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Trump ousts Kristi Noem from DHS; Rural CA community colleges deploy AI to keep students on track; Algae-powered concrete earns University of Miami project top prize; As Ukraine war lingers, ND sponsors press for speedy work approvals.

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Kristi Noem is fired from her position as Homeland Security Secretary, but moves to a new and unclear role. The Senate Majority Leader blames Democrats for the ongoing DHS shutdown and the House fails to advance a war powers resolution for Iran.

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Advocates for those with disabilities in Idaho and nationwide are alarmed by proposed Medicaid cuts, programs that provide virtual crisis care are making inroads in rural South Dakota and Wyoming, and the mighty bison returns to Texas.

Report: MS ranks last among states for health of women, children

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Friday, October 27, 2023   

Mississippi received the lowest ranking of the 50 states for the overall health of women and children in the new America's Health Rankings report by the United Health Foundation.

Mississippi comes in 48th among states for its high maternal mortality rate, which has more than doubled since the last report. Nationwide, maternal mortality is up 29% since 2019.

State Health Officer Dr. Daniel Edney said Black women in Mississippi are four times more likely to die from pregnancy-related causes than are white women, which he called "absolutely unacceptable to everybody." He said the state's Healthy Moms, Healthy Babies program for Medicaid recipients with high-risk pregnancies should make a big difference.

"Having that nurse that's assigned to the high-risk cases that's actually going into the home and working with the mom and the families," he said, "and being able to be in the home with them until the baby is a year old."

Edney said decreasing maternal and infant mortality is the Health Department's number one priority. He said Mississippi will be the first to institute a "systems of care" approach to prenatal care, focused on reducing risks for moms and babies, especially in areas where getting care is difficult.

Positives from the report included Mississippi's number one ranking for cervical cancer screening and number three for infant child-care cost.

Edney said they're also working hard to make sure Mississippians understand the importance of prenatal care and being healthy before they get pregnant.

"Understand what moves a woman in Mississippi of child-bearing age into the high-risk category," he said, "and teach them, 'How do you mitigate your risk? How do you keep from being a high-risk pregnancy?'"

Dr. Lisa Saul, national medical director for maternal child health at UnitedHealthcare, said severe maternal morbidity - health conditions from diabetes to high blood pressure and infections that can put a pregnant person's life at risk - have also increased 22% since the last report. She agreed with the need for more education.

"How can we arm them differently, with the information that they need to enter into a pregnancy as healthy as they can," she said, "and to know how to advocate for themselves, I think is really important."

Saul also stressed the importance of "calling out" the disparities in pregnancy outcomes for people of color.


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