Is the US failing women?

In a paper published in EClinicalMedicine, Eran Bornstein and colleagues [1] report data on trends in maternal risk factors and pregnancy complications that increase maternal morbidity and mortality in over 120 million American women with livebirths from 1989–2018. They show significant increases over time of hypertensive disorders of pregnancy, chronic hypertension, diabetes mellitus (a composite of Type 1, Type 2 and gestational diabetes), very advanced maternal age (≥40 years) and grand multiparity (≥5 births), all of which increase risk for maternal morbidity and mortality. In a nutshell the health of young pregnant women has been deteriorating, not improving as we would expect given rising health expenditure...