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AIAN and Puerto Rican women also have higher rates of infant mortality, and preterm births are a major driver for these groups as well. 9 African Americans have the highest infant mortality rate of any racial or ethnic group in the United States, and higher rates of preterm births explain more than half of the difference, relative to non-Hispanic white women. 8 Preterm birth is a significant contributor to racial disparities in infant mortality. Nearly two-thirds of infant deaths occur during the first month after birth, often from congenital abnormalities and complications from preterm births. Pregnancy-related complications are closely tied to infant deaths as well. 6 Although other women of color also experience an elevated risk of poor outcomes-notably in American Indian and Alaska Native (AIAN) and some Latina communities-available data show that racial disparities between African Americans and non-Hispanic whites are the starkest. 5 WhatвЂ™s more, African American mothers are twice as likely to have an infant who dies by their first birthday.

Discussions of the maternal health crisis in the United States often exclude this condition that disproportionately affects women of color, with African American women twice as likely to experience SMM compared with non-Hispanic white women. Among women who survive pregnancy and childbirth, 50,000 women each year experience life-threatening pregnancy-related complications 4, also known as severe maternal morbidity (SMM). women from all backgrounds if a woman is able to become pregnant, she risks experiencing complications such as preterm labor, infections, gestational diabetes, and even death due to her pregnancy.