The maternal mortality crisis in the United States is a national embarrassment, and it’s unfolding in real time. The US continues to have one of the highest maternal death rates among high-income countries, and the situation is getting worse, not better. Behind this trend is a growing body of research showing that state abortion bans directly contribute to increased maternal mortality, especially in communities already burdened by systemic inequities.

Maternal mortality has traditionally reflected deep structural problems in a healthcare system that fails to serve all people equally. In 2024, the US maternal mortality rate ticked upward again, reversing a brief decline and demonstrating that the crisis is far from over. Experts point to a range of causes, including reduced access to prenatal care, maternity care deserts, and strained hospital systems, all problems intensified in states with abortion restrictions and in states with increased Immigration and Customs Enforcement (ICE) agents.

A comprehensive analysis from the most recent Centers for Disease Control and Prevention (CDC) mortality figures shows that people living in states that have banned abortion are nearly twice as likely to die during pregnancy, childbirth, or soon after compared with those in states where abortion remains legal and accessible. What’s more, in supportive states where abortion has remained legal, maternal mortality has declined by about 21% since 2022, suggesting that access to comprehensive reproductive care saves lives.

Restricting abortion does more than eliminate a medical procedure; it forces people to carry pregnancies that pose very real health risks. Childbirth has inherent dangers from hemorrhage and infection to hypertensive disorders and cardiac events, and the risk of death from pregnancy is at least 44 times higher than from abortion. When abortion is inaccessible, people are compelled to continue unwanted or medically unsafe pregnancies. That dynamic alone drives increased deaths that could otherwise have been prevented.

Bans do not reduce the prevalence of abortion; they reduce its safety, push people into riskier medical scenarios, and leave pregnant people with fewer options even when their health is at stake.

Racial and socioeconomic disparities in maternal mortality did not begin with the reversal of Roe v. Wade. Black birthing people in the US have long faced significantly higher death rates than white birthing people, a symptom of deep structural racism in healthcare, poverty, and chronic stress. But abortion bans have exacerbated these inequities.

In states with abortion bans, Black birthing people are more than three times as likely as white birthing people in those same states to die from pregnancy-related causes. Those figures make crystal clear that when we talk about maternal mortality, we are talking about a crisis of racial inequity, class inequity, and political neglect. States with the........

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