By Bilikis Jumoke Oladimeji MD, MMCi, FAMIA, CPHIMS, SVP of Clinical Programs at Progyny
Childbirth has been a joyful event for generations. A range of celebratory activities from cultural and religious traditions to baby showers have long supported maternal and child wellbeing. Babies often evoke deep and overwhelming emotions that surprise parents and observers alike.
At Progyny, we built our foundation on helping women and families achieve their dreams of having children through our industry-leading fertility offering. But while society has long romanticized mothers’ swelled bellies and swaddled newborns, the joy is sometimes truncated by the sad reality of poor maternal health outcomes.
Looking at the reality
As a woman, doctor, and informaticist, I have a strong passion for women’s health, and maternal health is an area I have explored widely since medical school. This interest was fueled by the unfortunate reality that most maternal deaths and complications are preventable. Globally, maternal mortality is “unacceptably high” with 92% of maternal deaths occurring in low- and lower-middle-income countries.
Growing up in Nigeria, I witnessed many cases of maternal deaths, near misses, and complications firsthand. It was surprising to learn after moving here over a decade ago that the U.S. lags many of its counterparts in maternal health outcomes. For example, U.S. Maternal Mortality Ratio (MMR) is double that of most OECD (Organization for Economic Cooperation and Development) countries. It’s critical that we increase awareness of the data and the reality of the situation so that we can then identify solutions for change.
A need for change
At the start of 2026, we were hit with the heart-wrenching news about Dr. Janell Green Smith, CNM, a Black midwife and maternal health expert in South Carolina, who died from childbirth complications, one of the outcomes she had dedicated her career to preventing. Her heartbreaking story is all too common. Reports have shown approximately 22 maternal deaths for every 100,000 live births in the U.S., with the most recent data for Pregnancy-Related Mortality Rate by race-ethnicity showing vast disparities, including 45.0 for non-Hispanic Black women.
Earlier this year I published an article that traces my origins in Nigeria through building a family, detailing stats on maternal mortality and morbidity and disparities. I’ve learned one thing for sure: we must do better! The research and becoming a mother myself have unearthed nuances of systemic successes and failures that I apply every day to do my part in elevating the standard of care, improving experiences, and shifting maternal health metrics in the right direction.
A hard look at morbidity
Maternal mortality is a pressing issue, but morbidity has significant health consequences. For every pregnancy-related death, there are about 70 cases of severe maternal morbidity. Complex contributing factors, often interconnected, can be delineated as systemic (physician/midwife ratio, reimbursement, maternity deserts, hospital incentives, policies and procedures, bias and discrimination, and SDOH, to name a few), and individual health factors, e.g., poor health prior to conception including chronic diseases like obesity, hypertension, and diabetes, and advancing maternal age. These health factors contribute to common pregnancy-related complications including gestational diabetes, preeclampsia/eclampsia, sepsis, hemorrhage, and preterm birth. Further, cardiovascular disease and mental health diseases are some of the most common pregnancy complications. With a need to improve care of both moms and babies, a stronger preventive and postpartum focus will ensure better outcomes.
Cost considerations for employers
Poor maternal health remains stuck in a vicious cycle with high costs. Care access challenges are prevalent amid high medical expenses and poor outcomes. Even as many U.S. employers provide medical coverage and leave benefits, care continues to lag with costs soaring. For U.S. births, it’s estimated that total maternal morbidity costs were $32.3 billion from conception through the child’s fifth birthday. And while Medicaid on the average finances 41% of U.S. births, the remaining costs fall on patients, charitable organizations, and – primarily – private health insurers, through which employers bear the brunt. A recent survey projects a 9.1% increase in healthcare expenses for 2026, with some employers facing double-digit hikes. Maternity and neonatal costs are the second highest cost driver for employers. Still, the outcomes show insufficient support for mothers.
Advancing and supplementing medical care options
The key to both improving maternal health outcomes and lowering spend is enabling early, connected care through innovative solutions across fertility, maternity, and postpartum with clinical and non-clinical support. Alignment among care providers supports health goals, chronic disease management, care navigation, education, social needs, and continuous provision of evidence-based care. Consistent, integrated care must span from pre-conception through postpartum so providers can proactively identify and manage risks, track results, and optimize health outcomes.
With training and work in health informatics, I also recognize the power of data and technology-enabled innovation to reshape the women’s health journey. Despite promises, disparate one-click health apps or solutions can’t successfully support end-to-end medical needs; they create more fragmentation in care. To improve outcomes, we must harness value at the intersection of research, health, and technology, solving issues relating to data fragmentation, education, and communication via durable, comprehensive solutions that make a lasting impact.
Intentional change for a more joyful future
Growing families require the collective effort of healthcare providers, policymakers, and employers to close gaps in maternal health globally. Advocacy, technology, and action for health and equity have evidence for impact. Maternal health must be grounded in trusted, expert guidance, personalized for each patient’s needs throughout their entire journey. Through delivery of compassionate, comprehensive, connected care, let’s intentionally restore joy in childbirth experiences.