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