America should be the safest place in the world to have a baby.

Right now it isn't. Together, we can change that.

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The Facts
A newborn baby's hand holding an adult finger

America has the highest infant and maternal death rates in the developed world.

The U.S. has the worst maternal mortality rate of any wealthy country — and it has doubled in the last 40 years. Black women die at nearly three times the rate of white women. The vast majority of these deaths are preventable.

23.5
U.S. maternal deaths per 100,000 live births — more than double the rate of most wealthy peers.
CDC NCHS, National Vital Statistics System, pooled 2019–2023
87%
of pregnancy-related deaths are preventable, per the CDC.
CDC, Pregnancy-Related Deaths from State MMRCs (2021 data, 46 states), Aug 2025
$165B
annual U.S. economic cost of poor maternal health outcomes — nearly 1% of GDP.
Heartland Forward, The Economic Case for Investing in Maternal Health

Where you live can mean the difference between life and death

Maternal mortality varies by more than 4× across U.S. states. Tap or hover any state for its rate, the U.S. comparison, and the country with the closest national rate.

––deaths per 100,000 live births
State rates and U.S. average: America's Health Rankings 2025, pooled 2019–2023 (CDC NVSS, 42-day maternal-death definition). Country comparison: WHO/UN MMEIG, Trends in Maternal Mortality 2000–2023 (released 2025), 2023 point estimates, same definition. Methodology →

Maternal deaths are the tip of the iceberg

The same gaps in care that kill almost 900 U.S. mothers a year also drive 41,000 stillbirths and infant deaths, 60,000 near-fatal complications, 430,000 babies needing intensive medical care, 720,000 mothers in mental-health crisis, and 1.2 million mothers left with lasting physical effects. The harm runs much deeper than the deaths.

41,000Babies diestillbirths + infant deaths60,000Mothers nearly die430,000Babies need intensive carenicu + serious first-year hospitalization720,000Mothers in mental-health crisispostpartum depression, anxiety, substance use disorder1,200,000Mothers carry lasting physical effectsincontinence, pelvic floor dysfunction, chronic pain870Mothers diepregnancy-related maternal deaths
CDC PMSS · CDC NVSS · CDC Severe Maternal Morbidity surveillance · AHRQ HCUP · NCHS Data Brief 525 · CDC PRAMS · SAMHSA NSDUH · peer-reviewed cohort studies. Annual U.S. figures, 2019–2023 window. Methodology →
Our Plan

Healthy babies begin with healthy moms.

Today, there are life-threatening gaps in care — before, during, and after pregnancy. We're closing these gaps by uniting leaders and families around a state-led playbook to scale proven solutions across the country.

Fix Prenatal Care

  • Identify risk earlier and remove barriers to prenatal visits
  • Use virtual care to reach women far from providers
  • Train more community health workers, doulas, and midwives

Expand Access to Safe Birth

  • Protect maternity units as more units close
  • Coordinate safe birth options across health systems
  • Reform payment models that chronically undervalue maternity care

Provide Family Support for the First Year

  • Connect moms to home visits or virtual check-ins within two weeks of birth
  • Require mandatory mental health screenings
  • Expand paid family leave

Pregnancy-related deaths by cause

These deaths come from a wide range of conditions — no single dominant cause. The common thread is that the vast majority are preventable per CDC Maternal Mortality Review Committees.

Cause breakdown: CDC MMRC, 2017–2019 (36 states; most recent fully-published structural breakdown — 2022–2023 not yet released). Preventability: CDC MMRC, 2021 data (46 states), published Aug 2025. Methodology →
In the News

What we're working on.

Research, partnerships, and policy work — building the case and the coalition to cut U.S. maternal mortality in half.

October 2026

What 3,000 employers and parents in America's Heartland told us about paid parental leave

A new HMHBA white paper from economist Emily Oster and Rebecca Jack finds mothers absorb the heaviest burden of inadequate parental leave, while employers in Arkansas, Illinois, Mississippi, and Nebraska find paid leave far more affordable than they expected.

Read more ↗
October 2026

Employers, Employees and Parental Leave: Survey Evidence from Four Heartland States

The full HMHBA white paper by Emily Oster and Rebecca Jack: what 1,003 employers and 2,002 parents in Arkansas, Illinois, Mississippi, and Nebraska told us about the real cost of paid parental leave, who bears the burden when it's missing, and what employers and states can do.

Read more ↗
October 2026

As the White House launches a Women's Health Task Force, three in four Americans back expanding access to midwives

New Aaru research for HMHBA finds 75% support state funding to train more midwives, especially in rural areas, and 73% support making midwife care easier to access under state law.

Read more ↗
October 2026

New survey: Americans are open to midwives, and safety is what matters most

An Aaru Lumen survey for HMHBA finds 63% of respondents favorable toward midwives, comfort rising from 51% to 64% once they learn about licensing and certification, and roughly three in four backing policies to expand midwifery care.

Read more ↗
October 2026

Healthy Moms, Healthy Babies America (HMHBA) Announces $20 Million in State Grants for Arkansas and Kentucky

HMHBA announced $20 million in catalytic funding for maternal health in Arkansas and Kentucky, its first state-level investments toward cutting the U.S. maternal death rate in half in five years. Founder Olivia Walton made the announcement onstage at the Heartland Summit with Governors Sarah Huckabee Sanders and Andy Beshear. Each state will receive $10 million over five years.

Read more ↗
October 2026

The Hill: The Unifying Pro-Family Policy Hiding in Plain Sight

A new national survey of 1,000 voters finds 86% of Americans say mothers should not be dying from preventable causes in childbirth, and all 15 policy solutions tested won majority support. Olivia Walton and Kellyanne Conway call on the Senate to pass the Rural Obstetrics Readiness Act and the NIH IMPROVE Act.

Read more ↗
About Us

We are a bipartisan national campaign.

Healthy Moms, Healthy Babies America is a national, bipartisan campaign for building awareness, creating urgency, and turning proven maternal-health solutions into practice at scale.

With a five-year goal of cutting U.S. maternal deaths in half, we work to make maternal health a national priority while partnering state by state to connect evidence, policy, public and private capital, health systems, employers, and community organizations — and help translate that momentum into changes in how care is delivered before, during, and after pregnancy.

Our role is to accelerate and strengthen the work of the maternal health field, not duplicate it. We elevate the issue and the solutions that already exist; help build public and political will for change; and use catalytic investment, partnerships, and implementation support to help proven approaches reach more families.

Policymakers

By aligning policy design with employer incentives and community infrastructure, policymakers can advance a model that strengthens families, supports businesses and promotes long-term economic stability.

Business Leaders

Maternal health shapes your workforce, your healthcare spend, and the communities you operate in. We translate the data into business cases and partnerships that move investment where it matters most.

Health Care Providers

By shifting from siloed OB-GYN care to a broader suite of maternal health providers, prenatal services become more accessible, with extended insurance coverage, and aligned with women’s needs throughout pregnancy and postpartum.

Give

Orgs Doing Great Work.

Preventing maternal death takes a coalition. These organizations are leading the research, advocacy, and direct support that save lives every day. We’re proud to share their work with our community — and encourage those who can to support them through donations and advocacy.

Join Us
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Let's cut maternal death in half in five years.

The Solutions exist.What's missing is action.The time is now.

Sign up for regular updates, ways to take action, and a state-by-state look at progress.