By Sara Mead - the reality is that a shockingly high number of American moms are dying for preventable reasons. The U.S. Maternal Mortality Ratio (the number of maternal deaths per 100,000 live births) is shockingly high, well above the average for the developed world, and higher than virtually all of Western Europe as well as some countries in Asia and the Middle East. Even more troubling, U.S. maternal mortality has increased in the last two decades, and is now more than twice as high as it was in the late 1980s. The Affordable Care Act included provisions designed to help stop this scary trend—not just by expanding health care access (many maternal deaths could be prevented with proper care)—but also through the Maternal, Infant and Early Childhood Home Visiting program, created as part of ACA, which provides nurses and social workers to work with high-risk moms, starting before they give birth, to help them have healthy pregnancies and deliveries and support their babies’ health and development after birth.The program is modeled after programs, such as the Nurse Family Partnership that have a strong track record of improving maternal and child outcomes, preventing abuse and neglect, increasing fathers’ involvement in their kids’ lives, improving kids’ school performance, reducing crime, and saving the taxpayers a boatload of money over the long term. But all that could go the way of the dodo, if ACA is struck down or repealed (and some of the right wing fear-mongering about this program must be seen to be believed).
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