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Pregnancy-related deaths fall to pre-pandemic levels, new CDC data shows

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U.S. pregnancy-related deaths have fallen back to pre-pandemic levels, new government data suggests.

About 680 women died last year during pregnancy or shortly after childbirth, according to provisional CDC data. That’s down from 817 deaths in 2022 and 1,205 in 2021, when it was the highest level in more than 50 years.

COVID-19 seems to be the main explanation for the improvement, said Donna Hoyert, a Centers for Disease Control and Prevention maternal mortality researcher.

The coronavirus can be particularly dangerous to pregnant women. And, in the worst days of the pandemic, burned out physicians may have added to the risk by ignoring pregnant women’s worries, experts say.

Fewer death certificates are mentioning COVID-19 as a contributor to pregnancy-related deaths. The count was over 400 in 2021 but fewer than 10 last year, Hoyert said.

The agency on Thursday released a report detailing the final maternal mortality data for 2022. It also recently released provisional data for 2023. Those numbers are expected to change after further analysis — the final 2022 number was 11% higher than the provisional one. Still, 2023 is expected to end up down from 2022, Hoyert said.

The CDC counts women who die while pregnant, during childbirth and up to 42 days after birth from conditions considered related to pregnancy. Excessive bleeding, blood vessel blockages and infections are leading causes.

There were about 19 maternal deaths for every 100,000 live births in 2023, according to the provisional data. That’s in line with rates seen in 2018 and 2019.

But racial disparities remain: The death rate in Black moms is more than two-and-a-half times higher than that of white and Hispanic mothers.

“In the last five years we’ve really not improved on lowering the maternal death rate in our country, so there’s still a lot of work to do,” said Ashley Stoneburner, the March of Dimes’ director of applied research and analytics.

The advocacy organization this week kicked off an education campaign to get more pregnant women to consider taking low-dose aspirin if they are at risk of preeclempsia — a high blood pressure disorder that can harm both the mother and baby.


Blood test to help identify risk of preeclampsia during pregnancy approved by FDA

05:12

There are other efforts that may be helping to lower deaths and lingering health problems related to pregnancy, including stepped-up efforts to fight infections and address blood loss, said Dr. Laura Riley, a New York City-based obstetrician who handles high-risk pregnancies.

But there’s a risk that those kinds of improvements are being offset by a number of factors that may reduce the ability of women to get medical care before, during and after a birth, she said. Experts say the list includes the closure of rural hospitals and a 2022 U.S. Supreme Court decision that did away with the federally established right to abortion — and contributed to physician burnout by causing doctors to feel constrained about providing care during pregnancy-related medical emergencies.

“I think there’s good news. We’re making strides in certain areas,” said Riley, head OB-GYN at Weill Cornell Medicine. “But the bad news and scary news is … there are these other political and social forces that make this (reducing maternal deaths) difficult.”



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Robert Towne, legendary Hollywood screenwriter of “Chinatown,” dies at 89

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Robert Towne, the Oscar-winning screenplay writer of “Shampoo,” “The Last Detail” and other acclaimed films whose work on “Chinatown” became a model of the art form and helped define the jaded allure of his native Los Angeles, has died. He was 89.

Towne “passed away peacefully surrounded by his loving family” Monday at his home in Los Angeles, his publicist Carri McClure, told CBS News in a statement. She did not provide a cause of death.

In an industry which gave birth to rueful jokes about the writer’s status, Towne for a time held prestige comparable to the actors and directors he worked with. Through his friendships with two of the biggest stars of the 1960s and ’70s, Warren Beatty and Jack Nicholson, he wrote or co-wrote some of the signature films of an era when artists held an unusual level of creative control. The rare “auteur” among screen writers, Towne managed to bring a highly personal and influential vision of Los Angeles onto the screen.

Writer Robert Towne
Writer Robert Towne in audience during the 36th AFI Life Achievement Award tribute to Warren Beatty held at the Kodak Theatre on June 12, 2008 in Hollywood, California. 

Alberto E. Rodriguez/Getty Images for AFI


“It’s a city that’s so illusory,” Towne told The Associated Press in a 2006 interview. “It’s the westernmost west of America. It’s a sort of place of last resort. It’s a place where, in a word, people go to make their dreams come true. And they’re forever disappointed.”

Recognizable around Hollywood for his high forehead and full beard, Towne won an Academy Award for “Chinatown” and was nominated three other times, for “The Last Detail,” “Shampoo” and “Greystoke.” In 1997, he received a lifetime achievement award from the Writers Guild of America.

“His life, like the characters he created, was incisive, iconoclastic and entirely (original),” said “Shampoo” actor Lee Grant on X.

Towne was born Robert Bertram Schwartz in Los Angeles and moved to San Pedro after his father’s business, a dress shop, closed down because of the Great Depression. His father changed the family name to Towne.

Towne’s success came after a long stretch of working in television, including “The Man from U.N.C.L.E” and “The Lloyd Bridges Show,” and on low-budget movies for “B” producer Roger Corman. In a classic show business story, he owed his breakthrough in part to his psychiatrist, through whom he met Beatty, a fellow patient. As Beatty worked on “Bonnie and Clyde,” he brought in Towne for revisions of the Robert Benton-David Newman script and had him on the set while the movie was filmed in Texas.

Towne’s contributions were uncredited for “Bonnie and Clyde,” the landmark crime film released in 1967, and for years he was a favorite ghost writer. He helped out on “The Godfather,” “The Parallax View” and “Heaven Can Wait” among others and referred to himself as a “relief pitcher who could come in for an inning, not pitch the whole game.” But Towne was credited by name for Nicholson’s macho “The Last Detail” and Beatty’s sex comedy “Shampoo” and was immortalized by “Chinatown,” the 1974 thriller set during the Great Depression.

“Chinatown” was directed by Roman Polanski and starred Nicholson as J.J. “Jake” Gittes, a private detective asked to follow the husband of Evelyn Mulwray (played by Faye Dunaway). The husband is chief engineer of the Los Angeles Department of Water and Power and Gittes finds himself caught in a chaotic spiral of corruption and violence, embodied by Evelyn’s ruthless father, Noah Cross (John Huston).

Influenced by the fiction of Raymond Chandler, Towne resurrected the menace and mood of a classic Los Angeles film noir, but cast Gittes’ labyrinthine odyssey across a grander and more insidious portrait of Southern California. Clues accumulate into a timeless detective tale, and lead helplessly to tragedy, summed up by one of the most repeated lines in movie history, words of grim fatalism a devastated Gittes receives from his partner Lawrence Walsh (Joe Mantell): “Forget it, Jake, it’s Chinatown.”

The back story of “Chinatown” has itself become a kind of detective story, explored in producer Robert Evans’ memoir, “The Kid Stays in the Picture”; in Peter Biskind’s “East Riders, Raging Bulls,” a history of 1960s-1970s Hollywood, and in Sam Wasson’s “The Big Goodbye,” dedicated entirely to “Chinatown.” In “The Big Goodbye,” published in 2020, Wasson alleged that Towne was helped extensively by a ghost writer — former college roommate Edward Taylor. According to “The Big Goodbye,” for which Towne declined to be interviewed, Taylor did not ask for credit on the film because his “friendship with Robert” mattered more.

The studios assumed more power after the mid-1970s and Towne’s standing declined. His own efforts at directing, including “Personal Best” and “Tequila Sunrise,” had mixed results. “The Two Jakes,” the long-awaited sequel to “Chinatown,” was a commercial and critical disappointment when released in 1990 and led to a temporary estrangement between Towne and Nicholson.

Around the same time, he agreed to work on a movie far removed from the art-house aspirations of the ’70s, the Don Simpson-Jerry Bruckheimer production “Days of Thunder,” starring Tom Cruise as a race car driver and Robert Duvall as his crew chief. The 1990 movie was famously over budget and mostly panned, although its admirers include Quentin Tarantino and countless racing fans. And Towne’s script popularized an expression used by Duvall after Cruise complains another car slammed him: “He didn’t slam into you, he didn’t bump you, he didn’t nudge you. He rubbed you.

“And rubbin,′ son, is racin.'”

Towne later worked with Cruise on “The Firm” and the first two “Mission: Impossible” movies. His most recent film was “Ask the Dust,” a Los Angeles story he wrote and directed that came out in 2006. Towne was married twice, the second time to Luisa Gaule, and had two children. His brother, Roger Towne, also wrote screenplays, his credits include “The Natural.”



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Analyzing impact of Supreme Court’s Trump immunity decision

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It’s been a day since the Supreme Court ruled that former President Donald Trump has immunity from criminal prosecution for official acts taken in office but that he is not protected from prosecution for unofficial acts. CBS News legal analyst Jessica Levinson joins to unpack the decision.

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