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July 8, 2019

Regionalization of Care and the Maternal-Infant Dyad Disconnect

Author Affiliations
  • 1Division of Neonatology, Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
  • 2Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia
  • 3Maternal and Child Health Research Center, Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 4Division of Neonatology, Department of Pediatrics, Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA. 2019;322(6):503-504. doi:10.1001/jama.2019.6403

The maternal mortality rate in the United States was 23.8 per 100 000 in 2014, which was an increase of 26% from 2000, and is in stark contrast to the 157 of 183 countries that reported a decrease in maternal mortality to the World Health Organization during the same period.1 In addition, the rate of severe maternal morbidity (defined as the occurrence of 1 of 18 conditions that is an unexpected outcome during labor and delivery and results in significant short- or long-term consequences to a woman’s health) has increased by 200% since 1993 and is currently 144.0 per 10 000 delivery hospitalizations.2

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