For the past 5 decades, African-American women have consistently experienced an almost 4-times greater risk of death from pregnancy complications than have Caucasian-American women. The literature has supported that this increased risk of pregnancy-related death among African-American women is independent of age, parity, or education. An increased risk of death from other conditions, such as breast and gynecological cancer, has also been reported for African-American women. African-American women are also more likely to die from complications of pregnancy, including hemorrhage, hypertensive disorders of pregnancy, and cardiomyopathy. However, the reasons for this excess mortality remain unclear.
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