My last editorial on obstetrical anesthesiology was published in the March 2017 ASA Monitor. In that column, one of my main topics was the relatively high maternal mortality rate in Texas, around 31.5 per 100,000 live births. That was data from 2014. We now have 2018 data. Texas’ maternal mortality increased to 34.2 per 100,000 births. While this is still not a number to be proud of, there are states with worse numbers: Arkansas, 34.8; New Jersey, 38.1; Indiana, 41.4; Louisiana, 44.8; and Georgia, 46.2. These six states with the worst maternal mortality in the U.S. are a far cry from the five states with the lowest rates of maternal mortality: California, 4.5; Massachusetts, 6.1; Nevada, 6.2; Colorado, 11.3; West Virginia, 11.7; and Alabama, 11.9. A State of Texas study, published in 2016, showed that...

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