What are pregnancy-related deaths?
Pregnancy-related deaths are those that occur during or within one year of pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiological effects of pregnancy. By understanding these cases, the MMMRC can identify opportunities to prevent similar deaths and inform maternal health programs, policy, and systems.
Massachusetts data
Through the findings of the Maternal Mortality Review Committee, the Committee found that in Massachusetts between 2019 and 2024:
- The pregnancy related mortality ratio is 20.3 deaths pers 100,000 live births, with a general decrease in deaths between 2021-2024.
- Black non-Hispanic birthing people experienced pregnancy-related morality at a greater rate compared to their White non-Hispanic counterparts.
- Mental health conditions (38%) were the more frequent cause of pregnancy-related deaths, followed by hemorrhage (14%), infection (9%), and embolism (9%) respectively.
- The leading underlying cause of pregnancy-related deaths among Black non-Hispanic birthing people was hemorrhage (40%) and among White non-Hispanic birthing people was mental health (52%).
- Eighty-five percent of pregnancy-related deaths were determined to be preventable.
- More than half of pregnancy-related deaths occurred 7 days to one year after pregnancy.
For state specific data please refer to our most recent report. For information on case identification please review our methodology.
National data
- Birthing people in the United States are more likely to die from childbirth or pregnancy-related causes than those in other high-income countries.
- 87% of US pregnancy-related deaths are preventable.
- Black and American Indian and Alaska Native birthing individuals remain the most disproportionately affected groups in the US maternal mortality.
- Black women are three times more likely to die from a pregnancy-related cause and American Indian and Alaska Native women are 2-3 times more likely to die than White women. These disparities only worsened during the COVID-19 pandemic.
- Disparities reflect systemic issues rooted in access to care, socioeconomic status, and structural inequities within health systems.
- The majority (71%) of maternal deaths occur in the first year after birth. Despite efforts to improve clinical care during labor and delivery, long-term solutions must include policy, social support, and integrated care models that extend into the postpartum period.
- Substance use accounts for more than one in five pregnancy-related deaths in the U.S.
Sources
- Declercq E, Zephryin LC | Maternal Mortality in the United States, 2025 | The Commonwealth Fund | July 2025.
- Working Together to Reduce Black Maternal Mortality | Women’s Health | CDC
- Disparities and Resilience Among American Indian and Alaska Native Women Who Are Pregnant and Postpartum | HEAR HER Campaign | CDC
- Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees, 2021 | Maternal Mortality Review Committees | CDC
Data & Reports
- MMMRC Data Brief 2019–2023 (PDF)
- MMMRC Legislative Report 2020–2021 (PDF) | (DOCX)
- An Assessment of Severe Maternal Morbidity in Massachusetts 2011–2022 (PDF) | (DOCX)
- An Assessment of Severe Maternal Morbidity in Massachusetts 2011-2020 (PDF) | (DOCX)
- Maternal Mental Health & Pregnancy-Associated Deaths 2012-2014 (PDF) | (DOCX)
- Substance Use among Pregnancy-Associated Deaths — Massachusetts, 2005–2014 (PDF) | (DOCX)
- 2014 Report: Pregnancy-Associated Mortality, 2000-2007 (PDF) | (DOCX)
- Missed Opportunities Among Pregnant and Postpartum Women Who Died from Opioid Use in MA (PDF) | (DOCX)
- Previous Reports