The State of Maternal Health Report

Maternal health in the United States remains a critical public health challenge. Despite improvements in awareness, major disparities persist across age, race, and provider type are shaping women’s experiences before, during, and after birth. The Harris Poll’s third annual State of Maternal Health report highlights where the system is falling short and how providers and policymakers can better support mothers throughout the pregnancy journey.

Our findings reveal troubling gaps: education that leaves many women unprepared for their first birth, postpartum support that fades after a single six-week checkup, and maternity leave policies that lag far behind the rest of the developed world. Mental health concerns are also on the rise, with too few resources dedicated to supporting mothers during one of the most vulnerable stages of life.

At the same time, this study underscores meaningful differences across populations. Younger patients report greater challenges with care access and quality. Racial and ethnic disparities persist, particularly in education and informed decision-making. And women who work with midwives often report more proactive, supportive care compared to those seeing OB/GYNs.

This year’s report makes clear that U.S. maternal healthcare needs a shift toward patient-centered models that prioritize mental health, postpartum support, and equitable education. Doing so will not only improve health outcomes but also empower women to make informed choices for themselves and their families.