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 maternal mortality rate in the developed world.

The U.S. has the worst maternal mortality rate of any wealthy country — and it's the only one where the rate has more than doubled in the last 40 years. Black women die at nearly three times the rate of white women. Most 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.

Improve Prenatal Care

  • Expand insurance coverage, telehealth, and virtual care access
  • Promote team-based care and a whole-health approach
  • Support community health workers, doulas, and midwives

Strengthen Postpartum Care

  • Home visits or virtual check-ins within two weeks of birth
  • Mandatory mental health screenings
  • Expand paid family leave

Make Maternal Health A Business Priority

  • Unbundle payments, expand and increase reimbursements
  • Reform medical liability laws
  • Invest in training the full maternal health workforce

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 from across the Heartland — building the case and the coalition to cut U.S. maternal mortality in half.

May 2026

New national research finds Americans ready to act on maternal health

A nationwide poll commissioned by Heartland Forward shows broad bipartisan support for expanding maternal health investment.

Read more ↗
April 2026

OPINION | OLIVIA WALTON: A five-year sprint to cut U.S. maternal mortality in half

Across the country, mothers are dying at rates that would have shocked our grandmothers. Nationally, our maternal mortality rate has more than doubled over the past 40 years.

Read more ↗
March 2026

A Call to Action: Healthy Moms, Healthy Babies America

Heartland Forward MCH CPP establishes guidelines and provides an actionable framework to cut U.S. maternal mortality in half — to be achieved through policy reform, workforce development initiatives and proven changes to care delivery.

Read more ↗
May 2026

Bentonville based "think-and-do tank" plans Mother's Day initiative for maternal health

Cara Osborne discusses Healthy Moms, Healthy Babies and the plan to cut U.S. maternal mortality in half within five years, highlighting both the economic impact of poor maternal health outcomes on local economies.

Read more ↗
May 2026

Healthy Moms, Healthy Babies America launches national campaign to cut U.S. maternal mortality in half within five years

Olivia Walton, Maryland Governor Wes Moore, and Arkansas Governor Sarah Huckabee Sanders unveil a bipartisan five-year campaign to halve U.S. maternal mortality.

Read more ↗
May 2026

Bipartisan panel highlights maternal health needs

Axios Northwest Arkansas reports on a bipartisan panel spotlighting state-level maternal health needs alongside the launch of the national campaign.

Read more ↗
About Us

We are an ambitious national campaign.

Built to mobilize policymakers, business leaders, health care providers, and Americans who care. We can make the United States the safest country in the world to give birth. No politics. No finger-pointing. Just action.

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.

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.