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yes, I know it was an old report, but the latest cdc figures show virtually the same thing.That report is 17 years old. Amnesty international has a lengthy report on the U.S. and they cover a wide range of relevant points. The usual stuff reasserts itself which is basically that poor women get lesser care and, for historical reasons, there are more poor minority women than poor white women.
Unintended pregnancies have worse outcomes and black women are 50% more likely to have unintended pregnancies than white women. But that doesn't explain why the maternal death rate is 400% higher for black women. 4x the chance of death is a helluva a difference when the unintended pregnancy rate isn't even 2x.
https://www.amnestyusa.org/files/pdfs/deadlydelivery.pdf
Maternity deaths are dramatically higher among minorities regardless of living in a red or blue state.
The cdc suggests it os do to hypertension, diabities, and heart issues among minorities.