Health Team

Health report: Women and children in North Carolina at risk

According to the report, the U.S. has the highest death rates for women related to pregnancy and childbirth among all high income countries.

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By
Kathryn Brown, anchor/reporter,
and
Rick Armstrong, producer
RALEIGH, N.C. — A new Women and Children's Health Report ranks North Carolina near the middle among all states and raises alarm on troubling trends, both locally and nationally.

The United Health Foundation's annual report on the health of women and children reveals trends -- both positive and life-threatening -- across the country and right here in North Carolina.

According to the report, the U.S. has the highest death rates for women related to pregnancy and childbirth among all high income countries.

A few northeastern states rank as the healthiest, while a few southern states, along with Oklahoma and Nevada, rank lowest.

Since the 2018 report, North Carolina improved by three spots, now ranking 30th overall. Dr. Michelle Bucknor, a pediatrician and Chief Medical Officer for United Healthcare, pointed out the progress.

"We have high rates of well women visits, high rates of well child visits and high rates of developmental screening," said Bucknor, who also cited 13 percent fewer teenage pregnancies in the state.

Challenges include a high prevalence of diabetes among women and a high death rate among newborns.

According to the report, 11 percent more women in the state drink excessively and, in the past three years, drug-related deaths among women increased by 54 percent. "We don't know if it's opioid related or not," Bucknor said. "It's just drug related deaths as an overall category."

Since 2016, in the U.S., deaths among children have increased by 16 percent, and teen suicides increased by an alarming 25 percent. Bucknor said more pediatricians are now screening adolescents for suicide risk at every visit.

"That way, you can pick up patients before they exhibit symptoms," she said.

Bucknor says issues like childhood mortality often indicate determining factors in a community, like poor access to healthcare, housing issues and violence.

She said a new Medicaid Managed Care program in the state starting in 2020 may help reverse these trends.

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