Whether racial differences in the site of delivery contribute to observed black-white disparities in severe maternal morbidity rates is unknown. Data indicate that black women receive care in a concentrated set of hospitals and that these hospitals appear to provide lower quality of care. Site of care has received attention as a mechanism to explain disparities in other areas of medicine. Similar to racial/ethnic disparities in maternal death, black women are more likely to experience severe maternal morbidity than white women. For every maternal death, >100 women experience severe maternal morbidity, which is a life-threatening diagnosis, or undergo a life-saving procedure during their delivery hospitalization.
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