id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ihlr-27439	Barnes, Kasey	Indiana's Efforts to Reduce Maternal Mortality: Necessary, but Insufficient	2023	27	.pdf	application/pdf	11073	576	46	[Vol. 20:357 preventable.19 Further, an additional fifty-thousand women suffer from maternal morbidity, which includes short or long-term health consequences such as postpartum hemorrhage or hypertensive complications.20 Perhaps even more troubling is that the COVID-19 pandemic has disrupted maternal health care by altering or cancelling prenatal visits and limiting some birth-related services.21 In fact, the maternal mortality rate increased twenty-percent from 2019 to 2020, illustrating the potential impact the COVID-19 pandemic has had on worsening maternal mortality.22 Moreover, understanding the true picture of maternal mortality can be difficult due to the different terms classifying maternal mortality and the different methods of counting maternal mortality. Moreover, in 2018, Indiana ranked the third worst state in the U.S. with a maternal mortality rate of 43.6 deaths per 100,000 live births,9 a rate nearly twice as high as neighboring states such as Kentucky, Ohio, Illinois, and Michigan, and twice as high as the national average.10 By comparison, California, Massachusetts, and Nevada, have some of the lowest rates with 4.0, 8.4, and 8.4 deaths per 100,000 live births, respectively.11 The variability in maternal mortality rates between states is just one example of why improving maternal mortality rates is a complex and challenging issue to improve.	cache/ihlr-27439.pdf	txt/ihlr-27439.txt