Maternal mortality in the United States (IMAGE) Elsevier Caption The pregnancy checkbox on death certificates has led to an overestimation of maternal mortality and increasing death rates (Figure A). Maternal mortality based solely on cause-of-death information shows lower, stable rates and a decline in direct obstetric deaths (Figure B). Credit Joseph KS, Lisonkova S, Boutin A, et al. Maternal mortality in the United States: are the high and rising rates due to changes in obstetrical factors, maternal medical conditions, or maternal mortality surveillance? Am J Obstet Gynecol 2024; https://doi.org/10.1016/j.ajog.2023.12.038. Usage Restrictions Credit must be given to the creator. Only noncommercial uses of the work are permitted. No derivatives or adaptations of the work are permitted. License CC BY-NC-ND Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.