 women die from preventable causes related to pregnancy or childbirth worldwide, and there are currently vast disparities in care based on […]

28 June 2022, WASHINGTON – Secretary of the Air Force, Frank Kendall, presented Heidi and Erik Murkoff with the Zachary and Elizabeth Fisher Distinguished Civilian Humanitarian Award on June 23, for their longstanding support to military moms and dads stationed around the world. The ceremony honoring their contributions to the Armed Forces was held in […]

What to Expect, a platform of over 20 million moms, will author a blog series featuring doctors and other trusted experts answering questions about pediatric COVID-19 vaccines, and how moms, expecting moms, and all parents can get the information they need to get themselves and their children vaccinated; author new articles dispelling myths about the […]

Story at a glance
In early May, a leaked draft opinion stated the Supreme Court plans on overturning Roe v. Wade, which protected women’s right to have an abortion.
If overturned, it would be up to individual state governments to decide whether abortion is legal. At least 26 states are poised to outlaw it entirely if Roe is overturned.
A lack of access to abortion has a number of health consequences for women including increasing rates of maternal mortality as well as depression and anxiety.
Earlier this month, Politico published a leaked draft opinion stating the Supreme Court plans to vote to overturn Roe v. Wade, the groundbreaking 1973 decision that protected women’s right to choose to have an abortion.

In the draft opinion, Justice Samuel Alito wrote that “Roe was egregiously wrong from the start” and “we hold that Roe and Casey must be overruled.” A final decision from the Supreme Court is expected in June or July and if overturned, states would be allowed to decide whether to have legal abortion care — and it looks as if at least 26 states will likely ban abortion completely.

Since the opinion leaked, activists, educators and health experts across the country have warned about how a world without Roe will be catastrophic for women’s health, particularly for poor women of color.

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“Women and children will die,” said Carolyn West, associate dean of special initiatives at the University of Washington, Tacoma. “That’s the bottom line.”

Expect a higher maternal mortality rate

The United States has the highest maternal mortality rate of any country in the industrialized world. In 2020, the Centers for Disease Control and Prevention reported 861 women died in childbirth and that number is going up. Some health care providers warn that with the overturning of Roe v. Wade, maternal mortality rates could go up in the country. Already some conservative lawmakers are pushing to try to enact legislation making it illegal to perform an abortion with no exceptions, even if the abortion would be done to save the life of the mother.

Expect it to become harder to treat miscarriages

Some miscarriages are treated the same ways as abortions. Although some women who miscarry do not need any medical intervention, others will need to take medication to ensure all the contents of the uterus are expelled while others will need to undergo a medical procedure called a dilation and curettage where a doctor inserts an instrument into the uterus to scrap blood and fetal remains.

In Texas, which already has very restrictive abortion laws, there are already threats to miscarriage treatment. A state law passed last year bans the use of several medications as abortion-inducing drugs but two of those medications, misoprostol and mifepristone, are used for treating early miscarriages.

“Overturning Roe v Wade certainly also opens the door to people who have a miscarriage being questioned about their pregnancy how come you know doctors being concerned about whether or not they can provide certain treatment,” Krishna Upadhya, vice president of quality care and health equity at Planned Parenthood Federation of America, told Changing America.

“Bans on abortions don’t make sense from a scientific and medical standpoint…when you overturn Roe versus Wade and allow bans to take place across the country, the potential harms are just really far reaching and devastating,” she added.

Expect mental health to become worse for some women

Making it more difficult or impossible to access abortion could harm the mental health of some women. Shortly after news broke that the Supreme Court would likely vote to overturn Roe v. Wade, the American Psychological Association released a statement expressing concern over the potential undoing of the decision. One study found that most women who receive an abortion do not regret the decision years later and that those denied an abortion actually suffer from worse mental health down the line than those who chose to terminate their pregnancy.

“Rigorous, long-term psychological research demonstrates clearly that people who are denied abortions are more likely to experience higher levels of anxiety, lower life satisfaction and lower self-esteem compared with those who are able to obtain abortions,” said APA President Frank C. Worrell. “In addition, there is no research to indicate that abortion is a cause for subsequent mental health diagnoses.”

Expect it to be more difficult for some women to leave abusive relationships

In his statement, Worrell also adds that there is a “strong relationship” between unwanted pregnancy and interpersonal violence with there being evidence to show that a lack of access to abortion increases the chances that women in abusive relationships will experience physical abuse from their partners. Between 6 to 22 percent of women seeking to terminate a pregnancy reported experiencing intimate partner violence, according to a 2014 study.

Women of color are more likely to suffer the most from lack of abortion access given that they experience intimate partner violence at higher rates than white women. Around 40 percent of Black women will experience intimate partner violence in their lifetime while 55 percent of Native women will experience physical intimate partner violence.

By Annie G. Toro, JD, MPH, President and Executive Director of the What to Expect Project

No matter where in the world they live, every expectant mom wants what’s best for their baby: a healthy beginning to a healthy, bright future.

Established in 1997 by its founder, Heidi Murkoff – author of What to Expect When You’re Expecting, the What to Expect Project (WTEP) is dedicated to informing, supporting, and empowering moms in need, in the United States and around the world, so they can expect healthier pregnancies, safer deliveries, healthier babies, and healthier futures.

WTEP harnesses the power and global reach of the What to Expect brand and mobilizes its community of more than 20 million moms to help bring about positive change, particularly on issues that impact moms and families most. We use the latest evidence-based strategies in the fields of health, education, and communication to train health care providers how to recognize if their patients do not understand health messages and to provide them tools and training to overcome these obstacles.

Tragically and wrongly, too many moms don’t receive the quality, comprehensive, respectful, responsive, supportive, empathetic, and nurturing care they need and deserve.

This July 20th, we will celebrate our 8th annual #BumpDay – a social media advocacy campaign that celebrates healthy pregnancies while raising urgently-needed awareness about maternal deaths and the need for better, more accessible maternal health care. Our goal: to ensure that every mom receives the care and support they need to deliver a healthy start in life and a healthy future for themselves and the baby they love. Last year, WTEP worked with members of Congress to pass a bipartisan resolution commemorating the ideals of #BumpDay and reaffirming the United States’ leadership to end preventable maternal deaths in the United States and across the globe.

From increasing access to doulas, midwives, and other essential health workers, to strengthening health systems’ capacity to prepare and respond to the COVID-19 pandemic and future public health emergencies, to reducing preventable maternal mortality and morbidly through working to deliver a continuum of care for all moms, from preconception through postpartum, WTEP works with policymakers and other stakeholders across the political spectrum at the local, state, national, and global level to remove barriers to essential maternal health care and services for our most at-risk moms.

It takes a village to raise a child. But first, that village must safely deliver a healthy baby…to a healthy mom.

To learn more, please visit: www.whattoexpectproject.org

About WTEP: The What to Expect Project (WTEP) is dedicated to informing, supporting, and empowering moms in need, in the United States and around the world, so they can expect healthier pregnancies, safer deliveries, healthier babies, and healthier futures. At WTEP, we focus on nurturing the nurturers.

We envision a world where all expecting moms receive the vital, empowering information and the responsive, respectful, culturally appropriate, community-specific care and support they need to plan and safely navigate pregnancy, postpartum and beyond.

“This week, we celebrate the work and contributions of doulas, and the critical role they play in delivering the respectful, responsive, comprehensive continuum of care every mom needs to deliver a healthy beginning and a healthier future for herself and the baby she loves. The What to Expect Project believes that doulas are the missing link in […]

Today, Congresswoman Moore, Senator Elizabeth Warren (D-Mass.), along with Senator Cory Booker (D-N.J) and Representatives Deborah Dingell (D-Mich.), Ayanna Pressley (D-Mass.), Lauren Underwood (D-Ill.), and Alma Adams (D-N.C.) announced the re-introduction of the Mamas First Act, vital legislation to address the maternal mortality crisis that would expand Medicaid to include doula and midwifery care. In […]

The rate of maternal mortality in the U.S. increased by nearly 20% from 2019 to 2020 in a potential indication of the COVID-19 pandemic’s impact on maternal health outcomes.

Data in a new report published Wednesday by the Centers for Disease Control and Prevention shows the overall maternal death rate in the U.S. rose from 20.1 deaths per 100,000 live births in 2019 to 23.8 deaths per 100,000 in 2020, marking an 18% increase. The rate has increased by nearly 37% since 2018, when there were 17.4 deaths for every 100,000 live births.

In total, 861 women in 2020 reportedly died either during or within 42 days of the end of their pregnancy, compared with 754 women in 2019 and 658 in 2018.

The report’s findings are based on data collected from the CDC’s National Vital Statistics System, and encompass maternal deaths linked to a pregnancy or its management. Deaths from accidental or incidental causes are not included.

Maternal mortality rates in 2020 went up across multiple age and racial groups in the report; notably, however, an “observed increase from 2019 to 2020 for non-Hispanic White women was not significant,” researchers said. The overall surge was fueled heavily by a spike in the rates for both Hispanic and Black women. Black women had the highest maternal mortality rate of the three racial or ethnic groups included, at 55.3 deaths for every 100,000 live births. That rate was nearly three times higher than the 19.1 deaths per 100,000 births among white women – a larger disparity than in 2019 – and more than three times higher than the rate of 18.2 deaths per 100,000 among Hispanic women.

Yet the maternal death rate among Hispanic women saw the largest increase from 2019 to 2020, rising by 44% over that year compared with an increase of 26% among Black women.

By age, women 40 and older had both the highest mortality rate and the largest increase from 2019. The maternal mortality rate for women 40 and older was 107.9 deaths for every 100,000 live births in 2020, a 43% increase from 2019 and 7.8 times higher than the rate of 13.8 per 100,000 live births for women under the age of 25. A rate increase among women under 25 was not statistically significant.

For years, the U.S. has had what can only be described as a poor record in maternal health outcomes when compared with other wealthy nations. A 2020 analysis by The Commonwealth Fund found that the 2018 U.S. maternal mortality rate of 17.4 deaths for every 100,000 live births was more than double the recent rates of a majority of other developed countries studied.

Tracking data from the CDC shows 82 deaths among pregnant women with the disease reportedly occurred in 2020. And though the latest figures do not delineate whether deaths occurred in connection with COVID-19, they come amid concern about both the direct and indirect health risks the COVID-19 pandemic has posed for pregnant women.

The CDC warns that pregnant or recently pregnant people are more likely to become severely ill from COVID-19. A CDC study published in November and focused on Mississippi also found a higher mortality rate among women with a coronavirus infection during pregnancy – none of whom had been fully vaccinated – compared with females of reproductive age who had a coronavirus infection.

The pandemic additionally disrupted maternal health care, leading to the alteration or cancellation of prenatal visits, hospitals enacting restrictions on who could be with a mother during delivery and even the shuttering of some birth-related services, at least temporarily. The number of home births rose by nearly 20% in 2020, from more than 38,000 in 2019 to more than 45,000.

Data also points to elevated levels of issues like depression and anxiety among many pregnant women during the pandemic.

“When we think about all of the stressors that a person felt even prior to the pandemic, adding all of these other things on top, it’s no surprise that we see an additive effect of the pandemic causing feelings of unsafety,” says Kristina Wint, senior program manager for reproductive and maternal health and wellness at the Association of Maternal and Child Health Programs. “Many people think that televisits is something that has been filling in the gaps, and it absolutely has, but they are just a Band-Aid on a broader and bigger issue on how (we can) ensure that people are able to access the care that they need.”