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NJ Maternal Death Rates 

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New Jersey has more maternal deaths than the counties of Uzbekistan and Georgia.  Women of color are 3 times more likely to die in New Jersey then white women.  We didn't get these poor outcomes overnight.  So what's happening?  What's being done? What's the plan moving forward? While most people think that mothers die during child birth, the majority of deaths occur after the 43rd day postpartum. 
In the New Jersey Senate held a hearing on maternal death.  The outcomes were horrendous. How could a state with 70 acute care facilities be the 3rd most dangers state for pregnant and postpartum women?  In a state that has the 5th most expensive hospital care costs in the country, we are certainly not seeing where expensive hospital care has improved the death rate.  Several legislative bill were born from that hearing.  It's been a long legislative process, but there are hopes that progress will be made.  

Legislation
The Bills introduced January 22, 2019 
A1662 Doula care-prov. Medicaid coverage 2RA3/18/2019 Senate bill  S1784   
A4930 Maternity care-estab. training protocols 2RA3/18/2019 Senate bill  S3373   
A4931 Maternity care eval.-concerns 2RA3/18/2019 Senate bill S3363
A4932 Medicaid-perinatal episode care prog. 2RA3/18/2019 Senate bill S3365
A4933 Listening to Mothers Survey Act 2RA3/18/2019 Senate bill S3377
A4934 Medicaid coverage-concerns elig. 2RA3/18/2019 Senate bill S3374
A4935 Early elective deliveries-proh. coverage 2RA3/18/2019 Senate bill S3378 
A4936 Maternal health care pilot prog.-estab. 2RA3/18/2019 Senate bill S3375
A4937 Maternal mental health-concerns 2RA3/18/2019 Senate Bill S3364
A4938 My Life, My Plan-estab. prog. 2RA3/18/2019 Senate bill S3376
A4939 Interconception care-concerns 2RA3/18/2019 Senate bill S3372
A4940 Perinatal health training-concerns 2RA3/18/2019 Senate bill S3371
A4941 Maternity care pub health campaign-estab 2RA3/18/2019 Senate bill S3370
AR219 Birth standards-encourage DOH dev. 2RA3/18/2019  Senate bill SR121
Click here to link to the bills 


While all of the bills have passed through the committees fairly swiftly, the full assembly still has to vote on this package of bills.  
The bill that saw the most opposition was the bill to provide payments to doulas.  Here is the roll call for that vote: 
Session Voting:
Sen.    1/31/2019  -  3RDG FINAL PASSAGE   -  Yes {30}  No {6}  Not Voting {4}    -  Roll Call
 Addiego, Dawn Marie (D)- Yes   Andrzejczak, Bob (D) - Yes   Bateman, Christopher (R) - Yes
 Beach, James (D) - Yes  Brown, Chris A. (R) - Yes  Bucco, Anthony R.(R) - Not Voting
 Cardinale, Gerald (R) - Yes  Codey, Richard . (R) - Yes  Connors, Christopher J. (R) - No
 Corrado, Kristin M. (D) - No   Cruz-Perez, Nilsa (D) - Yes  Cryan, Joseph P. (D)- Yes
 Cunningham, Sandra B. (D) - Yes  Diegnan, Patrick J., Jr.(D) - Yes  Doherty, Michael J. (R) - No
 Gill, Nia H.(D) - Yes    Gopal, Vin (D) - Yes    Greenstein, Linda R.(D) - Yes
 Holzapfel, James W.(R) - No    Kean, Thomas H., Jr.(R) - Yes    Lagana, Joseph A.(D) - Yes
 Madden, Fred H., Jr. (D) - Yes    O'Scanlon, Declan J., Jr.(R) - No    Oroho, Steven V.(R) - No
 Pennacchio, Joseph (R)- Not Voting    Pou, Nellie (D) - Yes     Rice, Ronald L.(D) - Yes
 Ruiz, M. Teresa (D) - Yes   Sacco, Nicholas J.(D) - Yes   Sarlo, Paul A.(D) - Yes
 Scutari, Nicholas P. (D) - Yes   Singer, Robert W. (R) - Yes    Singleton, Troy (D)- Yes
 Smith, Bob (D)- Yes    Stack, Brian P. (D)- Yes     Sweeney, Stephen M.(D) - Yes
 Thompson, Samuel D.(R) - Not Voting     Turner, Shirley K.(D)- Not Voting     Vitale, Joseph F. - Yes

Lauren Bloomstein NJ, Nurse Who Shouldn't Have Died

U.S. Is Not Prepared to Care For Maternal Deaths

What is Preeclampsia?
Documentary by Kristine Weatherston  

Under Pressure: The Hidden Story of Pregnancy and Preeclampsia from Under Pressure on Vimeo.

Annually 300,000 mothers are diagnosed with preeclampsia and the leading cause of preterm birth worldwide.  Preeclampsia does not discriminate in the lives it impacts.  Women from all socioeconomic, race, and backgrounds are impacted.  Preeclampsia is also associated with HELLP syndrome which has up to a 30% mortality rate.  
Symptoms of HELLP can be misdiagnosed, delaying care.  For more information click here.
 
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U.S. Rankings for Maternal Deaths

From 2016 to 2018 New Jersey improved in rank from 47th to 45th, but the county slipped form 19th to 20th in the world. 
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Maternal Mortality by State 2016
Massachusetts 1
California 2
Nevada 3
Maine 4
Alabama 5
Colorado 6
North Carolina 7
Oregon 8
Virginia 8
West Virginia10
Wisconsin 10
Delaware 12
Minnesota 12
Connecticut 14
Nebraska 15
Washington 16
Hawaii 17
Iowa 18
New Hampshire 19
Illinois 20
Pennsylvania 21
North Dakota 22
Arizona 23
Rhode Island 23
Utah 23
Tennessee 26
Kansas 27
Idaho 28
Kentucky 29
New York 30
Ohio 30
Wyoming 32
Michigan 33
New Mexico 34
Florida 35
Montana 36
South Dakota 37
Maryland 38
Oklahoma 39
Mississippi 40
South Carolina 41
Missouri 42
Texas 43
Indiana 44
Louisiana 45
Arkansas 46
New Jersey 47
Georgia 48
Alaska••
Vermont••
United States 19
District of Columbia•40.7
Maternal Mortality by State 2018
California 1
Massachusetts 2
Nevada 3
Colorado 4
Hawaii 5
West Virginia 5
Alabama 7
Minnesota 8
Connecticut 9
Oregon 10
Delaware 11
Wisconsin 12
Washington 13
Virginia 14
Maine 15
North Carolina 16
Pennsylvania 17
Illinois 18
Nebraska 19
New Hampshire 19
Utah 19
Kansas 22
Iowa 23
Rhode Island 24
Arizona 25
North Dakota 26
Kentucky 27
Michigan 27
Ohio 29
New York 30
Idaho  31
Mississippi  32
Tennessee  33
Oklahoma  34
Maryland  35
Florida  36
Montana  37
Wyoming  38
New Mexico 39
South Carolina  40
South Dakota  41
Missouri  42
Texas  43
Arkansas  44
New Jersey  45
Indiana  46
Louisiana  47
Georgia  48
Alaska••
Vermont••
United States 20
District of Columbia  36 
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What is California doing so well?  
In 2004 California has it's first drop in maternal deaths.  That was the same year the state implemented safe staffing laws for all hospital units.  There was a slight increase during the time around the recession, when many people had job instability and many lost insurance due to the price ncreases according to news sources. "Research by Of Two Minds here shows that workers’ deductibles grew 176% and coinsurance by 67% from 2006 to 2016, while wages only increased by 29%", Mary Juetten, Forbes March 26, 2019

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  • Covid-19 Resources
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