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Maternal Safety

HCA Healthcare delivers nearly one of every 17 babies born in the United States, more than 219,000 in 2019 alone. That's more babies each year than any other healthcare provider. With this data, we work to identify, standardize and scale a set of procedures and best practices that have reduced our maternal mortality rate to less than half of the national rate.

Maternal mortality in the United States is unacceptably high. While worldwide rates of maternal mortality continue to decline, rates in the U.S. have nearly tripled since 1987. According to the Centers for Disease Control and Prevention, more women die of pregnancy-related complications in America than any other country in the industrialized world. Between 2000 and 2014, there was a 26 percent increase in the U.S. maternal mortality rate.


HCA Healthcare’s safety standards have been promoted by The American College of Obstetricians and Gynecologists, The Association of Women’s Health, Obstetric and Neonatal Nurses, and March of Dimes, a national partner of HCA Healthcare.


For two decades, HCA Healthcare has been committed to improving maternal outcomes by significantly lowering mortality rates, addressing racial disparities and advancing breakthrough research. Our unparalleled successes have advanced maternal care both nationally and worldwide. In partnership with March of Dimes, HCA Healthcare conducted a study that demonstrated the importance of carrying pregnancy for 39 weeks to reduce complications for mothers and babies.

HCA Healthcare’s safety standards have been promoted by organizations like The American College of Obstetricians and Gynecologists, The Association of Women’s Health, Obstetric and Neonatal Nurses, and March of Dimes.

In 2006, we conducted the first comprehensive review of maternal mortality and identified three main preventable causes: untreated hypertension, post cesarean thromboembolism and hemorrhage.

This led to the development and implementation of three disease-specific protocols:

  1. Algorithms for rapid administration of antihypertensive agents
  2. Thromboprophylaxis for all cesarean deliveries (mechanical methods and antithrombotic drugs to promote venous outflow from the legs)
  3. Obstetric hemorrhage kits and management guidelines

Maternal mortality at HCA Healthcare hospitals is now less than half the national rate and continues to improve each year. No preventable deaths or deaths among racial minorities were reported as a result of pregnancy-related complications at HCA Healthcare facilities in 2018.