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But this tragic trend is also a clear matter of public choice.

Louis Vuitton Belt Men Black

Louis Vuitton Belt Men Black

That's not a measurement error, because we've been measuring the rate of maternal death in the United States the same way for decades.

China was ranked 116 in 1990. Now it's moved up to 57. Louis Vuitton Belt Men Black Even if China's way of measuring maternal Versace Belt Blue

Canada and Britain?

To put it bluntly, for every 100,000 births in America last year, 18.5 women died. That's compared to 8.2 women who died during pregnancy and birth in Canada, 6.1 in Britain, and only 2.4 in Iceland.

Some say more American women are dying in pregnancy and childbirth because American girls are becoming pregnant at younger and younger ages, where pregnancy and birth can pose greater dangers.

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You might say international comparisons should be taken with a grain of salt because of difficulties of getting accurate measurements across nations. Maybe China hides the true extent of its maternal deaths. But Belts Ferragamo

The real problem, in other words, was they didn't get adequate health care before they became pregnant.

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In 1990, the maternal mortality rate in America was 12.4 women per 100,000 births. In 2003, it was 17.6. Now it's 18.5.

What do we do about this? Yes, of course, poor women (and the men who made them pregnant) have to take more personal responsibility for their behavior.

mortality isn't to be trusted, China is going in the right direction. We ranked 22 in 1990. Now, as I've said, we're down to 60th place.

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Louis Vuitton Belt Men Black

According to a report released earlier this month in the widely respected health research journal The Lancet, the United States now ranks 60th out of 180 countries on maternal deaths occurring during pregnancy and childbirth.

´╗┐American women endangered

One clue: African American mothers are more than three times as likely to die as a result of pregnancy and childbirth than their white counterparts.

Even if you're still skeptical, consider that our rate of maternal death is heading in the wrong direction. It's risen over the past decade and is now nearly the highest in a quarter century.

Many of these high poverty states are among the 21 that have so far refused to expand Medicaid, even though the federal government will cover 100 percent of the cost for the first three years and at least 90 percent thereafter.

Consider that in 1990, 7.2 women in this age group died for every 100,000 live births. By 2013, the rate was 14 deaths in this same age group almost double the earlier rate.

Some American women are dying during pregnancy and childbirth from health problems they had before they became pregnant but worsened because of the pregnancies such as diabetes, kidney disease and heart disease.

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This theory might be convincing if there were data to support it. But contrary to the stereotype of the pregnant young teenager, the biggest rise in pregnancy related deaths in America has occurred in women 20 24 years old.

By contrast, the rate has been dropping in most other nations. In fact, we're one of just eight nations in which it's been rising. The others that are heading in the wrong direction with us are not exactly a league we should be proud to be a member of. They include Afghanistan, El Salvador, Belize and South Sudan.

Louis Vuitton Belt Men Black

Louis Vuitton Belt Men Black

they shouldn't have had, or they didn't get the prenatal care they needed during their pregnancies. In other words, a different sort of inadequate health care.

Researchers aren't sure what's happening, but they're almost unanimous in pointing to a lack of access to health care, coupled with rising levels of poverty.

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Other women are dying because they didn't have the means to prevent a pregnancy Gucci Belts Brown

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