A new study in JAMA Network Open, titled Pregnancy-Related Deaths in the US, 2018-2022 revealed one of the most overlooked fact, which is that nearly one-third of maternal deaths in the US occurred more than six weeks after childbirth. Why is this a big concern? The reason for it being alarming is because six weeks post giving birth is generally considered a "safe zone" for new mothers. The study therefore highlights the critical need for continued maternal care, which is important not just during pregnancy, but for an entire year after delivery.A New Understanding For Maternal HealthThe study is among the first that tracked maternal complications from the stage of conception to one year after birth. The study put in use the data collated by the Centers for Disease Control and Prevention (CDC), and found that pregnancy related deaths in the US rose nearly 28% from 2018 to 2022. The numbers also peaked in 2021, when COVID-19 was at its peak, however, the numbers slightly declined the following year.This has brought in a new shift in understanding the challenges with the traditional six-week postpartum care model. It also throws light on the need for an extended support. “Our study illustrates why we can’t take our eyes off maternal health,” said Dr. Rose Molina of Harvard Medical School. “Women need access to high-quality care from the moment of conception to a full year after birth.”What Are Late Maternal Deaths?Late maternal deaths are defined as those that occur six week to one year after childbirth. These deaths also take place after the standard six-week checkup, which is often considered as the final appointment for women after their delivery.The American College of Obstetricians and Gynecologists (ACOG) recommends that new mothers should see their doctor within the first three weeks after their childbirth. This should also be followed by personalized care and a comprehensive checkup by 12 weeks. High-risk patients, such as those with hypertensive disorders, may require even earlier visits.Experts also emphasized that this shift is important as crossing the six-week mark is no longer the safe zone as it was thought before. Experts are now asking patients to book appointments even without complications.What Are The Leading Causes Of Late Maternal Births?The study found that cardiovascular disease was the leading cause of maternal deaths over all. This was especially the case in late postpartum period. Other contributors were cancer, mental and behavioral disorders, and drug or alcohol related deaths. Accidents and homicides were not counted in the study.The findings highlighted that pregnancy can in fact strain heart and also aggravate pre-existing conditions like high blood pressure. These are issues which are seen more in younger adults. Experts also explain that these issues disproportionately affect women aged 25 to 39.Deaths And DisparitiesThe study also documented disparities among the ethnic and racial communities. Native American and Alaska Native women died at the rate of 3.8 times higher than White woman. Whereas, Black women had rates 2.8 times higher. The lowest death rates were recorded among Hispanic and Asian women.State-by-state, death rates varied dramatically. Alabama had the highest maternal mortality rate, followed by Mississippi. California and Minnesota had the lowest.