01/21/2026
New public health data reveals a devastating reality unfolding in Texas. Harris County, home to Houston has recorded the highest maternal mortality rate for Black women in the entire United States, making it the deadliest place in the country to give birth while Black.
Between 2016 and 2020, Black mothers in Harris County died at a rate of 83.4 deaths per 100,000 live births, according to county public health data a figure that surpasses every other major U.S. county and far exceeds national averages. By comparison, the nationwide pregnancy-related death rate for Black women during that period was already alarmingly high, yet still significantly lower than what was documented in Harris County.
Health experts and investigators say these deaths are largely preventable and stem from a combination of delayed care, inadequate responses to medical emergencies, and systemic failures within the healthcare system. Conditions like preeclampsia, severe hypertension, and hemorrhaging when not addressed quickly can turn deadly, and Black women are statistically more likely to have their symptoms dismissed or minimized.
One of the women whose story has drawn attention to this crisis is , whose son was stillborn after she repeatedly sought help during a high-risk pregnancy complicated by preeclampsia. Her experience reflects what advocates describe as a broader pattern of Black women not being believed or treated with urgency when reporting pain or warning signs.
Public health officials acknowledge that race itself is not the cause but rather the social, medical, and institutional inequities Black women face before, during, and after pregnancy. Factors such as limited access to quality prenatal care, chronic stress, implicit bias in medical settings, and gaps in postpartum monitoring all contribute to the deadly outcomes reflected in the data.