Women in America die more frequently from complications of childbirth than in any other industrialized nation in the world. In addition, women of color are three to four times more likely to die than white women. And over the last 25 years that the maternal mortality was rising in America, other countries were decreasing their rate. 

There are lots of reasons why maternal mortality and morbidity is rising, including  lack of access, the high rate of caesarian sections, racial bias, bias against women's health issues, and a medical model that medicalizes a normal process.  

While no one action can explain why maternal mortality rates are lower in European countries, we do know that they utilize one resource that we don't: midwives and doulas.