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Why is Missouri one of the most dangerous states to have a baby?

Doctor Grodzinsky sits on the left of a patient exampling something on a clipboard
Lindsey Stich
/
St. Luke's
Anna Grodzinsky is co-leading the HOPE study to help set a better standard of care for pregnant people.

Missouri's health department found that the vast majority of maternal deaths were preventable, and resulted from a lack of care in the months after birth. Cardiologist Dr. Anna Grodzinsky navigated her own high-risk pregnancies, and she explains what our medical system is missing.

Missouri remains one of the most dangerous states in our nation to have children.

The most recent annual report from the Missouri Department of Health and Senior Services showed that Missouri averages 32.3 deaths per 100,00 live births, compared to the national average of 22.3 per 100,000.

It also revealed that 80% of these deaths — 280 people between 2018 and 2022 — were preventable.

Dr. Anna Grodzinsky, a cardiologist at St. Luke’s Mid America Heart Institute, is working to change these numbers.

“The CDC over and over again, as well as Missouri’s state maternal mortality review boards, have determined that many of these outcomes are preventable,” Grodzinsky said. “[It’s] likely multi-rooted, and related to under-access to preventive preventive care, maternity care or late prenatal care.”

Outside of Missouri cities, rural areas are health care deserts with limited options for mothers, and that's exacerbated by racial and economic disparities.

The majority of maternal deaths occur between 43 and 365 days after the baby has been born, but some insurance plans only cover up to six weeks after birth.

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When I host Up To Date each morning at 9, my aim is to engage the community in conversations about the Kansas City area’s challenges, hopes and opportunities. I try to ask the questions that listeners want answered about the day’s most pressing issues and provide a place for residents to engage directly with newsmakers. Reach me at steve@kcur.org or on Twitter @stevekraske.
Ellen Beshuk is the 2025-2026 intern for Up To Date. Email her at ebeshuk@kcur.org
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